surgical instrument comprising a plurality of drive systems

专利摘要:
It is a surgical instrument that comprises a plurality of drive systems and one or more displacement systems. The functionality of the surgical instrument is controlled by the displacement systems.
公开号:BR112020013039A2
申请号:R112020013039-7
申请日:2018-12-19
公开日:2020-11-24
发明作者:Frederick E. Shelton Iv；Gregory J. Bakos
申请人:Ethicon Llc；
IPC主号:

专利说明:

[001] [001] The present application claims the benefit of the non-provisional US patent application serial number 16 / 220,313, entitled SURGICAL INSTRUMENT COMPRISING A PLURALITY OF DRIVE SYSTEMS, filed on December 14, 2018, the description of which is incorporated herein by reference , in its entirety. The present application claims the benefit of US provisional patent application serial number 62 / 778,571, entitled SURGICAL INSTRUMENT SYSTEMS, filed on December 12, 2018, the description of which is incorporated herein by reference in its entirety for reference. The present application claims the benefit of US provisional patent application serial number 62 / 750,529, entitled METHOD FOR OPERATING A POWERED ARTICULATING MULTI-CLIP APPLIER, filed on October 25, 2018, of US provisional patent application serial 62 /750,539, entitled SURGICAL CLIP APPLIER, filed on October 25, 2018, and US provisional patent application serial number 62 / 750,555, entitled SURGICAL CLIP APPLIER, filed on October 25, 2018, the descriptions of which are incorporated herein into reference title in its entirety. The present application claims the benefit of US provisional patent application serial number 62 / 659,900, entitled METHOD OF HUB COMMUNICATION, filed on April 19, 2018, the description of which is incorporated herein by reference, in its entirety. This application claims the benefit of US provisional patent application serial number 62 / 665,128, entitled MODULAR SURGICAL INSTRUMENTS, filed on May 1, 2018, from US provisional patent application serial number 62 / 665,129, entitled SURGICAL
[002] [002] The present invention relates to surgical systems and, in various arrangements, gripping instruments that are designed to hold a patient's tissue, dissection instruments configured to manipulate a patient's tissue, clip applicators configured to pinching a patient's tissue, and suture instruments configured to suture a patient's tissue, among others. BRIEF DESCRIPTION OF THE DRAWINGS
[003] [003] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
[004] [004] Figure 1 illustrates a surgical system that comprises a handle and several sets of drive axes, each of which are selectively fixable to the handle, according to at least one modality;
[005] [005] Figure 2 is an elevation view of the handle and one of the driveshaft assemblies of the surgical system of Figure 1;
[006] [006] Figure 3 is a perspective view in partial cross section of the drive shaft assembly of Figure 2;
[007] [007] Figure 4 is another perspective view in partial cross section of the drive shaft assembly of Figure 2;
[008] [008] Figure 5 is a partial exploded view of the drive shaft assembly of Figure 2;
[009] [009] Figure 6 is an elevation view in partial cross section of the drive shaft assembly of Figure 2;
[010] [010] Figure 7 is an elevation view of a drive module for the handle of Figure 1;
[011] [011] Figure 8 is a perspective view in cross section of the drive module of Figure 7;
[012] [012] Figure 9 is an end view of the drive module of Figure 7;
[013] [013] Figure 10 is a partial cross-sectional view of the interconnection between the handle and the drive shaft assembly of Figure 2 in a locked configuration;
[014] [014] Figure 11 is a partial cross-sectional view of the interconnection between the handle and the drive shaft assembly of Figure 2 in an unlocked configuration;
[015] [015] Figure 12 is a perspective view in cross section of an engine and a speed reduction gear assembly of the drive module of Figure 7;
[016] [016] Figure 13 is an end view of the speed reduction gear assembly of Figure 12;
[017] [017] Figure 14 is a partial perspective view of an end actuator of the drive shaft assembly of Figure 2 in an open configuration;
[018] [018] Figure 15 is a partial perspective view of the end actuator of Figure 14 in a closed configuration;
[019] [019] Figure 16 is a partial perspective view of the end actuator of Figure 14 articulated in a first direction;
[020] [020] Figure 17 is a partial perspective view of the end actuator of Figure 14 articulated in a second direction;
[021] [021] Figure 18 is a partial perspective view of the end actuator of Figure 14 rotated in a first direction;
[022] [022] Figure 19 is a partial perspective view of the end actuator of Figure 14 rotated in a second direction;
[023] [023] Figure 20 is a perspective view in partial cross section of the end actuator of Figure 14 separated from the drive shaft assembly of Figure 2;
[024] [024] Figure 21 is an exploded view of the end actuator of Figure 14 illustrated with some components removed;
[025] [025] Figure 22 is an exploded view of a distal fixing portion of the drive shaft assembly of Figure 2;
[026] [026] Figure 22A is an exploded view of the distal portion of the drive shaft assembly of Figure 2 illustrated with some components removed;
[027] [027] Figure 23 is another perspective view in partial cross section of the end actuator of Figure 14 separated from the drive shaft assembly of Figure 2;
[028] [028] Figure 24 is a perspective view in partial cross section of the end actuator of Figure 14 attached to the drive shaft assembly of Figure 2;
[029] [029] Figure 25 is a perspective view in partial cross section of the end actuator of Figure 14 attached to the drive shaft assembly of Figure 2;
[030] [030] Figure 26 is another perspective view in partial cross section of the end actuator of Figure 14 attached to the drive shaft assembly of Figure 2;
[031] [031] Figure 27 is a partial cross-sectional view of the end actuator of Figure 14 attached to the drive shaft assembly of Figure 2 showing a first, second and third clutch of the end actuator;
[032] [032] Figure 28 shows the first clutch in Figure 27 in an unactivated condition;
[033] [033] Figure 29 shows the first clutch in Figure 27 in an actuated condition;
[034] [034] Figure 30 shows the second clutch in Figure 27 in an unactivated condition;
[035] [035] Figure 31 shows the second clutch in Figure 27 in an actuated condition;
[036] [036] Figure 32 shows the third clutch in Figure 27 in an unactivated condition;
[037] [037] Figure 33 shows the third clutch in Figure 27 in an actuated condition;
[038] [038] Figure 34 shows the second and third clutches of Figure 27 in their unactivated condition and the end actuator of Figure 14 locked to the drive shaft assembly of Figure 2;
[039] [039] Figure 35 shows the second clutch of Figure 27 in its unacted condition and the third clutch of Figure 27 in its acted condition;
[040] [040] Figure 36 shows the second and third clutches of Figure 27 in their actuated condition and the end actuator of Figure 14 unlocked from the drive shaft assembly of Figure 2;
[041] [041] Figure 37 is a partial cross-sectional view of a drive shaft assembly according to at least one alternative modality that comprises sensors configured to detect the conditions of the first, second and third clutches of Figure 27;
[042] [042] Figure 38 is a partial cross-sectional view of a drive shaft assembly according to at least one alternative modality comprising sensors configured to detect the conditions of the first, second and third clutches of Figure 27;
[043] [043] Figure 39 shows the first and second clutches of Figure 38 in their unactivated conditions and a sensor according to at least one alternative mode;
[044] [044] Figure 40 shows the second and third clutches of Figure 38 in their unactivated conditions and a sensor according to at least one alternative mode;
[045] [045] Figure 41 is a partial cross-sectional view of a drive shaft assembly according to at least one mode;
[046] [046] Figure 42 is a partial cross-sectional view of the drive shaft assembly of Figure 41 comprising a clutch illustrated in an unactivated condition;
[047] [047] Figure 43 is a partial cross-sectional view of the drive shaft assembly in Figure 41 illustrating the clutch in an actuated configuration;
[048] [048] Figure 44 is a partial cross-sectional view of a drive shaft assembly, according to at least one modality, comprising the first and second clutches illustrated in an unactivated condition;
[049] [049] Figure 45 is a perspective view of the handle drive module of Figure 7 and one of the drive shaft assemblies of the surgical system of Figure 1;
[050] [050] Figure 46 is another perspective view of the drive module of the handle of Figure 7 and the drive shaft assembly of Figure 45;
[051] [051] Figure 47 is a partial cross-sectional view of the drive shaft assembly of Figure 45 attached to the handle of Figure 1;
[052] [052] Figure 48 is another partial cross-sectional view of the drive shaft assembly of Figure 45 attached to the handle of Figure 1;
[053] [053] Figure 49 is a partial cross-sectional perspective view of the drive shaft assembly in Figure 45;
[054] [054] Figure 50 is a schematic of the control system for the surgical system in Figure 1;
[055] [055] Figure 51 is an elevation view of the handle and one of the driveshaft assemblies of the surgical system in Figure 1;
[056] [056] Figure 52 is a perspective view of the handle of Figure 1 and the drive shaft assembly of Figure 2;
[057] [057] Figure 53 is a top plan view of the handle of Figure 1 and the drive shaft assembly of Figure 2;
[058] [058] Figure 54 is a partial elevation view of the handle of Figure 1 and the drive shaft assembly of Figure 2;
[059] [059] Figure 55 is a perspective view of the drive module in Figure 7 and a power module in Figure 1;
[060] [060] Figure 56 is a perspective view of the drive module in Figure 7 and the power module in Figure 55;
[061] [061] Figure 57 is an elevation view of the drive module of Figure 7 and the power module of Figure 55 attached to a side battery door of the drive module;
[062] [062] Figure 58 is a partial cross-sectional view of the connection between the side battery door of the drive module of Figure 7 and the power module of Figure 55;
[063] [063] Figure 59 is an elevation view of the handle drive module of Figure 7, the power module of Figure 45 attached to a proximal battery door of the handle drive module, and the drive shaft assembly of the handle. Figure 45 attached to the drive module;
[064] [064] Figure 60 is a top view of the drive module in Figure 7 and the power module in Figure 45 attached to the proximal battery door;
[065] [065] Figure 61 is an elevation view of the drive module in Figure 7 and the power module in Figure 45 attached to the proximal battery door;
[066] [066] Figure 62 is a perspective view of the drive module in Figure 7 and the power module in Figure 45 attached to the proximal battery door;
[067] [067] Figure 63 is a perspective view of the power module of Figure 45 disconnected from the drive module of Figure 7;
[068] [068] Figure 64 is another perspective view of the power module of Figure 45 disconnected from the drive module of Figure 7;
[069] [069] Figure 65 is an elevation view of the power module of Figure 45 attached to the proximal battery door of the drive module of Figure 7;
[070] [070] Figure 66 is a partial cross-sectional view of the connection between the proximal battery door of the drive module of Figure 7 and the power module of Figure 45;
[071] [071] Figure 67 is an elevation view of the power module of Figure 55 attached to the proximal battery door of the drive module of Figure 7;
[072] [072] Figure 68 is a partial cross-sectional view of the connection between the proximal battery door of the drive module of Figure 7 and the power module of Figure 55;
[073] [073] Figure 69 is an elevation view of an attempt to connect the power module of Figure 45 to the side battery door of the drive module of Figure 7;
[074] [074] Figure 70 is a detailed cross-sectional view of an attempt to connect the power module of Figure 45 to the side battery door of the drive module of Figure 7;
[075] [075] Figure 71 is a perspective view of the Figure 45 power module attached to the proximal battery door of the Figure 7 drive module and the Figure 55 power module attached to the side battery door;
[076] [076] Figure 72 is a cross-sectional view of the Figure 45 power module attached to the proximal battery door of the Figure 7 drive module and the Figure 55 power module attached to the side battery door;
[077] [077] Figure 73 is a perspective view of a portion of a surgical instrument comprising selectively fixable modular components in accordance with at least one aspect of the present description;
[078] [078] Figure 74 illustrates an electrical architecture of the surgical instrument of Figure 73 in accordance with at least one aspect of the present description;
[079] [079] Figure 75 is a perspective view in partial cross-section of a handle of the surgical instrument of Figure 73 in accordance with at least one aspect of the present description;
[080] [080] Figure 76 is a perspective view of a system of magnetic elements disposed in the handle and of a drive axis of the surgical instrument of Figure 73, according to at least one aspect of the present description;
[081] [081] Figure 77 is a perspective view of a system of magnetic elements arranged on the handle and the driving axis of the surgical instrument of Figure 73, according to at least one aspect of the present description;
[082] [082] Figure 78 is a perspective view of the system of magnetic elements of Figure 77 aligning the drive shaft with the handle of the surgical instrument, in accordance with at least one aspect of the present description;
[083] [083] Figure 79 is a perspective view of a flexible circuit for use in the surgical instrument of Figure 73, in accordance with at least one aspect of the present description;
[084] [084] Figure 79A is a perspective view in detail of a primary strain relief portion of the flexible circuit of Figure 79, in accordance with at least one aspect of the present description;
[085] [085] Figure 79B is a perspective view in detail of a secondary strain relief portion of the flexible circuit of Figure 79, in accordance with at least one aspect of the present description;
[086] [086] Figure 79C is a perspective view in detail of components of the control circuit incorporated into a flexible plastic of the flexible circuit of Figure 79, in accordance with at least one aspect of the present description;
[087] [087] Figure 80 is a perspective view of a flexible circuit for use in combination with the flexible circuit of Figure 79, in accordance with at least one aspect of the present description;
[088] [088] Figure 81A is a perspective view of the flexible circuit of Figure 79 before being electrically coupled to the flexible circuit of Figure 80, in accordance with at least one aspect of the present description;
[089] [089] Figure 81B is a perspective view of the flexible circuit of Figure 79 electrically coupled to the flexible circuit of Figure 80, in accordance with at least one aspect of the present description;
[090] [090] Figure 82 is an elevation view of a surgical instrument according to at least one modality;
[091] [091] Figure 82A is a partial detail view of the surgical instrument in Figure 82;
[092] [092] Figure 82B is a partial detail view of the surgical instrument of Figure 82 illustrating a probe inserted into a handle of the surgical instrument;
[093] [093] Figure 82C is a perspective view of a trocar, according to at least one modality, configured to facilitate the insertion of the surgical instrument of Figure 82, for example, in a patient;
[094] [094] Figure 83 is a perspective view of a drive system for the surgical instrument of Figure 82;
[095] [095] Figure 84 is a perspective view of a drive system according to at least one modality;
[096] [096] Figure 85 is a perspective view of an extensometer on the surgical instrument of Figure 82;
[097] [097] Figure 85A shows the extensometer in Figure 85 in an elongated condition;
[098] [098] Figure 85B shows the extensometer of Figure 85 in a contracted condition;
[099] [099] Figure 85C illustrates a Wheatstone bridge that comprises an extensometer according to at least one modality;
[100] [100] Figure 86 is a perspective view of half a case of the handle of the surgical instrument in Figure 82;
[101] [101] Figure 87 is a partial perspective view of circuit boards on the handle of Figure 86;
[102] [102] Figure 88 is a partial cross-sectional view of a surgical instrument according to at least one modality;
[103] [103] Figure 89 is a partial detail view of an electrical interface inside the surgical instrument of Figure 88;
[104] [104] Figure 90 is a perspective view of a handle according to at least one modality;
[105] [105] Figure 91 is a perspective view of a button wrap of the handle of Figure 90;
[106] [106] Figure 92 is a perspective view of another button wrap of the handle of Figure 90;
[107] [107] Figure 93 is a perspective view of another button wrap of the handle of Figure 90;
[108] [108] Figure 94 is a cross-sectional view of a button wrap according to at least one embodiment;
[109] [109] Figure 95 is a cross-sectional view of a button wrap according to at least one embodiment;
[110] [110] Figure 96 is a perspective view of a surgical instrument handle according to at least one modality;
[111] [111] Figure 97 is a perspective view of a surgical instrument handle according to at least one modality;
[112] [112] Figure 98 is a perspective view of a surgical instrument handle in accordance with at least one modality;
[113] [113] Figure 99 is an icon that can be shown on a surgical instrument according to at least one modality;
[114] [114] Figure 100 is an icon that can be shown on a surgical instrument according to at least one modality;
[115] [115] Figure 101 is an icon that can be shown on a surgical instrument according to at least one modality;
[116] [116] Figure 101A illustrates a flexible circuit of the handle and a flexible circuit of the drive shaft of a surgical instrument according to at least one modality;
[117] [117] Figure 101B illustrates a connection between the flexible loop of the handle and the flexible loop of the drive shaft of Figure 101A;
[118] [118] Figure 102 illustrates a control circuit for a surgical instrument according to at least one modality;
[119] [119] Figure 103 illustrates timing diagrams associated with the control circuit of Figure 102, according to at least one modality;
[120] [120] Figure 104 illustrates a control circuit for a surgical instrument, according to at least one modality;
[121] [121] Figure 104A illustrates a control circuit configured to indicate the power supplied to an electric motor according to at least one mode;
[122] [122] Figure 104B illustrates a graduated dial in communication with the control circuit of Figure 104A, according to at least one modality;
[123] [123] Figure 104C illustrates a surgical instrument comprising a handle according to at least one modality;
[124] [124] Figure 105 illustrates a surgical system according to at least one modality;
[125] [125] Figure 106 illustrates a schematic diagram representing current and signal paths of the surgical system of Figure 105 according to at least one modality;
[126] [126] Figure 107 illustrates a graph showing a relationship between a patient's continuity level and an electrosurgical energy level provided by the surgical system of Figure 105 according to at least one modality;
[127] [127] Figure 108 illustrates a flexible circuit of a surgical instrument according to at least one modality;
[128] [128] Figure 109 illustrates a cross section of the flexible circuit of Figure 108;
[129] [129] Figure 110 illustrates a flexible circuit of a surgical instrument, according to at least one modality;
[130] [130] Figure 111 illustrates a cross section of the flexible circuit of Figure 110;
[131] [131] Figure 111A illustrates a flexible circuit of a surgical instrument according to at least one modality;
[132] [132] Figure 112 illustrates a control circuit for a surgical instrument, according to at least one modality;
[133] [133] Figure 113 illustrates a method for identifying the degradation or failure of components of a surgical instrument according to at least one modality;
[134] [134] Figure 114 illustrates a graph showing frequency component signals of acoustic signatures of components of a surgical instrument according to at least one modality;
[135] [135] Figure 115 illustrates components associated with the frequency component signals in Figure 114;
[136] [136] Figure 116 illustrates a method for identifying the degradation or failure of drive components of a surgical instrument according to at least one modality;
[137] [137] Figure 117 illustrates a graph showing a relationship between the current drawn from the motor and the frequency component signals of a surgical instrument according to at least one modality;
[138] [138] Figure 118 illustrates a method for adjusting a surgical instrument's engine control algorithm according to at least one modality;
[139] [139] Figure 119 illustrates an environment for a surgical procedure according to at least one modality;
[140] [140] Figure 120 illustrates a monopolar surgical instrument according to at least one modality;
[141] [141] Figures 121 and 122 illustrate electrical terminations of the monopolar surgical instrument in Figure 120;
[142] [142] Figure 123 illustrates a graph showing a relationship between leakage current and distances between surgical instruments according to at least one aspect of the present description;
[143] [143] Figure 124 illustrates a graph showing DC voltage output limits for different types of surgical instrument contacts according to at least one modality;
[144] [144] Figure 125 illustrates a surgical instrument equipped with an engine according to at least one modality;
[145] [145] Figure 126 illustrates a graph showing the electrical potential associated with the surgical instrument equipped with the motor of Figure 125 according to at least one modality;
[146] [146] Figure 127 illustrates an active transmission and detection scheme used by a surgical instrument according to at least one modality;
[147] [147] Figure 128 illustrates a graph showing signals transmitted and received by the surgical instrument of Figure 127;
[148] [148] Figure 129 illustrates a graph showing proximity measurements associated with the surgical instrument in Figure 127;
[149] [149] Figure 130 illustrates a passive detection scheme used by a surgical instrument according to at least one modality;
[150] [150] Figure 131 illustrates a primary magnetic field associated with the surgical instrument of Figure 130 in an unaffected condition;
[151] [151] Figure 132 illustrates a primary magnetic field associated with the surgical instrument of Figure 130 in an affected condition;
[152] [152] Figure 133 illustrates a graph showing the Hall current associated with the surgical instrument of Figure 130 according to at least one modality;
[153] [153] Figures 134 and 135 illustrate a passive detection scheme used by a surgical instrument according to at least one modality;
[154] [154] Figure 136 illustrates a schematic view of a surgical instrument according to at least one modality;
[155] [155] Figure 137 illustrates a graph showing the induced current measured by a current sensor of the surgical instrument of Figure 136 according to at least one modality;
[156] [156] Figure 138 illustrates a surgical instrument according to at least one modality; illustrated with components removed;
[157] [157] Figure 139 illustrates an electrical circuit of the surgical instrument of Figure 138;
[158] [158] Figure 140 illustrates a graph showing the relationships between altitude, atmospheric pressure and the electrical energy used by a surgical instrument according to at least one modality;
[159] [159] Figure 141 illustrates a method for predicting when a predefined temperature limit will be exceeded according to at least one mode; and
[160] [160] Figure 142 illustrates a graph showing a relationship between a detected temperature, an approximate temperature, and an energy consumption of a surgical instrument according to at least one modality.
[161] [161] Corresponding reference characters indicate corresponding parts through the various views. The examples described herein illustrate various embodiments of the invention, in one form, and such examples should in no way be considered to limit the scope of the invention. DETAILED DESCRIPTION
[162] [162] The applicant for this application holds the following US patent applications that were filed on December 14, 2018 that are each incorporated herein by reference in their respective entirety:
[163] [163] - US patent application serial number 16 / 220,281, entitled SURGICAL INSTRUMENT WITH A HARDWARE-ONLY CONTROL CIRCUIT;
[164] [164] - US patent application serial number 16 / 220,301, entitled SURGICAL INSTRUMENT WITH ACOUSTIC-BASED MOTOR CONTROL;
[165] [165] - US patent application serial number 16 / 220,296, entitled SURGICAL INSTRUMENT COMPRISING A CONTROL CIRCUIT;
[166] [166] - US patent application serial number 16 / 220,309, entitled SURGICAL INSTRUMENT COMPRISING BUTTON CIRCUITS;
[167] [167] - US patent application serial number 16 / 220,318, entitled SURGICAL INSTRUMENT COMPRISING A CONTROL SYSTEM THAT USES INPUT FROM A STRAIN GAGE CIRCUIT;
[168] [168] - US patent application serial number 16 / 220,273, entitled SURGICAL INSTRUMENT WITH A SENSING ARRAY; and
[169] [169] - US patent application serial number 16 / 220.280, entitled SURGICAL INSTRUMENT WITH ENVIRONMENT SENSING.
[170] [170] The applicant for this application holds the following provisional US patent applications, filed on December 12, 2018, each of which is incorporated herein by reference in its entirety:
[171] [171] - US provisional patent application serial number 62 / 778,571, entitled SURGICAL INSTRUMENT SYSTEMS;
[172] [172] - US provisional patent application serial number 62 / 778,572, entitled SURGICAL INSTRUMENT SYSTEMS; and
[173] [173] - US provisional patent application serial number 62 / 778,573, entitled SURGICAL INSTRUMENT SYSTEMS.
[174] [174] The applicant for this application holds the following US patent applications that were filed on October 26, 2018 and which are each incorporated herein by reference in their respective entirety:
[175] [175] - US patent application serial number 16 / 172,130, entitled CLIP APPLIER COMPRISING INTERCHANGEABLE CLIP RELOADS;
[176] [176] - US patent application serial number 16 / 172,066, entitled CLIP APPLIER COMPRISING A MOVABLE CLIP MAGAZINE;
[177] [177] - US patent application serial number 16 / 172,078, entitled CLIP APPLIER COMPRISING A ROTATABLE CLIP MAGAZINE;
[178] [178] - US patent application serial number 16 / 172,087, entitled CLIP APPLIER COMPRISING CLIP ADVANCING SYSTEMS;
[179] [179] - US patent application serial number 16 / 172,094, entitled CLIP APPLIER COMPRISING A CLIP CRIMPING SYSTEM;
[180] [180] - US patent application serial number 16 / 172,128, entitled CLIP APPLIER COMPRISING A RECIPROCATING CLIP ADVANCING MEMBER;
[181] [181] - US patent application serial number 16 / 172,168, entitled CLIP APPLIER COMPRISING A MOTOR CONTROLLER;
[182] [182] - US patent application serial number 16 / 172,164 entitled
[183] [183] - US patent application serial number 16 / 172,303, entitled METHOD FOR OPERATING A POWERED ARTICULATING MULTI-CLIP APPLIER.
[184] [184] The applicant for this application holds the following US patent applications that were filed on October 26, 2018 and which are each incorporated herein by reference in their respective entirety:
[185] [185] - U.S. patent application serial number 16 / 172,328, entitled METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS;
[186] [186] - US patent application serial number 16 / 172,280, entitled METHOD FOR PRODUCING A SURGICAL INSTRUMENT COMPRISING A SMART ELECTRICAL SYSTEM;
[187] [187] - US patent application serial number 16 / 172,219, entitled METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS;
[188] [188] - US patent application serial number 16 / 172,248, entitled METHOD FOR COMMUNICATING WITH SURGICAL INSTRUMENT SYSTEMS;
[189] [189] - US patent application serial number 16 / 172,198, entitled
[190] [190] The applicant for this application holds the following US patent applications that were filed on August 24, 2018 and which are each incorporated herein by reference in their respective entirety:
[191] [191] - US patent application serial number 16 / 112.129, entitled SURGICAL SUTURING INSTRUMENT CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER;
[192] [192] - US patent application serial number 16 / 112,155, entitled SURGICAL SUTURING INSTRUMENT COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER;
[193] [193] - US patent application serial number 16 / 112,168, entitled SURGICAL SUTURING INSTRUMENT COMPRISING A NON-CIRCULAR NEEDLE;
[194] [194] - US patent application serial number 16 / 112,180, entitled ELECTRICAL POWER OUTPUT CONTROL BASED ON MECHANICAL FORCES;
[195] [195] - US patent application serial number 16 / 112,193, entitled REACTIVE ALGORITHM FOR SURGICAL SYSTEM;
[196] [196] - US patent application serial number 16 / 112,099, entitled SURGICAL INSTRUMENT COMPRISING at ADAPTIVE ELECTRICAL SYSTEM;
[197] [197] - US patent application serial number 16 / 112,112, entitled CONTROL SYSTEM ARRANGEMENTS FOR A MODULAR SURGICAL INSTRUMENT;
[198] [198] - US patent application serial number 16 / 112,119, entitled ADAPTIVE CONTROL PROGRAMS FOR A SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE;
[199] [199] - US patent application serial number 16 / 112,097, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING BATTERY ARRANGEMENT;
[200] [200] - US patent application serial number 16 / 112,109, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING HANDLE ARRANGEMENTS;
[201] [201] - US patent application serial number 16 / 112,114, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS;
[202] [202] - US patent application serial number 16 / 112,117, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING LOCKOUT MECHANISMS;
[203] [203] - US patent application serial number 16 / 112,095, entitled SURGICAL INSTRUMENTS COMPRISING A LOCKABLE END EFFECTOR SOCKET;
[204] [204] - US patent application serial number 16 / 112,121, entitled SURGICAL INSTRUMENTS COMPRISING A SHIFTING MECHANISM;
[205] [205] - US patent application serial number 16 / 112,151, entitled SURGICAL INSTRUMENTS COMPRISING A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION;
[206] [206] - US patent application serial number 16 / 112,154, entitled SURGICAL INSTRUMENT COMPRISING A BIASED SHIFTING MECHANISM;
[207] [207] - US patent application serial number 16 / 112,226, entitled SURGICAL INSTRUMENTS COMPRISING AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES;
[208] [208] - US patent application serial number 16 / 112,062, entitled SURGICAL DISSECTORS AND MANUFACTURING TECHNIQUES;
[209] [209] - US patent application serial number 16 / 112,098, entitled SURGICAL ISSECTORS CONFIGURED TO APPLY MECHANICAL AND ELECTRICAL ENERGY;
[210] [210] - US patent application serial number 16 / 112,237, entitled SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE;
[211] [211] - US patent application serial number 16 / 112,245, entitled SURGICAL CLIP APPLIER COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT;
[212] [212] - US patent application serial number 16 / 112,249, entitled SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM;
[213] [213] - US patent application serial number 16 / 112,253, entitled
[214] [214] - US patent application serial number 16 / 112,257, entitled SURGICAL CLIP APPLIER COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT.
[215] [215] The applicant for this application holds the following US patent applications that were filed on May 1, 2018, and which are each incorporated herein by reference in their respective entirety:
[216] [216] - US provisional patent application serial number 62 / 665,129,
[217] [217] - US patent application serial number 62 / 665,139, entitled SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS;
[218] [218] - US patent application serial number 62 / 665,177, entitled SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS;
[219] [219] - US provisional patent application serial number 62 / 665,128, entitled MODULAR SURGICAL INSTRUMENTS;
[220] [220] - US provisional patent application serial number 62 / 665,192, entitled SURGICAL DISSECTORS; and
[221] [221] - US provisional patent application serial number 62 / 665,134, entitled SURGICAL CLIP APPLIER.
[222] [222] The applicant for this application holds the following US patent applications that were filed on February 28, 2018, and which are each incorporated herein by reference in their respective totalities:
[223] [223] - US patent application serial number 15 / 908,021, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE;
[224] [224] - US patent application serial number 15 / 908,012, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT;
[225] [225] - US patent application serial number 15 / 908,040, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;
[226] [226] - US patent application serial number 15 / 908,057, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;
[227] [227] - US patent application serial number 15 / 908,058, entitled SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES; and
[228] [228] - US patent application serial number 15 / 908,143, entitled SURGICAL INSTRUMENT WITH SENSOR AND / OR CONTROL SYSTEMS.
[229] [229] The applicant for this application holds the following US patent applications that were filed on October 30, 2017, and which are each incorporated herein by reference in their respective totalities:
[230] [230] - US provisional patent application serial number 62 / 578,793, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE;
[231] [231] - US provisional patent application serial number 62 / 578,804, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT;
[232] [232] - US provisional patent application serial number 62 / 578,817, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;
[233] [233] - US provisional patent application serial number 62 / 578,835, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;
[234] [234] - US provisional patent application serial number 62 / 578,844, entitled SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES; and
[235] [235] - US provisional patent application serial number 62 / 578,855, entitled SURGICAL INSTRUMENT WITH SENSOR AND / OR CONTROL SYSTEMS.
[236] [236] The applicant for this application holds the following provisional US patent applications, filed on December 28, 2017, the description of which is incorporated herein by reference in its entirety:
[237] [237] - US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM;
[238] [238] - US provisional patent application serial number 62 / 611,340, entitled CLOUD-BASED MEDICAL ANALYTICS; and
[239] [239] - US provisional patent application serial number 62 / 611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM.
[240] [240] The applicant for this application holds the following provisional US patent applications, filed on March 28, 2018, each of which is incorporated herein by reference in its entirety:
[241] [241] - US provisional patent application serial number 62 / 649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES;
[242] [242] - US provisional patent application serial number 62 / 649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;
[243] [243] - US provisional patent application serial number 62 / 649,300, entitled SURGICAL HUB SITUATIONAL AWARENESS;
[244] [244] - US provisional patent application serial number 62 / 649,309, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER;
[245] [245] - US provisional patent application serial number 62 / 649,310, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS;
[246] [246] - US provisional patent application serial number 62 / 649,291, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT;
[247] [247] - US patent application serial number 62 / 649,296, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES;
[248] [248] - US provisional patent application serial number 62 / 649,333, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER;
[249] [249] - US provisional patent application serial number 62 / 649,327, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES;
[250] [250] - US provisional patent application serial number 62 / 649,315, entitled DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK;
[251] [251] - US provisional patent application serial number 62 / 649,313, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES;
[252] [252] - US provisional patent application serial number 62 / 649,320, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[253] [253] - US provisional patent application serial number 62 / 649,307, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT- ASSISTED SURGICAL PLATFORMS; and
[254] [254] - US provisional patent application serial number 62 / 649,323, entitled SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PlatformS.
[255] [255] The applicant for this application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated herein by reference in its entirety:
[256] [256] - US patent application serial number 15 / 940,641, entitled INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATION CAPABILITIES;
[257] [257] - US patent application serial number 15 / 940,648, entitled INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES;
[258] [258] - US patent application serial number 15 / 940,656, entitled Surgical hub coordination of control and communication of operating room devices;
[259] [259] - US patent application serial number 15 / 940,666, entitled Spatial awareness of surgical hubs in operating rooms;
[260] [260] - US patent application serial number 15 / 940,670, entitled Cooperative utilization of data derived from secondary sources by intelligent surgical hubs;
[261] [261] - US patent application serial number 15 / 940,677, entitled Surgical hub control arrangements;
[262] [262] - US patent application serial number 15 / 940,632, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;
[263] [263] - US patent application serial number 15 / 940,640, entitled COMMUNICATION HUB AND STORAGE DEVICE FOR STORING
[264] [264] - US patent application serial number 15 / 940,645, entitled SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT;
[265] [265] - US patent application serial number 15 / 940,649, entitled DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME;
[266] [266] - US patent application serial number 15 / 940,654, entitled SURGICAL HUB SITUATIONAL AWARENESS;
[267] [267] - US patent application serial number 15 / 940,663, entitled SURGICAL SYSTEM DISTRIBUTED PROCESSING;
[268] [268] - US patent application serial number 15 / 940,668, entitled AGGREGATION AND REPORTING OF SURGICAL HUB DATA;
[269] [269] - US patent application serial number 15 / 940,671, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER;
[270] [270] - US patent application serial number 15 / 940,686, entitled DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE;
[271] [271] - US patent application serial number 15 / 940,700, entitled STERILE FIELD INTERACTIVE CONTROL DISPLAYS;
[272] [272] - US patent application serial number 15 / 940,629, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS;
[273] [273] - US patent application serial number 15 / 940,704, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT;
[274] [274] - US patent application serial number 15 / 940,722, entitled
[275] [275] - US patent application serial number 15 / 940,742, entitled DUAL CMOS ARRAY IMAGING.
[276] [276] The applicant for this application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated herein by reference in its entirety:
[277] [277] - US patent application serial number 15 / 940,636, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES;
[278] [278] - US patent application serial number 15 / 940,653, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS;
[279] [279] - US patent application serial number 15 / 940,660, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER;
[280] [280] - US patent application serial number 15 / 940,679, entitled CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET;
[281] [281] - US patent application serial number 15 / 940,694, entitled Cloud-based Medical Analytics for Medical Facility Segmented Individualization of Instrument Function;
[282] [282] - US patent application serial number 15 / 940,634, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES;
[283] [283] - US patent application serial number 15 / 940,706, entitled
[284] [284] - US patent application serial number 15 / 940,675, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES.
[285] [285] The applicant for this application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated herein by reference in its entirety:
[286] [286] - US patent application serial number 15 / 940,627, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMs;
[287] [287] - US patent application serial number 15 / 940,637, entitled COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[288] [288] - US patent application serial number 15 / 940,642, entitled CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[289] [289] - US patent application serial number 15 / 940,676, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[290] [290] - US patent application serial number 15 / 940,680, entitled CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[291] [291] - US patent application serial number 15 / 940,683, entitled COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
[292] [292] - US patent application serial number 15 / 940,690, entitled DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; and
[293] [293] - US patent application serial number 5 / 940,711, entitled SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PlatformS.
[294] [294] The applicant for this application holds the following provisional US patent applications, filed on March 30, 2018, each of which is incorporated herein by reference in its entirety:
[295] [295] - US provisional patent application serial number 62 / 650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES;
[296] [296] - US provisional patent application serial number 62 / 650,877, entitled SURGICAL SMOKE EVACUATION SENSING AND CONTROLS;
[297] [297] - US provisional patent application serial number 62 / 650,882, entitled SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM; and
[298] [298] - US provisional patent application serial number 62 / 650,898, entitled CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS.
[299] [299] The applicant for this application holds the following provisional US patent application, filed on April 19, 2018, which is hereby incorporated by reference in its entirety:
[300] [300] - US provisional patent application serial number 62 / 659,900,
[301] [301] The applicant for this application holds the following provisional US patent applications, filed on Thursday, October 25, 2018, each of which is incorporated herein by reference in its entirety:
[302] [302] - US provisional patent application serial number 62 / 750,529, entitled METHOD FOR OPERATING A POWERED ARTICULATING MULTI-CLIP APPLIER;
[303] [303] - US provisional patent application serial number 62 / 750,539, entitled SURGICAL CLIP APPLIER; and
[304] [304] - US provisional patent application serial number 62 / 750,555, entitled SURGICAL CLIP APPLIER.
[305] [305] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Well-known operations, components and elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities described and illustrated in the present invention are non-limiting examples and, therefore, it can be understood that the specific structural and functional details described in the present invention can be representative and illustrative. Variations and changes can be made to this, without departing from the scope of the claims.
[306] [306] The terms "understand" (and any form of understanding, such as "understand" and "who understand"), "have" (and any form of have, such as "have" and "have"), "include" (and any form of including, such as "includes" and "which includes") and "containing" (and any form of containing, such as "contains" and "containing") are unbounded linking verbs. As a result, a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more elements has those one or more elements, but is not limited to having only those one or more elements. Likewise, an element of a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more resources has those one or more resources, but is not limited to having only those one or more features.
[307] [307] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the doctor, and the term "distal" refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
[308] [308] Several exemplifying devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices described in the present invention can be used in numerous surgical procedures and applications, including, for example, open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments described here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in tissue, etc. Functional portions or portions of the instrument end actuator can be inserted directly into a patient's body or can be inserted via an access device that has a working channel through which the end actuator and the elongated drive shaft surgical instrument can be advanced.
[309] [309] A surgical instrument, such as a gripper, can comprise a handle, a drive shaft that extends from the handle, and an end actuator that extends from the drive shaft. In several cases, the end actuator comprises a first jaw and a second jaw, in which one or both jaws are movable relative to each other to hold a patient's tissue. That said, a surgical instrument end actuator can comprise any suitable arrangement and can perform any suitable function. For example, an end actuator may comprise a first and a second jaw configured to dissect or separate tissue from a patient. In addition, for example, an end actuator can be configured to suture and / or pinch a patient's tissue. In several cases, the end actuator and / or the driving shaft of the surgical instrument are configured to be inserted into a patient through a trocar, or cannula, and can have any suitable diameter, such as approximately 5 mm, 8 mm and / or 12 mm, for example. US patent application serial number 11 / 013,924, entitled TROCAR SEAL ASSEMBLY, now US patent No. 7,371,227, is hereby incorporated by reference in its entirety. The drive axis can define a longitudinal axis and at least a portion of the end actuator can be rotatable around the longitudinal axis. In addition, the surgical instrument may additionally comprise a pivot joint which can enable at least a portion of the end actuator to be pivoted in relation to the drive shaft. In use, a physician can rotate and / or articulate the end actuator to maneuver the end actuator on the patient.
[310] [310] A surgical instrument system is shown in Figure
[311] [311] Again with reference to Figure 1, the handle set 1000 comprises, among other things, a drive module 1100. As described in more detail below, the drive module 1100 comprises a distal mounting interface that allows a physician selectively attach one of the drive shaft sets 2000, 3000, 4000 and 5000, for example, to the drive module 1100. This way, each of the drive shaft sets 2000, 3000, 4000 and 5000 comprises an assembly interface identical, or at least similar, proximal that is configured to engage the 1100 drive module's distal mounting interface. As also described in more detail below, the 1100 drive module's mounting interface mechanically secures and electrically couples the shaft assembly drive module selected to the 1100 drive module. The 1100 drive module additionally comprises at least one electric motor, one or more controls and / or displays, and a controller configured to operate the electric motor, the rotational output of which is transmitted to a drive system of the drive shaft assembly fixed to the drive module
[312] [312] In addition to the above, again with reference to Figures 1 and 2, the handle drive module 1100 comprises a cabinet 1110, a first module connector 1120, and a second module connector 1120 '. The power module 1200 comprises a cabinet 1210, a connector 1220, one or more release latches 1250 and one or more batteries 1230. The connector 1220 is configured to be engaged with the first module connector 1120 of the drive module 1100 so attaching the power module 1200 to the drive module 1100. The connector 1220 comprises one or more locks 1240 that mechanically couple and securely attach the housing 1210 of the power module 1200 to the housing 1110 of the drive module 1100. The locks 1240 are movable to disengaged positions when the release latches 1250 are pressed so that the power module 1200 can be separated from the drive module 1100. The connector 1220 also comprises one or more electrical contacts that place the batteries 1230, and / or a electrical circuit including batteries 1230, in electrical communication with an electrical circuit in drive module 1100.
[313] [313] In addition to the above, again with reference to Figures 1 and 2, the power module 1300 comprises a cabinet 1310, a connector 1320, one or more release latches 1350, and one or more batteries 1330 (Figure 47). The 1320 connector is configured to be attached to the second module connector 1120 'of the drive module 1100 to secure the power module 1300 to the drive module 1100. The connector 1320 comprises one or more locks 1340 that mechanically couple and securely attach secure the 1310 enclosure of the feed module 1300 to the 1110 enclosure of the drive module 1100. The latches 1340 are movable to disengaged positions when the release latches 1350 are pressed so that the feed module 1300 can be separated from the drive module 1100. The 1320 connector also comprises one or more electrical contacts that place the 1330 batteries in the 1300 power module, and / or an electrical power circuit that includes the 1330 batteries, in electrical communication with an electrical power circuit in the 1100 drive module.
[314] [314] In addition to the above, the feed module 1200, when attached to the drive module 1100, comprises a pistol grip that can enable a physician to hold the grip 1000 in a manner that positions the drive module 1100 on top of the doctor's hand. The 1300 power module, when attached to the 1100 drive module,
[315] [315] In several cases, in addition to the above, only one of the 1200 and 1300 power modules is coupled to the 1100 drive module at a time. In certain cases, the feed module 1200 may be in the way when the drive shaft assembly 4000, for example, is attached to the drive module
[316] [316] With reference to Figures 7 and 8, the handle drive module 1100 additionally comprises a frame 1500, a motor assembly 1600, a drive system 1700 operationally coupled to the motor assembly 1600 and a control system 1800. A frame 1500 comprises an elongated drive shaft that extends through the motor assembly
[317] [317] With reference to Figures 12 and 13, the motor assembly 1600 comprises an electric motor 1610 that includes a frame 1620, a drive shaft 1630 and a gear reduction system. The electric motor 1610 additionally comprises a stator that includes windings 1640 and a rotor that includes magnetic elements 1650. The windings of stator 1640 are supported on the housing 1620 and the magnetic elements of the rotor 1650 are mounted on the drive shaft 1630. When the windings of the stator 1640 are energized with an electric current controlled by the control system 1800, the drive shaft 1630 is rotated around a longitudinal geometric axis. The drive shaft 1630 is operationally coupled to a first planetary gear system 1660 which includes a central gear and several planetary gears operatively interspersed with the central gear. The central gear of the first planetary gear system 1660 is fixedly mounted to the drive shaft 1630 so that it rotates with the drive shaft
[318] [318] Control system 1800 is in communication with the motor assembly 1600 and the electrical circuit of the drive module 1100. The control system 1800 is configured to control the power supplied to the motor assembly 1600 by the power circuit. electrical. The electrical power circuit is configured to provide a constant, or at least almost constant, direct current (DC) voltage. In at least one case, the electrical circuit supplies 3 V direct current (DC) to the control system
[319] [319] In addition to the above, again with reference to Figures 7 and 8, the drive system 1700 comprises a rotary drive shaft 1710 comprising a fluted distal end 1720 and a longitudinal opening 1730 defined therein. The 1710 rotary drive shaft is operationally mounted on the output drive shaft of the motor assembly 1600 so that the 1710 rotary drive shaft rotates with the motor output drive shaft. The handle structure 1510 extends through the longitudinal opening 1730 and pivotally supports the rotary drive shaft 1710. As a result, the handle structure 1510 serves as a support for the rotary drive shaft 1710. The handle structure 1510 and the shaft rotary drive modules 1710 extend distally from a mounting interface 1130 of the drive module 1110 and are coupled to the corresponding components in the drive shaft assembly 2000 when drive shaft assembly 2000 is mounted on drive module 1100. With Referring mainly to Figures 3 to 6, the drive shaft assembly 2000 additionally comprises a frame 2500 and a drive system 2700. The frame 2500 comprises a longitudinal drive shaft 2510 that extends through the drive shaft assembly 2000 and a plurality of electrical contacts, or pins, 2520 that extend proximally from the axis of drive 2510. When drive shaft assembly 2000 is attached to drive module 1100, electrical contacts 2520 on drive shaft structure 2510 engage electrical contacts 1520 on handle structure 1510 and create electrical paths between them.
[320] [320] Similar to the above, the drive system 2700 comprises a rotary drive shaft 2710 that is operationally coupled to the rotary drive shaft 1710 of the handle 1000 when the drive shaft assembly 2000 is mounted on the drive module 1100 so that the drive shaft 2710 rotates with the drive shaft 1710. For this purpose, the drive shaft 2710 comprises a fluted proximal end 2720 which mates with the fluted distal end 1720 of the drive shaft 1710 so that the drive shafts 1710 and 2710 rotate together when the drive shaft 1710 is rotated by the motor assembly 1600. Given the nature of the fluted interconnection between drive axes 1710 and 2710 and the electrical interconnection between frames 1510 and 2510, the drive shaft assembly 2000 it is mounted on the handle 1000 along a longitudinal geometric axis; however, the operational interconnection between the drive shafts 1710 and 2710 and the electrical interconnection between the structures 1510 and 2510 can comprise any suitable configuration that could allow a drive shaft assembly to be mounted on the handle 1000 in any suitable way.
[321] [321] As discussed above, with reference to Figures 3 to 8, the mounting interface 1130 of the drive module 1110 is configured to be coupled to a corresponding mounting interface on the drive shaft assemblies 2000, 3000, 4000 and 5000, for example. For example, the drive shaft assembly 2000 comprises a mounting interface 2130 configured to be coupled to the mounting interface 1130 of the drive module 1100. More specifically, the proximal portion 2100 of the driving shaft assembly 2000 comprises a cabinet 2110 that defines the mounting interface 2130. Referring primarily to Figure 8, the drive module 1100 comprises latches 1140 that are configured to releasably secure the mounting interface 2130 of the drive shaft assembly 2000 against the mounting interface 1130 of the module drive 1100. When drive module 1100 and drive shaft assembly 2000 are joined along a longitudinal geometry axis, as described above, the latches 1140 come into contact with the mounting interface 2130 and rotate outwardly unlocked position.
[322] [322] In addition to the above, propensity springs 1146 hold locks 1140 in their locked positions. The distal ends 1142 are dimensioned and configured to avoid, or at least inhibit, the relative longitudinal movement, that is, the translation along a longitudinal geometric axis, between the drive shaft assembly 2000 and the drive module 1100 when the 1140 locks are in their locked positions. In addition, locks 1140 and lock windows 1240 are dimensioned and configured to prevent relative lateral movement, that is, translation across the longitudinal geometric axis, between the drive shaft assembly 2000 and the drive module 1100. In addition In addition, locks 1140 and lock windows 2140 are dimensioned and configured to prevent the drive shaft assembly 2000 from rotating in relation to drive module 1100. Drive module 1100 additionally comprises release actuators 1150 which, when pressed by a doctor, move the locks from their locked positions to their unlocked positions. The drive module 1100 comprises a first release actuator 1150 mounted slidably in an opening defined on the first side of the handle 1110 and a second release actuator 1150 mounted slidably in an opening defined in a second side, or side opposite, from the 1110 grip housing. Although the 1150 release actuators can be actuated separately, both 1150 release actuators typically need to be pressed to completely unlock the drive shaft assembly 2000 from the drive module 1100 and allow the drive assembly drive shaft 2000 is separated from drive module 1100. That said, it is possible that drive shaft assembly 2000 can be separated from drive module 1100 when only one release actuator 1150 is pressed.
[323] [323] After the drive shaft assembly 2000 has been attached to the handle 1000 and the end actuator 7000 has been mounted on the drive shaft 2000, the clinician can maneuver handle 1000 to insert the end actuator 7000 into a patient. In at least one case, the 7000 end actuator is inserted into the patient through a trocar and then manipulated to position the claw assembly 7100 of the 7000 end actuator set in relation to the patient's tissue. Often, the 7100 grapple assembly must be in its closed, or secured, configuration in order to fit through the trocar. Once attached through the trocar, the 7100 jaw assembly can be opened so that the patient's tissue fits between the jaws of the 7100 jaw assembly. At that point, the 7100 jaw assembly can be returned to its closed configuration to secure the patient's tissue between the claws. The grip force applied to the patient's tissue by the 7100 jaw assembly is sufficient to move or otherwise manipulate the tissue during a surgical procedure. Thereafter, the 7100 jaw assembly can be reopened to free the patient tissue from the end actuator
[324] [324] Again with reference to Figures 3 to 6, the drive shaft assembly 2000 additionally comprises a grip system 2600 and a control system 2800. The grip system 2600 comprises a grip trigger 2610 connected from rotary mode to proximal cabinet 2110 of drive shaft assembly 2000. As discussed below, grip trigger 2610 drives motor 1610 to operate the end actuator claw drive 7000 when grip trigger 2610 is actuated. The grip trigger 2610 comprises an elongated portion that can be grasped by the doctor while holding the grip
[325] [325] In addition to the above, the control system 2800 of the drive shaft assembly 2000 comprises a 2810 printed circuit board (PCB), at least one 2820 microprocessor, and at least one 2830 memory device. The 2810 card can be rigid and / or flexible and can comprise any suitable number of layers. The microprocessor 2820 and the memory device 2830 are part of a control circuit defined on plate 2810 that communicates with the control system 1800 of the handle 1000. The drive shaft assembly 2000 additionally comprises a signal communication system 2900 and the handle 1000 additionally comprises a signal communication system 1900 which are configured to transmit data between the drive shaft control system 2800 and the handle control system
[326] [326] The 2900 communication system comprises a 2910 electrical connector mounted on the 2810 circuit board. The 2910 electrical connector comprises a connector body and a plurality of electrically conductive contacts mounted on the connector body. The electrically conductive contacts comprise male pins, for example, which are soldered on electrical tracks defined on circuit board 2810. In other cases, the male pins may be in communication with the circuit board tracks through sockets with zero insertion force (ZIF - "zero-insertion-force"), for example. The communication system 1900 comprises an electrical connector 1910 mounted on circuit board 1810. Electrical connector 1910 comprises a connector body and a plurality of electrically conductive contacts mounted on the connector body. The electrically conductive contacts comprise female pins, for example, which are soldered on electrical tracks defined on circuit board 1810. In other cases, the female pins can be in communication with the circuit board tracks through sockets with zero insertion force (ZIF - "zero-insertion-force"), for example. When the drive shaft assembly 2000 is mounted on the drive module 1100, the electrical connector 2910 is operationally coupled to the electrical connector 1910 so that the electrical contacts form electrical paths between them. That said, the 1910 and 2910 connectors can comprise any suitable electrical contacts. In addition, the 1900 and 2900 communication systems can communicate with each other in any suitable way. In several cases, the 1900 and 2900 communication systems communicate wirelessly. In at least one of these cases, the communication system 2900 comprises a wireless signal transmitter and the communication system 1900 comprises a wireless signal receiver so that the drive shaft assembly 2000 can wirelessly communicate data to the handle 1000 Likewise, the communication system 1900 can comprise a wireless signal transmitter and the communication system 2900 can comprise a wireless signal receiver so that the handle 1000 can wirelessly communicate data to the drive shaft assembly 2000 .
[327] [327] As discussed above, the control handle 1800 of the handle 1000 is in communication with, and is configured to control, the electrical power circuit of the handle 1000. The handle control system 1800 is also powered by the electrical power circuit. handle 1000. The handle communication system 1900 is in signal communication with the handle control system 1800 and is also powered by the electrical power circuit of the handle 1000. The handle communication system 1900 is powered by the power circuit. electric handle through the 1800 handle control system, but it could be directly powered by the electric power circuit. As also discussed above, the handgrip communication system 1900 is in signal communication with the drive shaft communication system 2900. That said, the drive shaft communication system 2900 is also powered by the electrical power circuit of the handle via the 1900 handle communication system. For this purpose, the electrical connectors 1910 and 2010 connect both one and more signal circuits and one or more power circuits between the handle 1000 and the drive shaft assembly 2000. In addition, the 2900 drive shaft communication system is in signal communication with the 2800 drive shaft control system, as discussed above, and is also configured to supply power to the drive shaft control system
[328] [328] In addition to the above, the action of the grip trigger 2610 is detected by the control shaft control system 2800 and communicated to the handle control system 1800 through the communication systems 2900 and 1900. Upon receiving a signal that the grip trigger 2610 has been actuated, the grip control system 1800 supplies power to the electric motor 1610 of the motor assembly 1600 to rotate the drive shaft 1710 of the handle drive system 1700, and the drive shaft 2710 of the system drive shaft drive 2700, in a direction that closes claw assembly 7100 of end actuator 7000. The mechanism for converting the rotation of drive shaft 2710 into a closing movement of claw assembly 7100 is discussed in more detail below. While the grip trigger 2610 is held in its actuated position, the electric motor 1610 will rotate the drive shaft 1710 until the claw assembly 7100 reaches its fully tightened position. When the 7100 grapple assembly reaches its fully tightened position, the 1800 grip system cuts off electrical power to the 1610 electric motor. The 1800 grip system can determine when the 7100 grapple assembly has reached its fully tightened position. any suitable way. For example, the grip control system 1800 may comprise an encoding system that monitors the rotation of, and counts the revolutions of the output motor drive shaft 1610 and, as soon as the number of revolutions reaches a predetermined limit, the system control handle 1800 can interrupt the power supply to the electric motor 1610. In at least one case, the end actuator assembly 7000 can comprise one or more sensors configured to detect when the gripper assembly 7100 has reached its fully tightened position . In at least one of these cases, the sensors on the end actuator 7000 are in signal communication with the grip control system 1800 by means of electrical circuits that extend through the drive shaft assembly 2000 which may include the electrical contacts 1520 and 2520, for example.
[329] [329] When the 2610 grip trigger is rotated distally out of its proximal position, switch 2115 is opened, which is detected by the drive shaft control system 2800 and communicated to the handle control system 1800 through the systems of communication 2900 and 1900. Upon receiving a signal that the grip trigger 2610 has been moved out of its actuated position, the 1800 grip control system reverses the polarity of the voltage differential that is applied to the 1610 electric motor of the motor 1600 to rotate the drive shaft 1710 of the handle drive system 1700, and the drive shaft 2710 of the drive shaft drive system 2700, in an opposite direction which, as a result, opens the 7100 claw assembly of the actuator 7000 end cap. When the 7100 grapple assembly reaches its fully open position, the 1800 grip control system cuts off electrical power to the 1610 electric motor. grip handle 1800 can determine when the 7100 grapple assembly has reached its fully open position in any suitable manner. For example, the 1800 grip control system can use the encoder system and / or the one or more sensors described above to determine the configuration of the 7100 grapple assembly. In view of the above, the physician needs to be attentive when holding the trigger gripper 2610 in its actuated position in order to keep the clamping set 7100 in its clamped configuration since otherwise the 1800 control system will open the clamping set 7100. With this in mind, the drive shaft set 2000 additionally comprises an actuator lock 2630 configured to releasably secure the grip trigger 2610 in its actuated position to prevent accidental opening of the clamping assembly 7100. The actuator lock 2630 can be released manually, or otherwise released, by the physician to enable the trigger 2610 to be rotated distally and open the 7100 jaw assembly.
[330] [330] The 2600 grip trigger system further comprises a resilient bias member, such as a torsion spring, for example, configured to resist closing the 2600 grip system. The torsion spring can also help to reduce and / or mitigate sudden movements and / or flicker of the grip trigger 2610. This torsion spring can also automatically return the grip trigger 2610 to its unacted position when the grip trigger 2610 is released. The actuator lock 2630 discussed above can properly hold the 2610 grip trigger in its actuated position against the torsional spring force.
[331] [331] As discussed above, the 1800 control system operates the 1610 electric motor to open and close the 7100 jaw assembly. The 1800 control system is configured to open and close the 7100 jaw assembly at the same speed. In such cases, the 1800 control system applies the same voltage pulses to the 1610 electric motor, albeit with different voltage polarities, when opening and closing the 7100 jaw assembly. That said, the 1800 control system can be configured to open and close the 7100 grapple assembly at different speeds. For example, the 7100 grapple assembly can be closed at a first speed and opened at a second speed that is faster than the first speed. In such cases, the lower closing speed provides the physician with an opportunity to better position the 7100 jaw assembly while the tissue is attached. Alternatively, the 1800 control system can open the 7100 grapple assembly at a lower speed. In such cases, the lower opening speed minimizes the possibility that the jaws being opened will collide with the adjacent tissue. In any case, the 1800 control system can shorten the tension pulses and / or increase the distance between the tension pulses to slow and / or speed up the movement of the 7100 jaw assembly.
[332] [332] As discussed above, the 1800 control system is configured to interpret the position of the grip trigger 2610 as a command to position the gripper assembly 7100 in a specific configuration.
[333] [333] In certain cases, in addition to the above, the position of the 2610 grip trigger within the grip trigger range, or at least a portion of the grip trigger range, may enable the physician to control the speed of the 1610 electric motor and, thus, the speed at which claw assembly 7100 is opened or closed by control set 1800. In at least one case, sensor 2115 comprises a Hall effect sensor, and / or any other suitable sensor, configured for detect the position of the 2610 grip trigger between its unacted distal position and its proximal position fully acted. The Hall effect sensor is configured to transmit a signal to the handle control system 1800 through the drive shaft control system 2800 so that the handle control system 1800 can control the speed of the electric motor 1610 in response to grip trigger position 2610. In at least one case, the grip control system 1800 controls the speed of the electric motor 1610 proportionally, or in a linear fashion, to the position of the grip trigger 2610. For example, if the grip trigger 2610 is moved halfway along its range, then the 1800 grip control system will operate the 1610 electric motor at half the speed at which the 1610 electric motor is operated when the 2610 grip trigger is fully retracted. Similarly, if the grip trigger 2610 is moved a quarter of the way along its range, then the handle grip system 1800 will operate the electric motor 1610 at a quarter of the speed at which the electric motor 1610 is operated when the 2610 grip trigger is fully retracted. Other modalities are provided for in which the handle control system 1800 controls the speed of the electric motor 1610 in a non-linear manner to the position of the grip trigger 2610. In at least one case, the control system 1800 operates the electric motor 1610 slowly in the distal portion of the grip trigger range, while rapidly accelerating the speed of the 1610 electric motor in the proximal portion of the grip trigger range.
[334] [334] As described above, the grip trigger 2610 is movable to operate the electric motor 1610 to open or close the claw assembly 7100 of the end actuator 7000. The electric motor 1610 is also operable to rotate the end actuator 7000 in around a longitudinal geometry axis and articulate the end actuator 7000 with respect to the elongated drive shaft 2200 at the articulation joint 2300 of the drive shaft assembly 2000. Referring mainly to Figures 7 and 8, the drive module 1100 comprises a input system 1400 which includes a rotary actuator 1420 and a hinge actuator 1430. The input system 1400 additionally comprises a printed circuit board (PCB) 1410 which is in signal communication with the input board printed circuit board (PCB) 1810 of the control system 1800. The drive module 1100 comprises an electrical circuit, such as a wiring harness or flexible electrical tape, for example lo, which allows the input system 1400 to communicate with the control system 1800. The rotary actuator 1420 is rotatably supported in the 1110 cabinet and is in signal communication with the input plate 1410 and / or the control plate 1810 , as described in more detail below. The articulation actuator 1430 is supported by and is in signal communication with the input plate 1410 and / or the control plate 1810, as described in more detail below.
[335] [335] Referring mainly to Figures 8, 10 and 11, in addition to the above, the handle 1110 enclosure comprises an annular groove or slot defined therein adjacent to the distal mounting interface 1130. The rotary actuator 1420 comprises an annular ring 1422 rotatingly supported within the annular groove and, due to the configuration of the lateral walls of the annular groove, the annular ring 1422 is prevented from translating longitudinally and / or laterally in relation to the handle 1110. The annular ring 1422 is rotatable in a first direction , or clockwise, and in a second direction, or counterclockwise, around a longitudinal geometric axis that extends through the frame 1500 of the drive module 1100. The rotary actuator 1420 comprises one or more sensors configured to detect the rotation of the annular ring 1422. In at least one case, the rotation actuator 1420 comprises a first sensor positioned on the first side of the drive module the 1100 and a second sensor positioned on a second or opposite side of the drive module 1100 and the annular ring 1422 comprises a detectable element which is detectable by the first and the second sensors. The first sensor is configured to detect when ring 1422 is rotated in the first direction and the second sensor is configured to detect when ring 1422 is rotated in the second direction. When the first sensor detects that the ring ring 1422 is rotated in the first direction, the handle control system 1800 rotates the handle drive shaft 1710, the drive shaft 2710 and the end actuator 7000 in the first direction, as described in more details below. Similarly, the handle control system 1800 rotates the handle drive shaft 1710, the drive shaft 2710 and end actuator 7000 in the second direction when the second sensor detects that the annular ring 1422 is rotated in the second direction. In view of the above, the reader will understand that the gripping trigger 2610 and the rotating actuator 1420 both have the purpose of rotating the drive shaft 2710.
[336] [336] In several modalities, in addition to the above, the first and second sensors can comprise switches that can be mechanically closed by the detectable element of the annular ring
[337] [337] In several modalities, in addition to the above, the first and second 1420 rotary actuator sensors comprise proximity sensors, for example. In certain embodiments, the first and second sensors of the rotary actuator 1420 comprise Hall effect sensors, and / or any suitable sensors, configured to detect the distance between the detectable element of the annular ring 1422 and the first and second sensors. If the first Hall effect sensor detects that the annular ring 1422 has been rotated in the first direction, then, as discussed above, the control system 1800 will rotate the end actuator 7000 in the first direction.
[338] [338] In addition to the above, the rotary actuator 1420 may comprise one or more springs configured to center, or at least substantially center, the rotary actuator 1420 when it is released by the physician. In such cases, the springs can act to shut off the electric motor 1610 and stop the rotation of the end actuator 7000. In at least one case, the rotary actuator 1420 comprises a first torsion spring configured to rotate the rotary actuator 1420 in the first direction and a second torsion spring configured to rotate the 1420 rotation actuator in the second direction. The first and second torsion springs may have the same, or at least substantially the same, spring constant, so that the forces and / or torques applied by the first and second torsion springs balance, or at least substantially balance, the rotation actuator 1420 in its central position.
[339] [339] In view of the above, the reader will understand that the grip trigger 2610 and the rotary actuator 1420 both have the purpose of rotating the drive shaft 2710 and, respectively, operating the claw assembly 7100 or rotating the end actuator 7000. The system that uses the 2710 drive shaft rotation to selectively perform these functions is described in more detail below.
[340] [340] Referring to Figures 7 and 8, the hinge actuator 1430 comprises a first push button 1432 and a second push button 1434. The first push button 1432 is part of a first hinge control circuit and the second Pushbutton 1434 is part of a second articulation circuit of the input system 1400. The first pushbutton 1432 comprises a first switch which is closed when the first pushbutton 1432 is pressed. The grip handle control system 1800 is configured to detect the closing of the first key and, in addition, the closing of the first joint control circuit. When the grip handle system 1800 detects that the first hinge control circuit has been closed, the handle handle control system 1800 operates the electric motor 1610 to articulate the end actuator 7000 in a first articulation direction around the articulated joint 2300. When the first push button 1432 is released by the physician, the first joint control circuit is opened which, once detected by the 1800 control system, causes the 1800 control system to cut power to the 1610 electric motor to disrupt the 7000 end actuator pivot.
[341] [341] In several cases, in addition to the above, the articulation range of the end actuator 7000 is limited and the 1800 control system can use the encoder system discussed above to monitor the rotational output of the 1610 electric motor, for example, to monitor the amount, or degree, by which the 7000 end actuator is rotated in the first direction. In addition to or in place of the encoding system, the drive shaft assembly 2000 may comprise a first sensor configured to detect when the end actuator 7000 has reached the limit of its articulation in the first direction. In any case, when the control system 1800 determines that the end actuator 7000 has reached the articulation limit in the first direction, the control system 1800 can cut the power to the electric motor 1610 to interrupt the articulation of the end actuator
[342] [342] Similar to the above, the second push button 1434 comprises a second key that is closed when the second push button 1434 is pressed. The grip handle control system 1800 is configured to detect the closing of the second key and, in addition, the closing of the second articulation control circuit. When the handle control system 1800 detects that the second hinge control circuit has been closed, the handle control system 1800 operates the electric motor 1610 to articulate the end actuator 7000 in a second direction around the articulated joint 2300. When the second push button 1434 is released by the physician, the second hinge control circuit is opened which, once detected by the 1800 control system, causes the 1800 control system to cut power to the 1610 electric motor to stop the 7000 end actuator pivot.
[343] [343] In several cases, the articulation range of the 7000 end actuator is limited and the 1800 control system can use the encoder system discussed above to monitor the rotational output of the 1610 electric motor, for example, to monitor the quantity, or degree, in which the end actuator 7000 is rotated in the second direction. In addition to or in place of the encoding system, the drive shaft assembly 2000 may comprise a second sensor configured to detect when the end actuator 7000 has reached the limit of its articulation in the second direction. In any case, when the control system 1800 determines that the end actuator 7000 has reached the articulation limit in the second direction, the control system 1800 can cut power to the electric motor 1610 to interrupt the articulation of the end actuator 7000.
[344] [344] As described above, the 7000 end actuator can be pivoted in a first direction (Figure 16) and / or in a second direction (Figure 17) from a central or non-pivoted position (Figure 15). After the 7000 end actuator has been pivoted, the physician may attempt to re-centralize the 7000 end actuator using the first and second hinge pressure buttons 1432 and 1434. As the reader may understand, the doctor may have difficulty to re-centralize the 7000 end actuator since, for example, the 7000 end actuator may not be completely visible after being positioned on the patient.
[345] [345] In addition to or in lieu of the above, the 1800 handle control system can be configured to re-centralize the 7000 end actuator. In at least one of these cases, the 1800 handle control system can re-centralize the 7000 end actuator. end 7000 when both pivot buttons 1432 and 1434 of pivot actuator 1430 are pressed at the same time. When the handgrip control system 1800 comprises an encoder system configured to monitor the rotational output of the electric motor 1610, for example, the handgrip control system 1800 can determine the amount and direction of articulation required to re-centralize, or at least substantially re-centralize. , the 7000 end actuator. In several cases, the 1400 input system may comprise a start button, for example, which, when pressed, automatically centers the 7000 end actuator.
[346] [346] Referring mainly to Figures 5 and 6, the elongated drive shaft 2200 of the drive shaft assembly 2000 comprises an external cabinet, or tube, 2210 mounted on the proximal cabinet 2110 of the proximal portion 2100. The external cabinet 2210 comprises a longitudinal opening 2230 extending through it and a proximal flange 2220 that secures the outer housing 2210 to the proximal cabinet 2110. The drive shaft assembly 2500 extends through the longitudinal opening 2230 of the elongated drive shaft 2200. More specifically, the drive shaft 2510 of the drive shaft structure 2500 narrows to become a smaller drive shaft 2530 that extends through the longitudinal opening 2230. That said, the drive shaft structure 2500 can comprise any suitable arrangement. The drive system 2700 of the drive shaft assembly 2000 also extends through the longitudinal opening 2230 of the elongated drive shaft 2200. More specifically, the drive shaft 2710 of the drive shaft drive system 2700 narrows until it becomes a smaller drive shaft 2730 extending through longitudinal opening 2230. That said, the drive system for drive shaft 2700 can comprise any suitable arrangement.
[347] [347] Referring mainly to Figures 20, 23, and 24, the outer housing 2210 of the elongated drive shaft 2200 extends to the hinge joint 2300. The hinge joint 2300 comprises a proximal structure 2310 mounted on the outer housing 2210 of so that there is little, if any, translation and / or relative rotation between the proximal structure 2310 and the outer case 2210. Referring mainly to Figure 22, the proximal structure 2310 comprises an annular portion 2312 mounted on the side wall of the outer case 2210 and flaps 2314 extending distally from the annular portion 2312. The hinge joint 2300 additionally comprises links 2320 and 2340 which are pivotally mounted to frame 2310 and mounted on an outer cabinet 2410 of the distal fixing portion 2400. The link 2320 comprises a distal end 2322 mounted on the outer case 2410. More specifically, the distal end 2322 of link 2320 is received and fixedly secured within of a 2412 mounting slot defined in the external enclosure
[348] [348] Referring mainly to Figures 20, 23, and 24, the outer case 2410 of the distal fixing portion 2400 comprises a longitudinal opening 2439 extending through it. The longitudinal opening 2430 is configured to receive a proximal fixing portion 7400 of the end actuator 7000. The end actuator 7000 comprises an outer housing 6230 that is narrowly received within the longitudinal opening 2430 of the distal fixing portion 2400 so that there is little , if any, relative radial movement between the proximal fixing portion 7400 of the end actuator 7000 and the distal fixing portion 2400 of the drive shaft assembly 2000. The proximal fixing portion 7400 additionally comprises an annular set of locking notches 7410 defined in the outer housing 6230 which is releasably engaged by an end actuator lock 6400 in the distal fixing portion 2400 of the drive shaft assembly 2000. When the end actuator lock 6400 is engaged with the lock notch set 7410 ,
[349] [349] In addition to the above, with reference to Figure 21, the outer case 6230 additionally comprises an annular slot, or a recess, 6270 defined there that is configured to receive a 6275 sealing ring inside it. Sealing ring 6275 is compressed between the outer housing 6230 and the side wall of the longitudinal opening 2430 when end actuator 7000 is inserted into the distal fixing portion 2400. Sealing ring 6275 is configured to resist, but allow, rotation relative between end actuator 7000 and distal fixation portion 2400 so that seal ring 6275 can prevent, or minimize the possibility of, unintended relative rotation between end actuator 7000 and distal fixation portion 2400. In In many cases, the 6275 seal ring can provide a seal between the end actuator 7000 and the distal fixing portion 2400 to avoid, or at least minimize the possibility of fluid entering the drive shaft assembly 2000, for example.
[350] [350] Referring to Figures 14 to 21, the 7000 end actuator jaw assembly 7100 comprises a first jaw 7110 and a second jaw 7120. Each jaw 7110, 7120 comprises a distal end that is configured to assist a physician in dissection of fabric with the 7000 end actuator. Each claw 7110, 7120 additionally comprises a plurality of teeth that are configured to assist a physician in holding and holding onto the tissue with the 7000 end actuator. to Figure 21, each claw 7110, 7120 comprises a proximal end, that is, the proximal ends 7115, 7125, respectively, which swivelly connect claws 7110, 7120 together. Each proximal end 7115, 7125 comprises an opening which extends through it which is configured to receive a pin 7130 in its interior. Pin 7130 comprises a central body 7135 narrowly received within the openings defined at proximal ends 7115, 7125 of claws 7110, 7120 so that there is little, if any, relative translation between claws 7110, 7120 and pin 7130. The pin 7130 defines a J-shaped claw geometric axis around which claws 7110, 7120 can be rotated, and also swivels mounts 7110, 7120 in outer housing 6230 of end actuator 7000. More specifically, the outer housing 6230 comprises distally extending flaps 6235 that have openings defined therein that are also configured to receive pin 7130 closely so that claw assembly 7100 does not translate with respect to a portion of drive shaft 7200 of the end actuator 7000. The 7130 pin additionally comprises enlarged ends that prevent the 7110, 7120 jaws from being separated from the 7130 pin and also prevents the 7100 jaw assembly separate from the drive shaft portion 7200. This arrangement defines a 7300 rotation joint.
[351] [351] With reference mainly to Figures 21 and 23, the claws 7110 and 7120 are rotatable between their open and closed positions by a drive of the claw assembly that includes drive connections
[352] [352] As discussed above, the 1800 control system is configured to actuate the 1610 electric motor to perform three different functions of the end actuator - hold / open the 7100 jaw assembly (Figures 14 and 15), rotate the end actuator 7000 around a longitudinal geometric axis (Figures 18 and 19), and articulate the end actuator 7000 around a geometric articulation axis (Figures 16 and 17). Referring mainly to Figures 26 and 27, the 1800 control system is configured to operate a 6000 transmission to selectively perform these three end actuator functions. The transmission 6000 comprises a first clutch system 6100 configured to selectively transmit the rotation of the drive shaft 2730 to the drive screw 6130 of the end actuator 7000 to open or close the claw assembly 7100, depending on the direction in which the drive shaft 2730 is rotated. The transmission 6000 further comprises a second clutch system 6200 configured to selectively transmit the rotation of the drive shaft 2730 to the outer housing 6230 of the end actuator 7000 to rotate the end actuator 7000 about the longitudinal axis L. The transmission 6000 comprises also a third clutch system 6300 configured to selectively transmit the rotation of the drive shaft 2730 to the articulation joint 2300 to articulate the distal clamping portion 2400 and the end actuator 7000 around the geometric articulation axis A. The clutch systems 6100, 6200, and 6300 are in electrical communication with the 1800 control system by means of electrical circuits that extend through the drive shaft 2510, the connecting pins 2520, the connecting pins 1520, and the driving shaft 1510, for example . In at least one case, each of these clutch control circuits comprises two connector pins 2520 and two connector pins 1520, for example.
[353] [353] In several cases, in addition to the above, the drive shaft 2510 and / or the drive shaft 1510 comprises a flexible circuit that includes electrical tracks that form part of the clutch control circuits. The flexible circuit may comprise a strip, or substrate, with conductive routes defined therein and / or over it. The flexible circuit can also comprise sensors and / or any solid state component, such as signal softening capacitors, for example, mounted thereon. In at least one case, each of the conductive routes can comprise one or more signal softening capacitors that can, among other things, balance fluctuations in the signals transmitted through the conductive routes. In many cases, the flexible circuit can be coated with at least one material, such as an elastomer, for example, which can seal the flexible circuit against fluid ingress.
[354] [354] Referring mainly to Figure 28, the first clutch system 6100 comprises a first clutch 6110, a first expandable drive ring 6120 and a first electromagnetic actuator 6140. The first clutch 6110 comprises an annular ring and is slidably arranged on the 2730 drive shaft. The first clutch 6110 comprises a magnetic material and is movable between a disengaged or not actuated position (Figure 28) and a engaged or actuated position (Figure 29) by EF electromagnetic fields generated by the first 6140 electromagnetic actuator. In several cases, the first 6110 clutch is at least partially comprised of iron and / or nickel, for example. In at least one case, the first clutch 6110 comprises a permanent magnet. As shown in Figure 22A, drive shaft 2730 comprises one or more longitudinal key slots 6115 defined therein that are configured to prevent longitudinal movement of clutch 6110 with respect to drive shaft 2730. More specifically, clutch 6110 comprises one or more keys extending into the key slots 6115 so that the distal ends of the key slots 6115 interrupt the distal movement of the clutch 6110 and the proximal ends of the key slots 6115 interrupt the proximal movement of the clutch 6110.
[355] [355] When the first 6110 clutch is in its disengaged position (Figure 28), the first 6110 clutch rotates with the 2130 drive shaft but does not transmit rotary motion to the first 6120 drive ring. As can be seen in Figure 28, the first claw 6110 is separated from, or is not in contact with, the first drive ring 6120. As a result, rotation of the drive shaft 2730 and the first clutch 6110 is not transmitted to the drive screw 6130 when the first clutch assembly 6100 is in its disengaged state. When the first clutch 6110 is in its engaged position (Figure 29), the first clutch 6110 is engaged with the first drive ring 6120 so that the first drive ring 6120 is expanded, or extended, radially outwardly in contact with the trigger screw
[356] [356] As described above, the first 6140 electromagnetic actuator is configured to generate magnetic fields to move the first 6110 clutch between its disengaged (Figure 28) and engaged (Figure 29) positions. For example, with reference to Figure 28, the first 6140 electromagnetic actuator is configured to emit an EFL magnetic field that repels, or drives, the first clutch 6110 in the opposite direction to the first drive ring 6120 when the first clutch assembly 6100 is in its disengaged state. The first electromagnetic actuator 6140 comprises one or more coils wound in a cavity defined in the structure of the drive shaft 2530 which generates the EFL magnetic field when current flows in a first direction through a first electrical clutch circuit including the wound coils. The 1800 control system is configured to apply a first voltage polarity to the first electrical clutch circuit to create current flowing in the first direction. The 1800 control system can continuously apply the first voltage polarity to the first electrically driven shaft circuit to maintain the first 6110 clutch continuously in its disengaged position.
[357] [357] In addition to the above, with reference to Figure 29, the first 6140 electromagnetic actuator is configured to emit an EFD magnetic field that pulls, or drives, the first 6110 clutch towards the first 6120 actuation ring when the first set of 6100 clutch is in its engaged state. The coils of the first 6140 electromagnetic actuator generate the EFD magnetic field when current flows in a second or opposite direction, through the first electrical clutch circuit. The 1800 control system is configured to apply an opposite polarity of voltage to the first electrical clutch circuit to create current flowing in the opposite direction. The 1800 control system can continuously apply the opposite polarity of voltage to the first electrical clutch circuit to continuously maintain the first 6110 clutch in its engaged position and maintain the operational engagement between the first 6120 drive ring and the 6130 drive screw. Alternatively, the first clutch 6110 can be configured to be compressed within the first drive ring 6120 when the first clutch 6110 is in its engaged position, in which case the 1800 control system may not need to continuously apply a voltage polarity to the first electric clutch to keep the first 6100 clutch assembly in its engaged state. In such cases, the control system 1800 can interrupt the application of the voltage polarity as soon as the first clutch 6110 has been sufficiently compressed in the first drive ring 6120.
[358] [358] Notably, in addition to the above, the first 6150 clutch lock is also configured to lock the jaw assembly when the first 6110 clutch is disengaged. More specifically, with reference again to Figure 28, the first clutch 6110 pushes the first clutch lock 6150 on the drive screw 6130 in engagement with the outer housing 6230 of the end actuator 7000 when the first clutch 6110 is in its disengaged position so that the drive screw 6130 does not rotate, or at least substantially rotates, relative to the outer case 6230. The outer case 6230 comprises a slot 6235 defined therein that is configured to receive the first clutch lock 6150. When the first clutch 6110 is moved to its engaged position, with reference to Figure 29, the first clutch 6110 is no longer engaged with the first clutch lock 6150 and, as a result, the first clutch lock 6150 is no longer prone to engage with the outer case 6230 and the drive screw 6130 can rotate freely in relation to the outer case 6230. As a result of the above, the first clutch 6110 can do at least do both - operate the grapple drive when the first 6110 clutch is in its engaged position and lock the grapple drive when the first 6110 clutch is in its disengaged position.
[359] [359] Additionally, in addition to the above, the threads of the threaded portions 6160 and 7160 can be configured to prevent, or at least resist, the reverse drive of the claw drive. In at least one example, the pitch and / or thread angle of the threaded portions 6160 and 7160, for example, can be selected to prevent reverse actuation or unintentional opening of the 7100 jaw assembly. As a result of the above, the possibility of the 7100 grapple assembly opening or closing unintentionally is prevented, or at least reduced.
[360] [360] Referring mainly to Figure 30, the second clutch system 6200 comprises a second clutch
[361] [361] When the second clutch 6210 is in its disengaged position, with reference to Figure 30, the second clutch 6210 rotates with the 2730 drive shaft but does not transmit rotary motion to the second 6220 drive ring. As can be seen in Figure 30 , the second clutch 6210 is separated from, or is not in contact with, the second drive ring 6220. As a result, the rotation of the 2730 drive shaft and the second clutch 6210 is not transmitted to the outer housing 6230 of the end actuator 7000 when the second clutch set 6200 is in its disengaged state. When the second clutch 6210 is in its engaged position (Figure 31), the second clutch 6210 is engaged with the second drive ring 6220 so that the second drive ring 6220 is expanded, or extended, radially outwardly in contact with the 6230 external enclosure. In at least one case, the second 6220 drive ring comprises an elastomeric band, for example. As can be seen in Figure 31, the second drive ring 6220 is compressed against an annular inner side wall 7415 of the drive screw 6230. As a result, the rotation of the drive shaft 2730 and the second clutch 6210 is transmitted to the outer case 6230 when the second clutch assembly 6200 is in its engaged state. Depending on the direction in which the drive shaft 2730 is rotated, the second clutch set 6200 can rotate the end actuator 7000 in a first direction or a second direction around the longitudinal axis L when the second clutch set 6200 is in its engaged state.
[362] [362] As described above, the second 6240 electromagnetic actuator is configured to generate magnetic fields to move the second 6210 clutch between its disengaged (Figure 30) and engaged (Figure 31) positions. For example, the second electromagnetic actuator 6240 is configured to emit an EFL magnetic field that repels, or drives, the second clutch 6210 in the opposite direction to the second drive ring 6220 when the second clutch assembly 6200 is in its disengaged state. The second electromagnetic actuator 6240 comprises one or more coils wound in a cavity defined in the structure of the drive shaft 2530 which generates the EFL magnetic field when current flows in a first direction through a second electrical clutch circuit including the wound coils. The 1800 control system is configured to apply a first voltage polarity to the second electrical clutch circuit to create current flowing in the first direction.
[363] [363] In addition to the above, with reference to Figure 31, the second 6240 electromagnetic actuator is configured to emit an EFD magnetic field that pulls, or drives, the second clutch 6210 towards the second drive ring 6220 when the second set of clutch 6200 is in its engaged state. The coils of the second 6240 electromagnetic actuator generate the EFD magnetic field when current flows in a second or opposite direction through the second electrically driven shaft circuit. The 1800 control system is configured to apply a voltage polarity opposite the second electrically driven shaft circuit to create current flowing in the opposite direction. The control system 1800 can continuously apply the opposite polarity of voltage to the second electric drive shaft circuit to continuously retain the second clutch 6210 in its engaged position and maintain the operational engagement between the second drive ring 6220 and the outer housing 6230. Alternatively, the second clutch 6210 can be configured to be compressed within the second drive ring 6220 when the second clutch 6210 is in its engaged position, in which case the 1800 control system may not need to continuously apply a voltage polarity to the second electric drive shaft circuit to keep the second clutch assembly 6200 in its engaged state. In such cases, the control system 1800 can interrupt the application of the voltage polarity as soon as the second clutch 6210 has been sufficiently compressed in the second drive ring 6220.
[364] [364] Notably, in addition to the above, the second clutch lock 6250 is also configured to lock the rotation of the end actuator 7000 when the second clutch 6210 is in its disengaged position. More specifically, with reference again to Figure 30, the second clutch 6210 pushes the second clutch lock 6250 on the external drive shaft 6230 in engagement with link link 2340 when the second clutch 6210 is in its disengaged position so that the actuator end cap 7000 does not rotate, or at least substantially rotate, with respect to the distal fixing portion 2400 of the drive shaft assembly 2000. As shown in Figure 27, the second clutch lock 6250 is positioned or compressed within a slot, or channel, 2345 defined in link link 2340 when the second clutch 6210 is in its disengaged position. As a result of the above, the possibility of the 7000 end actuator opening or closing unintentionally is prevented, or at least reduced. In addition, as a result of the above, the second 6210 clutch can do at least two things - operate the end actuator rotary drive when the second 6210 clutch is in its engaged position and lock the end actuator rotary drive when the second 6210 clutch is in its disengaged position.
[365] [365] With reference mainly to Figures 22, 24 and 25, the drive shaft assembly 2000 additionally comprises an articulation drive system configured to articulate the distal fixing portion 2400 of the end actuator 7000 to the joint joint 2300. The articulation drive system comprises a 6330 pivot drive pivotally supported within the distal fixing portion 2400. That said, the articulation drive 6330 is closely received within the distal fixation portion 2400 so that the articulation drive 6330 does not translate, or translates at least substantially with respect to the distal fixing portion 2400. The articulation drive system of the drive shaft assembly 2000 additionally comprises a stationary gear 2330 fixedly mounted to the articulation structure
[366] [366] Referring mainly to Figure 32, the third clutch system 6300 comprises a third clutch 6310, a third expandable drive ring 6320 and a third electromagnetic actuator 6340. The third clutch 6310 comprises an annular ring and is slidably arranged on the 2730 drive shaft. The third clutch 6310 comprises a magnetic material and is movable between a disengaged or not actuated position (Figure 32) and a engaged or actuated position (Figure 33) by EF electromagnetic fields generated by the third 6340 electromagnetic actuator. In several cases, the third clutch 6310 is at least partially comprised of iron and / or nickel, for example. In at least one case, the third clutch 6310 comprises a permanent magnet. As shown in Figure 22A, drive shaft 2730 comprises one or more longitudinal key slots 6315 defined therein that are configured to prevent longitudinal movement of the third clutch 6310 relative to the drive shaft 2730. More specifically, the third clutch 6310 comprises one or more keys that extend into the key slots 6315 so that the distal ends of the key slots 6315 interrupt the distal movement of the third clutch 6310 and the proximal ends of the key slits 6315 interrupt the proximal movement of the third clutch
[367] [367] When the third 6310 clutch is in its disengaged position, with reference to Figure 32, the third 6310 clutch rotates with the 2730 drive shaft but does not transmit rotary motion to the third 6320 drive ring. As can be seen in Figure 32 , the third clutch 6310 is separate from, or is not in contact with, the third drive ring 6320. As a result, the rotation of the 2730 drive shaft and the third clutch 6310 is not transmitted to the 6330 hinge drive when the third set 6300 clutch is in its disengaged state. When the third clutch 6310 is in its engaged position, with reference to Figure 33, the third clutch 6310 is engaged with the third drive ring 6320 so that the third drive ring 6320 is expanded, or extended, radially out in contact with the 6330 articulation drive. In at least one case, the third 6320 drive ring comprises an elastomeric band, for example. As can be seen in Figure 33, the third drive ring 6320 is compressed against an annular inner side wall 6335 of the drive screw 6330. As a result, the rotation of the drive shaft 2730 and the third clutch 6310 is transmitted to the articulation drive 6330 when the third 6300 clutch assembly is in its engaged state. Depending on the direction in which the drive shaft 2730 is rotated, the third clutch assembly 6300 can articulate the distal clamping portion 2400 of the drive shaft assembly 2000 and the end actuator 7000 in a first or second direction around the joint articulated 2300.
[368] [368] As described above, the third 6340 electromagnetic actuator is configured to generate magnetic fields to move the third 6310 clutch between its disengaged (Figure 32) and engaged (Figure 33) positions. For example, with reference to Figure 32, the third 6340 electromagnetic actuator is configured to emit an EFL magnetic field that repels, or drives, the third clutch 6310 in the opposite direction to the third 6320 drive ring when the third 6300 clutch assembly is in its disengaged state. The third electromagnetic actuator 6340 comprises one or more coils wound in a cavity defined in the structure of the drive shaft 2530 which generates the EFL magnetic field when current flows in a first direction through a third electrical clutch circuit including the wound coils. The 1800 control system is configured to apply a first voltage polarity to the third electrical clutch circuit to create current flowing in the first direction. The 1800 control system can continuously apply the first voltage polarity to the third electrically driven shaft circuit to maintain the third 6310 clutch continuously in its disengaged position. While such an arrangement can prevent the third clutch 6310 from being unintentionally engaged with the third drive ring 6320, that arrangement can also consume a lot of energy. Alternatively, the 1800 control system can apply the first voltage polarity to the third electrical clutch circuit for a period of time sufficient to position the third 6310 clutch in its disengaged position and then stop applying the first voltage polarity to the third electric clutch circuit, thus resulting in less energy consumption.
[369] [369] In addition to the above, the third 6340 electromagnetic actuator is configured to emit an EFD magnetic field that pulls, or drives, the third 6310 clutch towards the third 6320 drive ring when the third 6300 clutch assembly is in its state engaged. The coils of the third 6340 electromagnetic actuator generate the EFD magnetic field when current flows in a second or opposite direction, through the third electrical clutch circuit. The 1800 control system is configured to apply a polarity of opposite voltage to the third electrically driven shaft circuit to create current flowing in the opposite direction. The 1800 control system can continuously apply the opposite polarity of voltage to the third electric drive shaft circuit to continuously retain the third clutch 6310 in its engaged position and maintain the operational engagement between the third drive ring 6320 and the hinge drive
[370] [370] In addition to the above, with reference to Figures 22, 32 and 33, the articulation drive system additionally comprises a 6350 lock that prevents, or at least inhibits, the articulation of the distal fixing portion 2400 of the axle assembly drive 2000 and end actuator 7000 around the articulated joint 2300 when the third clutch 6310 is in its disengaged position (Figure 32). Referring mainly to Figure 22, the hinge link 2340 comprises a slot, or groove, 2350 defined therein in which the lock 6350 is slidably positioned in the slot 2350 and extends at least partially under the stationary hinge gear 2330. The lock 6350 comprises a fixing hook 6352 attached to the third clutch 6310. More specifically, the third clutch 6310 comprises an annular slot, or groove, 6312 defined therein and the fixing hook 6352 is positioned in the annular slot 6312 so that the lock 6350 is moved with the third 6310 clutch. Notably, however, the 6350 lock does not rotate, or at least substantially rotates, with the third 6310 clutch. Instead, the 6312 annular groove on the third 6310 clutch allows the third 6310 clutch to rotate in relation to the 6350 lock. The 6350 lock additionally comprises a locking hook 6354 positioned slidably in a locking slot. the radially extending 2334 defined at the bottom of the stationary gear 2330. When the third clutch 6310 is in its disengaged position, as shown in Figure 32, lock 6350 is in a locked position in which locking hook 6354 prevents the actuator end cap 7000 rotate around the articulated joint 2300. When the third clutch 6310 is in its engaged position, as shown in Figure 33, lock 6350 is in an unlocked position in which locking hook 6354 is no longer positioned in the locking 2334. Instead, locking hook 6354 is positioned in a clearance gap defined in the middle of body 2335 of stationary gear 2330. In such cases, locking hook 6354 can rotate in the clearance slot when end actuator 7000 rotate on the 2300 hinge joint.
[371] [371] In addition to the above, the radially extending locking slot 2334 shown in Figures 32 and 33 extends longitudinally, that is, along a geometric axis that is parallel to the longitudinal geometric axis of the elongated drive axis 2200. After the end actuator 7000 has been pivoted, however, locking hook 6354 is no longer aligned with longitudinal locking slot 2334. With this in mind, stationary gear 2330 comprises a plurality, or a set of radially extending locking slots 2334 defined at the bottom of stationary gear 2330 so that when the third clutch 6310 is deactivated and lock 6350 is pulled apart after the end actuator 7000 has been pivoted, locking hook 6354 can enter one of the locking slots 2334 and lock end actuator 7000 in its pivot position. In this way, as a result, the 7000 end actuator can be locked in a non-hinged and hinged position. In many cases, the 2334 locking slots can define distinct hinged positions for the end actuator
[372] [372] With reference mainly to Figures 24 and 25, the drive shaft structure 2530 and drive shaft 2730 extend through the articulated joint 2300 into the distal fixing portion 2400. When the end actuator 7000 is articulated, as shown in Figures 16 and 17, the drive shaft structure 2530 and drive shaft 2730 flex to accommodate the articulation of the end actuator 7000. In this way, the drive shaft structure 2530 and the drive shaft 2730 comprise any suitable material that accommodates the 7000 end actuator pivot. In addition, as discussed above, the 2530 drive shaft structure houses the first, second and third actuators 6140, 6240 and 6340. In several cases, the first, the second and the third electromagnetic actuators 6140, 6240 and 6340 each comprise coils of coiled wire, such as coils of copper wire, for example, and the drive shaft structure 2530 comprises of an insulating material to prevent, or at least reduce the possibility of, short circuits between the first, the second and the third electromagnetic actuators 6140, 6240 and 6340. In several cases, the first, the second and the third circuits clutch struts extending through the 2530 drive shaft structure are comprised of insulated electrical wires, for example. In addition to the above, the first, second and third electrical clutch circuits place the 6140, 6240 and 6340 electromagnetic actuators in communication with the 1800 control system on the 1100 drive module.
[373] [373] As described above, clutches 6110, 6210 and / or 6310 can be held in their disengaged positions so that they do not move unintentionally to their engaged positions. In various arrangements, the clutch system 6000 comprises a first bias member, such as a spring, for example, configured to propose the first clutch 6110 to its disengaged position, a second bias member, such as a spring, for example, configured to propose the second clutch 6210 to its disengaged position, and / or a third bias member, such as a spring, for example, configured to propose the third clutch 6110 to its disengaged position. In these arrangements, the spring bias forces can be selectively overcome by the electromagnetic forces generated by the electromagnetic actuators when energized by an electric current. In addition to the above, clutches 6110, 6210 and / or 6310 can be retained in their positions engaged by drive rings 6120, 6220 and / or 6320, respectively. More specifically, in at least one case, the drive rings
[374] [374] Although the 6000 clutch system comprises three clutches to control three operating systems of the surgical system, a clutch system can comprise any suitable number of clutches to control any suitable number of systems. In addition, although clutches in the 6000 clutch system slide proximally and distally between their engaged and disengaged positions, clutches in a clutch system can move in any suitable manner. In addition, although clutches in the 6000 clutch system are engaged one at a time to control one drive movement at a time, several cases are envisaged in which more than one clutch can be engaged to control more than one drive movement at a time turn.
[375] [375] In view of the above, the reader must understand that the 1800 control system is configured to, one, operate the 1600 motor system to rotate the 2700 drive shaft system in a suitable direction and, two, operate the 6000 clutch system to transfer the rotation of the 2700 drive shaft system to the proper function of the 7000 end actuator. In addition, as discussed above, the 1800 control system is responsive to the inputs of the set 2600 grip system drive shaft 2000 and the 1400 entry system of the handle
[376] [376] When the rotary actuator 1420 is operated in a first direction, in addition to the above, the 1800 control system activates the second clutch set 6200 and disables the first clutch set 6100 and the third clutch set
[377] [377] When the first articulation actuator 1432 is pressed, in addition to the above, the 1800 control system activates the third clutch set 6300 and disables the first clutch set 6100 and the second clutch set 6200. In these cases, the control system 1800 also supplies power to the engine system 1600 to rotate the drive shaft system 2700 in a first direction to articulate the end actuator 7000 in a first direction. When the 1800 control system detects that the second articulation actuator 1434 is depressed, the 1800 control system activates, or keeps activating, the third clutch set 6200 and disables, or maintains the deactivation, the first clutch set 6100 and the second clutch set 6200. In these cases, the control system 1800 also powers the engine system 1600 to rotate the drive shaft system 2700 in a second direction to articulate the end actuator 7000 in a second direction. When the control system 1800 detects that neither the hinge actuator 1432 nor the second hinge actuator 1434 are actuated, the control system 1800 disables the third clutch set 6200.
[378] [378] In addition to the above, the 1800 control system is configured to change the operation mode of the stapling system based on the inputs it receives from the 2600 grip system of the drive shaft assembly 2000 and the system input handle 1400 from handle 1000. Control system 1800 is configured to displace clutch system 6000 before turning the drive shaft drive system 2700 to perform the function of the corresponding end actuator. In addition, the 1800 control system is configured to stop the rotation of the 2700 drive shaft drive system before displacing the 6000 clutch system. Such an arrangement can prevent jerky movements on the 7000 end actuator. Alternatively, the control system 1800 can move clutch system 600 while drive system 2700 is rotating. Such an arrangement can enable the 1800 control system to move quickly between operating modes.
[379] [379] As discussed above, with reference to Figure 34, the distal fixing portion 2400 of the drive shaft assembly 2000 comprises an end actuator lock 6400 configured to prevent the end actuator 7000 from being unintentionally decoupled from the drive shaft assembly 2000. The end actuator lock 6400 comprises a locking end 6410 selectively engageable with the annular set of lock notches 7410 defined in the proximal fixing portion 7400 of the end actuator 7000, a proximal end 6420 and a pivot 6430 swiveling the end actuator lock 6400 to link 2320. When the third clutch 6310 of the third clutch assembly 6300 is in its disengaged position, as shown in Figure 34, the third clutch 6310 comes into contact with the proximal end 6420 of the end actuator lock 6400 so that the locking end 6410 of the end actuator latch 6400 is engaged with the locking notch set 7410. In such cases, end actuator 7000 can rotate relative to the end actuator latch 6400 but cannot move in relation to the distal fixing portion 2400. When the the third clutch 6310 is moved to its engaged position, as shown in Figure 35, the third clutch 6310 is no longer engaged to the proximal end 6420 of the end actuator lock 6400. In such cases, the end actuator lock 6400 is free to pivot upwards allowing the end actuator 7000 to be separated from the drive shaft assembly 2000.
[380] [380] That said, with reference again to Figure 34, it is possible that the second clutch 6210 of the second clutch assembly 6200 is in its disengaged position when the physician separates or attempts to separate the end actuator 7000 from the drive shaft assembly 2000 As discussed above, the second clutch 6210 is engaged with the second clutch lock 6250 when the second clutch 6210 is in its disengaged position, and in these cases, the second clutch lock 6250 is pushed to engage with link link 2340. More specifically, the second clutch lock 6250 is positioned in the channel 2345 defined in joint 2340 when the second clutch 6210 is engaged with the second clutch lock 6250 which can prevent, or at least prevent, the end actuator 7000 from being separated from the assembly drive shaft 2000. To facilitate the release of the end actuator 7000 from the drive shaft assembly 2000, the 1800 control system can see the second clutch 6210 in its engaged position and move the third clutch 6310 into its engaged position. In such cases, the end actuator 7000 can release both the end actuator lock 6400 and the second clutch lock 6250 when the end actuator 7000 is removed.
[381] [381] In at least one case, in addition to the above, the drive module 1100 comprises an input switch and / or sensor in communication with the control system 1800 through the input system 1400, and / or with the control system control 1800 directly, which, when actuated, causes the 1800 control system to unlock the end actuator 7000. In several cases, the drive module 1100 comprises an input screen 1440 in communication with the 1410 plate of the input system 1400 which is configured to receive an unlock action by the doctor. In response to the release action, the 1800 control system can shut down the 1600 engine system, if it is running, and unlock the 7000 end actuator as described above. The entry screen 1440 is also configured to receive a locking action from the physician in which the entry system 1800 moves the second clutch set 6200 and / or the third clutch set 6300 to its unactivated states to lock the end actuator 7000 to the drive shaft assembly 2000.
[382] [382] Figure 37 shows a set of drive axles 2000 ’according to at least one alternative mode. The drive shaft assembly 2000 'is similar to the drive shaft assembly 2000 in many respects, most of which is not discussed here for the sake of brevity. Similar to the drive shaft assembly 2000, the drive shaft assembly 2000 'comprises a drive shaft structure, that is, the drive shaft structure 2530'. The drive shaft structure 2530 'comprises a longitudinal passage 2535' and, in addition, a plurality of clutch position sensors, i.e. a first sensor 6180 ', a second sensor 6280', and a third sensor 6380 'positioned on the drive shaft structure 2530 '. The first 6180 'sensor is in signal communication with the 1800 control system as part of a first detection circuit. The first detection circuit comprises signal wires that extend through longitudinal passage 2535 '; however, the first detection circuit may comprise a wireless signal transmitter and receiver for placing the first 6180 'sensor in signal communication with the 1800 control system. The first 6180' sensor is positioned and arranged to detect the position of the first clutch 6110 of the first clutch assembly 6100. Based on data received from the first sensor 6180 ', the control system 1800 can determine whether the first clutch 6110 is in its engaged position, in its disengaged position, or somewhere in between. . With this information, the 1800 control system can assess whether the first 6110 clutch is in the correct position or not, in view of the operational status of the surgical instrument. For example, if the surgical instrument is in its grip / opening operating state, the 1800 control system can verify that the first 6110 clutch is properly positioned in its engaged position. In such cases, in addition to the above, the 1800 control system can also verify that the second clutch 6210 is in its disengaged position through the second sensor 6280 'and that the third clutch 6310 is in its disengaged position through the third sensor 6380'. Correspondingly, the 1800 control system can verify that the first clutch 6110 is properly positioned in its disengaged position if the surgical instrument is not in its gripping / opening state. When the first 6110 clutch is not in its proper position, the 1800 control system can actuate the first 6140 electromagnetic actuator in an attempt to properly position the first 6110 clutch. Similarly, the 1800 control system can actuate 6240 electromagnetic actuators. and / or 6340 to properly position the 6210 and / or 6310 clutches, if necessary.
[383] [383] The second sensor 6280 'is in signal communication with the control system 1800 as part of a second detection circuit. The second detection circuit comprises signal wires that extend through longitudinal passage 2535 '; however, the second detection circuit may comprise a wireless signal transmitter and receiver for placing the second sensor 6280 'in signal communication with the control system 1800. The second sensor 6280' is positioned and arranged to detect the position of the second clutch 6210 of the first clutch assembly 6200. Based on data received from the second sensor 6280 ', the control system 1800 can determine whether the second clutch 6210 is in its engaged position, in its disengaged position or somewhere in between. . With this information, the 1800 control system can assess whether or not the second 6210 clutch is in the correct position, given the operational status of the surgical instrument. For example, if the surgical instrument is in its operational state of rotation of the end actuator, the 1800 control system can verify that the second 6210 clutch is properly positioned in its engaged position. In such cases, the 1800 control system can also verify that the first clutch 6110 is in its disengaged position through the first sensor 6180 'and, in addition to the above, the 1800 control system can also verify that the third clutch 6310 is in its disengaged position through third sensor 6380 '. Correspondingly, the 1800 control system can verify that the second clutch 6110 is properly positioned in its disengaged position if the surgical instrument is not in its state of rotation of the end actuator. When the second 6210 clutch is not in its proper position, the 1800 control system can actuate the second 6240 electromagnetic actuator in an attempt to properly position the second 6210 clutch. Similarly, the 1800 control system can actuate the 6140 electromagnetic actuators. and / or 6340 to properly position the 6110 and / or 6310 clutches, if necessary.
[384] [384] The third sensor 6380 'is in signal communication with the control system 1800 as part of a third detection circuit. The third detection circuit comprises signal wires that extend through the longitudinal passage 2535 '; however, the third detection circuit may comprise a wireless signal transmitter and receiver for placing the third sensor 6380 'in signal communication with the control system 1800. The third sensor 6380' is positioned and arranged to detect the position of the third clutch 6310 of the third clutch assembly 6300. Based on the data received from the third sensor 6380 ', the control system
[385] [385] In addition to the above, the clutch position sensors, that is, the first 6180 'sensor, the second 6280' sensor and the third 6380 'sensor can comprise any suitable type of sensor. In several cases, the first sensor 6180 ', the second sensor 6280' and the third sensor 6380 'each comprise a proximity sensor. In this arrangement, sensors 6180 ’, 6280’ and 6380 ’are configured to detect whether clutches 6110, 6210, and 6310,
[386] [386] Figure 38 shows a drive shaft assembly 2000 'and an end actuator 7000', according to at least one alternative embodiment. The 7000 ”end actuator is similar to the 7000 end actuator in many ways, most of which will not be discussed here for the sake of brevity. Similar to the 7000 end actuator, the 7000 ”drive shaft assembly comprises a 7100 jaw assembly and a jaw assembly drive configured to move the 7100 jaw assembly between its open and closed configurations. The drive of the claw assembly comprises 7140 drive connections, a 7150 ”drive nut and a 6130” drive screw. The drive nut 7150 ”comprises a sensor 7190” positioned on it that is configured to detect the position of a magnetic element 6190 ”positioned on the drive screw 6130”. The magnetic element 6190 "is positioned in an elongated opening 6134" defined in the drive screw 6130 "and can comprise a permanent magnet and / or can be comprised of iron, nickel and / or any suitable metal, for example. In several cases, the 7190 ”sensor comprises a proximity sensor, for example, which is in signal communication with the 1800 control system. In certain cases, the 7190” sensor comprises a Hall effect sensor, for example, in communication with the 1800 control system. In certain cases, the sensor 7190 "comprises an optical sensor, for example, and the detectable element 6190" comprises an optically detectable element, such as a reflective element, for example. In any case, the 7190 ”sensor is configured to communicate wirelessly with the 1800 control system through a wireless signal transmitter and receiver and / or through a wired connection that extends through the passage of the axis structure drive 2532 ', for example.
[387] [387] The sensor 7190 ”, in addition to the above, is configured to detect when the magnetic element 6190” is in a position adjacent to the sensor 7190 ”so that the 1800 control system can use this data to determine that the claw assembly 7100 has reached the end of its grip course. At that point, the 1800 control system can stop the 1600 engine assembly. The 7190 ”sensor and the 1800 control system are also configured to determine the distance between the location where the 6130” drive screw is currently positioned and the location at that the 6130 ”drive screw needs to be positioned at the end of its closing stroke to calculate the amount of 6130” driving screw closing stroke that is still needed to close the 7100 jaw assembly. In addition, this information can be used by the 1800 control system to evaluate the current configuration of the 7100 jaw assembly, that is, whether the 7100 jaw assembly is in its open configuration, in its closed configuration, or in a partially closed configuration. The sensor system could be used to determine when the 7100 jaw assembly has reached its fully open position and stop the motor assembly 1600 at that point. In several cases, the 1800 control system could use this sensor system to confirm that the first 6100 clutch assembly is in its actuated state by confirming that the 7100 claw assembly is moving while the 1600 motor assembly is rotating. . Similarly, the 1800 control system could use this sensor system to confirm that the first 6100 clutch assembly is in its unactivated state by confirming that the 7100 claw assembly is moving while the 1600 motor assembly is in motion. spinning.
[388] [388] Figure 39 shows a 2000 'drive shaft assembly and a 7000' end actuator, according to at least one alternative embodiment. The drive shaft set 2000 ’’ ’is similar to drive shaft sets 2000 and 2000’ in many ways, most of which are not discussed here for the sake of brevity. The 7000 'end' actuator is similar to the 7000 and 7000 'end actuators in many ways, most of which will not be discussed here for the sake of brevity. Similar to the 7000 'end actuator, the 7000' ”end actuator comprises a 7100 jaw assembly and a jaw assembly drive configured to move the 7100 jaw assembly between its open and closed configurations and, in addition, a rotary drive of end actuator that rotates the end actuator 7000 ”'in relation to the distal fixing portion 2400 of the drive shaft assembly 2000'. The end actuator's rotary drive comprises an external 6230 '”housing which is rotated relative to a 2530'” drive shaft structure of the 7000 '”end actuator by the second clutch assembly 6200. The drive shaft structure 2530 '”comprises a 6290'” sensor positioned on it which is configured to detect the position of a 6190 '”magnetic element positioned on and / or on the 6230' '' external enclosure. The magnetic element 6190 '"can comprise a permanent magnet and / or can be comprised of iron, nickel and / or any suitable metal, for example. In many cases, the sensor
[389] [389] Figure 40 shows a set of drive axles 2000 ’’ ’’, according to at least one embodiment. The drive shaft set 2000 ’’ ’’ is similar to drive shaft sets 2000, 2000 ’and 2000’ ”in many respects, most of which will not be repeated here for the sake of brevity. Similar to the drive shaft assembly 2000, the drive shaft assembly 2000 '' '' comprises, among other things, an elongated drive shaft 2200, a pivot joint 2300 and a distal fixing portion 2400 configured to receive an actuator end, such as the end actuator 7000 ', for example. Similar to the drive shaft assembly 2000, the drive shaft assembly 2000 '' '' comprises a hinge drive, that is, a 6330 '' '' hinge drive configured to rotate the distal fixing portion 2400 and the end actuator 7000 'at the articulation joint 2300. Similar to the above, a drive shaft structure 2530' '' comprises a sensor positioned therein to detect the position, and / or rotation, of a 6390 magnetic element '' '' positioned on and / or on the 6330 articulation drive '' ''. The 6390 '' '' '' magnetic element may comprise a permanent magnet and / or may be comprised of iron, nickel and / or any suitable metal, for example. In several cases, the sensor comprises a proximity sensor, for example, in signal communication with the 1800 control system. In certain cases, the sensor comprises a Hall effect sensor, for example, in signal communication with the control system. 1800 control. In any case, the sensor is configured to communicate wirelessly with the 1800 control system through a wireless signal transmitter and receiver and / or through a wired connection that extends through the passage of the control structure. 2532 'axis, for example. In several cases, the 1800 control system can use the sensor to confirm that the 6390 ’’ ’’ ’magnetic element is rotating and thus confirm that the third 6300 clutch assembly is in its actuated state. Similarly, the 1800 control system can use the sensor to confirm that the 6390 ’’ ’’ ’magnetic element is not rotating and thereby confirm that the third 6300 clutch assembly is in its unactivated state. In certain cases, the 1800 control system can also use the sensor to confirm that the third 6300 clutch assembly is in its unactivated state by confirming that the third 6310 clutch is adjacent to the sensor.
[390] [390] Referring once again to Figure 40, the drive shaft assembly 2000 '' '' comprises an end actuator lock 6400 'configured to releasably lock the end actuator 7000', for example, to the assembly drive shaft 2000 '' ''. The lock on the 6400 'end actuator is similar to the lock on the 6400 end actuator in many respects, most of which will not be discussed here for the sake of brevity. Notably, however, a proximal end 6420 'of the lock 6400' comprises a tooth 6422 'configured to engage the annular slot 6312 of the third clutch 6310 and reliably maintain the third clutch 6310 in its disengaged position. That said, the actuation of the third electromagnetic assembly 6340 can disengage the third clutch 6310 from the end actuator lock 6400 ’. In addition, in these cases, the proximal movement of the third clutch 6310 to its engaged position rotates the end actuator lock 6400 'to a locked position and in engagement with the lock notches 7410 to lock the end actuator 7000' to the set of drive shaft 2000 '' ''. Correspondingly, the distal movement of the third clutch 6310 to its disengaged position unlocks the end actuator 7000 'and allows the end actuator 7000' to be disassembled from the drive shaft assembly 2000 '' '' ''.
[391] [391] In addition to the above, an instrument system that includes a handle and a drive shaft assembly attached to it can be configured to perform a diagnostic check to assess the condition of the 6100, 6200 and 6300 clutch assemblies. At least one case, the 1800 control system acts sequentially on the 6140, 6240 and / or 6340 electromagnetic actuators - in any appropriate order - to check the positions of the 6110, 6210, and / or 6310 clutches, respectively, and / or to verify that the clutches are responsive to electromagnetic actuators and are therefore not blocked. The 1800 control system can use sensors, including any of the sensors described here, to check the movement of the 6110, 6120, and 6130 clutches in response to the electromagnetic fields created by the 6140, 6240, and / or 6340 electromagnetic actuators. the diagnostic check can also include checking the movements of the drive systems. In at least one case, the 1800 control system acts sequentially on the 6140, 6240 and / or 6340 electromagnetic actuators - in any appropriate order - to check whether the claw drive opens and / or closes the 7100 claw assembly, the rotation rotates the end actuator 7000, and / or the pivot drive articulates the end actuator 7000, for example. The 1800 control system can use sensors to check the movements of the 7100 jaw assembly and 7000 end actuator.
[392] [392] The 1800 control system can perform the diagnostic test at any suitable time, such as when a drive shaft assembly is attached to the handle and / or when the handle is activated, for example. If the 1800 control system determines that the instrument system has passed the diagnostic test, the 1800 control system can enable normal operation of the instrument system. In at least one case, the handle may comprise an indicator, such as a green LED, for example, which indicates that the handle has passed the diagnostic test. If the 1800 control system determines that the instrument system has failed the diagnostic test, the 1800 control system may prevent and / or modify the operation of the instrument system. In at least one case, the 1800 control system may limit the functionality of the instrument system to only those functions necessary to remove the instrument system from the patient, for example by straightening the 7000 end actuator and / or opening and closing the claw assembly 7100. In at least one aspect, the 1800 control system enters a slow operating mode. The slow operating mode of the 1800 control system can reduce a current rotation speed of the 1610 motor by any selected percentage within a range of about 75% to about 25%, for example. In one example, the slow operating mode reduces the current speed of the 1610 motor by 50%. In one example, the slow operating mode reduces the current rotation speed of the 1610 motor by 75%. The slow operating mode can cause the current torque of the 1610 motor to be reduced by any selected percentage from a range of about 75% to about 25%, for example. In one example, the slow operating mode reduces the current torque of the 1610 motor by 50%. The handle may comprise an indicator, such as a Red LED, for example, which indicates that the instrument system has failed the diagnostic check and / or that the instrument system has entered a slow operating mode. That said, any suitable feedback can be used to warn the doctor that the instrument system is not working properly, for example, through an audible and / or tactile or vibrating warning, for example.
[393] [393] Figures 41 to 43 show a 6000 'clutch system according to at least one alternative mode. The 6000 'clutch system is similar to the 6000 clutch system in many ways, most of which will not be repeated here for brevity. Similar to the clutch system 6000, the clutch system 6000 ’comprises a clutch assembly 6100’ that is operable to selectively couple a rotary drive input 6030 ’with a rotary drive output 6130’. The clutch assembly 6100 'comprises clutch plates 6110' and drive rings 6120 '. The 6110 ’clutch plates
[394] [394] When the clutch plates 6110 'are in their non-actuated positions, as shown in Figure 42, the rotation of the drive input 6030' is not transferred to the drive output 6130 '. More specifically, when drive input 6030 'is rotated, in such cases, drive input 6030' slides through and rotates relative to drive rings 6120 'and, as a result, drive rings 6120' do not drive the plates clutch lock 6110 'and drive output 6130'. When the clutch plates 6110 'are in their actuated positions, as shown in Figure 43, the clutch plates 6110' resiliently compress the drive rings 6120 'against the drive inlet 6030'. The drive rings 6120 'are comprised of any suitable compressible material, such as rubber, for example. In any case, in these circumstances, the rotation of the drive input 6030 'is transferred to the drive output 6130' through the drive rings 6120 'and the clutch plates 6110'. The 6000 'clutch system comprises a 6140' clutch actuator configured to move the 6110 'clutch plates to their actuated positions. The clutch actuator 6140 'is comprised of a magnetic material, such as iron and / or nickel, for example, and can comprise a permanent magnet. The 6140 'clutch actuator is slidably positioned on a 6050' longitudinal drive shaft structure that extends through the drive input 6030 'and can be moved between an unacted position (Figure 42) and an acted position (Figure 43) by a 6060 'clutch drive shaft. In at least one case, the 6060 'clutch drive shaft comprises a polymer cable, for example. When the clutch actuator 6140 'is in its actuated position, as illustrated in Figure 43, the clutch actuator 6140' pulls the clutch plates 6110 'inward to compress the drive rings 6120', as discussed above. When the clutch actuator 6140 'is moved to its unactivated position, as shown in Figure 42, the drive rings 6120' resiliently expand and push the clutch plates 6110 'in the opposite direction to the drive inlet 6030'. In various alternative embodiments, the 6140 'clutch actuator may comprise an electromagnet. In such an arrangement, the clutch actuator 6140 'can be actuated by an electrical circuit that extends through a longitudinal opening defined in the clutch drive shaft 6060', for example. In several cases, the clutch system 6000 'further comprises electrical wires 6040', for example, which extend through the longitudinal opening.
[395] [395] Figure 44 shows a 7000a end actuator that includes a 7100a jaw assembly, a jaw assembly drive, and a 6000a clutch system, according to at least one alternative mode. The jaw assembly 7100a comprises a first jaw 7110a and a second jaw 7120a which are selectively rotatable around a pivot 7130a. The drive of the gripper assembly comprises a translatable actuating stem 7160a and drive connections 7140a that are articulated coupled to the actuating stem 7160a by a pivot 7150a. The drive connections 7140a are also pivotally coupled to the jaws 7110a and 7120a so that the jaws 7110a and 7120a are turned closed when the actuator stem 7160a is pulled proximally and rotated open when the actuator stem 7160a is pushed apart. The 6000a clutch system is similar to the 6000 and 6000 'clutch systems in many ways, most of which will not be repeated here for the sake of brevity. The clutch system 6000a comprises a first clutch assembly 6100a and a second clutch assembly 6200a that are configured to selectively transmit the rotation of a drive input 6030a to rotate claw assembly 7100a about a longitudinal geometric axis and articulate the claw assembly 7100a around a hinge joint 7300a, respectively, as described in more detail below.
[396] [396] The first clutch assembly 6100a comprises clutch plates 6110a and drive rings 6120a and works in a similar manner to clutch plates 6110 'and drive rings 6120' discussed above. When the 6110a clutch plates are actuated by a 6140a electromagnetic actuator, the rotation of the drive input 6030a is transferred to an external drive shaft cabinet 7200a. More specifically, the external drive shaft enclosure 7200a comprises a proximal external enclosure 7210a and a distal external enclosure 7220a which is pivotally supported by the external proximal enclosure 7210a and rotated relative to the external proximal enclosure 7210a by the drive input 6030a when 6110a clutch are in their actuated position. The rotation of the distal 7220a outer case rotates the 7100a jaw assembly about the longitudinal geometric axis due to the fact that the 7130a pivot of the 7100a jaw assembly is mounted on the distal 7220a outer case. As a result, the external drive shaft cabinet 7200a rotates the claw assembly 7100a in a first direction when the external drive shaft cabinet 7200a is rotated in a first direction through the drive input 6030a. Similarly, the external drive shaft cabinet 7200a rotates the jaw assembly 7100a in a second direction when the external drive shaft cabinet 7200a is rotated in a second direction through the drive input 6030a. When the electromagnetic actuator 6140a is de-energized, the drive rings 6120a expand and the clutch plates 6110a are moved to their non-actuated positions, thus decoupling the end actuator's rotation drive from the drive input 6030a.
[397] [397] The second clutch assembly 6200a comprises clutch plates 6210a and drive rings 6220a and works in a similar manner to clutch plates 6110 'and drive rings 6120' discussed above. When the clutch plates 6210a are actuated by an electromagnetic actuator 6240a, the rotation of the drive input 6030a is transferred to the hinge drive 6230a. The hinge drive 6230a is pivotally supported within an external drive shaft cabinet 7410a from an end actuator clamping portion 7400a and is pivotally supported by a drive shaft structure 6050a that extends through the drive shaft cabinet external 7410a. The hinge drive 6230a comprises a gear face defined therein that is operatively interspersed with a stationary gear face 7230a defined in the proximal outer cabinet 7210a of the outer drive shaft cabinet 7200a. As a result, hinge drive 6230a hinges external drive shaft cabinet 7200a and claw assembly 7100a in a first direction when hinge drive 6230a is rotated in a first direction by drive input 6030a. Similarly, hinge drive 6230a hinges external drive shaft cabinet 7200a and claw assembly 7100a in a second direction when hinge drive 6230a is rotated in a second direction through drive input 6030a. When the electromagnetic actuator 6240a is de-energized, the drive rings 6220a expand and the clutch plates 6210a are moved to their unacted positions, thus decoupling the pivoting drive from the drive input 6030a.
[398] [398] In addition to the above, a drive shaft set 4000 is illustrated in Figures 45 to 49. The drive shaft set 4000 is similar to the drive shaft sets 2000, 2000 ', 2000' '' and 2000 ' '' 'in many respects, most of which will not be repeated here for the sake of brevity. The drive shaft assembly 4000 comprises a proximal portion 4100, an elongated drive shaft 4200, a distal clamping portion 2400 and a pivot joint 2300 that pivotally connects the distal clamping portion 2400 to the elongated drive shaft 4200. The proximal portion 4100, similar to the proximal portion 2100, is operably fixable to the drive module 1100 of the grip 1000. The proximal portion 4100 comprises a 4110 enclosure that includes a fixture interface 4130 configured to mount the drive shaft assembly 4000 to the interface 1130 grip handle
[399] [399] As discussed above, with reference mainly to Figures 47- to 49, the drive shaft assembly 4500 4000 comprises a drive shaft of frame 4510. The drive shaft of frame 4510 comprises a notch, or cutout, 4530 defined therein. As discussed in more detail below, cutout 4530 is configured to provide clearance for a 4600 jaw closure actuation system. The 4500 frame additionally comprises a distal portion 4550 and a bridge 4540 connecting the distal portion 4550 to the drive shaft. of the structure 4510. The structure 4500 additionally comprises a longitudinal portion 4560 that extends through the elongated drive axis 4200 to the distal fixation portion 2400. Similar to the above, the drive axis of the structure 4510 comprises one or more tracks defined in it and / or inside. The electrical tracks extend through the longitudinal portion 4560, the distal portion 4550, the bridge 4540, and / or any suitable portion of the drive axis of the structure 4510 to the electrical contacts 2520. Referring mainly to Figure 48, the distal portion 4550 and the longitudinal portion 4560 comprise a longitudinal opening defined therein that is configured to receive a rod 4660 of the clamping actuation system 4600, as described in more detail below.
[400] [400] As also discussed above, with reference mainly to Figures 48 and 49, the drive system 4700 of the drive shaft assembly 4000 comprises a drive shaft 4710. The drive shaft 4710 is pivotally supported within the drive shaft cabinet. proximal drive 4110 by the drive axis of the structure 4510 and rotates around a longitudinal geometric axis that extends through the drive axis of the structure. The 4700 drive system additionally comprises a transfer drive shaft 4750 and an output drive shaft 4780. The transfer drive shaft 4750 is also pivotally supported inside the enclosure of the proximal drive shaft 4110 and rotates around a longitudinal geometric axis which extends parallel to, or at least substantially parallel to, the driving axis of the structure 4510 and the longitudinal geometric axis defined therein. The transfer drive shaft 4750 comprises a proximal gear wheel 4740 fixedly mounted on it so that the proximal gear wheel 4740 rotates with the transfer drive shaft 4750. The proximal gear wheel 4740 is operatively interposed with a gear face ring 4730 defined around the outer circumference of the drive shaft 4710, so that the rotation of the drive shaft 4710 is transferred to the transfer drive shaft 4750. The transfer drive shaft 4750 additionally comprises a 4760 mounted distal gear wheel fixedly in it so that the distal sprocket 4760 rotates with the transfer drive shaft
[401] [401] In addition to the above, with reference mainly to Figures 47 and 48, the clamshell closing actuation system 4600 comprises an actuation, or scissors, trigger 4610 swivelly coupled to the 4110 proximal drive shaft cabinet around a pivot 4620. The trigger 4610 comprises an elongated portion 4612, a proximal end 4614, and a claw ring opening 4616 defined at the proximal end 4614 that is configured to be handled by the physician. The drive shaft assembly 4000 further comprises a stationary jaw 4160 extending from the proximal cabinet 4110. The stationary jaw 4160 comprises an elongated portion 4162, a proximal end 4164, and a claw ring opening 4166 defined at the proximal end 4164 that is configured to be held by the physician. In use, as described in more detail below, the 4610 actuating trigger is rotatable between an un-actuated position and an actuated position (Figure 48), that is, towards the 4160 stationary jaw, to close the actuator jaw assembly 8100 8000 endpoint.
[402] [402] With reference mainly to Figure 48, the clamping actuation system 4600 additionally comprises a drive connection 4640 pivotally coupled to the cabinet of the proximal drive shaft 4110 around a pivot 4650 and, in addition, a 4660 actuating rod operationally coupled to the 4640 drive linkage. The 4660 actuating rod extends through an opening defined in the 4560 longitudinal frame portion and is translatable along the longitudinal geometric axis of the 4500 drive shaft structure. The 4660 actuation comprises a distal end operationally coupled to the gripper assembly 8100 and a proximal end 4665 positioned in a drive slot 4645 defined in the drive connection 4640 so that the drive shaft 4660 is longitudinally translated when the drive connection 4640 is rotated around the 4650 pivot. Notably, the 4665 proximal end is swiveled the drive slot 4645 so that the 4660 actuating rod can rotate with the end actuator
[403] [403] In addition to the above, the 4610 actuation trigger additionally comprises a 4615 actuation arm configured to engage and rotate the 4640 actuation link proximally, and to move the 4660 actuation rod proximally, when the 4610 actuation trigger is actuated, that is, moved closer to the 4110 proximal drive shaft cabinet. In these cases, the proximal rotation of the 4640 drive link resiliently compresses a bias member, such as a 4670 spiral spring, for example, positioned between the drive link 4640 and the drive shaft of the frame 4510. When the 4610 actuation trigger is released, the compressed spiral spring 4670 expands again and pushes the 4640 drive link and 4660 actuation rod distally to open the 8100 jaw assembly of the 8000 end actuator. In addition, the distal rotation of the 4640 drive link automatically triggers, and automatically rotates, the 4610 actuating trigger back to its position not acted upon. That said, the doctor can manually return the 4610 actuation trigger to its unactivated position. In such cases, the 4610 actuation trigger could be opened slowly. In any case, the drive shaft assembly 4000 additionally comprises a lock configured to reliably hold the 4610 actuation trigger in its activated position so that the doctor can use his hand to perform another task without the opening occurring. of the 8100 jaw assembly.
[404] [404] In several alternative modalities, in addition to the above, the 4660 actuation rod can be pushed distally to close the 8100 jaw assembly. In at least one of these cases, the 4660 actuation rod is mounted directly on the 4610 actuation trigger so that when the 4610 actuation trigger is actuated, the 4610 actuation trigger activates the 4660 actuation rod distally. Similar to the above, the 4610 actuation trigger can compress a spring when the 4610 actuation trigger is closed so that when the 4610 actuation trigger is released, the 4660 actuation rod is pushed proximally.
[405] [405] In addition to the above, the drive shaft assembly 4000 has three functions - opening / closing the claw assembly of an end actuator, rotation of the end actuator about a longitudinal geometric axis, and articulation of the end actuator. end around a geometric axis of articulation. The rotation and articulation functions of the end actuator 4000 are activated by the motor assembly 1600 and the control system 1800 of the drive module 1100 while the clamping actuation function is manually activated by the clamping actuation system 4600. O 4600 clamping actuation system could be a motor-driven system, but instead the 4600 clamping actuation system was maintained as a manually operated system so that a doctor can have a better feel of the tissue being stapled inside the end actuator. Although the motorization of the rotation and actuation systems of the end actuator provides certain advantages for controlling the position of the end actuator, the motorization of the 4600 grapple closing actuation system can cause the physician to lose a tactile sensation of the force applied to the tissue and may not be able to assess whether the force is insufficient or excessive. In this way, the 4600 grapple closing actuation system is manually activated even though the rotation and articulation systems of the end actuator are driven by a motor.
[406] [406] Figure 50 is a logic diagram of the 1800 control system for the surgical system shown in Figure 1, according to at least one modality. The control system 1800 comprises a control circuit. The control circuit includes an 1840 microcontroller comprising an 1820 processor and an 1830 memory. One or more sensors, such as sensors 1880, 1890, 6180 ', 6280', 6380 ', 7190 ”, and / or 6290' '', for example, they provide real-time feedback to the 1820 processor. The 1800 control system additionally comprises an 1850 motor driver configured to control the 1610 electric motor and an 1860 tracking system configured to determine the position of one or more longitudinally moving components. in the surgical instrument, such as clutches 6110, 6120, 6130 and / or the longitudinally movable drive nut 7150 of the drive of the claw set, for example. The 1860 tracking system is also configured to determine the position of one or more rotating components on the surgical instrument, such as the 2530 drive shaft, the 6230 external drive shaft and / or the 6330 hinge drive, for example. The 1860 tracking system provides position information for the 1820 processor, which can be programmed or configured to, among other things, determine the position of the 6110, 6120, and 6130 clutches and the 7150 drive nut as well as the 7110 claw orientation. and 7120. The 1850 motor starter can be an A3941, available from Allegro Microsystems, Inc., for example; however, other motor drives can be readily replaced for use in the 1860 tracking system. A detailed description of an absolute positioning system 1100 is described in US patent application publication 2017/0296213, entitled SYSTEMS AND METHODS FOR
[407] [407] The 1840 microcontroller can be any single-core or multi-core processor, such as those known under the ARM Cortex trade name available from Texas Instruments, for example. In at least one aspect, the 1840 microcontroller is a Cortex-M4F LM4F230H5QR ARM processor core, available from Texas Instruments, for example, which comprises an integrated 256 KB single-cycle flash memory, or other non-volatile memory, up to 40 MHz, a prefetch 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 StellarisWare® program, electronically erasable programmable read-only memory (EEPROM) of 2 KB, one or more pulse width modulation modules (PWM) and / or frequency modulation modules (FM), one or more analogs of quadrature encoder inputs (QEI), one or more 12-bit analog-to-digital converters (ADC) with 12 channels of analog input, details of which are available in the product data sheet.
[408] [408] In several cases, the 1840 microcontroller comprises a safety controller comprising two controller-based families, such as TMS570 and RM4x known under the trade name Hercules ARM Cortex R4, also available from 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.
[409] [409] The 1840 microcontroller is programmed to perform various functions, such as precisely controlling the speed and / or the position of the 7150 drive nut of the claw closing assembly, for example. The 1840 microcontroller is also programmed to precisely control the rotation speed and position of the 7000 end actuator and the speed and hinge position of the 7000 end actuator. In many cases, the 1840 microcontroller computes a response in the microcontroller software. 1840. The computed response is compared to a measured response from the real system to obtain an "observed" response, which is used for real decisions based on feedback. The observed response is a favorable and adjusted value, which balances the uniform and continuous nature of the simulated response with the measured response, which can detect external influences in the system.
[410] [410] The 1610 motor is controlled by an 1850 motor starter. In many ways, the 1610 motor can be a brushless DC drive motor, with a maximum speed of approximately 25,000 RPM, for example. In other arrangements, the motor may include a brushless motor, a wireless motor, a synchronous motor, a stepper motor or any other suitable electric motor. The 1850 motor starter may comprise an H bridge starter comprising field effect transistors (FETs), for example. The 1850 motor driver can be an A3941, available from Allegro Microsystems, Inc. The A3941 1850 driver is a complete bridge controller for use with metal oxide semiconductor field effect transistors (MOSFETs - "metal oxide semiconductor field effect. transistors ") of external N-channel power, specifically designed for inductive loads, such as brushed DC motors. In many cases, the 1850 driver comprises a unique charge pump regulator that provides full door drive (> 10 V) for battery voltages up to 7 V and allows the A3941 to operate with a reduced door drive, up to 5.5 V. An input capacitor ("bootstrap") can be used to supply the excess voltage to that supplied by the battery needed for N-channel MOSFETs. An internal charge pump for the drive on the upper side allows current operation continuous (100% duty cycle). The complete bridge can be triggered in fast or slow drop modes using diodes or synchronized rectification. In the slow drop mode, the current can be recirculated by means of FET from the top or from the bottom. Power FETs are protected from "shoot-through" by a resistor adjustable downtime. Integrated diagnostics provide indication of undervoltage, overtemperature and faults in the power bridge, and can be configured to protect power MOSFETs in most short-circuit conditions. Other motor starters can be readily replaced.
[411] [411] The 1860 tracking system comprises a controlled motor drive circuit arrangement comprising one or more position sensors, such as sensors 1880, 1890, 6180 ', 6280', 6380 ', 7190' 'and / or 6290 ''', for example. Position sensors for an absolute positioning system provide a unique position signal that corresponds to the location of a displacement member. As used here, the term displacement member is used generically to refer to any moving member of the surgical system. In several other cases, the displacement member can be coupled to any suitable position sensor 472 for measuring linear displacement. Linear displacement sensors can include contact or non-contact displacement sensors. Linear displacement sensors can comprise variable differential linear transformers (LVDT), variable reluctance differential transducers (DVRT), a sliding potentiometer, a magnetic detection system comprising a moving magnet and a series of linearly arranged Hall effect sensors, a magnetic detection system comprising a fixed magnet and a series of linearly arranged mobile Hall effect sensors, an optical detection system comprising a mobile light source and a series of linearly arranged photodiodes or photodetectors, or an optical detection system which comprises a fixed light source and a series of linearly arranged mobile photodiodes or photodetectors, or any combination thereof.
[412] [412] Position sensors 1880, 1890, 6180 ', 6280', 6380 ', 7190 ”, and / or 6290' '', for example, can comprise any number of magnetic sensing elements, such as sensors classified according to their measurement of the total magnetic field or the vector components of the magnetic field. The techniques used to produce both types of magnetic sensors cover many aspects of physics and electronics. Technologies used for magnetic field detection include scanning coil, flowmeter, optically pumped, nuclear precession, SQUID, Hall effect, anisotropic magnetoresistance, giant magnetoresistance, magnetic tunnel junctions, giant magnetoimpedance, magnetostrictive / piezoelectric composites, magnetodiode, magneto-transistor , optical fiber, magneto-optics and magnetic sensors based on microelectromechanical systems, among others.
[413] [413] In several cases, one or more position sensors in the 1860 tracking system comprise a rotating magnetic absolute positioning system. Such position sensors can be implemented as an AS5055EQFT single circuit magnetic rotary position sensor available from Austria Microsystems, AG and can be interfaced with the 1840 controller to provide an absolute positioning system. In certain cases, a 472 position sensor is a low voltage, low power component and includes four Hall effect elements in an area of the position sensor that is located adjacent to a magnet. An A-D converter and an intelligent power management controller are also provided on the integrated circuit. A CORDIC ("Coordinate Rotation Digital Computer" processor), also known as digit-by-digit method and Volder algorithm, is provided to implement a simple and efficient algorithm for calculating hyperbolic and trigonometric functions that require only addition, subtraction,
[414] [414] The 1860 tracking system can comprise and / or be programmed to implement a feedback controller, such as a PID, state feedback, and adaptive controller. A power supply converts the signal from the feedback controller to a physical input to the system, in this case voltage. Other examples include pulse width modulation (PWM) and / or frequency modulation (FM) of voltage, current and force. Other sensor (s) can be provided to measure physical parameters of the physical system, in addition to position. In several cases, the other sensor (s) may include sensor arrangements as described in US Patent No. 9,345,481 entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, which is hereby incorporated by reference in its entirety; US Patent Application Publication No. 2014/0263552, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, which is hereby incorporated by reference in its entirety; and US patent application No. 15 / 628,175, entitled TECHNIQUES FOR ADAPTIVE CONTROL OF MOTOR
[415] [415] The absolute positioning system provides an absolute position of the displacement member by energizing the instrument without retracting or advancing the displacement member to a reset position (zero or initial), as may be necessary with conventional rotary encoders that they merely count the number of steps forward or backward that the 1610 motor has traveled to infer the position of a device actuator, a trigger bar, a knife or the like.
[416] [416] An 1880 sensor comprising an extensometer or a micro effort meter, for example, is configured to measure one or more parameters of the end actuator, such as, for example, the voltage experienced by the claws 7110 and 7120 during an operation grasp. The measured effort is converted into a digital signal and fed to the 1820 processor. In addition to or instead of the 1880 sensor, an 1890 sensor comprising a Load sensor, for example, can measure the Closing Force applied by the actuation system. 7110 and 7120 for the claws. In several cases, an 1870 current sensor can be used to measure the current drained by the 1610 motor. The force required to secure the claw assembly 7100 can correspond to the current drained by the 1610 motor, for example. The measured force is converted into a digital signal and supplied to the 1820 processor. A magnetic field sensor can be used to measure the thickness of the captured tissue. The measurement of the magnetic field sensor can also be converted into a digital signal and supplied to the 1820 processor.
[417] [417] Measurements of tissue compression, tissue thickness and / or the force required to close the end actuator on the tissue as measured by the sensors can be used by the 1840 controller to characterize the position and / or speed of the moving member is being tracked. In at least one case, an 1830 memory can store a technique, equation and / or look-up table that can be used by the 1840 microcontroller in the evaluation. In many cases, the 1840 controller can provide the surgical instrument user with an option as to how the surgical instrument should be operated. For this purpose the screen 1440 can show a variety of operating conditions of the instruments and can include touch screen functionality for data entry. In addition, the information shown on screen 1440 can be overlaid with images captured through the imaging modules of one or more endoscopes and / or one or more additional surgical instruments used during the surgical procedure.
[418] [418] As discussed above, the drive module 1100 of the handle 1000 and / or the drive shaft assemblies 2000, 3000, 4000, and / or 5000, for example, attachable to the same comprise control systems. Each of the control systems can comprise a circuit board that has one or more processors and / or memory devices. Among other things, control systems are configured to store sensor data, for example. They are also configured to store data that identifies the drive shaft assembly for the grip
[419] [419] In addition to the above, the first module connector 1120 of the drive module 1100 comprises a side battery door defined on the side of the drive module 1100. Similarly, the second module connector 1120 'comprises a proximal port of battery defined at the proximal end of the 1100 drive module. That said, a drive module can comprise a battery door in any suitable location. In any case, the power module 1200 is operationally fixable to the drive module 1100 on the side battery door 1120, as shown in Figures 54 to 58, or on the proximal battery door 1120 ', as shown in Figures 67 and 68. This it is possible because the 1220 connector of the power module 1200 is compatible with the side battery door 1120 and the proximal battery door 1120 '. Among other things, connector 1220 comprises a substantially circular, or substantially cylindrical configuration, which corresponds to, or at least substantially corresponds to, the substantially circular or substantially cylindrical configurations of the battery ports 1120 and 1120 '. In several cases, the connector 1220 comprises a frustoconic, or at least substantially frustoconic, shape, which has a bottom portion that is larger than the top portion and an angled or tapered side that extends between them. That said, the connector 1220 of the power module 1200 does not comprise keys, or projections, that extend from it that interfere with the assembly of the power module 1200 to the battery ports 1120 and 1120 ’.
[420] [420] Referring mainly to Figures 55 and 56, connector 1220 comprises two latches 1240 which extend from it. The latches 1240 are positioned on opposite sides of the connector 1220 so that they comprise opposite latch shields that reliably attach the power module 1200 to the power module 1100. The side battery door 1120 comprises lock openings 1125 defined in cabinet 1100 which are configured to receive the latches 1240 of the power module 1200 and, similarly, the proximal battery door 1120 'comprises latch openings 1125' defined in the cabinet 1100 which are also configured to receive the latches 1240 of the power module 1200. Although the lock openings 1125 on the side battery door 1120 and the lock openings 1125 'on the proximal battery door 1120' limit the orientations in which the power module 1200 can be mounted on each battery door 1120 and 1120 ', that is, two orientations for each battery door, the power module is meanwhile operationally fixable to both battery doors 1120 and 1120'.
[421] [421] In addition to the above, the latches 1240 of the feed module 1200 are configured to engage the drive module 1100 in a snap-fit manner. In many cases, the latches 1240 resiliently flex radially outward when the feed module 1200 is mounted on the drive module 1100 and then resiliently move, or press fit, radially inward when the feed module 1200 is completely seated inside one of the doors 1120 and 1120 'to lock the feed module 1200 in the drive module 1100. In many cases, the latches 1240 comprise flexible arms that deflect radially in and out as described above while, in some In some cases, the latches 1240 comprise one or more propensity elements, such as Springs, for example, configured to resiliently push the latches 1240 into their internal or locked positions. In various embodiments, the feed module 1200 may comprise members that are snapped into the openings defined in ports 1120 and 1120 'to retain feed module 1200 in the drive module
[422] [422] In addition to the above, the electrical contacts of the power module 1200 are defined at the top, or face, of the connector
[423] [423] In addition to the above, the power module 1300 is operationally fixable to the drive module 1100 on the proximal battery door 1120 ', as shown in Figures 59 to 66, but not on the side door of battery 1120, as shown in Figures 69 and 70. This is because the 1320 connector on the power module 1300 is compatible with the proximal battery portion 1120 ', but not with the side battery door 1120. Although the 1320 connector comprises a substantially circular, or substantially cylindrical configuration that corresponds, or at least substantially corresponds, to the substantially circular or substantially cylindrical configurations of the battery ports 1120 and 1120 ', the connector 1320 of the power module 1300 comprises keys, or projections, 1315 extending from it that interfere with the mounting the power module 1300 to the side battery door 1120, but not to the proximal battery door 1120 '. When a physician attempts to mount the power module 1300 to the side battery door 1120 ', the projections 1315 come into contact with the cabinet 1110 and prevent the locks 1340 from the power module 1300 from locking the power module 1300 to the drive module 1100 and prevent the power module 1300 from being electrically coupled to the drive module 1100. That said, with reference mainly to Figures 63 and 64, the proximal battery door 1120 'comprises gap openings 1115' defined therein configured to receive the 1315 projections of the 1300 power module and allow the 1300 power module to be mounted on the proximal battery door 1120 '. Similar to the above, lock openings 1125 ’and clearance openings 1115’ on the proximal battery door 1120 ’limit the orientations in which the power module 1300 can be mounted on the proximal battery door 1120’ in their orientations.
[424] [424] In addition to the above, other circumstances may prevent the attachment of a power module to one of the battery ports 1120 and 1120 ’. For example, one of the battery ports may have an asymmetric geometry that is configured to receive complementary geometry from just one of the power modules. In at least one of these cases, the side battery door 1120 may comprise a semicircular cavity and the proximal battery door 1120 'may comprise a circular cavity, wherein the connector 1220 of the power module 1200 comprises a semicircular geometry that can be received on both battery ports 1120 1120 ', while the connector 1320 of the power module 1300 comprises a circular geometry that can be received on the proximal battery port 1120', but not on the side battery port 1120. In some cases, the configuration of the drive shaft assembly attached to the drive module 1100 can prevent the assembly of one of the power modules to the drive module 1100. For example, with reference to Figure 59, the drive shaft assembly 4000, for example, can prevent the assembly of the power module 1300 to the battery side door 1120 as the 4610 actuation trigger interferes with its assembly to it. Notably, such an arrangement would also prevent the power module 1200 from being mounted on the side door of the battery 1120. As a result, the physician would need to use the proximal battery door 1120 'to attach a power module to the drive module 1100 when using the set drive shaft 4000. The configuration of certain drive shaft assemblies, with reference to Figures 71 and 72, would allow both the 1200 and 1300 power modules to be mounted on the 1100 drive module at the same time. For example, with reference to Figure 51, the drive shaft assembly 3000 in Figure 1 would allow both the 1200 and 1300 power modules to be used to supply power to the 1100 drive module simultaneously.
[425] [425] The power modules 1200 and 1300 are configured to supply power to the drive module 1100 at the same, or at least substantially the same, voltage. For example, each 1200 and 1300 power module is configured to supply power to the 1100 drive module in 3 V direct current (DC), for example. The control system 1800 of the drive module 1100 comprises one or more power inverters, for example, configured to convert direct current (DC) into alternating current (AC) as long as alternating current (AC) is required. That said, the 1200 and 1300 power modules can be configured to supply power to the 1100 drive module at any suitable voltage. In at least one case, the 1200 and / or 1300 power modules are configured to supply AC power to the drive module. In at least one of these cases, the power modules 1200 and / or 1300 each comprise one or more power inverters. In alternative modes, the power modules 1200 and 1300 are configured to supply power to the drive module 1100 at different voltages. In such embodiments, the configurations of ports 1120 and 1120 ', discussed above, may prevent a power module having a higher voltage from being attached to a lower voltage port. Likewise, configurations of ports 1120 and 1120 'can prevent a power module having a lower voltage from being attached to a higher voltage port, if desired.
[426] [426] In several cases, power modules 1200 and 1300 are configured to supply the same, or at least substantially the same, current to the drive module. In at least one case, the supply modules 1200 and 1300 provide the same, or at least substantially the same, current magnitude to the drive module 1100. In alternative modes, the supply modules 1200 and 1300 are configured to supply different currents to the 1100 drive module. In at least one case, the power module 1200 provides a current to the drive module 1100 that has a magnitude that is twice the current supplied by the power module 1300, for example. In at least one of these cases, the battery cells of the power module 1200 are arranged in parallel to provide the same voltage as the power module 1300 but with twice the current. Similar to the above, the configurations of ports 1120 and 1120 ', discussed above, may prevent a power module having a higher current from being attached to a lower current port. Likewise, port 1120 and 1120 'configurations can prevent a power module having a lower current from being attached to a higher current port, if desired.
[427] [427] In addition to the above, the 1800 control system is configured to adaptively manage the power supplied by the 1200 and 1300 power modules. In several cases, the 1800 control system comprises one or more transformer circuits configured for increase or decrease the voltage supplied to it through a power module. For example, if a higher voltage supply module is attached to a lower voltage port, the 1800 control system can activate, or connect a transformer circuit to reduce the voltage of the higher voltage supply module. Similarly, if a lower voltage supply module is attached to a higher voltage port, the 1800 control system can activate, or connect a transformer circuit to increase the voltage of the lower voltage supply module.
[428] [428] In several cases, a power module may comprise a switch that is selectively actuable by the physician to prevent the power module from supplying power to the 1100 drive module. In at least one case, the switch comprises a mechanical switch, for example example, in the power supply circuit of the power module. A power module that has been switched off, however, can still provide other benefits. For example, a disconnected power module 1200 can still provide a pistol pistol grip and a disconnected power module 1300 can still provide a rod handle. In addition, in some cases, a disconnected power module can provide a power reserve that can be selectively actuated by the physician.
[429] [429] In addition to or in lieu of the above, each of the 1200 and 1300 power modules comprises an identification memory device. The identification memory devices may comprise a solid state integrated circuit, for example, which has data stored therein that can be accessed by and / or transmitted to the 1800 control system when a power module is mounted on the drive module 1100. In at least one case, the data stored in the identification memory device can comprise data referring to the voltage at which the power module is configured to supply the drive module 1100, for example.
[430] [430] In addition to the above, each of the drive axle assemblies 2000, 3000, 4000 and / or 5000 comprises an identification memory device, for example the memory device
[431] [431] In addition to the above, an end actuator configured to hold and / or dissect tissue may require less energy than an end actuator configured to pinch a patient's tissue. As a result, an end actuator and / or drive shaft assembly comprising a clip applicator may be in greater need of energy than an end actuator and / or drive shaft assembly comprising gripping and / or dissecting jaws. In such cases, the control module 1800 of the 1100 power module is configured to verify that the power module, or modules, attached to the 1100 drive module can supply sufficient power to the 1100 drive module. The 1800 control system can be configured to interrogate the identification integrated circuits in the power modules attached to the 1100 drive module and / or to assess the power sources within the power modules to assess whether the power modules comprise enough voltage and / or current to adequately power the drive module 1100 to operate the clip applicator.
[432] [432] In addition to the above, an end actuator configured to hold and / or dissect tissue may require less energy than an end actuator configured to suture a patient's tissue, for example. As a result, an end actuator and / or drive shaft assembly comprising a suture device may be in greater need of energy than an end actuator and / or drive shaft assembly comprising gripping and / or dissecting jaws. In such cases, the control module 1800 of the 1100 power module is configured to verify that the power module, or modules, attached to the 1100 drive module can supply sufficient power to the 1100 drive module based on the drive shaft assembly fixed to the 1100 drive module. The 1800 control system can be configured to interrogate the identification integrated circuits in the power modules attached to the 1100 drive module and / or to assess the power sources within the power modules to assess whether the Power modules comprise voltage and / or current sufficiently available to adequately power the drive module 1100 to operate the suture device.
[433] [433] In addition to or in lieu of the above, an end actuator, such as end actuator 7000, for example, comprises an identification memory device. The end actuator identification memory device may comprise a solid state integrated circuit, for example, which has data stored therein that can be accessed by and / or transmitted to the 1800 control system when the end actuator is mounted on the 1100 drive module by means of a drive shaft assembly. In at least one case, the data stored in the identification memory device can comprise data regarding the energy required to operate the end actuator drive systems. The end actuator can be in communication with the drive module 1100 through electrical paths, or circuits, that extend through the drive shaft assembly. Similar to the above, the end actuator can identify itself for the 1100 drive module and, with this information, the 1100 drive module can adapt its operation to properly operate the end actuator.
[434] [434] As described above, power modules 1200 and 1300 each comprise one or more battery cells. That said, the 1200 and 1300 power modules can comprise any suitable medium for storing and supplying energy. In at least one case, the 1200 and 1300 power modules comprise capacitors and / or supercapacitors configured to store energy and supply power to the 1100 drive module. The capacitors and / or supercapacitors can be part of the same electrical circuit as the battery cells or a different electrical circuit. A supercapacitor can comprise double layer electrostatic capacitance and / or electrochemical pseudocapacitance, both of which can contribute to the total capacitance of the supercapacitor. In several cases, double-layer electrostatic capacitors use carbon or derivative electrodes with a much higher double-layer electrostatic capacitance than the electrochemical pseudocapacitance, achieving charge separation in a double Helmholtz layer at the interface between the surface of a conductive electrode and an electrolyte. The charge separation is often in the order of a few angstroms (0.3 to 0.8 nm), much less than in a conventional capacitor. Electrochemical pseudocapacitors use metal oxide or conductive polymer electrodes with a high amount of electrochemical pseudocapacitance in addition to the double layer capacitance. Pseudocapacitance is obtained by fararaic electronic charge transfer with oxirreduction, intercalation and / or electrosorption reactions.
[435] [435] The 1200 and 1300 power modules can be rechargeable or non-rechargeable. When the 1200 and 1300 power modules are not rechargeable, they are discarded after a single use. In such cases, it is desirable for the 1200 and 1300 power modules to be completely drained, or at least substantially drained, of energy when discarded. For this purpose, each supply module comprises a drain that is engaged, or actuated, when the supply module is mounted on the 1100 drive module. In several cases, the drain comprises a resistance circuit inside the supply module that includes the battery cells. Once activated, the drain slowly discharges the battery cells from the power module, but at a speed that still allows the power module to supply sufficient energy to the 1100 drive module during the surgical procedure. After the surgical procedure is completed, however, the drain continues to discharge the battery cells even though the power module may no longer be mounted on the 1100 drive module. In this way, the drain discharges the battery cells and the power module. whether or not it is supplying power to the 1100 drive module or is attached to it. The descriptions in their entirety of US patent application No. 8,632,525 entitled POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES, which was issued on January 21, 2014, and of US patent No. 9,289,212, entitled SURGICAL INSTRUMENTS AND BATTERIES FOR SURGICAL INSTRUMENTS,
[436] [436] Multiple surgical instruments, including several hand instruments, are used by a doctor during a specific surgical procedure to perform different functions. Each surgical instrument can comprise different handle and / or handle configurations, in addition to different user control mechanisms. Switching between multiple hand instruments can cause a delay and / or discomfort, as the physician regains control over the surgical instrument and activates the user control mechanism (s). The use of various surgical instruments equipped with an engine may require a user to ensure that, before starting each surgical procedure, numerous power supplies are charged and / or functional, as the power sources may vary and / or may not be compatible with all surgical instruments equipped with an engine.
[437] [437] A modular surgical instrument comprising a universal grip and power source can provide a physician with a sense of familiarity with the use of a universal grip configuration. The modular surgical instrument is configured for use with numerous surgical tool holders. Instead of having to charge a plurality of different energy sources, the modular surgical instrument is configured for use with a replaceable energy source that can be discarded after each surgical procedure. In addition, the use of a universal handle with a plurality of surgical tool holders can reduce clutter and / or the volume of surgical instruments within the surgical field.
[438] [438] Figure 73 illustrates a portion of a 80000 modular surgical instrument and Figure 74 illustrates an electrical architecture of the 80000 modular surgical instrument. The configuration of the 80000 modular surgical instrument is similar in many respects to the surgical instrument 1000 in Figure 1 discussed above. The 80000 modular surgical instrument comprises a plurality of modular components, including, for example: an 80010 drive module, an 80020 drive shaft, an 80030 end actuator, and an 80040 power source. In several cases, the drive module 80010 comprises a handle. The drive module 80010 comprises one or more control keys 80012 and a motor 80015.
[439] [439] The drive shaft 80020 comprises a control circuit 80022 configured to facilitate communication between the modular components 80010, 80020, 80030, 80040 of the surgical instrument 80000. The operation and functionality of the modular components 80010, 80020, 80030, 80040 of the 80000 surgical instrument are described in more detail above in connection with other surgical instruments.
[440] [440] In several cases, one or more control keys 80012 correspond to the rotary actuator 1420 and the articulation actuator 1430 of the input system 1400 as described in more detail with respect to Figures 7 and 8 above. As shown in Figures 7 and 8, the hinge actuator 1430 comprises a first push button 1432 and a second push button 1434. The first push button 1432 comprises a first key which is closed when the first push button 1434 is pressed . Similar in many respects to the articulation actuator 1430 and the rotary actuator 1420 shown in Figures 7 and 8, one or more control keys 80012 may comprise pushbuttons. When a user action presses the push button, a switch is closed that sends a signal to the control circuit 80022 indicative of a user command. In many cases, a first pushbutton can initiate articulation or rotation in a first direction while a second pushbutton can initiate articulation or rotation in a second direction. The operation and functionality of these 80012 control keys are described in more detail above.
[441] [441] In several cases, the drive shaft 80020 is configured to be disposable after being used to treat a patient. In such cases, the drive shaft 80020 can be used more than once on the same patient. As discussed in more detail below, the drive shaft 80020 comprises a processor 80024 and a memory that stores instructions for one or more control programs. The disposable drive shaft 80020 comprises any signal processing circuits required to interface with the 80030 end actuator, the 80040 power source, and / or the 80010 drive module when the 80000 modular surgical instrument is fully configured, or mounted. The 80030 end actuator comprises an array of 80035 sensors configured to monitor a parameter of the 80030 end actuator. This 80035 sensor array can detect, for example, information related to the identity of the 80030 end actuator, an operational state of the end actuator. 80030, and / or information regarding the surgical site environment, such as tissue properties, for example. In several cases, the 80040 power supply comprises a replaceable battery pack configured to be attached directly to the 80010 drive module to supply power to the 80000 surgical instrument. The 80040 power supply comprises an 80042 battery and an 80044 screen. In several cases , the 80044 screen comprises a touch screen, for example, in which a user action is sent to the 80024 processor.
[442] [442] In several cases, the drive module 80010 comprises a power source interface to fix the modular power source 80040 to it. The replaceable connection between the 80040 power supply and the 80010 drive module allows a user to promptly change the 80040 power supply without having to disassemble an 80010 drive module enclosure. The 80042 battery within the 80040 modular power supply comprises a primary cell, but can also include secondary cells. The primary cell battery 80042 is configured to be fully charged once. In other words, the primary cell battery 80042 is configured to be discarded after each surgical procedure. The use of a disposable power supply can, among other things, provide the physician with assurance that the 80042 battery is fully charged at the beginning of each surgical procedure.
[443] [443] The power supply interface provides the interconnection between the 80042 battery and the 80044 display connection when the 80040 power supply is attached to the 80010 drive module. In other words, there is no continuous circuit on the 80040 power supply. until the power source 80040 is replacably attached to the power source interface on the drive module 80010. In this way, the power source 80040 can be distributed and sterilized in an uncoupled state. The ability to be in an uncoupled state allows each 80040 energy source to be easily sterilized. For example, the modular power source 80040 is compatible with both ethylene oxide sterilization and gamma sterilization, as no continuous circuit is present on the 80040 unattached power source.
[444] [444] Similar to the 80040 power source, the 80010 drive module has no continuous circuit until it is attached to the 80020 drive shaft and 80040 power source. For this reason at least, the 80010 drive module can be sterilized using any desired sterilization protocol after each use. In its unfixed configuration, the drive module 80010 is configured to be tolerant to total immersion during the cleaning process.
[445] [445] In addition to the above, the control circuit 80022 on the drive shaft 80020 comprises a processor 80024 configured to receive user action from one or more control keys 80012 on the drive module 80010. The drive shaft 80020 additionally comprises a motor controller 80028 configured to control the motor 80015 within the drive module 80010 when the drive shaft 80020 is mounted on the drive module 80010. In several cases, the control circuit 80022 additionally comprises a safety processor 80024 comprising two controller-based families, such as, for example, TMS570 and RM4x known under the trade name Hercules ARM Cortex R4, also available from Texas Instruments. The 80026 security processor can be configured specifically for IEC 61508 and ISO 26262 security critical applications, among others, to provide advanced integrated security features while providing scalable performance, connectivity and memory options. Safety processor 80026 is configured to be in signal communication with processor 80024 and with motor controller 80028. Motor controller 80028 is configured to be in signal communication with sensor array 80035 of end actuator 80030 and the 80015 motor inside the 80010 handle. The 80028 motor controller is configured to send an electrical signal, such as a voltage signal, indicative of the voltage (or power) to be supplied to the 80015 motor. The electrical signal can be determined based, for example, on user action from one or more control keys 80012, signal received from sensor set 80035, user action from screen 80044, and / or motor feedback
[446] [446] The drive shaft 80020 additionally comprises a memory configured to store control programs that, when executed, instruct the processor to, among other things, command the motor controller 80028 to start the motor 80015 at a predetermined level. The memory within the 80022 control circuit of each 80020 drive shaft is configured to store one or more control programs to enable the 80000 modular surgical instrument, when fully configured, to perform a desired function. In several cases, the drive shaft 80020 may comprise a standard control program for when the fixed drive shaft 80020 does not comprise a control program and / or a stored control program cannot be read or detected. This standard control program allows the 80015 engine to be operated at a minimum level to allow a physician to perform basic functions of the 80000 modular surgical instrument. In many cases, only basic functions of the 80000 modular surgical instrument are available in the standard control program and they are performed in order to minimize damage to tissue at and around the surgical site. The storage of specific control program (s) for a desired function on each 80020 replaceable drive shaft minimizes the amount of information that needs to be stored and thus relieves the drive module 80010 of the burden of storing all possible control programs, many of which are unused.
[447] [447] Figure 75 shows an 80110 drive module that comprises a plurality of drives configured to interact with the corresponding drives on a fixed drive shaft to produce a desired function, such as rotation and / or articulation of an actuator end point. For example, the 80110 drive module comprises an 80120 rotary drive configured to rotate an end actuator upon actuation. The drive module 80110 in Figure 75 is configured to operate based on the type of grip attached to the modular drive shaft. One or more of the plurality of drives is decoupled when a low functionality handle, such as a scissor handle handle, is attached to the modular drive shaft. For example, when attaching a low-functionality handle to the modular drive shaft, a pin that extends over the low-functionality handle can cause the 80120 rotary drive to move distally out of engagement with the low-functionality handle. . This distal advance results in the decoupling of the 80120 rotation drive from the handle, effectively blocking the 80120 rotation drive functionality. By separating the scissor handle from the modular drive shaft, a resilient member 80125, such as a spring , propels the 80120 rotation actuator proximally to its original position. In many cases, all drives are decoupled by attaching the low-functionality handle to the modular drive shaft. In other cases, a first drive, such as the 80120 rotary drive, can be decoupled by attaching the low-functionality handle to the modular drive shaft, while a second 80130 drive remains engaged for use with the handle. low functionality.
[448] [448] In several cases, the 80120 rotation drive is in communication with a manual rotation actuator, such as the 1420 rotation actuator, described in more detail above in relation to Figures 8, 10 and 11. As the doctor rotates the actuator of rotation, the position of the rotation actuator can be monitored. For example, the surgical instrument may comprise an encoding system configured to monitor the position of the rotating actuator. In addition to or in place of the encoding system, the drive module 80110 may comprise a sensor system configured to detect a degree of rotation of the rotation actuator. In any case, the detected position of the rotation actuator is communicated to a processor and a motor controller, such as processor 80024 and motor controller 80028 within the drive shaft 80020. In several cases, the drive module 80110 comprises a grip.
[449] [449] Processor 80024 and motor controller 80028 are configured to drive a drive shaft system 80020 differently from the system being driven manually by the 80120 rotary drive in response to the 80120 rotary drive movement. In at least one case, a surgical instrument has a first rotation joint and a second rotation joint in which the rotation of the surgical instrument in the first rotation joint is manually activated and the rotation of the surgical instrument in the second rotation joint is driven by an electric motor. In this case, the 80024 processor can monitor the rotation of the surgical instrument around the first rotation joint using the encoder and rotate the surgical instrument around the second rotation joint using the 80028 motor controller to maintain the rotating components of the aligned surgical instrument, for example.
[450] [450] Figure 76 shows an 80210 handle before engaging with an 80220 interchangeable drive shaft. The 80210 handle can be used with multiple interchangeable axes and can be called a universal handle. The 80220 drive shaft comprises an 80250 drive shaft configured to mechanically engage a distal 80255 nut on the grip
[451] [451] In several cases, the 80211 distal end of the 80255 drive nut and the proximal end 80223 of the 80250 drive rod comprise a plurality of 80260, 80265, 80270 magnetic elements configured to facilitate alignment of the 80220 drive shaft with the handle. 80210 in addition to or in place of the mechanical alignment system described above. The 80260, 80265, 80270 magnetic element system enables the self alignment of the 80220 drive shaft with the 80210 handle. In many cases, the plurality of 80260, 80265, 80270 magnetic elements are permanent magnets. As seen in Figure 75, the proximal end 80223 of the drive shaft 80220 comprises a plurality of magnetic elements 80260 and 80265 that are asymmetrically oriented, although the magnetic elements 80260 and 80265 can be arranged in any suitable manner. The 80260 and 80265 magnetic elements are positioned with the opposite poles facing outward from the proximal end 80223 of the 80220 drive shaft. More specifically, the 80260 magnetic elements positioned on a first portion of the 80220 drive shaft are positioned with their positive poles outwardly from the proximal end 80223, while the magnetic elements 80265 positioned in a second portion or opposite portion of the 80220 drive shaft are positioned with their negative poles facing outwardly from the proximal end 80223. The distal end 80211 of the nut drive 80255 comprises a plurality of 80270 magnetic elements positioned with their negative poles facing outwardly from the 80211 distal end of the 80210 handle. Such an asymmetric pattern of 80260, 80265 magnetic elements on the 80220 drive shaft can allow the 80220 drive shaft and the 80210 grip are the lined up in one or more predefined locations, as described in more detail below. The use of 80260, 80265, 80270 magnetic elements eliminates the need for a spring-loaded mechanism to move the 80210 grip and the 80220 drive shaft to predetermined positions.
[452] [452] In addition to the above, if the physician attempts to align the 80210 handle with the 80220 drive shaft so that the 80270 magnetic elements positioned on the 80210 handle are in close proximity to the 80260 magnetic elements positioned on a first portion of the 80220 drive shaft , the 80260, 80270 magnetic elements produce an attractive magnetic force, thus pulling the 80210, 80220 modular components into alignment. However, if the physician attempts to align the 80210 handle with the 80220 drive shaft so that the 80270 magnetic elements positioned on the 80210 handle are closer to the vicinity of the 80265 magnetic elements positioned on a second portion of the 80220 drive shaft, a magnetic force repulsive will push and separate the 80210, 80220 modular components, thus preventing an improper connection between the 80210 handle and the drive shaft
[453] [453] In certain cases, in addition to the above, there will only be a stable position between the modular components. In several cases, a plurality of magnetic elements are positioned so that their poles alternate in a repeating pattern along the outer circumferences of the distal end of the 80210 handle and the proximal end of the 80220 drive shaft. Such a pattern can be created to provide a plurality of stable alignment positions. The repetition pattern of magnetic elements allows for a series of stable alignments between the drive shaft and the handle, since an attractive magnetic force brings together the modular components 80210 and 80220 in numerous positions. In several cases, the plurality of magnetic elements are oriented in order to create a bistable magnetic network. This bistable network ensures that the 80210 and 80220 modular components end up in a stable alignment even when the 80210 and 80220 modular components are initially misaligned. In other words, when the 80210 handle and the 80220 drive shaft are misaligned, the magnetic fields created by the plurality of magnetic elements interact with one another to initiate the rotation of the misaligned position for the next most stable possible alignment.
[454] [454] In several cases, the 80210 grip and the 80220 drive shaft comprise a dominant magnetic element that provides an attractive initial magnetic force, the dominant magnetic elements being configured to bring the 80210, 80220 modular components closer together. After the 80210 and 80220 modular components are brought together by the dominant magnetic elements, the plurality of 80260, 80265, 80270 magnetic elements is configured to fine-tune the orientations of the 80210 grip and the 80220 drive shaft.
[455] [455] Figure 77 shows an universal grip 80310 before being aligned with a drive shaft 80320 and attached to it. The proximal end 80323 of the drive shaft 80320 comprises a pin 80322 configured to engage an L-shaped slot 80312, or bayonet, cut at the distal end 80311 of the 80310 handle. In several cases, a plurality of L-shaped slots 80312 can be cut around the circumference of the distal end 80311 to provide additional fixation support for the additional pins 80322. The proximal end 80323 of the drive shaft 80320 additionally comprises a frame and a magnetic element of drive shaft 80324 positioned in the frame with its pole positive outward. The distal end 80311 of the handle 80310 additionally comprises a first magnetic element 80314 and a second magnetic element
[456] [456] The magnetic elements described above may comprise electromagnets, permanent magnets or a combination thereof. In cases such as those described above, a system of permanent magnetic elements can align the drive shaft and handle in a plurality of positions. In such cases, an electromagnet can be added to the system of permanent magnetic elements. When activated, the electromagnet is configured to exert a stronger magnetic field than the magnetic fields within the system of permanent magnetic elements. In other words, an electromagnet can be incorporated to interrupt, thwart, and / or alter the cooperation between the permanent magnet system. This interruption results in the ability to exercise selective control over the alignment of the modular components of the surgical instrument. For example, when a system of magnetic elements, such as the magnetic elements 80260, 80265 and 82070 in Figure 76, has placed the 80220 drive shaft and the 80210 grip in a properly aligned position, the physician can selectively activate an electromagnet to produce a magnetic field strong enough to overcome the attractive magnetic forces of the permanent magnets and repel the drive shaft in the opposite direction of the handle. In several cases, the activation of the electromagnet repels the grip in the opposite direction to the drive shaft to release and unlock the drive shaft of the handle. In several cases, the activation of the electromagnet is configured not only to disturb the attraction created by the permanent magnets but also to decouple the 80210 and 80220 modular components.
[457] [457] A modular surgical instrument, such as the 80000 surgical instrument shown in Figure 73, for example, comprises a plurality of components configured to communicate with each other in order to perform an intended function of the surgical instrument. The communication routes between the components of the modular surgical instrument are described in detail above. Although such communication routes may be wireless in nature, wired connections are also suitable. In several cases, the end actuator and / or the driving shaft of the surgical instrument are configured to be inserted into a patient through a trocar, or cannula, and can have any suitable diameter, such as approximately 5 mm, 8 mm and / or 12 mm, for example. In addition to size restrictions, several modular surgical instruments, such as, for example, a clip applicator, comprise end actuators and / or drive shafts that are configured to rotate and / or articulate, for example. As such, any wired communication pathway needs to be compact and flexible to maintain functionality as the end actuator and / or the drive shaft is rotated and / or pivoted. In an effort to reduce the size of the operating elements within a drive shaft and / or end actuator of a surgical instrument, several electromechanical functional microelements can be used. The incorporation of electronic microcomponents, for example a piezoelectric inchworm actuator or a "squiggle" motor, in a surgical instrument helps to reduce the space required for operational elements, since a squiggle motor, for example, is configured to provide linear motion without gears or cams.
[458] [458] In many cases, flexibility is created in the wired communication path (s) by mounting multiple electrical tracks on a flexible substrate. In several cases, the electrical tracks are supported on the flexible substrate in any suitable manner. Figure 79 shows a flexible circuit 80400 for use in a modular surgical instrument, such as surgical instrument 1000, for example. The flexible circuit 80400 is configured to extend within a drive shaft enclosure, like the drive shaft 80020 in Figure
[459] [459] While the support of multiple electrical tracks on the flexible substrate provides flexibility, additional features can be added to, among other things, increase longevity and / or protect the integrity of the flexible circuit 80400. As shown in Figures 79 and 79A, a primary strain relief region 80410 is configured to be positioned proximally to a hinge joint. The primary strain relief region 80410 of the flexible circuit 80400 experiences the greatest displacement and / or twist in response to the articulation of the surgical instrument. In an attempt, for example, to relieve stress on the flexible circuit 80400 while the surgical instrument is hinged and / or to help the portion of the flexible circuit 80400 within the primary strain relief region 80410 to return to its original orientation after the instrument If the surgical procedure is disjointed, one or more bias and / or resilient members 80412 are present to provide resilience and / or flexibility. The one or more 80412 bias members are configured to transition between a flexed and a non-flexed state, as the surgical instrument is pivoted and / or rotated. In several cases, the 80412 bias elements comprise springs. The bias elements 80412 are incorporated into the substrate of the flexible circuit 80400 in an effort, for example, to accommodate the movements of surrounding parts. The flexible circuit portion 80400 within the primary strain relief region 80410 comprises a pattern comprising a first leg 80414, a base 80416, and a second leg 80418. The base 80416 extends between the first leg 80414 and the second leg 80418. The bias member 80412 extends between the first leg 80414 and the second leg 80414 and connects to them. The bending member 80412, among other things, allows the first leg 80414 to be deflected in relation to the second leg 80418 and then resiliently returns to its uninflected state. The bias member 80412 is configured to flex to the flexed state when an end actuator is hinged, and the bias member 80412 is configured to return resiliently to the uninflected state when the end actuator is no longer hinged.
[460] [460] As seen in Figures 79 and 79B, flexible circuit 80400 is produced with a secondary strain relief region 80420 whose conductive elements 80405 are separate and not interconnected. This orientation of the conductive elements 80405 allows the flexible circuit 80400 to be folded. The non-stressful and flexible portions of the flexible circuit 80400 are positioned perpendicular to the flexible circuit 80400 within the primary stress relief region 80410. The secondary stress relief region 80420 comprises one or more members 80422, similar to members of stress propensity 80412 described in more detail above. The presence of bias members 80412 within the primary stress relief region 80410 and bias members 80422 within the secondary stress relief portion 80320 allows the flexible circuit 80400 to have an extensible portion on at least two separate planes relative to a longitudinal geometric axis of the drive shaft, such as the drive shaft 80020 of Figure 73, for example. The presence of the primary strain relief portion 80410 in the foreground and a secondary strain relief portion 80320 in the background enables communication between an end actuator, a drive shaft assembly, and a handle on a surgical instrument configured to pivot the end actuator, rotate the end actuator, and rotate the drive shaft assembly. In another case, the flexible circuit 80400 can be manufactured flat and subsequently braided in one portion, such as the primary strain relief region 80410, which correlates with the articulation or actuation portion of the surgical instrument. This design can alleviate the strain relief requirement of the 80400 flexible circuit in general.
[461] [461] Figure 79C shows a portion of flexible circuit 80400 of Figure 79 characterized by a printed circuit board (PCB) formed integrally with flexible substrate 80430 of the flexible circuit
[462] [462] Figure 80 shows an 80500 end actuator flexible circuit configured to extend within an end actuator. The 80500 end actuator flexible circuit is configured to be used with a drive shaft flexible circuit, such as, for example, the flexible circuit 80400 shown in Figures 79 to 79C. The flexible end actuator circuit 80500 comprises 80505 electrical tracks supported on a flexible substrate. An 80503 distal end of the 80500 end actuator flexible circuit is wrapped around an 80504 ring. The 80505 electrical tracks extend around the 80504 ring. As shown in Figures 81A and 81B, the 80504 ring is configured to be electrically coupled to the circuit flexible drive shaft, for example, by means of the first ring 80402 at the distal end 80401 of the flexible circuit 80400. One or both flexible circuits 80400 and 80500 comprise bias members to maintain electrical contact between the tracks at the interface between the circuits flexible 80400, 80500. In many cases, the flexible end actuator circuit 80500 comprises one or more sensors, such as, for example, an 80510 clip feed sensor and / or a clip cam to the 80510 feed clamp and / or a 80520 clip-shaped sensor. Such sensors can detect a parameter of the end actuator and communicate the detected parameter to circuit components control unit 80432, 80434, 80436 on the flexible drive shaft circuit 80400. In several cases, the control circuit is positioned inside a handle of the surgical instrument.
[463] [463] Referring to Figure 82, a surgical instrument 215000 comprises a handle 215100, a drive shaft assembly 215500 attached to the handle 215100, an end actuator 215600 and a hinge joint 215550 swiveling the end actuator 215600 to the 215500 drive shaft assembly. The 215100 handle includes a 215200 drive system, a 215300 power supply and an actuator
[464] [464] In addition to the above, the second drive motor 215250 comprises a rotary input drive shaft and an input gear 215255 fixedly mounted to the rotary input drive shaft. The second displacement motor 215260 comprises a displacement drive shaft and a 215265 pinion gear pivotally mounted to the displacement drive shaft. The pinion gear 215265 is operationally interleaved with the input gear 215255 of the second drive motor 215250 and is translatable between a first and a second position by the second displacement motor 215260. When the pinion gear 215265 is in its first position, the gear pinion gear 215265 is operationally interleaved with the input gear 215255 and with an output gear 215275 fixedly mounted to a rotating output drive shaft 215270. In such cases, the rotation of the second drive motor 215250 is transferred to the drive shaft rotary output drive 215270 when the second drive motor 215250 is operated. When the pinion gear 215265 is in its second position, the pinion gear 215265 is operationally interleaved with the input gear 215255 and with an output gear 215285 fixedly mounted to a rotating output shaft 215280. In such cases, the rotation of the second drive motor 215250 is transferred to the rotary output drive shaft 215280 when the second drive motor 215250 is operated. Notably, pinion gear 215265 is not engaged with output gears 215275 and 215285 at the same time, and as a result, the second drive motor 215250 can be used to drive two separate functions of the surgical instrument 215000. In use, a user of the surgical instrument 215000, and / or a control system of the surgical instrument 215000, you can select between the two functions by displacing the second displacement motor 215260.
[465] [465] In addition to the above, again with reference to Figure 83, the output drive axes 215230, 215240 and 215280 comprise rigid drive axes and are nested concentrically. In several cases, one bearing is present between the output drive shaft 215230 and the output drive shaft 215240 and another bearing is present between the output drive shaft 215240 and the output drive shaft 215280. In other cases , the output drive axes 215230, 215240 and 215280 are directly supported by each other. Such arrangements can provide a compact design. In several alternative modes, none of the output drive axes 215230, 215240 and 215280 are nested.
[466] [466] Referring to Figure 84, an alternate drive system 216200 is configured to drive a total of six functions of a surgical instrument. Similar to the above, the drive system 216200 comprises a first drive motor 216210, a first drive motor 216220, a second drive motor 216250 and a second drive motor 216260. The first drive motor 216210 comprises an input drive shaft and a 216215 input gear mounted fixedly to the rotary input drive shaft.
[467] [467] In addition to the above, the output drive shaft 216230 is operationally engaged with a drive shaft 216500 of the surgical instrument so that the rotation of the output drive shaft 216230 is transferred to the drive shaft
[468] [468] In addition to the above, the second drive motor 216250 comprises a rotary input drive shaft and an input gear 216255 fixedly mounted to the rotary input drive shaft. The second displacement motor 216260 comprises a displacement drive shaft and a pinion gear 216265 mounted pivotally to the displacement drive shaft. The pinion gear 216265 is operationally interleaved with the inlet gear 216255 of the second drive motor 216260 and is translatable between the first, second and third positions by the second displacement motor 216260. When the pinion gear 215265 is in its first position , the pinion gear 215265 is operationally interleaved with the input gear 216255 and an output gear
[469] [469] In addition to the above, the output drive shaft 216270 and / or the output drive shaft 216280 can be operationally coupled to a claw grip drive, to a trigger drive system, such as a trigger drive clamps and / or a fabric cutting drive, for example, and / or an end actuator rotation drive,
[470] [470] As described above, the first drive motor 216210 and the first drive motor 216220 are configured to drive only one of its three functions at a time. Similarly, the second drive motor 216250 and the second drive motor 216260 are configured to drive only one of its three functions at a time. That said, the drive system 216200 is configured to operate the first drive motor 216210 and the second drive motor 216250 at the same time so that the surgical instrument can perform both functions simultaneously. For example, the first drive motor 216210 can articulate the end actuator around the first pivot joint through the drive shaft 216290 while the second drive motor 216250 can pivot the end actuator around the second pivot joint through the drive shaft 216290 '. Similarly, the first drive motor 216210 can rotate the drive shaft 216500 about a longitudinal axis while the second drive motor 216250 rotates the end actuator about a longitudinal axis. In some cases, however, the 216200 drive system control system can be configured to prevent two end actuator functions from being performed at the same time. In at least one of these cases, the control system is configured to prevent the end actuator from being opened while a clamp firing stroke is being performed.
[471] [471] In addition to the above, the first displacement motor 216220 can be configured to lock the two coupling drive axes when it operationally couples a drive shaft to the first drive motor 216210. In at least one of these cases, the drive shaft The translatable drive of the first displacement motor 216220 may comprise locks defined therein that are configured to engage and lock the two drive axes not coupled in position. In at least one case, the first displacement motor 216220 locks the drive shaft 216230 and 216240 when it operationally engages the first drive motor 216210 to the drive shaft 216290. Similarly, the second displacement motor 216260 can be configured to lock the two drive axes not coupled when it operationally couples a drive shaft to the second drive motor 216250. In at least one of these cases, the translatable drive shaft of the second displacement motor 216260 comprises locks defined therein that are configured to engage and lock the two drive shafts not coupled in position. In at least one case, the second displacement motor 216260 locks the drive shaft 216270 and 216280 when it operationally engages the second drive motor 216250 to the drive shaft 216290 ’. In such cases, the end actuator functions that are not triggered are positively disabled or locked. That said, modalities are provided in which the functions of the end actuator do not need to be locked when they are not being used or coupled to a drive motor. In any case, the first displacement motor 216220 and / or the second displacement motor 216260 can comprise a solenoid, for example, to create the longitudinal displacement of its drive axes.
[472] [472] As described above, the 215200 drive system is configured to drive four instrument functions and the 216200 drive system is configured to drive six instrument functions. That said, a drive system for the instruments described here can be configured to drive any suitable number of functions, such as more than six functions of the end actuator, for example.
[473] [473] In addition to the above, a surgical instrument engine control system can adapt the operation of one or more surgical instrument engines. Referring to Figure 85, the surgical instrument 215000 comprises an extensometer circuit 215900 that is in communication with the motor control system of the surgical instrument 215000. The extensometer circuit 215900 comprises an extensometer 215910 mounted in the enclosure, or cabinet, 215510 of the drive shaft 215500. The extensometer 215910 comprises a base 215920, a first electrical contact 215930 in the base 215920, a winding electrical circuit 215940 in electrical communication with the first electrical contact 215930, and a second electrical contact 215950 in electrical communication with the electrical circuit 215940. Electrical contacts 215930 and 215950 are configured to be welded, and / or otherwise electrically coupled, to conductive wires and / or conductive tracks, for example, to place the 215910 extensometer in communication with the engine control system . The electrical circuit 215940 is comprised of a thin conductive wire, whose resistance changes when the extensometer 215910 is extended and / or compressed, as discussed in more detail below.
[474] [474] Again with reference to Figure 85, the base 215920 of the extensometer 215910 is mounted on the wrap 215510 so that the extensometer 215910 stretches when the wrap 215510 is tensioned and contracts when the wrap 215510 is compressed. With reference to Figure 85A, the resistance of the electrical circuit 215940 changes, that is, it increases when the extensometer 215910 is placed under tension along a longitudinal geometric axis L, which is detectable by the motor control system. Similarly, with reference to Figure 85B, the resistance of the electrical circuit 215940 changes, that is, it decreases when the extensometer 215910 is compressed along the longitudinal geometric axis L, which is also detectable by the motor control system. The change in resistance of the electrical circuit 215940 is proportional, or at least substantially proportional, to the effort that is experienced by the wrap 215510 at the location of the 215910 extensometer. In several cases, an increase in the strain on the wrap 215510 of the drive shaft may indicate that the The patient's tissue is being subjected to overload in some way. With this information, the motor control system of the surgical instrument 215000 can change the performance of the electric motors of the surgical instrument 215000. For example, when the effort detected by the extensometer circuit exceeds a predetermined value, or limit, stored in memory and / or in the engine control system processor, for example, the engine control system can slow the engine, or engines, that are running at that time. In at least one of these cases, the motor control system can decelerate the electric motor that triggers a clamp trip when the limit voltage is exceeded. In other cases, the engine control system can slow down an electric motor that triggers a clip-forming course or an electric motor that triggers a suture course, for example, when the voltage limit is exceeded. In several cases, the engine control system can slow down an electric motor that closes or holds an end actuator and / or hinges the end actuator, for example.
[475] [475] In addition to the above, the engine control system of the surgical instrument 215000 can adaptively control the speed of one or more electric motors. The motor control system comprises one or more pulse width modulation (PWM) circuits, and / or any other power control circuit, to control the speed of electric motors. A pulse width modulation (PWM) circuit is configured to apply voltage pulses to an electric motor to drive the electric motor at a desired speed: longer voltage pulses drive the electric motor at a higher speed and voltage pulses shorter ones start the electric motor at a lower speed. In several cases, the motor control system comprises one or more frequency modulation (FM) circuits and / or voltage transformation circuits to control the speed of electric motors. An FM circuit can apply voltage pulses to an engine at a higher frequency to drive an electric motor at a higher speed and / or a lower frequency to drive an electric motor at a lower speed. PWM circuits and FM circuits are configured to intermittently apply a voltage potential to an electric motor at a constant, or almost constant, magnitude; however, several modalities are foreseen in which the magnitude of the voltage potential can also be changed to adjust the energy supplied by the electric motor. Variable resistance circuits, for example, can be used to change the magnitude of the voltage applied to an electric motor.
[476] [476] In addition to or instead of adapting the voltage supplied to the electric motors of the surgical instrument 215000 to control the speed of the motors, the current supplied to the electric motors can be adapted to control the driving force supplied by the electric motors. For this purpose, a surgical instrument may include one or more motor current control circuits.
[477] [477] The extensometer 215910 is an axial extensometer that is well suited to measure the strain along the longitudinal geometric axis L; however, a 215910 strain gauge may not provide a full understanding of the stress that occurs in the 215510 wrap. Additional strain gauges located in positions adjacent to the 215910 strain gauge that are oriented in different directions can provide additional data regarding the effort that occurs in that position. For example, another strain gauge can be positioned orthogonal to the strain gauge 215910 along the transverse geometric axis T and / or at an angle of 45 degrees to the longitudinal geometric axis L, for example. Several modalities are provided for in which more than one strain gauge is provided on a single strain gauge base. Such a provision can provide a greater resolution of the effort in a specific location. As stated above, any suitable strain gauge can be used. For example, capacitive strain gauges, semiconductor strain gauges, nanoparticle strain gauges, and / or fiber optic strain gauges, for example, could be used.
[478] [478] When one or more resistance strain gauges are attached to a surface to measure stress, as discussed above, the strain gauges can be arranged on a Wheatstone bridge circuit, as shown in Figure 85C. A Wheatstone bridge is a split bridge circuit used for measuring static or dynamic electrical resistance. The output voltage of the Wheatstone bridge is often expressed in millivolts of output per input volt. With reference to Figure 85C, if R1, R2, R3 and R4 are equal, and a voltage, VIN, is applied between points A and C, then the output between points B and D will show no potential difference. However, if R4 is changed to a value other than R1, R2 and R3, the bridge will be unbalanced and there will be a voltage at the output terminals. In a G-bridge configuration, the variable stress sensor has resistance Rg, while the other arms are resistors with a fixed value.
[479] [479] An extensometer sensor, however, can occupy one, two or four arms of the Wheatstone bridge. The total effort, or output voltage (VOUT) of the circuit is equivalent to the difference between the voltage drop across R1 and R4, or Rg. The bridge is considered balanced when R1 / R2 = Rg / R3 and, therefore, VOUT is equal to zero. Any small change in the resistance of the detection grid will put the bridge out of balance, making it suitable for stress detection. When the bridge is configured so that Rg is the only active strain gauge, a small change in Rg will cause an output voltage on the bridge.
[480] [480] The number of active strain gauges that must be connected to the bridge depends on the application. For example, it may be useful to connect the strain gauges that are on opposite sides of the surgical instrument cabinet or casing, one in compression and the other in tension. In this arrangement, the output of the bridge for the same effort is effectively doubled. In installations where all four arms of a Wheatstone bridge are connected to strain gauges, temperature compensation is automatic, since the change in resistance due to temperature variations will be the same for all four arms of the Wheatstone bridge.
[481] [481] In a four-element Wheatstone bridge, in addition to the above, generally two strain gauges are connected with wire in compression and two in tension, but any suitable arrangement can be used. For example, if R1 and R3 are in tension (positive) and R2 and R4 are in compression (negative), then the output will be proportional to the sum of all the mechanical stresses measured separately. For strain gauges located on adjacent legs of the Wheatstone bridge, the bridge is unbalanced in proportion to the difference in effort. For strain gauges located on opposite legs of the Wheatstone bridge, the bridge balances in proportion to the sum of the mechanical stresses. Whether the measurement is performed on the bending stress, shear stress or torsional stress, the arrangement of the extensometer will determine the relationship between the output and the type of stress being measured. As shown in Figure 85C, if a positive strain occurs on the R2 and R3 strain gauges and a negative strain is experienced by the strain gauges R1 and R4, the total VOUT output would be four times the resistance of a single strain gauge.
[482] [482] Other extensometer circuits can be used in addition to or in place of the Wheatstone bridges discussed above. Constant current and / or constant voltage arrangements could be used, for example.
[483] [483] As described above, data provided by one or more strain gauges to the engine control system can be used to modify the operation of one or more electric motors on the surgical instrument. In addition to or instead of slowing down an electric motor, the engine control system can stop an electric motor. In at least one case, the motor control system uses two or more effort limits in which the motor control system decelerates the electric motor when the measured effort exceeds a first limit but for the electric motor when the measured effort exceeds one second limit, or a higher limit. In certain cases, the motor control system slows down the electric motor when the measured effort exceeds a first limit and further decelerates the electric motor when the measured effort exceeds a second limit, or a higher limit. In several cases, the motor control system can be configured to accelerate an electric motor and / or restore the electric motor's original speed when the measured effort falls below one or more of the exceeded limits. In any case, the engine control system is configured to receive additional data from a central surgical controller outside the instrument for determining the appropriate reaction to a state of high stress. In addition, the engine control system is configured to transmit data to the central surgical controller, which can store and / or analyze stress data and emit a feedback signal regarding the appropriate reaction to a high stress state. For this purpose, the surgical instrument 215000 comprises a wireless signal transmitter and a wireless signal receiver; however, wired modes are provided.
[484] [484] In addition to the above, it must be understood that it is important to obtain accurate readings of the effort. That said, the environment surrounding the 215000 surgical instrument can affect the accuracy of the extensometer readings.
[485] [485] In many cases, in addition to the above, effort measurement is an excellent substitute for determining the forces that a surgical instrument is experiencing. That said, such effort measurements do not directly measure these forces. In various embodiments, the 215000 surgical instrument comprises one or more force sensors positioned adjacent to the 215910 extensometer to directly measure forces. In at least one case, a force sensor comprises a spring element that is extended and / or contracted along a geometric axis that is parallel, or at least substantially parallel, to the longitudinal geometric axis of the 215910 extensometer. The force sensor it is in communication with the engine control system and, as a result, the engine control system can use both data from the strain gauge and data from the force sensor to adapt the operation of the engines of the surgical instrument.
[486] [486] In addition to the above, the mechanical stresses and / or forces inside the 215510 drive shaft wrap of the 215500 surgical instrument are measurable to control the operation of the 215500 surgical instrument. In many cases, the stress readings and / or of force increased in the wrapper of the drive shaft 215510 suggest that the drive shaft of the surgical instrument 215500 may be pressed against the patient's tissue. To make the physician aware of the force being applied to the patient's tissue, the 215500 surgical instrument additionally comprises an indicator in communication with the 215500 surgical instrument control system which is activated by the control system when the effort measured by the strain gauges in the patient's wrap drive shaft 215510 exceeds a limit level. The indicator can comprise a light configured to create visible feedback, a speaker configured to create sound feedback, a vibrating motor configured to create tactile feedback and / or an icon on a display screen, for example. In certain cases, the control system can slow the motor, or motors, on the 215500 surgical instrument when the limit effort is exceeded. Controlling the electric motors in this way can prevent excessive deflection and / or breakage of the 215500 surgical instrument, especially when a part of the 215500 surgical instrument is pivoting and / or rotating, for example. In at least one case, the strain gauges and / or force sensors can be positioned on and / or on a circuit board inside the 215500 surgical instrument, such as a flexible circuit, for example. In such cases, as a result, an excessive force / deflection load within the circuit, especially the circuit mounted in the surgical instrument cabinet, can be avoided. That said, the mechanical stresses and / or forces within a moving component, such as a rotating drive shaft and / or translatable drive member, could also be measured. This arrangement makes it possible for the motor control system to directly assess mechanical stresses and / or forces within the drive systems of the 215500 surgical instrument and prevent the electric motors and / or drive components from being subjected to overload.
[487] [487] That said, a surgical instrument can use an extensometer in any suitable location. In several cases, an extensometer circuit may comprise an extensometer positioned on the clamp of an end actuator. Among other things, such an extensometer can detect claw deflection, especially when positioned at the distal end of the claw. With this data, the engine control system can adapt the operation of the surgical instrument to accommodate a flexed jaw beyond the limit, for example. In at least one of these cases, the engine control system can slow down the electric motor used to drive a distally mobile tissue cutting knife, such as a surgical stapler knife, for example. In use, a claw will deflect elastically when tissue is captured between the claws of the end actuator, but the claw can sometimes deflect plastically or permanently. An extensometer positioned on the jaw will enable the engine control system to detect that the jaw has been permanently damaged when the jaw is released when the jaw is released. If permanent damage is above a limit, the engine control system may limit the functionality of the surgical instrument in some way and / or indicate to the user that the surgical instrument has been damaged and / or indicate the degree of damage.
[488] [488] In addition to the above, an extensometer from an extensometer circuit can be placed over the clamp of a surgical stapler that supports a staple cartridge. When the clamps of the surgical stapler are attached, the strain gauges can detect the stress inside the cartridge claw that can reveal the claw deflection. In this sense, the deflection of the claw can reveal the distance between the claws, or the gap in the fabric. With this information, the motor control system can assess the thickness of the fabric between the jaws and control the speed of the drive motor that drives the fabric cutting knife. For example, the motor control system can slow the drive motor when the fabric is thick and / or speed up the drive motor when the fabric is thin. In addition to or in place of the above, an extensometer from an extensometer circuit can be placed on the tissue cutting knife. Such an extensometer can provide data regarding the thickness and / or density of the tissue to the engine control system. Similar to the above, the motor control system can slow down the drive motor when the tissue is dense and / or speed up the drive motor when the tissue is less dense, for example. In addition, the motor control system can stop and / or pause the drive motor that closes the end actuator claw when the measured effort has reached a limit. In many cases, the fluid in the trapped tissue needs time to flow out of the tissue in the end actuator after the end actuator has been initially trapped, and if the effort falls below the limit, the engine control system can be configured to reset the closing drive motor to compress the fabric in a desired amount. Such an extensometer can be placed on one of the claws of the end actuator and / or on the closing drive member, for example.
[489] [489] The surgical instruments described here can be inserted into a patient using a trocar, such as the 219900 trocar shown in Figure 82C. A trocar can comprise a long drive shaft 219910 comprising a longitudinal opening 219920 extending therethrough, a sharp distal end 219930 configured to be pushed through an incision in the patient, and a proximal end 219940 comprising a door or opening sealable configured to receive a surgical instrument S. In use, the surgical instrument is passed through the sealable door, through the longitudinal opening, and into a patient's body cavity. The sealable door comprises a seal configured to prevent, or at least reduce, the flow of insufflation gas from the patient's body cavity through the trocar. The seal is configured to bend in a closed, or at least substantially closed, configuration. Even when a surgical instrument extends through the sealable port, the seal is biased against the sides of the surgical instrument to create a sealed, or at least substantially sealed, interface,
[490] [490] In several cases, in addition to the above, the trocar applies forces to the patient's tissue when the trocar is guided by the surgical instrument. Excessive forces can pinch, injure, and / or otherwise damage tissue. For this purpose, a trocar can comprise one or more force sensing circuits and / or one or more extensometer circuits configured and positioned to detect the forces applied to the trocar by the surgical instrument. In many cases, a force sensing circuit is integrated into a flexible substrate, such as a ribbon, for example, positioned inside the longitudinal opening of the trocar. In at least one of these cases, the flexible substrate extends around the inner circumference of the trocar drive shaft and is fixed to the trocar drive shaft by one or more adhesives, for example. The force sensing circuit comprises one or more transducers supported within the flexible substrate that are compressed by the surgical instrument when the surgical instrument is pushed against the trocar. A transducer, such as a piezoelectric transducer, for example, converts mechanical energy into electrical energy, and when the transducer is compressed between the surgical instrument and the side wall of the trocar, the force sensing circuit generates a voltage potential. The trocar also comprises a control system in electrical and / or signal communication with the force sensing circuits that is configured to detect the voltage potential, and the magnitude of the voltage potential, created by the transducers in the force sensing circuits.
[491] [491] In addition to the above, the trocar control system uses an algorithm to determine whether the voltage potentials of the force sensing circuits exceed one or more limits. The trocar also comprises at least one tactile feedback generator, such as a light, a speaker, and / or an eccentric motor, for example, in communication with the control system and, when a voltage potential of a sensor circuit force exceeds a predetermined limit, the control system can activate the tactile feedback generator to indicate to the physician that excessive force may be applied to the trocar and the patient's tissue using the surgical instrument.
[492] [492] In addition to the above, the trocar can comprise a wireless signal transmitter in communication with the trocar control system. The wireless signal transmitter is configured to emit one or more signals that include data related to the force sensing circuits, especially when a limit has been exceeded. The surgical instrument inserted through the trocar can comprise a wireless signal receiver in communication with the surgical instrument control system that is configured to receive wireless signals from the trocar and relay the signals, or the data transmitted by the signals, to the system control of the instrument. The surgical instrument additionally comprises at least one tactile feedback generator, such as a light, a speaker, and / or an eccentric motor, for example, in communication with the instrument's control system and, when a voltage potential of a force sensing circuit exceeds a predetermined limit, the instrument control system can actuate the tactile feedback generator to indicate to the physician that excessive force may be applied to the trocar and the patient's tissue by means of the surgical instrument.
[493] [493] In addition to the above, the trocar and surgical instrument can be part of a central surgical controller system. In several cases, the trocar and the surgical instrument communicate with the central surgical controller system instead of communicating directly, as discussed above.
[494] [494] The trocar force sensing circuits can be used to evaluate other information regarding the surgical instrument. In at least one case, the trocar control system can determine that a surgical instrument is present in the trocar when the voltage potential of one or more force sensing circuits changes. In many cases, the trocar control system can determine the direction in which the surgical instrument is being pushed. When the force sensing circuits on one side of the trocar alter the voltage potential and the force sensing circuits on the opposite side of the trocar do not change the voltage potential, or have less change in the voltage potential, the control system of the trocar can determine the direction in which the surgical instrument is being pushed. In certain cases, the trocar can comprise a proximal set of transducers and a distal set of transducers that can be used to assess the orientation of the surgical instrument in the trocar. When proximal transducers on a first lateral side of the trocar have a higher voltage potential than proximal transducers on a second side, or opposite side, of the trocar and distal transducers on the second side have a higher voltage potential than transducers distal on the first side, the trocar control system can determine that the surgical instrument is oriented in the second direction within the patient, for example. Such proximal and distal transducers can also be used to assess the torque that the surgical instrument is applying to the patient's trocar and / or tissue.
[495] [495] In addition to the above, the circuits inside the trocar and circuits inside the surgical instrument can be coupled inductively. In several cases, one or more trocar circuits comprise windings that extend around the trocar drive axis that generate a field within the trocar that interacts with one or more circuits in the surgical instrument. In at least one of these cases, the trocar circuits comprise copper wires integrated in the trocar cabinet, for example, and the surgical instrument circuits comprise copper wires that extend through the drive shaft of the surgical instrument. In such cases, the trocar can transmit energy to the surgical instrument and / or wireless data signals to the surgical instrument through this inductive coupling. The trocar can have its own power supply and / or can be powered from the central surgical controller system in the operating room. Alternatively, the circuits of the surgical instrument can be configured and arranged to communicate electrical energy and / or wireless signal data to the trocar. In such cases, the sensors, the control system and / or the tactile feedback generators can be powered by the surgical instrument positioned in the trocar. In certain cases, the trocar can enter a low-power mode, or suspend mode, after not being used for a predetermined period of time. The insertion of a surgical instrument into the trocar can be detected by the trocar control system through these inductive circuits that can cause the trocar to enter a full power or activation mode. The insertion of a surgical instrument into the trocar can be detected by the instrument control system by means of these inductive circuits that can cause the instrument to enter full power or activation mode.
[496] [496] In any case, the discussion provided above regarding the interaction between a trocar and a surgical instrument is applicable to hand-held surgical instruments and / or surgical instruments operated by a robotic surgical system.
[497] [497] With reference to Figure 86, surgical instrument 215000 comprises a 215700 motor control system. The 215700 motor control system comprises a first circuit board, that is, the flexible circuit 215710, and, as described in more details below, a second circuit board, ie, printed circuit board (PCB) 215720. The flexible circuit 215710 comprises a flexible substrate that includes a flexible non-conductive base and conductive electrical tracks defined within and / or on the flexible base not conductive. The flexible circuit 215710 is contourable and is contoured to fit against the inside surface of the handle housing
[498] [498] The flexible base comprises polyimide and / or polyether ether ketone (PEEK), for example, and can comprise any suitable number of layers. Conductive tracks are comprised of copper, silver and / or conductive polyester, for example. The conductive tracks are positioned between the layers of the flexible base and / or integrated within the flexible base and are exposed at specific and predetermined locations on the flexible circuit 215710. The exposed portions of the conductive tracks are at least partially covered with a weld coating , such as tin and / or silver, for example, and / or a flux coating, such as an organic flux, for example. The flexible circuit 215710 additionally comprises electronic components mounted on its surface. These surface-mounted electronic components are mechanically and electrically connected to the exposed portions of the conductive tracks of the flexible circuit 215710 by means of welded connections. Surface-mounted electronic components can be quickly mounted on the 215710 flexible circuit using a reflow soldering process, for example. In addition to or in place of surface-mounted components, the flexible circuit 215710 may include electronic components with electrical contacts with through holes. In these cases, the conductive tracks include openings or through holes that are configured to receive the electrical contacts or pins that extend from the electronic devices. These pins can be welded to the conductive tracks using a reflux welding process and / or a wave welding process, for example. In addition to the welded electrical connections, the electronic components can be mechanically connected to the flexible base to reduce the possibility of the welded connections being subjected to overload.
[499] [499] In addition to the above, the 215710 flexible circuit is mounted on the 215110 handle housing using one or more adhesives so that the bottom surface of the 215710 flexible circuit is adapted to the 215110 handle cabinet. The 215710 flexible circuit it can also be at least partially integrated into the 215110 handle housing. In at least one of these cases, the 215110 handle housing is comprised of plastic that is injection molded over at least a portion of the 215710 flexible circuit. In certain cases, the tracks Conductive cables can be directly attached and / or integrated into the 215110 handle housing without a flexible circuit board. For example, conductive tracks 215760 are defined in the handle housing 215510 which are in electrical communication with the electrical contacts 215160. When the sides of the handle housing 215110 are assembled together, the electrical contacts 215160 on one side of the handle housing 215110 are electrically connected to the corresponding electrical contacts on the other side. In any case, the conductive tracks have portions that are exposed so that electrical connections can be made with the conductive tracks.
[500] [500] In use, in addition to the above, the 215300 power supply supplies power to the 215700 engine control system. The 215300 power supply comprises one or more direct current (DC) batteries, but may comprise any source of adequate energy as an alternating current (AC) power source, for example. The 215300 power source may comprise a voltage transform circuit to provide a desired voltage potential to the 215700 motor control system via electrical wires, or 215750 conductors. Notably, the 215750 conductors are connected to a second circuit board. circuit 215720 of the engine control system 215700. The second circuit board 215720 comprises a card and is connected to the first circuit board 215710; however, the second circuit board 215720 can comprise any suitable configuration. Referring to Figure 87, the second circuit board 215720 is insertable into a 215120 card slot defined in the 215110 handle housing. The 215120 card slot is configured to securely receive the second 215720 circuit board so that the second board circuit 215720 does not move, or at least moves substantially, relative to the handle 215110 housing after the second circuit board 215720 has been inserted into it. The card slot 215120 comprises electrical contacts 215130 and 215140 mounted on the wall of the card that are in communication with the flexible circuit board
[501] [501] In addition to the above, the second circuit board 215720 comprises a card that includes a substrate and electronic components positioned on the substrate. The substrate includes a printed circuit board (PCB) comprising a plurality of rigid non-conductive layers and a plurality of conductive tracks positioned between and / or on the non-conductive layers. Due to the rigidity of the second 215720 circuit board, the conductive tracks can be thick and / or wide which allows the tracks to transmit large loads of electrical energy without overheating the materials of the second 215720 circuit board. Similar to the above, the second circuit board 215720 comprises electronic components mounted on and / or electronic components with through pins mounted to and electrically coupled to the tracks - both of which are designated as electronic components 215725. As a result of the above, the second circuit board 215720 is well suited for transmitting loads between the 215300 power source and the 215000 surgical instrument's electric motors, which are often quite high. In this way, the first 215710 circuit board may comprise a flexible circuit that may be thinner than a printed circuit board (PCB) and better adapted to transmit lower electrical energy loads. That said, a flexible circuit can be designed to transmit any suitable electrical energy loads and can be used for any suitable application on the 215000 surgical instrument, for example.
[502] [502] In view of the above, the first circuit board
[503] [503] In addition to the above, the first circuit board 215710 and / or the second circuit board 215720 comprise memory devices configured to store data regarding the operation, state, and / or condition of the surgical instrument 215000, for example. Referring to Figures 82A and 82B, the first circuit board 215710 comprises at least one data access terminal and / or contact 215170 that can be used by a physician to access the data stored in the memory devices. For this purpose, the 215110 handle housing comprises an access port 215180 configured to allow a connector and / or probe 215880 to be inserted through it to connect operationally to the data access terminal 215170. The access port 215180 comprises a seal that includes an elastomeric portion comprised of rubber, for example, and a sealed, but openable, opening that extends through the elastomeric portion. The opening is provided in the closed position, or at least substantially closed, by the elastomeric material of the seal and can be opened to allow the 215880 probe to be inserted through it. When the 215880 probe is removed from the 215180 access door, the seal may re-seal itself.
[504] [504] In addition to or in lieu of the above, the handle housing comprises a 215110 pierceable portion that is configured to be pierced by an electrical probe, for example. The pierceable portion may comprise a thinned portion of the 215110 handle housing that can be readily punctured by the electrical probe to access the circuit boards and / or the motor control system in the 215110 handle cabinet. In at least one case, the cabinet of the handle 215110 comprises a demarcation indicating where the cabinet of the handle 215110 can be drilled. In at least one case, the demarcation comprises a colored area in the cabinet of the handle 215110, for example.
[505] [505] With reference to Figures 88 and 89, a drive shaft assembly 215500 'is similar to the drive shaft assembly 215500 in many respects. Like the drive shaft assembly 215500, the drive shaft assembly 215500 'forms a rotary interface with a handle, such as the handle 215100, for example, which allows the drive shaft assembly 215500' to rotate about an axis longitudinal geometric. The drive shaft assembly 215500 ’comprises a flexible circuit mounted inside the grip housing, or wrap, 215510’ that extends around the entire circumference of the drive shaft cabinet 215510 ’and comprises annular electrical contacts 215520’. The handle comprises an engine control system 215700 'that includes a printed circuit board (PCB) 215710'. The PCB 215710 ’comprises electrical contacts 215720’ that are engaged and are in electrical communication with the ring electrical contacts 215520 ’. Each electrical contact 215720 'comprises a base seated on the PCB 215710' and a flexible or spring member designed to engage with an annular electrical contact 215520 'so that electrical contacts 215720' are in electrical communication with the electrical contacts 215520 'independently from the position in which the drive shaft assembly 215500 'is rotated relative to the handle. The drive shaft assembly 215500 ’additionally comprises wires or conductors 215530’ that place electrical contacts 215520 ’in electrical communication with an electric motor 215200’. As a result of the above, the electric motor 215200 ’on the drive shaft assembly 215500’ can be powered by a power source on the handle. In addition, the interface between electrical contacts 215520 ’and 215720’ can transmit signals between the drive shaft assembly 215500 ’and the handle. This arrangement can enable the engine control system on the handle to communicate with one or more sensors, such as strain gauges and / or force sensors, for example, on the drive shaft assembly 215500 ’, for example.
[506] [506] Referring to Figure 90, a 217100 handle is similar to the 215100 handle in many ways. Among other things, the 217100 handle comprises a 217110 handle housing, a drive system comprising at least one electric motor and an engine control system, a removable battery 217300 configured to supply power to the engine control system, and a actuation trigger 217400 which, when actuated, closes an end actuator of the drive shaft assembly attached to the 217100 handle. In many cases, the electric motor is configured to drive an end actuator function, such as closing the end actuator, for example. To the extent that other motorized functions are required, in such cases, the 217100 handle can include other drive motors configured to drive these other end actuator functions. Alternatively, a drive motor can be used to drive more than one function of the end actuator, as described above.
[507] [507] Again with reference to Figure 90, the handle 217100 additionally comprises controls 217140, 217150 and 217160 that are in communication with the motor control system of handle 217100. Control 217130 is operable to operate an electric motor on handle 217100 which articulates the end actuator in relation to a longitudinal geometric axis of the drive shaft assembly fixed to the handle 217100. Referring to Figure 92, the 217130 control comprises an oscillator button that includes a button wrap 217132. The oscillator button wrap 217132 comprises a first wrap portion 217131 and a second wrap portion 217133 which are separated by a recessed groove 217135 defined in the oscillator button wrap 217132. Control 217130 further comprises a first strain gauge circuit connected to and / or integrated into the first portion of wrap 217131 and a second extensometer circuit 217139 connected to and / or integrated in the second wrap portion 217133. The first extensometer circuit 217137 and the second extensometer circuit 217139 are in signal communication with the motor control system through one or more wires or conductors 217136. The wall of the first wrap portion 217131 is configured to deflect and / or deform when a doctor presses the first portion of wrap 217131 and, in such cases, the motor control system is configured to detect the change in resistance in the first 217137 extensometer circuit. Similarly, the wall of the second wrap portion 217133 is configured to deflect and / or deform when a doctor presses the second wrap portion 217133 and, in such cases, the motor control system is configured to detect the change in resistance in the second circuit strain gauge
[508] [508] In addition to the above, the 217140 control is also operable to operate the hinge drive motor on the handle
[509] [509] In addition to the above, the 217150 control is operable to operate a firing drive motor on the 217100 handle to perform, for example, a staple firing course, a clip crimp course, or a suture course with needle - depending on the type of drive shaft assembly attached to the 217100 handle. Referring to Figure 93, the 217150 control is positioned on the 217400 gripping actuator and comprises a push button that includes a 217152 button wrap. The 217150 control comprises additionally an extensometer circuit 217154 attached to and / or integrated in the button wrap 217152. The extensometer circuit 217154 is in signal communication with the motor control system through one or more wires or conductors 217156.
[510] [510] As discussed above, the controls 217130, 217140, and 217150 are deformable to perform a function of the surgical instrument. When the 217130, 217140 and 217150 controls are readily deformable, they may experience high mechanical stresses that are readily detectable by their respective extensometer circuits. Referring to Figure 95, an actuator 217170 comprises a button wrap 217172 that has one or more live joints 217174 defined on the walls of the button wrap
[511] [511] Referring to Figure 94, in addition to the above, an actuator 217160 comprises a solid button wrap 217162. Unlike the button wrap 217172, the button wrap 217162 is configured in such a way that it does not deform significantly when is acted upon. As a result, the engine control system in communication with the 217160 actuator's extensometer circuit is configured to be responsive to much lower measured stress values. On the other hand, the 217160 actuator can be used to perform an important function of the surgical instrument and it may be desirable to have a high measured effort limit to prevent accidental activation of the important function despite having a rigid button wall of the 217160 actuator. In such cases, the doctor would have to make a concerted effort to press the 217160 actuator sufficiently to trigger the important function.
[512] [512] When an actuator is easily deformable, in addition to the above, the doctor would need to readily detect that he actuated the actuator when the actuator wall yields or retracts elasticly. When an actuator is rigid, however, a doctor may not be able to intuitively detect that the actuator has been activated. In any case, a surgical instrument may include a tactile feedback generator in communication with the engine control system. When the engine control system determines that the effort measured in an actuator strain gauge circuit has exceeded the predetermined limit, the engine control system can activate the tactile feedback generator that can notify the doctor that the actuator has been sufficiently actuated. In several cases, the tactile generator comprises at least one visual indicating device, such as a lamp, for example, at least one auditory indicating device, such as a speaker, for example, and / or at least one vibrating indicating device, such as a electric motor with an eccentric rotating element, for example.
[513] [513] In several modalities, in addition to the above, an engine control system can use two or more effort limits measured in connection with an actuator, such as the 217160 actuator, for example, to determine the appropriate action of the surgical instrument. For example, the engine control system may comprise a first measured effort limit and a second measured effort limit that is higher than the first effort limit. When the measured effort is below the first measured effort limit and the second measured effort limit, the motor control system will not drive the electric motor of the drive system associated with the actuator. When the measured effort is at or above the first measured effort limit but below the second measured effort limit, the engine control system triggers a first tactile feedback generator, like a first light, for example, but does not start the engine electric. When the measured effort is at or above the second measured effort limit, the motor control system activates a second tactile feedback generator, such as a first light, for example, and starts the electric motor. In these cases, the doctor receives a warning or notification through the first tactile feedback generator that he is pressing the actuator in some way, intentionally or not. When the measured effort falls below the second measured effort limit, but not the first measured effort limit, the engine control system disables the second tactile feedback generator, but not the first tactile feedback generator. The motor control system also suspends the activation of the electric motor in these cases. When the measured effort falls below the first measured effort limit, the engine control system deactivates the first tactile feedback generator.
[514] [514] In addition to the above, actuators 217130 and 217140 are comprised of a material other than that of the handle cabinet 217110. Actuators 217130 and 217140 are comprised of a first plastic material and the handle cabinet 217110 is comprised of a second material plastic that is different from the first plastic material. The first plastic material is more flexible than the second plastic material so that the actuators can be deformed to activate the surgical instrument, as described above. In several cases, the first plastic material is selected so that the elastic modulus of the first plastic material is lower than the elastic modulus of the second plastic material. In any case, actuators 217130 and 217140 are manufactured separately from the handle cabinet 217110 and then mounted on the handle cabinet 217110. The actuators 217130 and 217140 and the handle cabinet 217110 comprise cooperating features that interlock to connect the actuators 217130 and 217140 to the hilt cabinet
[515] [515] In several alternative modalities, in addition to the above, actuators 217130 and 217140 are comprised of the same material as the handle 217110. In at least one such way, actuators 217130 and 217140 are thinner than the handle 212110. so that they can deform sufficiently to operate the surgical instrument while the 217110 handle housing is sufficiently rigid to not deform unacceptably during use. Similar to the above, actuators 217130 and 217140 can be manufactured separately from the handle cabinet 217110 and then mounted on the handle cabinet 217110. In at least one alternative mode, actuators 217130 and 217140 are integrally formed with the handle cabinet 217110. In such cases, the 217110 handle housing can be formed into two halves that are assembled together by a snap fit connection, fasteners, and / or one or more adhesives, for example. In at least one embodiment, the actuators 217130 and 217140 and the handle case 217110 are formed during an injection molding process. In such cases, the extensometer circuits 217134 and 217144 can be positioned in the mold before the molten plastic is injected into the mold so that the extensometer circuits 217134 and 217144 are at least partially integrated into the actuators 217130 and
[516] [516] In several cases, the plastics used to form the 217130 and 217140 actuators and / or the 217110 handle housing are capable of being galvanized. In at least one of these cases, the conductive tracks are directly galvanized on the 217130 and 217140 actuators and / or in the 217110 handle housing. The galvanized conductive tracks can consist of any suitable material, such as tin and / or silver, for example.
[517] [517] In several modalities, sensors and / or switches, except strain gauges, can be used to drive the electric motors in an engine control system. In at least one such modality, a handle and / or drive shaft of a surgical instrument comprises at least one actuator that is deflectable to contact a sensor and / or key to open and / or close a sensor circuit, according to the case, to operate an electric motor of the surgical instrument. Similar to the above, such an actuator may comprise a separate component that is mounted on the handle housing, for example, and that is deformable inward to contact a sensor and / or key. Also similar to the above, such an actuator may comprise a thin integral portion of the handle housing that is deformable inwardly to contact a sensor and / or key. In any case, the sensor and / or switch is positioned behind and aligned with the actuator and can be mounted on a circuit board, for example.
[518] [518] Again with reference to Figure 82, the drive shaft assembly 215500 comprises actuators 215520, 215530 and 215540 that are configured to operate in the same or similar manner to the other actuators described here. The actuators of the 215500 drive shaft assembly comprise slide rail actuators, radial actuators, rotary actuators, pushbutton actuators, and / or any other suitable actuators. In many cases, the 215500 drive shaft assembly is not intended to be reused after the surgical procedure and is therefore disposable. In certain cases, the 215500 drive shaft assembly can be reused if it has not exceeded its maximum allowed number of actions and has been sanitized and sterilized again. The 215100 handle can also be disposable or reusable.
[519] [519] In several alternative modalities, an actuator can be actuated without having to be deflected and / or deformed. In at least one such modality, the actuator comprises a capacitive sensor circuit fixed to and / or integrated within the handle housing which is in signal communication with the motor control system. The capacitive sensor circuit comprises one or more capacitive sensors that are evaluated by the motor control system for changes in the capacitance of the motor when the doctor places his finger on and / or on one of the capacitive sensors. When the measured capacitance, or change in capacitance, exceeds a predetermined limit, the motor control system drives the electric motor of the drive system associated with the actuator. When the measured capacitance, or the change in capacitance, falls below the predetermined limit, the motor control system no longer starts the electric motor. That said, the motor control system can be configured to take any suitable action when the measured capacitance, or the change in capacitance, falls below the predetermined limit.
[520] [520] In at least one case, in addition to the above, the hilt cabinet comprises recesses defined therein and the capacitive sensors are positioned in the recesses. Such an arrangement allows the capacitive sensors to be leveled, or at least substantially leveled, with the outer surface of the handle housing. In at least one of these cases, the capacitive sensors may have a different color from that of the handle cabinet so that they are readily observable by the physician.
[521] [521] In several cases, in addition to the above, an actuator comprises a membrane key. In at least one case, a membrane key comprises two conductive plates separated by dielectric points positioned between the conductive plates. One or both conductive plates are configured to flex when the membrane switch is pressed and change the electrical state of the membrane switch. The membrane key can be hermetically sealed to prevent water and / or contaminants from entering the membrane key, which may unintentionally alter the electrical properties of the membrane key.
[522] [522] In addition to the above, an actuator may comprise a piezoelectric sensor circuit attached to and / or embedded within the handle housing that is in signal communication with the engine control system. The piezoelectric sensor circuit comprises one or more piezoelectric sensors that are evaluated by the motor control system for changes in the electrical properties of the motor when the doctor places his finger on and / or on one of the capacitive sensors. When the measured electrical property, or the change in electrical property, exceeds a predetermined limit, the motor control system drives the electric motor of the drive system associated with the actuator. When the measured electrical property, or the change in electrical property, falls below the predetermined limit, the motor control system no longer starts the electric motor. That said, the engine control system can be configured to take any suitable action when the measured electrical property, or the change in electrical property, falls below the predetermined limit. In at least one case, the handle housing comprises recesses defined therein and the capacitive sensors are positioned in the recesses. Such an arrangement allows the piezoelectric sensors to be leveled, or at least substantially leveled, with the external surface of the handle housing. In at least one of these cases, the piezoelectric sensors may have a different color from that of the grip handle so that they are readily observable by the physician.
[523] [523] Referring to Figure 96, a 218100 handle comprises a 218110 handle housing, a 218140 button actuator, a 218400 rotary actuator and a positionable actuator
[524] [524] With reference to Figure 97, a handle 218100 'comprises a handle housing 218110', a button actuator 218140, a rotary actuator 218400 and a positionable actuator 218800 '. The positionable actuator 218800 ’comprises an arm 218810’ which is pivotally mounted to the handle housing 218110 ’around a pivot pin 218820’ which defines a geometric axis of rotation RA. Pivot pin 218820 ’is attached to cabinet 218110’ so that positionable actuator 218800 ’doesn’t translate, or at least substantially translate, with respect to cabinet 218110’. In addition, pivot pin 218820 ’fits comfortably into an opening in cabinet 218110’ so that rotation of the arm 218810 ’around the axis of rotation RA requires a joint effort on the part of the physician. In at least one case, pivot pin 218820 ’comprises a locking screw that is loosened to pivot arm 218810’ and tighten to lock arm 218810 ’in position. In any case, the arm 218810 'can be pivoted in a comfortable position for the doctor so that a joystick 218830 on the arm 218810' is easily accessible by the doctor. For example, the arm 218810 'is rotatable between the left and right sides of the handle 218100'. The joystick 218830 comprises one or more sensors in communication with the motor control system of the handle 218100 ’. In use, the engine control system is configured to interpret and use voltages, currents, and / or any other data from the 218830 joystick sensors to articulate the end actuator of a drive shaft assembly attached to the 218100 ’handle. The end actuator is articulated in more than one plane and can be articulated around one or more articulable joints by one or more motor-driven articulation drive systems.
[525] [525] Referring to Figure 98, a 219100 surgical instrument handle comprises a 219110 handle cabinet, a 218140 button actuator and a joystick
[526] [526] In addition to or in place of a joystick to control the articulation of the end actuator, a surgical instrument may include a projected capacitive touchscreen (PCAP = projected capacitive touchscreen) designed to control the articulation of the actuator. far end. The PCAP touchscreen comprises electrodes that are aligned in a grid pattern on the sensor side of a touch panel. The electrode grid detects the touch point by detecting the change in electrical charges that occur when a doctor's finger touches the surface of the touch panel. Such a device can be used in conjunction with a motor control system microprocessor that is configured to interpret the touches and / or touch movements on the PCAP touch screen and move the end actuator parallel to the touches and / or touch movements.
[527] [527] In addition to the above, the PCAP touchscreen can include icons on it that facilitate the use of the PCAP touchscreen and suggest how finger movements will be interpreted by the microprocessor. A finger tap icon is shown in Figure 99. A finger drag icon is shown in Figure 100. A rotating finger slide is shown in Figure
[528] [528] A surgical center is often divided into a sterile field and a non-sterile field. During a surgical procedure, certain doctors remain in the sterile field while other doctors remain in the non-sterile field. Typically, surgical instruments within the sterile field are handled by doctors in the sterile field. That said, cases are foreseen in which a surgical instrument comprises a sterile barrier that allows a doctor, in the sterile field or in the non-sterile field, to interact with the surgical instrument. In at least one case, the sterile barrier comprises a flexible membrane mounted on the surgical instrument. Depending on the surgical instrument and its use, the entire surgical instrument or only a portion of the surgical instrument is protected by the sterile barrier. In at least one case, the surgical instrument comprises one or more pressure sensitive screens that can be used through the sterile barrier. In use, the surgical instrument in the sterile barrier can generate heat. For this purpose, the sterile barrier may comprise a heat sink configured to extract heat from within the sterile barrier and dissipate heat to the surrounding environment. The heat sink can be comprised of any suitable thermally conductive material, such as copper and / or silver, for example. Silver offers an additional advantage due to its antimicrobial properties. In at least one case, the heatsink comprises a set of conductive tracks that extend within the sterile barrier. Conductive tracks are integrated, fixed, and / or printed on the sterile barrier. These trails can promote conduction heat transfer. In at least one case, the conductive tracks comprise fins that extend from the sterile barrier. These fins can promote convection heat transfer. In several cases, the materials of the sterile barrier and / or conductive tracks are comprised of a material that promotes radiation heat transfer.
[529] [529] As discussed above, a surgical instrument can comprise two or more circuit boards that are operationally interconnected by one or more electrical connectors. In many cases, an electrical connection comprises two halves - a half male connection and a half female connection. The male half connection comprises male electrical contacts which may comprise pins, for example, while the female connection comprises female electrical contacts which may comprise sockets, for example, configured to receive the pins. Each socket comprises one or more deflectable members or protuberances configured to engage a pin inserted in the socket and establish one or more electrical contact interfaces between them. Even under ideal conditions, such electrical contact interfaces create voltage drops within an electrical circuit. In addition, an electrical contact interface may degrade over time and / or as a result of use. For example, the surfaces of the contact interface can oxidize over time and,
[530] [530] In view of the above, a control circuit of a surgical instrument comprising one or more electrical interconnections can be configured to assess the contact quality of the electrical interconnections after the components of the surgical instrument have been assembled together and / or during the use of the surgical instrument.
[531] [531] In addition to or in place of the above, a control circuit is configured to evaluate the voltage drop through an electrical contact interface. For example, when the control circuit detects that a lower than expected voltage potential is being applied to an electronic device within an electrical circuit, the control circuit can increase the gain in the energy supplied to that electrical circuit. In at least one of these cases, the magnitude of the voltage is increased, for example. When a short circuit is detected in an electrical circuit, the surgical instrument may become totally unusable or limited in the functions it can perform. For this purpose, the control circuit, a processing circuit and / or an algorithm can be used to decide whether or not the short circuit is present in a critical function, whether the surgical instrument can still be used, and which functions are still can be used. Upon detecting a short circuit, in several cases, the control circuit may enter a slow operating mode that only allows the execution of surgical instrument functions that allow the removal of the surgical instrument from the patient and / or that allows the state of the surgical instrument is monitored by the doctor, for example. In addition to or in place of the above, the control circuit can execute an algorithm to assess whether a detected short circuit is, in fact, a short circuit. In at least one case, the algorithm operates in order to increase the signal gain in the electrical circuit by detecting a short circuit and, if the short circuit is still detected after the gain increase, the control circuit stops energy to the electrical circuit that comprises the short circuit. However, if the increase in signal gain establishes or re-establishes sufficient signal fidelity, then the control circuit can continue to enable the use of that electrical circuit.
[532] [532] In addition to the above, signal fidelity and / or voltage drop in an electrical circuit can be assessed when the components of the surgical instrument are assembled. The electrical circuits can also be evaluated when the surgical instrument is energized and / or activated from a low power or suspended mode. The electrical circuits can be evaluated intermittently or continuously during the entire operation of the surgical instrument. In many cases, the control circuit of a surgical instrument can enter a slow operating mode when the signal distortion and / or the voltage drop exceeds a predetermined limit. In several cases, the control circuit may enter a slow operating mode that only allows the execution of surgical instrument functions that allow the removal of the surgical instrument from the patient and / or that allows the condition of the surgical instrument to be monitored by the doctor , for example. The control circuit can also try to correct signal distortion and / or voltage drop by increasing the signal gain, for example. When fluid enters an electrical interface, however, increasing the signal gain may not solve these problems.
[533] [533] In several cases, in addition to the above, the surgical instrument may comprise a ventilator positioned to blow air through the electrical interface when the signal distortion and / or the voltage drop in one or more electrical circuits is high, or is above a predetermined limit. In many cases, the fan forms a part of the control circuit. In at least one case, the fan is placed proximal to the electrical interface so that air is blown in a proximal to distal direction, for example. In certain cases, the surgical instrument can be configured to at least partially inflate the patient with carbon dioxide, for example. In such cases, the inflation path can pass over the electrical interface which can dry out the electrical interface and / or prevent the entry of it in the first place. The control circuit comprises a speed control circuit, such as a pulse width modulation circuit (PWM), a frequency modulation circuit (FM), and / or a variable resistance circuit, for example, configured to operate the fan at different speeds. In such cases, the control circuit is configured to operate the fan at a higher speed when the signal distortion and / or the voltage drop is higher and at a lower speed when the signal distortion and / or the voltage drop is lower. In several cases, the patient can also be inflated through one or more trocars, or ports, which extend into the patient. In such cases, the control circuit is configured to communicate with a central surgical controller system when the ventilator is turned on, off, accelerated, and / or decelerated, so that the insufflation amounts can be adequately controlled by the control system. central surgical controller. When too much insufflation gas is being inflated to the patient by an insufflation system and / or a surgical instrument, and / or when the amount of insufflation gas being inflated to the patient is increased too much, the central surgical controller system can operate to reduce the amount of insufflation gas being insufflated to the patient through the insufflation trocar. When the amount of insufflation gas being insufflated to the patient through the surgical instrument is reduced too much, the central surgical controller system can operate to increase the amount of insufflation gas being insufflated to the patient through the insufflation trocar.
[534] [534] In addition to or in lieu of the above, the surgical instrument comprises a heating circuit positioned and configured to dry the electrical interface when water entering one of the electrical circuits is detected by the control circuit. In at least one of these cases, the heating circuit comprises a resistive heating circuit, for example, which comprises a heating resistor adjacent to the electrical interface. When the signal distortion and / or voltage drop exceeds a predetermined limit, the control circuit can feed the heating circuit and / or increase the current through the heating circuit, for example. When the signal distortion and / or voltage drop falls below the predetermined limit, the control circuit can immediately switch off the heating circuit, supply the heating circuit for a predefined additional time, and / or reduce the current in the heating circuit, for example.
[535] [535] As discussed above, a drive shaft assembly can be selectively fastenable to a surgical instrument handle. As also discussed above, the drive shaft assembly may comprise a flexible drive shaft circuit and the handle may comprise a flexible handle circuit. In several cases, the flexible drive shaft circuit and the flexible grip circuit comprise electrical connectors that interconnect, or become electrically coupled, when the drive shaft assembly is mounted on the handle so that the flexible circuits are placed in electrical communication with each other. One or both of the electrical connectors may comprise a seal that can seal the electrical interconnect when the electrical connectors are coupled; however, one or both electrical connectors may comprise unsealed electrical contacts or exposed electrical contacts before interconnection is made. In certain cases, electrical contacts may be exposed to fluids and / or contaminants. An alternative approach is illustrated in Figure 101A which shows a flexible handle circuit 219220 and a flexible drive shaft circuit
[536] [536] As shown in Figures 101A and 101B, tracks 219230 and 219530 comprise tips that overlap each other when flexible circuits 219220 and 219520 are interconnected. To facilitate this interconnection, the flexible grip circuit 219220 comprises magnets 219240 and the flexible drive shaft circuit 219520 comprises magnets 219540 which are arranged in such a way as to attract each other when placed in close proximity to each other and place the flexible circuits 219220 and 219520 in contact with each other as shown in Figure 101B. Magnets 219240 and 219540 are arranged in two pairs, but can comprise any suitable number and / or arrangement.
[537] [537] A control circuit for a surgical instrument can be used to perform variable rate control for a motor-driven system of the surgical instrument. Such motor-driven systems may include, for example, a closing system, a firing system and / or a surgical instrument hinge system. In some cases, it is beneficial to use only a hardware-only control loop implementation to perform variable rate control of the motor driven system. For example, a hardware-only implementation can be used to provide faster operation than implementations that require software and / or firmware to be performed by a processing device. In addition, a hardware-only implementation can be used to eliminate the cost and complexity required by processors, software and / or firmware. In addition, a hardware-only implementation can offer greater reliability, greater durability and an increased control circuit life. In addition, a hardware-only implementation can also expand the options available for sterilizing the surgical instrument.
[538] [538] In several cases, the rotation of a surgical instrument knob and / or the pulling or pressing action of a surgical instrument input device can cause a proportional change of the motor position. In certain cases, a variable pull of a key or other input device of the surgical instrument can cause a proportional motor forward speed.
[539] [539] Figure 102 illustrates a 220000 control circuit for a surgical instrument. The 220000 control circuit is shown as a combinational logic circuit and is used to supply input signals and / or waveforms to a 220002 motor controller that controls the rotation speed of a surgical instrument motor. In response to the input signals from the 220000 control circuit, the motor controller 200002 operates to change action rates for a device's function based on a parameter that is detected or activated as a result of the function being performed. For example, in several cases, the function of the device may be the articulation of an end actuator of the surgical instrument, the rate of action may be the speed of the articulation in the direction opposite to a longitudinal geometric axis of the drive axis, and the parameter it can be the position of the end actuator in relation to the longitudinal axis of the drive axis. In many cases, the parameter that can be detected or activated is the status of an input device, such as a switching device (either open or closed), which can be changed or "touched" by a user of the surgical instrument.
[540] [540] In addition to the above, the 220000 control circuit includes a first E 220004 port, a monostable multivibrator 220006, an asynchronous counter 220008, a first inverter 220010 (shown as a circle), a second E 220012 port, or a port OU 220014, a second inverter 220016 (shown as a circle) and a third port E 220018. In several cases, the 220000 control circuit also includes the 22002 motor controller.
[541] [541] A 220020 detection device, which is shown in Figure 102 as a user key, is connected to a first input terminal 220022 of the first E port 220004 and an input terminal 220024 of the monostable multivibrator 220006. In several cases , the 220000 control circuit also includes the detection device 220020, which can be implemented as a switching device, such as a limit switch, a position sensor, a pressure sensor and / or a force sensor, among others. According to various aspects, the detection device 220020 can be implemented as an input device, such as a switching device, which can be activated or "touched" by a user of the surgical instrument.
[542] [542] The 220020 detection device is configured to detect a parameter associated with the surgical instrument and emit a signal representative of the detected parameter. For example, according to several aspects, the detected parameter can be a user of the surgical instrument "pressing" or "touching" the detection device 220020. According to other aspects, the detected parameter can be the end actuator passing through a zone defined around a centralized state (for example, by a zone defined in relation to the longitudinal geometric axis of the drive axis). The signal output by the 220020 detection device can be conditioned as necessary (not shown) for entry to the 220000 control circuit. According to several aspects, the 220020 detection device can emit a signal that is representative of a logic level "1 "or a" high "signal (for example, 0.5 V) when the end actuator is not in the defined zone around the centralized state, and can emit a signal that is representative of a logic level" 0 "or a "low" signal (for example, 0.0 V) when the end actuator is in the defined zone around the centralized state. It should be understood that the examples of 0.5 V for a logic level "1" or a "high" signal and 0.0 V for a logic level "0" or a "low" signal are merely exemplary. Depending on the specific make and model of the logic components used in the 220000 control circuit, a voltage other than 0.5 volts may be representative of a "1" logic signal or a "high" signal and a different voltage of 0.0 volt it can be representative of a logic signal "0" or a signal "low". As described in more detail later in this document, in accordance with various aspects, a plurality of 220020 detection devices (ie, two detection devices, three detection devices, etc.) can emit signals that are to enter the control circuit. control 220000.
[543] [543] The monostable multivibrator 220006, also known as "one-shot", includes a resistor 220026 and a capacitor 220028, as shown in Figure 102, a first output terminal 220030 and a second output terminal 220032. The signal that is output from the second output terminal 220032 is a complement to the signal Q which is output from the first output terminal
[544] [544] As described in more detail later in this document, according to several aspects, the monostable multivibrator 220006 can be a reactivable monostable multivibrator. If the user applies another "touch" to the detection device 220020 and / or if another valid signal or clock from the detection device 220020 is applied to the input terminal 220024 of the monostable vibrator 220006 before the output signal Q has returned to the steady state (for example, a state at logic level "0"), the pulse width of the output signal Q will be increased. In other words, the output signal Q will remain in its unstable state (for example, a state of logic level "1") for a longer period of time. Any number of detection device "touches" initiated by the user 220020 and / or any number of signals or activation pulses from a plurality of detection devices 220020 can be applied to the 220024 input terminal of the monostable vibrator 220006 before the output Q has returned to the steady state, with each application operating to further increase the pulse width of the Q output signal.
[545] [545] Asynchronous counter 220008 includes a plurality of flip-flops (not shown), in which the first of the flip-flops is timed by an external clock and each of the subsequent flip-flops is timed by the output of the previous flip-flop. . Since the external clock signal accumulates propagation delays as it ripples or pulses through the plurality of flip-flops, the asynchronous counter 220008 is also known as the ripple counter. As shown in Figure 102, asynchronous counter 220008 includes a first input terminal 220038 that is connected to an output terminal 220040 of the first E port 220004, a reset input terminal 220036 that is connected to the second output terminal 220032 of the multivibrator monostable 220006, a first output terminal 220042, a second output terminal 220044 220046 and a third output terminal 220046. The first output terminal 220042 of asynchronous counter 220008 is connected to a second input terminal 220048 of the second port E 220012. The second output terminal 220044 of asynchronous counter 220006 is connected to a first input terminal 220050 of the OU 220014 port. The third output terminal 220046 of asynchronous counter 220006 is connected to an input terminal 220052 of the first inverter 220010 (shown as a circle) that has an output terminal 220054 which is connected to a second input terminal 220056 of the first port E 220004. According to various aspects, the first inverter 220010 is incorporated into the first E port 220004. The third output terminal 220046 of the asynchronous counter 220008 is also connected to a second input terminal 220058 of the OU 220014 port.
[546] [546] Output terminal 220060 of second port E 220012 is connected to first input terminal 220062 of third port E 220018. Output terminal 220064 of port 220014 is connected to input terminal 220066 of second inverter 220016 ( shown as a circle) that has an output terminal 220068 which is connected to a second input terminal 220070 of the third port E 220018. According to various aspects, the second inverter 220016 is incorporated into the third port E 220018. The output terminal Port 220064 OR 220014 is also connected to a "fast" input terminal 220072 of motor controller 220002. Output terminal 220074 of third port E 220018 is connected to a "slow" input terminal 220076 of motor controller 220002. According to several aspects, when the "slow" input terminal 220074 of the motor controller 220002 receives a "high" signal, the motor controller 220002 operates to drive a motor (for example, an articulated motor of the surgical instrument at low speed. Similarly, when the "fast" input terminal 220072 of the motor controller 220002 receives a high signal, the motor controller 220002 operates to drive a motor (e.g., an articulation motor) of the surgical instrument at a high speed.
[547] [547] Although the 220000 control circuit is shown as a specific configuration of a hardware-only control circuit in Figure 102, it will be understood that, in other respects, the functionality of the 220000 control circuit (for example, recognizing control proportional speed for a motor driven system of the surgical instrument) can be implemented with other logic elements and / or other logic element arrangements.
[548] [548] Figure 103 illustrates timing diagrams 220100 associated with the control circuit 220000 of Figure 102, in accordance with at least one aspect of the present description. The first timing diagram 220102 is shown at the far left of Figure 103, and is representative of a situation where a user of the surgical instrument "touches" the 220020 detection device only once, or when a single signal or clock from the detection device 220020 is applied to the input terminal 220024 of the monostable vibrator 220006.
[549] [549] When the monostable multivibrator 220006 is in a stable state (for example, when the user has not yet "touched" the detection device 200020 or the detection device 200020 is in an open condition), as shown on the right most side left of Figure 103, the output signal Q at the first output terminal 220030 of the monostable multivibrator 220006 is a low signal, the output signals Q0, Q1 and Q2 at the first, second and third terminals 220042, 220044, 220046 of the asynchronous counter 220008 they are low signals, and the signals at the "slow" and "fast" input terminals 220076, 220072 for the 220002 motor controller are low signals.
[550] [550] When the user "touches" the 220020 detection device once or the 220020 detection device is activated only once and / or transitions, a signal associated with the 220020 detection device is changed, and the signal changed (for example, in the form of a pulse that goes from top to bottom and then back to top, as shown in Figure 103) is inserted at input terminal 220024 to monostable multivibrator 220006. In response to the leading edge of the input signal pulse , the output signal Q on the first output terminal 220030 of the monostable multivibrator 220006 transitions from a low signal to a high signal in the form of a pulse that has a duration T. The asynchronous counter 220008 recognizes this first change (for example , a change in count from 0 to 1) and operates to transition the output signal Q0 at the first output terminal 220042 of asynchronous counter 220008 from a low signal to a high signal in the form of a pulse that has a du ration T. The signals Q1 and Q2 on the second and third output terminals 220044, 220046 of the asynchronous counter 220008 are not affected by the first change in the signal associated with the 220020 detection device and remain as low signals.
[551] [551] Because it has high signals on the first and second input terminals 220034, 220048 on the second port E 220012, a high signal is on output terminal 220060 on the second port E 220012 and, and this high signal is also on the first input terminal 220062 of the third port E 220018. Because it has low signals at the first and second input terminals 220050, 220058 of the OU 220014 port, the signals at the 220064 output terminal of the OU 220064 port and the "fast" terminal of the 220002 motor controller are also low signals. The low signal from the output terminal 220064 of the OU port is converted from a low signal to a high signal by the second inverter 220016, and that high signal is in the second input terminal 220070 of the third port E 220018. Because it has high signals in the first and second input terminals 220062, 220070 of third port E 220018, the signal at output terminal 220074 of third port E is a loud signal, and that loud signal (in the form of a pulse that has a T duration) is also at the terminal 2200076 "slow" input from motor controller 220002. Thus, when a user "touches" the 220020 detection device only once or a single signal or clock from the 220020 detection device is applied to the 220024 input terminal of the 220006 monostable vibrator, the 220002 motor controller causes the surgical instrument motor to run at a "low" speed for a time T.
[552] [552] The second timing diagram 220104 is shown immediately to the right of the first timing diagram 220102, and is representative of a situation where a user "touches" the detection device twice or two activation signals or pulses from the detection device. detection 220020 (or detection devices 220020) are applied to input terminal 220024 of monostable vibrator 220006, where the second "touch" or activation signal or pulse is applied to input terminal 220024 of monostable vibrator 220006 before the signal output Q has returned to the stable state (for example, a state of logic level "0"). The second timing diagram 22104 is the same as the first timing diagram 220102 until the moment when the second "ring" or second signal or clock occurs. As the second of the "rings" or of the signal or clock occurs before the output signal Q has returned to the steady state (for example, logic level state "0"), the pulse width of the output signal Q is increased (the output signal Q remains a high signal for a period of time), and the pulse width of the input signal to the 220076 "slow" input terminal of the 220002 motor controller is increased (the signal remains as a high signal for a period of time), which results in the engine running at "slow" speed from the moment of the first "touch" or the first signal or clock until the falling edge of the Q output signal occurs.
[553] [553] Additionally, asynchronous counter 220008 recognizes this second change (for example, a change in count from 1 to 2) and operates to transition the output signal Q0 at the first output terminal 220042 of asynchronous counter 220008 to a signal high back to a low signal, and to transition the output signal Q1 at the second output terminal 220044 of asynchronous counter 220008 from a low signal to a high signal in the form of a pulse that has a duration T. The signal Q2 at the third output terminal 220046 of asynchronous counter 220008 is unaffected by the second change in signal associated with detection device 220020 and remains a low signal. Thus, when two "strokes" of the 220002 detection device initiated by the user or signals or clocks of the 220020 detection device (or a plurality of 220020 detection devices) of the 220006 monostable vibrator, where the second of the two "touches" "or of the signals or clocks is applied while the output signal Q is still high, the 220022 motor controller operates to make the surgical instrument motor run at a" low "speed for longer than T. In this case, the time greater than T is the sum of time T minus the leading edge of the second "ring" or second signal or clock plus time T.
[554] [554] The third timing diagram 220106 is shown immediately to the right of the second timing diagram 220104, and is representative of a situation where three "taps" are applied to the 220020 detection device or three signals or clocks from the detection device. Detection 220020 (or detection devices 220020) are applied to input terminal 220024 of monostable vibrator 220006, where the second and third of the "rings" or signals or clocks are applied to the input terminal 220024 of the monostable vibrator 220006 before the output signal Q has returned to the steady state (for example, a logic level state "0"). The third timing diagram 22106 is the same as the second timing diagram 220104 until the moment when the third "ring" or third signal or clock occurs. Since the third "touch" or signal or clock occurs before the output signal Q has returned to the steady state (for example, a state of logic level "0"), the pulse width of the output signal Q is increased (the output signal Q remains a high signal for a period of time). This causes the 220002 motor controller to operate the motor at a "slow" speed during the time associated with the first and second "rings" or signals or pulses until the rising edge of the Q0 output signal, from falling edge of output signal Q1, and rising edge of output signal Q2. Thereafter, motor controller 220002 operates to operate the motor at a "fast" speed for an instant t after the third "ring" or signal or clock until the falling edge of the output signal Q, the falling edge occurs of the Q0 signal and the falling edge of the Q2 output signal.
[555] [555] Asynchronous counter 220008 recognizes this third change (for example, a change in count from 2 to 3) and operates to transition the output signal Q1 at the second output terminal 220044 of asynchronous counter 220008 to a high signal. back to a low signal, to transition the output signal Q0 at the first output terminal 220042 of the asynchronous counter 220008 from a low signal to a high signal in the form of a pulse that has a duration T, and to transition output signal Q2 at the third output terminal 220046 of asynchronous counter 220008 from a low signal to a high signal in the form of a pulse. As shown in Figure 103, due to some propagation delay, the output signal Q2 transitions a little later than the output signal Q0, and thus has a slightly shorter duration than T. The transitions of the signal output Q0, output signal Q1 and output signal Q2 operate to cause the signal at the 220076 slow input terminal of motor controller 220002 to transition from a high signal back to a low signal, and causes the signal at the 220072 "fast" input terminal of the 220002 motor controller transitions from a low signal to a high signal (for example, in the form of a pulse that has a duration T). In this way, when three "rings" or signals or pulses from the detection device 220002 (or from a plurality of detection devices 220002) are applied to the input terminal 220024 of the monostable vibrator 220006, where the second and third of the three "taps" or signals or clocks are applied while the output signal Q is still high, the 220022 motor controller operates to make the surgical instrument motor run at a "low" speed for longer than T (that is, the sum of time T shortened by the leading edge of the second signal or clock plus time T), then run at "fast" speed during time T.
[556] [556] The fourth timing diagram 220108 is shown immediately to the right of the third timing diagram 220106, and is representative of a situation where multiple (for example, more than three) "taps" are applied to the 220020 or multiple detection device signals or clocks from detection device 22020 (or detection devices 220020) are applied to input terminal 220024 of monostable vibrator 220006, where each of the "rings" or signals or clocks occurs after the first "ring" "be applied to the detection device 220020 or after the first signal or clock is applied to the input terminal 220024 of the monostable vibrator 220005 before the output signal Q has returned to the steady state (for example, a logic level state" 0 "). The fourth timing diagram 22108 is the same as the third timing diagram 220106 until the moment when the fourth "ring" or signal or clock occurs. Since the fourth "ring" or signal or clock occurs before the output signal Q has returned to the steady state (for example, a state of logic level "0"), the pulse width of the output signal Q is increased (the output signal Q remains a high signal for a period of time). This causes the motor controller 220002 to keep the motor running at a "fast" speed as long as the output signal Q is high (for example, during time T after the fourth "ring", signal or clock) . Asynchronous counter 220008 is reset at the falling edge of output signal Q2.
[557] [557] Asynchronous counter 220008 recognizes this fourth change (for example, a change from 3 to 4) and operates to widen the pulse width of the Q1 output signal at the second output terminal 220044 of asynchronous counter 220008, and to shorten the duration of the second pulse of the Q0 output signal at the first output terminal 220042 of the asynchronous counter 220006.
[558] [558] As shown in timing diagram 220108, as additional "rings" (for example, a fifth "ring", a sixth "ring", etc.) are applied to the 220020 detection device or additional signals or clocks ( for example, a fifth signal or clock, a sixth signal or clock, etc.) from detection device 220020 (or detection devices 220020) are applied to input terminal 220024 of monostable vibrator 220026 before the signal output Q has returned to its steady state (for example, a logic level state "0"), the pulse width of the output signal Q 2 is extended until the time T has elapsed after the last "ring" signal or clock has been applied before the output signal Q has returned to the steady state (for example, a state of logic level "0"). Thus, when four or more "rings" or signals or clocks have occurred, in which the second, third, fourth, etc. of the four or more "rings" or signals or clocks are applied while the Q output signal is still high, the 220022 motor controller operates to make the surgical instrument motor run at a "slow" speed for a while greater than T (that is, the sum of time T shortened by the leading edge of the second signal or clock plus time T),
[559] [559] In some applications, the 220000 control circuit does not need to be as sophisticated as shown in Figure 102. For example, in some applications, it may be desirable to run the engine at a "slow" speed initially for a short period of time and then allow the engine to be accelerated to a faster speed or to full speed. This can be useful, for example, when articulating an end actuator on a surgical instrument. For example, according to several aspects, a control circuit for the articulation system of the surgical instrument can be implemented with a "limit switch" that allows the articulation motor to be operated in the reverse direction, but no longer in the direction forward while the "limit switch" is activated. In other applications, it may be desirable to change the engine speed from a slow speed to a fast speed, or from a fast speed to a slow speed, for a controllable period of time.
[560] [560] Figure 104 illustrates a 220200 control circuit for a surgical instrument. Control circuit 220200 is shown as a combinational logic circuit and can be used to supply input signals and / or waveforms to a motor controller (not shown for simplicity in Figure 104). In response to input signals from control circuit 220200, the motor controller operates to change the motor speed when a surgical instrument input device is held in a given position for a period of time.
[561] [561] The 220200 control circuit is similar to the control circuit
[562] [562] A detection device 220208, which is shown in Figure 104 as a switching device, is connected to an input terminal 220210 of the first inverter 220204, an input terminal 220212 of the second inverter 220206, and a first terminal input 220214 of the monostable multivibrator 220202. According to several aspects, the control circuit 220200 also includes the detection device 220208, which can be implemented as a trigger, switching device, as a push button, a limit switch, a position sensor, a pressure sensor and / or a force sensor, among others.
[563] [563] The 220202 monostable multivibrator can be similar or identical to the 220006 monostable vibrator, and includes a resistor 220216 and a capacitor 220218, as shown in Figure 104, the first input terminal 220214, a reset input terminal 220220, and a first output terminal 220222. Resistor 220216 and capacitor 220218 collectively form an RC circuit. The first output terminal 220222 of the 220202 monostable multivibrator is connected to a "fast motor" input terminal of the motor controller.
[564] [564] The first 220204 inverter also includes an output terminal 220224 that is connected to a "slow motor" input terminal of the motor controller. The second inverter 220206 also includes an output terminal 220226 that is connected to the reset input terminal 220220 of the monostable multivibrator
[565] [565] In operation, when the 220208 detection device is changed from an open position, as shown in Figure 104, to a closed position and held in place for a period of time (for example, by a surgical instrument user), a "low" signal is applied to the input terminal 220210 of the first inverter 220204, to the input terminal 220212 of the second inverter 220206, and to the first input terminal 220214 of the monostable multivibrator 220202. The first inverter 220204 operates to invert the signal "low" for a "high" signal at output terminal 220224 of the first inverter 220204, which results in a "high" signal present at the "slow motor" input terminal of the motor controller, resulting in a motor (for example , an articulation motor) of the surgical instrument being operated at a "slow" speed. The second inverter 220206 also operates to invert the "low" signal to a "high" signal at the output terminal 220226 of the second inverter 220206, which results in a "high" signal present in the reset input terminal 220220 of the monostable multivibrator 220202 After the 220208 detection device is released from its "held" position, after a period of time determined by a RC circuit time constant, the 220202 monostable multivibrator operates to generate a "high" signal (the Q output signal) at the 220202 output terminal of the 220202 monostable multivibrator, which results in a "high" signal present at the "fast motor" input terminal of the motor controller. The time constant can be on the order of approximately 0.5 seconds to 1.0 seconds, for example. The "high" signal at the "fast motor" input terminal of the motor controller causes the surgical instrument motor to change from a "low" speed to a "high" or "full" speed. The 220202 monostable multivibrator timer is reset when the detection device 220208 changes from a closed state back to an open state (for example, by releasing the push button). Thus, in cooperation with detection device 220208, control circuit 220200 can be used to create a "slow" motor speed for a controllable period of time, followed by an increase in motor speed to a motor speed "fast" or even "full" engine speed.
[566] [566] Although the 220200 control circuit is described above in the context of a controllable "low" speed followed by a "high" speed, it will be recognized that the 220200 control circuit can also be configured to detect a "high" controllable speed followed for a "lower" speed. It will be recognized that the 220200 control circuit can be implemented with solid state circuits configured to create different motor speeds. According to several aspects, the surgical instrument may include a switching system configured to slow the articulation motor as it passes through a predefined portion of the articulation arc. According to various aspects, the surgical instrument may also include a switching system configured to rotate an anvil to an open position at relatively fast speed. For example, a key can be located on the anvil at the point where the opening tabs come into contact, and the key lock can operate to generate a quick opening period when the key is activated. According to several aspects, the control circuit can be configured to avoid a critical point of failure in the motor control circuit.
[567] [567] As discussed above, a control circuit is configured to control the power supplied to an electric motor. In some cases, an array of light emitting diodes (LEDs) can be configured as a proportional display to show the speed or current of the motor. For example, a display driver like the Texas Instruments LM3914 can be used to drive a display that is proportional to the current. Different colors, different positions or different LEDs (or even the omission of some LEDs in the display matrix) can be used to emphasize that the current is proportional to the load in the motor system.
[568] [568] Figure 104A illustrates a 220400 control circuit configured to indicate the power supplied to the electric motor. The control circuit 220400 comprises a power supply 220410, a motor control circuit 220420, an integrated circuit LM3914 (or a similar controller) 220430 and a segmented display 220450 in communication with a plurality of ports or contacts 220440 defined in the integrated circuit 220430. Integrated circuit 220430 comprises ten comparators and a resistor staggering network, for example; however, integrated circuit 220430 can comprise any suitable arrangement for driving a graduated display (see Figure 104B) that indicates the current drained by the electric motor. The segmented display 220450 comprises ten light-emitting diodes (LEDs), ie 220451 to 220460, each in communication with one of the contacts 220440. For the control circuit 220400, LEDs 220451 to 220460 light up in proportion to the current drained by the motor, which is proportional to the torque applied / supplied by the motor, either in the forward direction or in the reverse direction.
[569] [569] Each LED represents 10% of the maximum current applicable to the electric motor. In this way, LED 220541 lights up when the electric motor is draining more than 10% of the total available current (and when the motor is applying / providing a low torque). If the current drain of the motor does not exceed 20%, however, the second LED 220452 does not light - and neither do LEDs 220453 to 220460.
[570] [570] In at least one alternative aspect, some of the LEDs, such as the ninth and tenth LEDs 220459 and 220460, represent an overload condition of the electric motor. In addition, although the LEDs provide a conveniently understandable indication, any suitable number of LEDs can be used, such as three LEDs, for example. In these cases, a first LED, when lit, would represent a low torque condition, a second LED, when lit, would represent a medium torque condition, and a third LED, when lit, would represent a high torque condition, for example. Although Figures 104A and 104B are described in the context of current being drained by the motor, it will be recognized that a similar circuit could be used to provide an indication of the motor speed by measuring and displaying the motor voltage instead of the motor current.
[571] [571] Figure 104C illustrates a surgical instrument comprising a 220100 handle. The 220100 handle comprises a 220110 handle cabinet, actuators, and a control system configured to operate the surgical instrument. Similar to other surgical instruments described here, the 220100 handle control system is configured to communicate with a central surgical controller system. Although the 220100 handle can be configured to communicate wirelessly with the central surgical controller system via electromagnetic waves, the 220100 handle comprises an acoustic speaker and / or an acoustic sensor, configured to communicate with the controller system central surgical. The central surgical controller system also comprises a loudspeaker and / or an acoustic sensor in the same room, or at least within sufficient hearing range, of the surgical instrument to communicate with the surgical instrument. This data communication is wireless, and can comprise several integrated circuits, for example, which may or may not be within the hearing range of a human being. The signals may be above, within, or below a human's hearing range. An acoustic system advantageously does not depend on the emission of electromagnetic waves that can interfere with the operation of a surgical instrument and / or system, for example, in the same operating room.
[572] [572] In some cases, it is desirable to configure a circuit to determine the suitability of the circuit before energizing it. For example, it would be desirable to detect the capacity of the return path of an electrosurgical circuit, and if the capacity of the return path is not sufficient, limit the amount of electrosurgical energy when applied to a patient without exceeding a predefined localized current limit. According to various aspects, the surface area and resistance levels of the grounding block are used to determine the capacity of the return path, and if the capacity of the return path is sufficient, the output of the monopolar generator is limited to one level below the limit of the localized current level. In practice, it is beneficial to maximize the coupling of the generator to the patient to obtain the highest efficiency and the best electrosurgical performance, while at the same time limiting the power when the patient's contact quality changes or falls below a threshold at which a burn may occur. According to several aspects, a flexible printed circuit of the electrosurgical system includes a predefined zone with an altered area that acts as a fuse to define the maximum capacity of the return path.
[573] [573] Figure 105 illustrates a 220300 surgical system, in accordance with at least one aspect of the present description. The 220300 surgical system includes a 220302 surgical central surgical controller, a 220304 electrosurgical instrument, a 220306 capacitive return block, and a 220308 cable or wire that connects the 220306 capacitive return block with the 220302 central surgical controller. The capacitive return block 220306 and the 220308 cable or wire collectively form a return path for electrosurgical energy applied to the patient using the 220304 electrosurgical instrument. When electrosurgical energy is applied to a patient, it is important to ensure that the current carrying capacity of the return path it is sufficient to deal with the amount of electrosurgical energy applied to the patient.
[574] [574] The 220302 central surgical controller includes a 220310 monopolar generator module, and the 220310 monopolar generator module includes a detection device (see Figure 106) configured to detect electrical continuity in the return path for electrosurgical energy. Various aspects of a central surgical controller are described in more detail in US Patent Application Serial No. 15 / 940,629, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS, filed on March 29, 2018, the description of which is incorporated herein by reference in its entirety. Various aspects of an electrosurgical instrument and a capacitive return block are described in more detail in US patent application serial number 16 / 024.090, entitled CAPACITIVE COUPLED RETURN PAD WITH SEPARABLE ARRAY ELEMENTS, filed on June 29, 2018, whose The description is hereby incorporated by reference in its entirety for reference.
[575] [575] As described in more detail later in this document, the 220300 surgical system is configured to detect the current carrying capacity of the return path (by detecting the continuity of the return path) and limit the maximum amount of electrosurgical energy applied. to the patient (by controlling the electrosurgical energy supplied by the 220310 monopolar generator module), without exceeding a predefined localized current limit.
[576] [576] Figure 106 illustrates a schematic diagram 220400 that is representative of current and signal paths of the surgical system 220200 of Figure 105, in accordance with at least one aspect of the present description. The electrosurgical current is supplied by the monopolar generator module 220310 of the central surgical controller 220302 to the electrosurgical instrument 220304, where it is selectively applied to a patient 220312. The electrosurgical current applied passes through the body of the patient 220312 and is received by the capacitive return block 220306, then it subsequently passes through the cable or wire 220308 returning to the monopolar generator module 220310 of the central surgical controller 220302 to complete the path followed by the electrosurgical current.
[577] [577] Although the detection device 220314 of the monopolar generator module 220310 of the central surgical controller 220302 is shown schematically in Figure 106 as detecting the electrical continuity between the capacitive return block 220306 and the electrosurgical instrument 220304, it will be recognized that the detection device 220314 detects electrical continuity from the 220306 capacitive return block and the 220308 cable or wire to the 220304 electrosurgical instrument through the detection device positioned inside the 220310 monopolar generator module. The 220314 detection device operates to monitor the continuity, and is configured to generate an output signal that is representative of the integrity and / or current carrying capacity of the return path. The output signal generated by the detection device 220314 is passed to a control system 220316 of the monopolar generator module 220310, and the control system 220316 operates to control the amount of electrosurgical energy supplied to the electrosurgical instrument 220304. In cases where continuity of the return path is less than the absolute (for example, when the integrity of the return path varies from the absolute), the 220316 control system operates to limit the amount of electrosurgical energy supplied to the 220304 electrosurgical instrument, without exceeding a limit preset localized current.
[578] [578] Figure 107 illustrates a 220500 graph that shows a relationship between a continuity level of a patient 220312 and the level of electrosurgical energy provided by the monopolar generator module 220310 of the surgical system 220300 of Figure 105, according to at least one aspect of this description. The level of continuity of patient 220312, as measured by patient resistance 220312, can serve as a substitute for the level of continuity in the return path of the 220300 surgical system. Graph 220500 includes two horizontal geometric axes - a horizontal "upper geometric axis" "220502 and a" lower "horizontal geometry axis 220504. The time t is shown along the" lower "horizontal geometric axis 220504, but is not shown along the" upper "x geometric axis 220502, for the sake of clarity. However, as indicated by the vertical dashed lines shown in Figure 107, the "upper" horizontal geometric axis 220502 and the "lower" horizontal geometric axis 220504 are aligned with each other. Graph 220500 also includes two vertical geometric axes - a vertical "upper" geometric axis 220506 and a vertical "lower" geometric axis 220508. The level of electrosurgical energy provided by the monopolar generator module
[579] [579] Graph 220500 also includes a maximum power limit 220510 for the monopolar generator module 220310, a potential power level 220514 available on the electrosurgical instrument 220304 for application to patient 220312, a user configuration 220516 for the power level provided by monopolar generator module 220310, the actual power level 220518 of electrosurgical energy applied by the electrosurgical instrument 220304, and the electrical continuity 220520 of patient 220312, as measured by patient resistance 220312. As described in more detail later in this document, such as continuity patient 220312 varies (which corresponds to variations in the integrity of the detected return path), the level of electrosurgical energy supplied by the 220310 monopolar generator module varies.
[580] [580] Starting at time t = 0 on the left side of the "lower" horizontal geometric axis 220504, as well as on the left side of the "upper" horizontal geometric axis 220502, and moving towards time t1, as patient continuity 220312 begins increasing, the power level supplied by the 220310 monopolar generator module starts to increase. From instant t1 to instant t 2, as the continuity of patient 220312 stabilizes and remains relatively constant, the level of energy supplied by the 220310 monopolar generator module decelerates and remains relatively constant. From instant t2 to instant t3, as patient continuity 220312 increases even more, the energy level applied by the monopolar generator module 220310 also increases and reaches the user configuration 220516 for the monopolar generator module
[581] [581] From instant t4 to instant t5, while the energy supplied by the monopolar generator module 220310 is shown as zero, the continuity of patient 220312 stabilizes and remains relatively constant. At time t5, after the waiting time tw is reached, the power to the 220310 monopolar generator module is restored and the power supplied by the 220310 monopolar generator module increases. From instant t5 to instant t6, as the continuity of patient 220312 continues to remain relatively constant, the level of energy supplied by the 220310 monopolar generator module stabilizes and remains relatively constant. At time t6, as the patient's continuity level increases again, the energy level provided by the 220310 monopolar generator module increases again, in which case it reaches but does not exceed the energy level associated with user configuration 220516. After instant t6, as patient continuity 220312 stabilizes and then continues to remain relatively constant, the energy level provided by monopolar generator module 220310 stabilizes at the energy level associated with user configuration 220416 and then keeps relatively constant.
[582] [582] According to several aspects, in order to more easily perform certain functions (for example, articulation), the surgical instrument includes one or more flexible circuits. According to various aspects, the flexible circuits are configured so that (1) the impact of any vibration on the flexible circuit is minimized, the fixation points of solid integrated circuits (2) are sealed against fluids and / or (3) the Flexible circuits are easily connected internally to each other. According to various aspects, the substrates of one or more of the flexible circuits are biocompatible with the patient's tissue, and such flexible circuits can be implanted within the patient. According to several aspects, flexible circuits can be provided with tubular parts to accommodate conductive wires in the flexible circuit while the flexible circuit is being assembled, but not necessarily in the final assembly locations. According to various aspects, electrical and / or mechanical sensors can be integrated into flexible circuits.
[583] [583] The shield can be integrated with / embedded in flexible circuits to prevent unwanted radio frequency (RF) interference from affecting the performance of flexible circuits. In some respects, flexible circuits can include various twisted pair wiring configurations. In addition to providing energy and / or signal transmission on the surgical instrument, twisted pair wiring can be configured to provide one or more secondary functions. These secondary functions may include, for example, shielding twisted pair wiring against electromagnetic interference, short circuit detection and / or contamination detection.
[584] [584] Figure 108 illustrates a flexible 220600 circuit for a surgical instrument. The flexible circuit 220600 includes a twisted pair of conductors, where the twisted pair of conductors includes a "top" conductor track 220602 and a "bottom" conductor track 220604. As shown in Figure 108, the "top" conductor tracks and "bottom" 220602 and 220604 overlap each other at regular intervals. When a current or signal is being transmitted through the twisted pair of conductors, the overlapping configuration of the "top" and "bottom" conductive tracks 220602, 220604 operate to better protect the current or signal from potential interference from an external electromagnetic field . This is particularly true when the primary macro direction of flexible circuit 220600 is parallel to the source of the electromagnetic field which can cause potential interference.
[585] [585] Flexible circuit 220600 also includes a first layer 220606 of an insulating material, a second layer 220608 of an insulating material and a third layer 220610 of an insulating material. The first layer 220606 of the insulating material is positioned "below" the "bottom" conductive track 220604. The second layer 220608 is positioned "above" the "bottom" conductive track 220604 and "below" the "top" conductive track 220602 (that is, between the "top" and "bottom" conductive tracks 220602, 220604). The third insulating layer 220610 is positioned "above" the "top" conductive track
[586] [586] Figure 109 shows a cross section of flexible circuit 220600 in Figure 108. The crosshatched areas shown in the "top" and "bottom" conductive tracks 220602, 220604 represent the areas in which the "top" and "bottom" 220602, 220604 overlap each other. As shown in Figure 109, when a source 220612 generates an electromagnetic field 220614 (shown as electromagnetic field lines), the overlapping configuration of the "top" and "bottom" conductive tracks 220602, 220604 operate to block or reject the electromagnetic field 220614 which can cause potential interference, especially in the direction of the dashed line 220616. According to several aspects, flexible circuits other than those with twisted conductor pairs can be configured to provide the secondary functions mentioned above.
[587] [587] Figure 110 illustrates a 220700 flexible circuit of a surgical instrument. The flexible circuit 220700 includes a first plurality of conductive tracks 220702 and a second plurality of conductive tracks 220704, wherein the first and second pluralities of conductive tracks 220702, 220704 are positioned in different layers of flexible circuit 220700. The flexible circuit 220700 includes also a first layer 220706 of an insulating material, a second layer 220708 of an insulating material, a third layer 220710 of an insulating material, a fourth layer 22712 of an insulating material, and a fifth layer 22714 of an insulating material. The first layer 220706 of the insulating material is positioned "below" the second plurality of conductive tracks 220704. The second layer 220708 is positioned "above" the second plurality of conductive tracks 220704 and "below" the first plurality of conductive tracks 220702 (that is, between the first and the second pluralities of conductive tracks 220702, 220704). The third insulating layer 220610 is positioned "above" the first plurality of conductive tracks 220702. According to several aspects, the second plurality of conductive tracks 220704 is formed directly on the first layer 220706 of the insulating material, and the first plurality of conductive tracks 220702 it is formed directly on the second layer 220708 of the insulating material or on the third layer 220710 of the insulating material. According to various aspects, the first layer 220706, the second layer 220708, the third layer 220710, the fourth layer 220712 and the fifth layer 220714 each comprise a polymer such as, for example, a polyimide.
[588] [588] Referring to Figure 111, flexible circuit 220700 additionally includes a first shield layer 220716, a second shield layer 220718 and vertical shields 220720. Vertical shields 220720 are formed in the first, second and third layers 220706, 220708, 220710 of the insulating material. The first shield layer 220716, the second shield layer 220718, and the vertical shields 220720 collectively operate to better protect the currents or signals, which are carried through the first and / or second pluralities of conductive tracks 220702, 220704, against the potential interference from an external electromagnetic field. The first shield layer 220716 is positioned "above" the third layer 220710 of insulating material and "below" the fifth layer 220714 of insulating material (i.e., between the third and fifth layers 220710, 220714 of insulating material). The second shield layer 220718 is positioned "above" the fourth layer 220712 of insulating material and "below" the first layer 220706 of insulating material (i.e., between the fifth and first layers 220712, 220706 of insulating material). The vertical shields 220720 are connected to the first and second shield layers 220712, 220714, and surround the "left" and "right" sides of the first and second pluralities of conductive tracks 220702, 220704. As the first shield layer 220712 covers the "bottom" of the second plurality of conductive tracks 220704 and the second layer of shield 220714 cover the "top" of the first plurality of conductive tracks 220702, the first layer of shield 220712, the second layer of shield 220714 and the vertical shields 220720 cooperate collectively to form an electromagnetic shield surrounding a cross section of the first and second pluralities of conductive tracks 220702,
[589] [589] In addition to the above, flexible circuit 220700 can additionally include shield tracks 220722 (see Figure 111) that can be positioned close to and along the length of the "left" and "right" sides of the first and second pluralities conductive tracks 220702, 220704, so that the first shield layer 220712, the second shield layer 220714, the vertical shields 220720 and the track shields 220722 collectively cooperate to form an electromagnetic shield surrounding a length of the first and second pluralities of conductive tracks 220702, 220704. The position and arrangement of the first, second, third, fourth and / or fifth layers 220706, 220708, 220710, 220712, 220714 of insulating material provide the secondary function of providing protection against short circuits between the first and second pluralities of conductive tracks 220702, 220704 and / or between the electromagnetic shield and the first and second plurality conductor tracks 220702, 220704. When effectively surrounding a length of the first and second pluralities of conductor tracks 220702, 220704, the first shield layer 220712, the second shield layer 220714, the vertical shields 220720 and the track shields 220722 collectively cooperate to protect flexible circuit 220700 from potential interference from an external electromagnetic field.
[590] [590] In addition to the above, a flexible circuit of a surgical instrument may comprise components configured to absorb, distribute, and / or otherwise address electromagnetic interference (EMI) from the components inside the surgical instrument and / or a adjacent surgical instrument, for example. Referring to Figure 111A, a 219520 winding flexible circuit extends next to a 219510 drive shaft wrap and, in certain cases, passes close to an EMI emitting component, such as 219590, for example. The flexible circuit comprises 219550 components, such as ferrites, inductors, capacitors, and / or damping networks, for example, when they are needed. Smaller components can be used if the load to absorb EMI is shared by multiple components. In certain cases, components 219550 cross or extend between two or more conductive tracks 219530 on flexible circuit 219520.
[591] [591] Aspects that provide detection of short circuit and / or contamination are described with reference to Figures 101A and 101B earlier in this document.
[592] [592] A surgical instrument control circuit can be used to control one or more motor-driven systems of the surgical instrument. Such motor driven systems may include an end actuator closure system, an end actuator hinge system and / or a trigger system, for example. In some cases, it is beneficial to use a motor driven system parameter to control the motor driven system. For example, as explained in more detail below, a parameter such as acoustic data, vibration data, and / or acceleration data associated with the motor-driven system can provide an indication that one or more components of the motor-driven system are degrading , operating in a damaged state, and / or heading for failure, for example, and can be used to control the motor-driven system in light of these possible problems.
[593] [593] Figure 112 illustrates a 221000 control circuit for a surgical instrument. The 221000 control circuit is configured as a closed circuit system that uses an acoustic measurement to control the rotation speed of an electric motor, such as a drive motor, for example, of the surgical instrument. Since the rotation speed of an electric motor has a distinct relationship with the torque applied / released by the electric motor (the speed and torque can be inversely proportional to each other), the 221000 control circuit can also be considered as configured under the form of a closed circuit system that uses an acoustic measurement to control the torque applied / released by an electric motor, such as a drive motor, for example, of the surgical instrument. For simplicity purposes, the 221000 control circuit will be described later in this document in the context of controlling the rotation speed of the electric motor of the surgical instrument.
[594] [594] The 221000 control circuit includes at least one 221002 acoustic sensor, at least one 221004 signal conditioner, at least one 221006 fast Fourier Transform (FFT) circuit, at least one 221008 voltage converter, and at the same time minus one adding amplifier 221010. The control circuit 221000 additionally comprises a motor drive circuit 221020 which is configured to control the electric motor, as described in more detail below. In several cases, the 221000 control circuit forms a part of another surgical instrument control circuit. For example, the 221000 control circuit can form a part of the control circuit that includes a main processing circuit and / or main processor of the surgical instrument, and / or one or more memory devices, for example.
[595] [595] The acoustic sensor 221002 is configured to detect acoustic information, in the form of vibration energy, associated with an 221012 electric motor, 221014, 221016 gearboxes operationally coupled to the 221012 motor, and / or a 221018 drive train operationally coupled to gearboxes 221014, 221016. The electric motor 221012, gearboxes 221014, 221016 and 221018 and the drive train collectively form a drive system for the surgical instrument. Thus, the acoustic sensor can be considered to be configured to measure a parameter of the drive system of the surgical instrument. In several cases, the 221002 acoustic sensor comprises a piezoelectric pickup, for example, which responds to the acoustic forces transmitted by the sound waves emitted by the 221012 engine, by the 221014, 221016 gearboxes and / or by the 221018 drive train. The 221002 acoustic sensor is configured to convert the mechanical energy of sound waves into electrical energy in the form of electrical signals or voltage potentials within the 221002 acoustic sensor circuit. Notably, the acoustic information detected by the 221002 acoustic sensor is not limited to vibrations within the range of human hearing. Vibrations above or below the range of human hearing can also be detected by the 221002 acoustic sensor and converted into electrical energy.
[596] [596] In addition to the above, 221014, 221016 gearboxes comprise speed reduction gearboxes configured to produce a rotational output that is slower than the output speed of the 221012 electric motor. As a result, the 221012 electric motor and the 221018 drive train rotate at different speeds and, consequently, have different acoustic signatures. The input of the first 221014 gearbox rotates at the speed of the 221012 electric motor while the output of the first 221014 gearbox rotates at a lower speed than that of the 221012 electric motor and, therefore, the first 221014 gearbox has an acoustic signature different from that of the electric motor 221012. Similarly, the input of the second gear box 221016 rotates at the speed of the first output of the gear box 221014 and the output of the second gear box 221016 rotates at a different speed than its input. In this way, the second gearbox 22106 has a different acoustic signature than the first gearbox 221014. Each of these acoustic signatures has a frequency content, including wavelength and amplitude / magnitude, which is related to the speed of the respective component.
[597] [597] The signal conditioner 221004 is configured to receive the acoustic information (for example, electrical signals or voltage potentials) from the acoustic sensor 221002 and convert the acoustic information into another type of electrical signals. For example, in several cases, the signal conditioner 221004 can amplify the electrical signals coming from the acoustic sensor 221002, filter the noise inside the electrical signals from the acoustic filter 221002, etc. The Fast Fourier Transform (FFT) circuit 221006 performs an FFT algorithm that analyzes electrical signals from signal conditioner 221004 and converts electrical signals from the time domain to a representation in the frequency domain. In several cases, a main processing circuit of the surgical instrument can execute the FFT algorithm.
[598] [598] In addition to the above, the 221000 control circuit is configured to discern between the different acoustic signatures of various electric motors, gear boxes, and / or drive trains of the surgical instrument with the use of a single acoustic sensor. In several other cases, the 221000 control circuit can comprise a plurality of 221002 acoustic sensors. In at least one of these cases, each 221002 acoustic sensor is dedicated exclusively to capture the acoustic waves of a single component of the surgical instrument, such as an electric motor , gearbox, or drive train, for example. In any case, the baselines for the respective acoustic signatures of the rotating components of a surgical instrument can be established during the assembly of the surgical instrument, and such baselines serve as references for the 221000 control circuit to associate the detected acoustic signatures to the correct components and also determine whether or not the surgical instrument is functioning normally. In addition, by using one or more 221002 acoustic sensors in this way, the speed of an engine and / or a gearbox can be detected / measured, the start of travel by a translatable member can be detected, and / or the end of travel by the translatable member can be detected during use, for example.
[599] [599] In several cases, in addition to the above, the use of acoustic information allows remote detection of the motor speed, thus eliminating the need for sensors and / or encoders directly coupled, for example. In many cases, the cost of the 221002 acoustic sensor can be considerably less than that of an encoder and the assembly, wiring and electronic components to support the encoder. In addition, the acoustic sensor 221002 and the FFT circuit 221006 can be part of the circuit of a redundant system that confirms readings from other systems. Such an arrangement can be useful to mitigate risks and can create designs with tolerance to a critical point of failure, for example. In addition, as indicated above, the acoustic sensor 221002 and the FFT circuit 221006 can provide various indications of failure, wear, etc. drive components of the surgical instrument. Additional details regarding the detection of drive train failure can be found, for example, in US patent application serial number 15 / 131,963, entitled METHOD FOR OPERATING A SURGICAL INSTRUMENT, filed on April 18, 2016, now publication of US patent application No. 2017/0296173, the description of which has been incorporated herein by reference in its entirety for reference. The entire description of US patent application serial number 15 / 043,289, entitled MECHANISMS FOR mechanism
[600] [600] Although the 221000 control circuit was described above in terms of the 221002 acoustic sensor, it must be understood that other parameters of a surgical instrument can be detected / measured to provide motor speed control. For example, an accelerometer and / or vibration sensor, for example, can be used in addition to or in place of the 221002 acoustic sensor to detect / measure acceleration data, vibration data, etc. associated with a motor-driven system of the surgical instrument. Such data can be used to control the speed of rotation of the motor, as described in more detail below.
[601] [601] In addition to the above, the functionality of the 221000 control circuit is used to implement one or more methods to identify the degradation and / or failure of the drive components of the surgical instrument. Such drive components include, for example, the 221012 motor, the first 221014 gearbox, the second 221016 gearbox and / or the 221018 drive train which may include a 221022 rack and pinion arrangement (see Figure 115), for example.
[602] [602] Figure 113 illustrates a 221100 method for identifying the degradation or failure of components of a surgical instrument. As an initial step, that is, step 221102, the basic measurements of the respective acoustic signatures of the 221012 engine, the first 221014 gearbox, the second 221016 gearbox, and / or the 221018 drive train are performed. step 221104, the FFT circuit 221006 produces the frequency component signals that are representative of the basic measurements of the respective acoustic signatures. This sequence can be repeated any number of different times for various speed and load conditions. With reference to Figure 114, a graph 221200 shows, in at least one example, the frequency component signals representative of the basic measurements of the respective acoustic signatures decomposed by the component. More specifically, graph 221200 shows the frequency profile 221012a for the 221012 engine, the frequency profile 221014a for the first gearbox 221014, the frequency profile 221016a for the second gearbox 221016, and the frequency profile 221018a for the drive train 221018a. As illustrated in the composite frequency profile of Figure 114, none of the frequency profiles 221012a, 221014a, 221016a and 221018a overlap each other; however, circumstances may arise where there is a partial overlap between adjacent frequency profiles. These frequency profiles, or their respective component signals, are recorded and stored in one or more memory devices, such as solid state memory devices, for example, from the control circuit that includes the main processor of the surgical instrument. The stored frequency profiles can be accessed by the 221000 control circuit. As explained in more detail below, the "base" frequency component signals are used to determine whether the motor-driven system of the surgical instrument has suffered any degradation or failure.
[603] [603] After the base frequency component signals are established and recorded in step 221404, the surgical instrument is subsequently operated and the frequency profiles of the acoustic signatures associated with this operation of the surgical instrument are determined and monitored during the operation of the instrument surgical in step 221106. The frequency profiles associated with the operation of the surgical instrument can be monitored by the 221000 control circuit and / or by the control circuit that includes the surgical instrument main processor. In step 221018, the frequency profiles are converted to their respective frequency component signals by the FFT circuit 221006. In step 221110, the respective frequency component signals from step 221108 are compared to the base frequency component signals of the step 221104 to determine if any of the components of the motor driven system have suffered any degradation. This comparison can be implemented by the control circuit 221000, by the control circuit that includes the main processor of the surgical instrument and / or by an algorithm of the surgical instrument, for example. As shown in Figure 221300 of Figure 115, the frequency component signal from the second gear box 221016 indicates possible fatigue and / or damage to the second gear box 221016 as it deviates from the baseline established in Step 221404. if it is understood that a certain amount of deviation from the established baseline is expected, or normal, and thus are not indicative of degradation and / or failure. For this purpose, the control circuit 221000, the control circuit that includes the main processor of the surgical instrument and / or the algorithm uses one or more predetermined limits to delineate between a non-consequential deviation from the baseline and a consequential deviation from the line base.
[604] [604] Although method 221100 has been described in the context of determining the degradation or failure of the 221012 engine, the first 221014 gearbox, the second 221016 gearbox and / or the 221018 drive train, it should be understood that the method 221100 could also be used to determine the degradation or failure of other components of the surgical instrument.
[605] [605] Figure 116 illustrates a 221400 method for identifying the degradation or failure of the drive components of a surgical instrument. As an initial step, the base measurements of the current being drained by the 221012 motor are made over time in step 221402. The base current measurements can be made in any suitable way, such as by a current sensing circuit, for example , and can provide an indication of the amount of current being drained by the 221012 motor when the motor-driven system of the surgical instrument is operating in a normal manner, that is, when the 221012 motor, the 221014 and 221016 gearboxes and the drive 221018 have not yet suffered any degradation and / or damage. In step 221404, an FFT circuit, which can be similar or identical to the FFT circuit 221006, produces frequency component signals that are representative of the base measurements of the current being drained by the 221012 motor. This sequence can be repeated any number of times for different speed and load conditions. As explained in more detail below, the "base" frequency component signals can be used to determine whether the motor-driven system of the surgical instrument has suffered any degradation or failure.
[606] [606] After step 221404, the current being drained by motor 221012 is detected / measured by the current sensor circuit, for example, in step 221406, and converted to the respective frequency component signals by the FFT circuit in step 221408. step 221410, the respective frequency component signals from step 221408 are compared with the base frequency component signals from step 221404 to determine whether any of the components of the motor driven system have suffered any degradation. This comparison can be implemented by the control circuit 221000, by the control circuit that includes the main processor of the surgical instrument and / or by an algorithm of the surgical instrument, for example. In several cases, the 221000 control circuit, the control circuit that includes the surgical instrument's main processor and / or the algorithm looks for repetitive events at a frequency that could be indicative of a rotation failure, such as a chipped tooth of a gear in a gear box.
[607] [607] Referring to Figure 117, a 221500 graph shows the base measurements 221502 (continuous line) and subsequent measurements 221504 (dashed line) of the current drained by the 221102 motor. Graph 221500 also shows the frequency component signals of base 221506 (slant bars) and subsequent frequency component signals 221508 (inverted bars) representative of the base measurements and subsequent measurements of the current drained by the 221102 motor. Graph 221500 includes two horizontal geometric axes - a horizontal "upper geometric axis" "
[608] [608] Again with reference to Figure 117, subsequent current measurements represented by the dashed line 221504 indicate three different examples of an abnormal event being experienced by the 221012 motor. These abnormal events comprise peaks in the motor current drain and are represented by three peaks on the dashed line 221504. The 221000 control circuit, the control circuit that includes the main processor of the surgical instrument and / or the algorithm operate to differentiate between base current drain and anomalous current drain peaks. In at least one case, the algorithm determines that an anomalous current drain peak occurred when the current drain exceeded a threshold difference in relation to the base current drain. In many cases, the limit difference is 50% above the base current drain, for example. In other cases, the limit difference is 100% above the base current drain, for example, although any suitable limit can be used. In several cases, the algorithm can use the current drain limit of the consumption motor alone to determine if an anomalous event has occurred. In certain cases, the algorithm may use parameters other than the motor current drain limit to assess anomalous events. For example, the algorithm can use the time between anomalous events to determine whether anomalous events are repetitive or not. If a period of repetition time between repetition events can be established by the algorithm, then the algorithm can determine possible degradation and / or damage to one of the rotating components in the drive system even though the current spikes do not exceed the limit. That said, the absence of an established period of time between repetitive events does not necessarily indicate that degradation and / or damage has not occurred. Instead, in such cases, this can be an early indication of degradation and / or damage. In at least one case, the limit for determining whether the motor current draws are abnormal is lower if a consistent period of time can be established between the peaks. Correspondingly, the limit is higher if a consistent period of time cannot be established.
[609] [609] Notably, the anomalous current drains discussed above may or may not correspond to a corresponding variation in the base acoustic frequency profile. For example, in Figure 117, the frequency components of the base current and the subsequent current are within the expected normal range during the three motor current peaks discussed above, which is shown in three cluster comparisons 221518 outlined by dashed lines. . If, however, there is also a repetitive anomalous event in the frequency components that corresponds in time to the measured current drain peaks, the algorithm can apply a lower limit to determine anomalous motor current drains indicative of degradation and / or damage to a drive component. That said, an anomalous repetitive event in the frequency components without the corresponding motor current spikes can also be indicative of degradation and / or damage to a drive component. Figure 117 shows this additional abnormal frequency
[610] [610] Although the 221400 method in Figure 116 has been described in the context of determining the degradation or failure of the motor drive system, based on a comparison of currents being drained by the 221012 motor, it will be recognized that similar methods using other comparisons could also be used to determine the degradation or failure of the operating components of the surgical instrument. For example, a measured motor load could be compared to the drive shaft power measured over time, and changes in losses between the two can be used to identify possible fatigue and / or damage to a drive system component. motor of the surgical instrument. In addition, methods similar to those of method 221100 and / or method 221400 can be used for heat control purposes within a sterile barrier of the surgical instrument.
[611] [611] Figure 118 illustrates a 221600 method for adjusting a motor control algorithm for a surgical instrument. An algorithm refers to a self-consistent sequence of steps that lead to a desired result, where a "step" refers to the manipulation of physical quantities that can take the form of electrical or magnetic signals that can be stored, transferred, combined, compared and manipulated in any other way. In the context of the motor control algorithm, the motor control algorithm is used to control the speed of a surgical instrument motor. The 221600 method can be used to adjust the engine control algorithm to minimize or limit damage to a unit whenever drive degradation or failure has been detected. Prior to the start of method 221600, method 221100, method 221400, and / or similar methods can be used to detect degradation and / or damage to the motor driven system.
[612] [612] If degradation or failure is detected, again with reference to Figure 118, a surgical instrument control circuit (for example, the control circuit that includes the surgical instrument's main processor) adjusts the engine control algorithm to adjust or control the speed of the electric motor at step 221602 to try to reduce noise, vibration and / or wear on a motor drive system component. In many cases, speed control can be adjusted by adjusting the pulse width modulation (PWM) duty cycle to speed up or slow down the motor speed in view of a torque (load) experienced in the system. Adjusting the PWM duty cycle to increase the voltage of the motor speed command signal provided by the motor controller operates to increase the voltage applied to the motor which, in turn, operates to increase the motor speed. Adjusting the PWM duty cycle to reduce the voltage of the motor speed command signal provided by the motor controller operates to reduce the voltage applied to the motor which, in turn, operates to reduce the motor speed. The decrease in motor speed allows the acoustic detection of the motor drive system to be moved to lower frequency levels. Increasing or decreasing the motor speed can shift the operation of the motor drive system in the opposite direction to natural resonance, or natural frequency harmonics, of the motor drive system.
[613] [613] After the PWM duty cycle has been adjusted in Step 221602, the motor drive system is rechecked in step 221604 to determine whether or not any degradation or failure of the motor drive system has occurred. The determination can be made using method 221100, method 221400 and / or similar methods. In several cases, such determinations are made on a periodic basis, or on a continuous basis, whenever the motor drive system is in use. If degradation or failure is detected in step 221604, the control circuit adjusts the motor control algorithm to adjust a current limit of the motor controller in step 221606 proportional to the level of wear detected from the motor drive system to try to minimize the possibility of additional wear or catastrophic failure. The reduction in the amount of current available to be drained by the motor, the force or torque applied / released by the motor is also limited. Thus, by reducing the current limit of the motor controller proportional to the level of wear detected by the motor drive system, the motor power is reduced proportionally to the level of wear detected by the motor drive system.
[614] [614] After the current limit of the 221108 motor controller has been set in step 221606, the motor drive system is rechecked in step 221608 to determine whether or not any degradation or failure of the motor drive system has been detected. The determination can be made using method 221100, method 221400 or similar methods. In several cases, such determinations are made on a periodic basis, or on a continuous basis, whenever the motor drive system is in use.
[615] [615] If degradation or failure is detected in step 221608, the control circuit adjusts the motor control algorithm to oscillate the surgical instrument speed control setting or the motor controller current limit in step 221610 to match with a detected point of failure of the motor drive system to try to compensate for the detected damage. For example, if a tooth in a gear is flawed, cracked, or partially damaged, the 221002 acoustic sensor could detect the noise resulting from the damage. The decomposition provided by a fast Fourier transform circuit, such as the Fast Fourier transform circuit 221006, for example, could define the disturbance period, and then the motor control algorithm could adjust the current limit of the motor controller. , the motor speed command signal (a voltage) provided by the motor controller, and / or the PWM duty cycle synchronized with that period to reduce overall system vibration and additional motor-driven system overload .
[616] [616] After the speed control of the surgical instrument and / or the current limit of the motor controller has been adjusted in an oscillating manner in step 221610, the motor drive system is checked again in step 221612 to monitor degradation and / or failure of the motor drive system. This determination can be made using method 221100, method 221400 and / or similar methods. Such determinations are made on a periodic basis or on a continuous basis whenever the motor drive system is in use. If further degradation or failure is detected in step 221612, the process described above can be repeated, and can be repeated any number of times. If degradation or failure is detected at step 221612 that exceeds a threshold, as described in more detail below, the process may terminate. Although a specific order of steps has been described for method 221600, it will be recognized that the order of steps can be different. For example, the current limit can be adjusted before the speed control is adjusted and / or at the same time as the speed control is adjusted.
[617] [617] If a motor-driven system failure begins to occur during a surgical procedure but the motor-driven system or a component thereof does not completely fail, the engine control algorithm can operate to reduce the performance of the motor-driven system motor drive (for example, speed, capacity, load) to enable the doctor to proceed without delaying the surgical procedure and for a different surgical instrument to be obtained. In response to the partial failure, the control circuit and / or an algorithm can generate one or more warnings for the user. These warnings may be in the form of an audible warning, a visual warning, a tactile warning, and / or combinations thereof, for example, and may indicate that the surgical instrument will suffer an imminent failure, which is being operated in a slow operation, and / or that will need maintenance soon, for example. The control circuit and / or the algorithm could also include a countdown as a percentage of damage, time since damage, and / or performance degradation to help the doctor know how much time is left until the surgical instrument is serviced. needed.
[618] [618] In addition to the above, the control circuit and / or the algorithm can provide an assessment of the severity of the failure. The assessment can inform multiple decision results that guarantee patient safety while estimating the delay of the procedure and / or the cost of using another surgical instrument, for example. If the severity of the failure is considered catastrophic by the control circuit and / or by the algorithm, the control circuit and / or the algorithm can inform the physician about the determination through an appropriate feedback generator. If the severity of the failure is considered almost catastrophic so that a procedural step cannot be completed, the control circuit and / or the algorithm can operate to inform the user that the user must follow the appropriate steps to safely release the patient's surgical instrument. When the surgical instrument is a motor-driven tissue cutting stapling instrument, for example, the control circuit and / or the algorithm can operate to enable the drive motor to only reverse the knife direction, if possible, and / or revert to manual retraction to retract the knife. If the severity of the failure is considered serious but not catastrophic damage, the control circuit and / or the algorithm can operate to inform the doctor about the level of the damage and enable the doctor to complete the procedure step, but disable use of the surgical instrument after the procedure step is completed and the surgical instrument is safely removed from the patient. If the severity of the failure is considered damage, but not serious, the control circuit and / or the algorithm can operate to inform the doctor that the damage has occurred and that the functionality of the surgical instrument can be changed, but that it is possible to continue the procedure beyond the current step of the procedure.
[619] [619] In several cases, the control circuit and / or an algorithm is configured to use situational recognition to perform a risk assessment of a damaged surgical instrument and the remaining steps of the procedure and to inform the doctor of a recommended course of action .
[620] [620] Additional details regarding situational recognition are described, for example, in US patent application serial number 15 / 940,654, entitled SURGICAL HUB SITUATIONAL AWARENESS, filed on March 29, 2018, the description of which is incorporated herein by reference in its entirety.
[621] [621] In several cases, the condition of the motor-driven system is communicated to a central surgical controller system on a periodic basis or on a continuous basis. Thus, the condition of the motor-driven system before a detected failure is known by the central surgical controller system. A central surgical controller system is described in more detail in US patent application serial number 15 / 940,629, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS, filed on March 29, 2018, the description of which is incorporated herein by reference in its wholeness. An algorithm, executed by a control circuit and / or processor of the central surgical controller system, can use the history of use of the surgical instrument in the current case, the history of the surgical instrument's useful life and the situational recognition of the central surgical controller for more fully diagnose the potential failure of the surgical instrument in the current case, a real failure of the surgical instrument in the current case, and to better predict similar failures in similar surgical instruments used in other cases. It will be recognized that the knowledge provided by the functionality of the central surgical controller system can provide a better understanding of the failure mode, enable future failures to be predicted and / or avoided based on the data and analysis, and provide guidance to refine the instrument design. surgery to improve life cycles and avoid future failures. When the central surgical controller system determines that a failure in a surgical instrument is imminent, the central surgical controller system can transmit this information to a user of the surgical instrument through a screen and / or a speaker of the controller system central surgical.
[622] [622] In several cases, a surgical instrument handle can be configured to provide the electrical system within the handle with enhanced durability and robustness to the surgical environment. For example, non-contact controls that can be fully sealed and that do not require force to generate a change of state can be incorporated into the grip design. In addition, reusable handles can be supplied with key and improved replaceable control elements.
[623] [623] In many surgical procedures, more than one surgical instrument is used to complete the surgical procedure. In many cases, at least two surgical instruments can be positioned inside the patient at the same time, and it is possible that the two surgical instruments come into contact and / or are in close proximity to each other. In some circumstances, this does not cause much concern. In other circumstances, such as when one of the surgical instruments is an electrosurgical instrument or an ultrasonic surgical instrument, for example, it is desirable to prevent another surgical instrument from coming into contact with the electrosurgical instrument or an ultrasonic surgical instrument.
[624] [624] Figure 119 illustrates a 222000 environment for a surgical procedure. The 222000 environment includes a first surgical instrument 222002, a second surgical instrument 222004, a patient 222006, and a grounding block 222008 in contact with patient 222006. The first and second surgical instruments 222002, 222004 are shown positioned within patient 222006 , that is, inside an abdominal cavity, which is lying on the grounding block 220008. The first surgical instrument 222002 can be any one of a variety of different surgical instruments. For example, the first surgical instrument 222002 may be an end cutter, or a tissue cutting and stapling instrument, comprising a 222010 drive shaft and an end actuator comprising 222012 claws.
[625] [625] The second surgical instrument 222004 is a monopolar instrument that can receive high frequency electrosurgical energy from a source, and apply high frequency electrosurgical energy to patient 222006 in a manner well known in the art. For example, high frequency electrosurgical energy is applied by an electrode tip 222013 of the second surgical instrument 222004. The source can be, for example, a monopolar generator such as the monopolar generator module 220310 of the central surgical controller 220302. Under normal circumstances, electrosurgical energy applied to patient 222006 passes through patient 222006 to grounding block 220008, where it is then returned to the electrosurgical power source via electrical conductors in a return path (not shown) to complete an electrosurgical electrical circuit .
[626] [626] Due to the proximity of the first surgical instrument 222002 to the second surgical instrument 222004 within patient 222006, at certain times during the surgical procedure, there is a risk that much of the high frequency electrosurgical energy applied to patient 222006 by the second surgical instrument 222004 during the surgical procedure is diverted through patient 222006 to the first surgical instrument 222002 due to the high conductivity of the drive shaft 222010 and / or the claws 222012 as opposed to the grounding block 222008 as intended. The closer the first surgical instrument 222002 is to the second surgical instrument 222004 within patient 222006, the greater the risk that much of the high frequency electrosurgical energy will pass through patient 222206 to the first surgical instrument 222002. In a worst case scenario , in which the electrically conductive portion of the first surgical instrument 222002 comes into direct contact with the electrode tip of the second surgical instrument 222004, an electrical short circuit is established from the second surgical instrument 222004 directly to the first surgical instrument 222002.
[627] [627] In order to minimize the chance that much of the high frequency electrosurgical energy will pass through patient 222006 and proceed to the first surgical instrument 222002, the second surgical instrument 222004 is configured to apply a low current to patient 222006 as a current test before the second surgical instrument 222004 applies the total level of electrosurgical energy to patient 222006. The source of the test current can be, for example, a monopolar generator such as the monopolar generator module 220310 of the central surgical controller 220302. To apply the test current, the second surgical instrument 222004 includes electrical terminations 222014 (see Figures 120, 121 and 122) on the drive shaft 222018 of the second surgical instrument 222004. Electrical terminations 222014 are electrically connected to the source of electrosurgical energy, and / or to a battery, and can apply the test current to patient 222006. In a way, the terminals el electrics 222014 are being used as continuity sensors to help determine electrical continuity along a trajectory of the second surgical instrument 222004, through patient 222006, and up to grounding block 222008. According to various aspects, electrical terminations 222014 they form a portion of a control circuit of the second surgical instrument 222004, and the control circuit and / or an algorithm can be used to apply the test current to patient 222006.
[628] [628] The test current can be applied only for a short period of time, such as for a few milliseconds, for example, to properly determine whether sufficient continuity between instrument-patient-block is present, as described above.
[629] [629] Referring to Figures 120 to 122, signals 222016 shown as being emitted from electrical terminations 222014 are representations of the test current coming out of electrical terminations 222014. Although electrical terminations 222014 are only shown to be positioned on the axis of actuation 222018 of the second surgical instrument 222004, the electrical terminations 222014 are also positioned on the body 222020 of the second surgical instrument 222004. This arrangement provides potential escape paths from the body 222020 of the second surgical instrument 222004 to the drive shaft 222010 and / or claws 222012 of the first surgical instrument 222002, as well as from the driving shaft 222018 of the second surgical instrument 222004 to the driving shaft 222010 and / or claws 222012 of the first surgical instrument 222002, for example.
[630] [630] Figure 123 illustrates a graph 222100 showing a relationship between the leakage current 222102 of the surgical instrument 222004 and the proximity of other objects in the surgical environment 222000 to the surgical instrument 222004. The time t is shown along the horizontal geometric axis 222104, and the leakage current is shown along the vertical geometric axis 222106. When nothing but air is approximately 5 centimeters from the second surgical instrument 222004, there will be very little, if any, loss of current from the second surgical instrument 222004 In fact, the loss of current in such cases is below a first limit that can be interpreted by the control circuit of the surgical instrument 222004 that the surgical instrument 222004 is not in contact with the patient or with another surgical instrument. The surgical instrument 222004 additionally comprises a first indicator, such as a light and / or a symbol on a screen of the surgical instrument 222004, for example, in communication with the control circuit which, when actuated by the control circuit, indicates to the doctor that the surgical instrument 222004 is not in a position where it can affect the patient's tissue and / or cause a short circuit in and / or come into contact with another surgical instrument, for example. In at least one case, the first indicator comprises a green LED, for example.
[631] [631] When the 222004 surgical instrument is moved close to the patient, again with reference to Figure 123, the leakage current increases above the first limit. In at least one of these cases, the proximity can be approximately 3 cm, for example. The surgical instrument 222004 additionally comprises a second indicator, such as a light and / or a symbol on a screen of the surgical instrument 222004, for example, in communication with the control circuit which is activated by the control circuit when the leakage current exceeds the first limit. In at least one case, the second indicator comprises a yellow LED, for example. The actuation of the second indicator indicates to the physician that the 222004 surgical instrument may be in a position in which it can affect the patient's tissue. Because the leakage current is still below a second limit, however, a third indicator in communication with the control circuit, such as a light and / or a symbol on a screen of the surgical instrument 222004, for example, is not actuated . In such cases, the physician may understand that the 222004 surgical instrument is not in a position that could cause a short circuit in and / or come into contact with another surgical instrument, for example. In at least one case, the third indicator comprises a red LED, for example. When the 222004 surgical instrument is in contact with the patient, but not with another surgical instrument, the leakage current will be above the first limit but still below the second limit, unless the 222004 surgical instrument is moved close to another surgical instrument, as discussed below.
[632] [632] When the 222004 surgical instrument is moved close to another surgical instrument, again with reference to Figure 123, the leakage current increases above the second limit. In at least one of these cases, the proximity can be approximately 3 cm, for example. In these cases, the control circuit of the surgical instrument 222004 triggers the third indicator. In such cases, the physician may understand that the 222004 surgical instrument may be in a position that may cause a short circuit in and / or come in contact with another surgical instrument, for example. When the 222004 surgical instrument moves even closer to another surgical instrument, such as within approximately 1 cm, for example, the current leakage can increase significantly. In such cases, the control circuit can produce an audible warning through a loudspeaker on the surgical instrument 222004 in communication with the control circuit, for example. This audible warning could also be created when the surgical instrument 222004 comes into contact with the other surgical instrument. If the 222004 surgical instrument is moved in the opposite direction from the other surgical instrument and the leakage current decreases, the control circuit will disable the audible warning. If the leakage current falls below the second limit, the control circuit will disable the third indicator. If the leakage current falls below the third limit, the control circuit will disable the second indicator. As a result of the above, a doctor can understand the positioning of the 222004 surgical instrument in relation to its environment.
[633] [633] To mitigate false warnings of unwanted contact, it is beneficial to establish limits that can be used to differentiate the contact between, one, the second surgical instrument 222004 and the patient's body 222006 or a trocar, two, the second surgical instrument 222004 and the patient's target tissue 222006 and, three, the second surgical instrument 222004 and the first surgical instrument 222002 or another surgical instrument within the 222000 environment of the surgical procedure.
[634] [634] Figure 124 illustrates a 222200 graph showing the direct current (DC) output voltage 222202 of the test current of the second surgical instrument 222004 during a surgical procedure. The instant t of the surgical procedure is shown along the horizontal geometric axis 222204, and the voltage v of the test chain is shown along the vertical geometric axis 222206. At time t1, the voltage 222202 of the test current crosses a voltage limit. v1 222208 which is indicative of the second surgical instrument 222004 coming into contact with the trocar as the second surgical instrument 222004 is inserted into the patient. The voltage v of the test current then generates upward peaks for a brief period of time as the 222014 continuity sensors of the second 222014 surgical instrument are passing through the trocar. After that, the test current voltage returns to the lowest level after the 222014 sensors have passed through the trocar and the second 222004 surgical instrument is further inserted into the patient. At time t2, voltage 222202 of the test current crosses a voltage limit v2 222210 which is indicative of the second surgical instrument 222004 coming into contact with, or in close approximation with, the patient's tissue
[635] [635] In several cases, a control circuit and / or an algorithm can be used to analyze the DC output voltage on a constant or continuous basis. The control circuit and / or the algorithm takes into account the magnitude of the DC output voltage 222202, the slope of the DC output voltage 222202, and / or the speed of change of the slope of the DC output voltage 222202, for example . With the use of such data, the control circuit and / or the algorithm can provide a more accurate indication of when the second surgical instrument 222004 actually comes into contact with a trocar or the patient's body 222006, with the target tissue of the patient 222006, and with the first surgical instrument 222002 or with another surgical instrument within the 222000 environment of the surgical procedure. The most accurate indication provided by the control circuit and / or algorithm operates to mitigate false warnings of unwanted contact.
[636] [636] In addition to the above, various forms of current leakage or interaction can occur between two or more surgical instruments in a surgical environment. For example, when a fluid is present around an end cutter's clamp cartridge clamp positioned on a patient, an exposed set of electrical cutter contacts can interfere with the detection of a dissector equipped with an adjacent motor. Therefore, it is desirable to detect and monitor the electrical interaction between surgical devices equipped with an adjacent motor. In several cases, the electrical potential of one or more circuit boards in a surgical instrument and / or the interconnected metal drive shaft components of a surgical instrument equipped with an engine can be detected and monitored. In certain cases, the electrical potential is detected by the source of the high frequency electrosurgical energy. In at least one case, the electrical potential is detected by the respective detection devices of surgical instruments equipped with an engine. Based on the detected electrical potentials, the respective control circuits and / or algorithms of the surgical instruments equipped with an engine can determine whether any of the surgical instruments are draining current or have parasitic interaction and could be inadvertently exposing the surgical devices adjacent to false signals.
[637] [637] Figure 125 illustrates an ultrasonic surgical instrument equipped with a 222300 motor. The drive shaft of the surgical instrument equipped with a 222300 motor includes an electrical detection grid 222302 and electrical insulation 222304. The electrical detection grid 222302 is configured to detect potential electric in relation to the ground. The electrical insulation 222304 surrounds the electrical detection grid 222302 and operates to electrically isolate the electrical detection grid 222302 from the environment that is external to the surgical instrument equipped with the 222300 motor. In at least one case, the electrical detection grid 222302 is sealed against the drive shaft wrap to prevent or reduce the possibility of fluids coming into contact with the 222302 detection grid.
[638] [638] Figure 126 illustrates a 222400 graph showing the electrical potential 222402 associated with the surgical instrument equipped with the 222300 motor of Figure 125, according to at least one aspect of the present description. The time t is shown along the horizontal geometric axis 222404 and the electric potential vext is shown along the vertical geometric axis 222406. The low value of the electrical potential 222402 shown along the bottom left of graph 222400 is indicative of some parasitic current or exposed present between the electrical components that are internal to the surgical instrument equipped with a 222300 motor. As the surgical instrument equipped with a 222300 motor approaches an external electrical source, such as another surgical instrument equipped with a motor, for example, the electrical potential 222402 starts to increase. The electrical potential 222402 increases more and more as the surgical instrument equipped with a 222300 motor increasingly approaches the external electrical source. The angular coefficient of the increased electrical potential, which is represented by the dashed line 222408, can be used to indicate the presence and / or proximity of the external electrical source. In several cases, a control circuit and / or an algorithm can be used to analyze electrical potential 222402, and considering the magnitude of electrical potential 222402, the angular coefficient of electrical potential 222402, and / or the rate of change of the slope of the 222402 electrical potential, for example, the control circuit and / or the algorithm can provide an accurate determination of how close the 222300 surgical instrument is to an external electrical source.
[639] [639] Figure 127 illustrates an active transmission and detection scheme 222500 used by the first and second surgical instruments 222502, 222504. The first surgical instrument 222502 is a "smart" surgical instrument and includes a 222506 transmitter (which can be a transmitter magnetic) and a receiving circuit 222508 which collectively operate to provide magnetic emission and detection along the drive shaft 222510 and / or the end actuator 222512 of the first surgical instrument 222502. The first surgical instrument 222502 comprises an end cutter including a claw staple cartridge and an anvil claw, but can comprise any suitable surgical instrument. The second surgical instrument 222504 is a "non-transmission enabled" surgical instrument and includes first and second detection devices 222514, 222516 that are positioned opposite each other on the drive shaft or body 222518 of the second surgical instrument 222504. The second instrument surgical 222504 comprises a clamshell, a blade in communication with a vertical vibration transducer configured to cut and / or clot the tissue. The first detection device 222514 is positioned on the "blade side" of the second surgical instrument 222504 while the second detection device 222516 is positioned on the "claw side" of the second surgical instrument 222504. The first and second detection devices 222514, 222516 are magnetic sensors, for example. Because they are positioned opposite each other on opposite sides of the drive shaft or body 222518, the first and second detection devices 222514, 222516 enable the first surgical instrument 222502 to determine the position and orientation of the second surgical instrument 222504 in relation to the first surgical instrument 222502.
[640] [640] Transmitter 222506 and receiving circuit 222508 extend along the length of drive shaft 222510 and / or end actuator 222512 of surgical instrument 222502 first. Transmitter 222506 and receiving circuit 222508 are positioned within a flexible circuit at any suitable location on the drive shaft 222510 and / or end actuator 222512, and can be active at the same time, either continuously or intermittently, as required. described in more detail below. Transmitter 222506 is configured to transmit a signal 222519 in the form of a magnetic field which is reflected by the first and second detection devices 222514, 222516 of the second surgical instrument 222504 to form the respective feedback signals 222520, 222522, which are also in the form of magnetic fields. That said, signals other than magnetic fields could be emitted and reflected in other ways. The receiving circuit 222508 is configured to receive the feedback signals 222520, 222522. According to various aspects, the receiving circuit 222508 incorporates or can be considered a magnetic detection device. In several cases, the receiving circuit 222508 is configured to seek a response from the transmitter 222506 after the transmitter emits the signal 222519, as also described in more detail below.
[641] [641] In several cases, a magnetic energy source from the 222506 transmitter generates randomly sequenced on-off pulses. In other words, the magnetic fields emitted by the 222506 transmitter are not periodic; instead, magnetic fields are emitted at random times as determined by a control circuit and / or by an algorithm from the first surgical instrument 222502. That said, magnetic fields are emitted at an average rate of approximately 10 times per second and at a frequency of about 1 kHz, for example. In addition, the duration of the magnetic field pulses is random. Between the pulses, the receiving circuit 222508 can be connected and is configured to listen for the feedback signals 222520, 222522. The receiving circuit 222508 receives feedback signals 222520, 222522 and transmits information representative of the feedback signals 222520, 222522 to a control circuit and / or an algorithm of the first surgical instrument 222502. The control circuit can also have information representative of the signals 222519 emitted by the transmitter 222506. Based on the information representative of the signals 222519 and the information representative of the signals 222520, 222522 , the control circuit and / or the algorithm can determine the position and orientation of the second surgical instrument 222504 in relation to the first surgical instrument 222502. If, for some reason, the receiving circuit 222508 receives only one of the return signals 222520, 222522 , the control circuit and / or the algorithm would be able to determine the position of the second surgical instrument co 222504 in relation to the first surgical instrument 222502, but not its orientation.
[642] [642] In cases where another surgical instrument emitting magnetic signal is present in the surgical field of the first and second surgical instruments 222502, 222504, it is likely that the receiving circuit 222508 of the first surgical instrument 222502 will receive the magnetic signals from the other instrument surgical signal emitter. Furthermore, the control circuit and / or the algorithm may not be able to correctly analyze the position and / or orientation of the second surgical instrument 222504 in relation to the first surgical instrument 222502. This situation could be avoided if the other emitting surgical instrument signal emits its signals at a frequency that could be eliminated by filtration through one or more low-pass and / or high-pass filters in the 222508 receiver circuit. Such a situation could also probably be avoided if the other signal-emitting surgical instrument also emitting a signal in the form of a magnetic field at an average speed of approximately 10 times per second and at a frequency of about 1 kHz, for example. Due to the randomness of the pulse duration and the speed of the signals emitted by the first surgical instrument 222502 and by the other surgical instrument emitting signal, and also by the randomness of the connection of the 222508 receiving circuit and a corresponding receiving circuit in the other surgical instrument emitting signal, a situation in which the magnetic emissions of the two signal-emitting surgical instruments are in perfect sync is minimized and / or avoided. Thus, it will be recognized that the active transmission and detection scheme and the 222500 detection scheme described above can also be used with two surgical instruments that have both active transmission and detection means.
[643] [643] Figure 128 illustrates a 222600 graph of the signals transmitted and received by the first surgical instrument 222502 of Figure 127. The transmitted signals 222602 are representative of the signal transmitted by the transmitter 222506 and are shown with backslashes. The received signals 222604 are representative of the return signals 222520, 222522 and are shown with slant bars. The time t is shown along the horizontal geometric axis 222608 and the amplitude of the transmitted and received signals 222602, 222604 is shown along the vertical geometric axis 222606. As shown in Figure 128, the amplitude of each of the transmitted signals 222602 is within of a given band in relation to the emission frequency of 1 kHz. The given amplitude band is shown to be bounded by the dashed lines 222605A, 222605B. That said, the amplitudes of only some of the received signals 222604 are within the given band. As described in more detail below, the analysis of the difference between the transmitted signal 222602 and the received signal 222604 of each set of signals and the differences between each consecutive set of signals, the control circuit and / or an algorithm of the first surgical instrument 222602 can determine the proximity and orientation of the second surgical instrument 222504 in relation to the first surgical instrument 222502.
[644] [644] Figure 129 illustrates a graph 222700 showing proximity measurements 222702 of the first detection device 222514 and proximity measurements 222704 of the second detection device 222516 of the second surgical instrument 222504 with respect to the first surgical instrument 222502. The measurements proximity 222702 from the first detection device 222514 are shown with backslashes and proximity measurements 222704 from the second detection device 222516 are shown with oblique bars. The time t is shown along the horizontal geometric axis 222706, and the distance in centimeters is shown along the vertical geometric axis 222708. According to the first set of "proximity bars" near the left side of the graph 222700 taken during the In the first sample, the second surgical instrument 220504 is located about 10 centimeters in relation to the first surgical device 222502 in a slightly angled orientation. According to the second set of "proximity bars" just to the right of the first set taken during a second sample, the second surgical instrument 220504 is located somewhere between 7 and 9 centimeters from the first surgical device 222502 in a slightly angled orientation. According to the third set of "proximity bars" to the right of the second set taken during the third sample, the second surgical instrument 220504 positioned on the "claw side" of the second surgical instrument 222504 is 1 cm from the first surgical device 222502; however, the second surgical instrument 222504 is tilted at a steep angle to the first surgical instrument
[645] [645] In addition to or in place of active detection, passive detection such as inductive detection and / or capacitive detection, for example, can be used to determine the proximity of a surgical instrument to another surgical instrument.
[646] [646] Figure 130 illustrates a passive detection scheme 222800 used by a first surgical instrument 222801 and a second surgical instrument 222804. The first surgical instrument 222802 includes a magnetic transmitter 222806 and a transducer
[647] [647] Figure 131 illustrates primary magnetic field 222810 in an unaffected condition adjacent to Hall effect sensor 222808. When there is no object close enough to the first surgical instrument 222802 to have an effect on the primary magnetic field 222810, the condition of primary magnetic field 222810 is considered to be in an unaffected condition. Thus, field lines 222814 shown in Figure 130 can be considered representative of an unaffected condition of primary magnetic field 222810 and is what is expected to be received by a receiver circuit of the first surgical instrument 222802 when another instrument is not present .
[648] [648] Figure 132 illustrates the primary magnetic field 222810 in an affected condition adjacent to the Hall effect sensor 222808. When an object is close enough to the first surgical instrument 222802 to have an effect on the primary magnetic field 222810, the condition of the primary magnetic field 222810 is considered to be in an affected condition. Field lines 222816 of primary magnetic field 222810 shown in Figure 131, which are different from field lines 222814 in Figure 130 and which are shown as broken dashed lines, can be considered representative of an affected condition of primary magnetic field 22210, and they are not what is expected to be received by a receiving circuit for the first 222802 surgical instrument.
[649] [649] Figure 133 illustrates a graph 222900 showing the output of Hall current 222902 provided by the Hall effect sensor 222808 of the first surgical instrument 222802 in Figure 130. The intensity of the effective magnetic field detected by the Hall effect sensor 222808, either the intensity of the magnetic field H or the density of the magnetic flux B, is shown along the horizontal geometric axis 222904, and the current I is shown along the vertical geometric axis
[650] [650] Figures 134 and 135 illustrate a passive detection scheme 223000 used by a first surgical instrument 223002 and a second surgical instrument 223004. In that passive detection scheme 223000, the first surgical instrument 223002 includes a first and a second capacitor plate 223006, 223008 housed in a detection head of the first surgical instrument
[651] [651] When an object is close enough to the first 222802 surgical instrument to have an effect on the electric field, the condition of the electric field is considered to be in an affected condition. As another electrically conductive object, such as the second surgical instrument 223004, for example, approaches the first surgical instrument 223002, as shown in Figure 135, the capacitance associated with the first and second capacitor plates 223006, 223008 of the first surgical instrument 223002 increases. The increase in capacitance is shown conceptually by the additional field lines 223012 in Figure 135, and the electric field in Figure 135 is different from the electric field in Figure 134. The electric field shown in Figure 135 can be considered representative of an affected field condition. electrical 222810, and is not what is expected to be received by a receiver circuit of the first surgical instrument in the absence of another instrument. According to several aspects, a detection device such as a capacitive sensor can detect the capacitance and generate an output signal representative of the detected capacitance. The output signal can be converted into a voltage signal that is representative of the detected capacitance, and the voltage signal can be transmitted to a control circuit of the first 223002 surgical instrument. Based on the voltage signals that are representative of the detected capacitance , the control circuit and / or an algorithm can monitor the detected capacitances, and analyze the change in capacitance and / or the change in the electric field to provide an indication of the proximity of the first surgical instrument 223002 to the second surgical instrument
[652] [652] In several respects, instead of using inductive proximity detection or capacitive proximity detection, as described above, a surgical instrument can use a different proximity detection scheme. Figure 136 illustrates a 223100 surgical instrument that includes a 223102 direct current (DC) power source, an 223104 oscillator, a 223106 coil, and a 223108 current sensor. The 223102 DC power source provides direct current (DC) power ) to oscillator 223104. Oscillator 223104 is configured to convert direct current (DC) energy into an alternating current (AC) signal that is passed to coil 223106. As alternating current is fed to coil 22306, coil 223106 generates a variable magnetic field 223110 that induces a current in the coil 223106. The current coming from the coil 223106 is detected / measured by the current sensor 223108. As an electrically conductive object, such as another surgical instrument, for example, approaches the surgical instrument 223100, the other surgical instrument can affect the intensity of the magnetic field 223110, which in turn affects the magnitude of the induced current. By detecting / measuring the induced current, a control circuit and / or an algorithm of the surgical instrument 223100 can determine when another object is approaching and / or is in close proximity.
[653] [653] Figure 137 illustrates a 223200 graph showing the induced current 223202 measured by the current sensor 223108 of the surgical instrument 223100 of Figure 136, in at least one case. The time t is shown along the horizontal geometric axis 223204, and the current I is shown along the vertical geometric axis 223206. When the magnitude of the induced current 223202 is relatively constant as shown during the period of time shown on the left side of the Figure 137, induced current 223202 is indicative of a situation in which no other surgical object / instrument is approaching or near surgical instrument 223100. When the magnitude of induced current 223202 is increasing as shown during the period of time shown on the right of Figure 137, the induced current 223202 is indicative of a situation in which another object / surgical instrument is approaching and / or is close to the surgical instrument 223100. A control circuit and / or an algorithm of the surgical instrument 223100 can analyze the magnitude of the measured current, the angular coefficient of the measured current, and / or the rate of change of the co angular efficiency of the measured current, for example, to provide an indication of the proximity of the 223100 surgical instrument to another electrically conductive surgical object / instrument.
[654] [654] There are many surgical instruments that include electrical components in the end actuator and / or the drive shaft of the surgical instrument. In certain surgical procedures, a surgical instrument in use may come into contact with various fluids that come from the patient or are introduced into the patient during the surgical procedure. In some cases, the liquid may come in contact with the electrical components on the end actuator and / or on the drive shaft of the surgical instrument. When this occurs, the performance of the electrical components, and thus the performance of the surgical instrument, can be affected to varying degrees. The degradation of the performance of electrical components and / or the surgical instrument due to exposure to the liquid is often called liquid contamination.
[655] [655] In some cases, when liquid contamination occurs, electrical components may still perform their primary function, but not necessarily as well as would otherwise be possible. In other cases, one or more of the electrical components can no longer perform their primary function, which can lead to the failure of the surgical instrument. Due to the potential performance problems associated with liquid contamination, it is desirable to capture and detect the liquid contamination of an electrical component of a surgical instrument, and to take the necessary measures to adjust the liquid contamination.
[656] [656] Figure 138 illustrates a surgical instrument 223300 that includes an end actuator 223302, a drive shaft 223304, a sensor matrix that includes a first pair of detection devices 223306A, 223306B and a second pair of detection devices 223308A, 223308B, and a fluid detection circuit
[657] [657] The first pair of detection devices 223306A, 223306B and the second pair of detection devices 223308A, 223308B are positioned within the drive shaft 223304 and are surrounded by the wrapper 223318 of the drive shaft
[658] [658] The 223306A, 223306B, 223308A, 223308B detection devices comprise conductivity electrodes that are electrically conductive isolated from one another by the electrically insulating material 223312. The electrically insulating material 223312 may include four or more openings corresponding to the positions of the detection devices 223306A, 223306B, 223308A, 223308B that allow the fluid within the drive shaft 223304 to pass through it and come into contact with the detection devices 223306A, 223306B, 223308A, 223308B. When the first pair of detection devices 223306A, 223306B are electrically isolated from each other due to an absence of fluids between detection devices 223036A and 223306B, the fluid detection circuit 223310 emits a signal that is indicative that the internal volume drive shaft 223304 is dry enough for normal operation of the 223300 surgical instrument. The signal is then transmitted to a control circuit (not shown) of the 223300 surgical instrument, where the signal is interpreted as indicating a condition wherein the internal volume of the drive shaft 223304 is sufficiently dry to allow normal operation of the 223300 surgical instrument. The control circuit may include a drive shaft processing circuit and / or a handle processing circuit that includes a 223300 surgical instrument main processor. Alternatively, the fluid detection circuit 223310 may not emit a signal when the first pair of detection devices 223306A, 223306B are electrically isolated from each other, and the control circuit can interpret this lack of a signal as indicative of a condition where the internal volume of the drive shaft 223304 is sufficiently dry to allow normal operation of the 223300 surgical instrument.
[659] [659] When the fluid inside the drive shaft 223304 has a sufficient volume that allows the first pair of detection devices 223306A, 223306B to be electrically connected to each other through the fluid, the fluid detection circuit 223310 recognizes the electrical connection between the first pair of detection devices 223306A, 223306B and emits a signal that is indicative of a condition of liquid contamination adjacent to the positions of the first pair of detection devices 223306A, 223306B. The signal is then transmitted to the control circuit. In response to the liquid contamination signal, the control circuit emits one or more control signals that serve to adjust the operation of the surgical instrument
[660] [660] When the second pair of detection devices 223308A, 223308B are electrically isolated from each other, the fluid detection circuit 223310 can emit a signal that is indicative that the internal volume of the drive shaft 223304 is dry enough to the continuous operation of the surgical instrument 223300. The signal is then transmitted to the control circuit of the surgical instrument 223300, where the signal is interpreted as indicating a condition in which the internal volume of the drive shaft 223304 adjacent to the positions of the detection devices 223308A, 223308B is sufficiently dry to allow continuous operation of the 223300 surgical instrument. Alternatively, the fluid detection circuit 223310 may not emit a signal when the second pair of 223308A detection devices, 223308B, are electrically isolated each other, and the control circuit can interpret this lack of a signal as being indicative of a cond tion where the internal volume of the drive shaft 223304 is sufficiently dry to enable continuous operation of the surgical instrument
[661] [661] When the fluid within the drive shaft 223304 has a sufficient volume that allows the second pair of detection devices 2233086A, 223308B to be electrically connected to each other through the fluid, the fluid detection circuit 223310 recognizes the electrical connection between the second pair of detection devices 223308A, 223308B and emits a signal that is indicative of a condition of liquid contamination adjacent to the positions of the detection devices 2233086A, 223308B. The signal is then transmitted to the control circuit. In response to the liquid contamination signal, the control circuit emits one or more control signals that serve to adjust the operation of the surgical instrument
[662] [662] In several cases, the detection devices 223306A, 223306B, 223308A, 223308B, the electrically insulating material 223312, and / or the fluid detection circuit 223310 can form portions of a flexible circuit 223322 that is positioned within the axis of drive 223004 and can conform to the internal surface of the enclosure or outer shell 223318 of the drive shaft 223004. That said, the detection devices 223306A, 223306B, 223308A, 223308B, the electrically insulating material 223312 and / or the fluid detection circuit 223310 can be arranged in any suitable manner.
[663] [663] The absorption material 223314 is configured to absorb the fluid within the drive shaft 223004. When absorbing the fluid, the absorption material 223314 delays the entry of fluid into the surgical instrument 223300; however, the fluid will eventually pass through the absorption material 223314 towards the second pair of detection devices 223308A, 223308B. Notably, the first pair of detection devices 223306A, 223306B are positioned distally with respect to absorption material 223314 and, as a result, any initial fluid inlet will quickly reach the first pair of detection devices 223306A, 223306B. On the other hand, at least a portion of the absorption material 223314 is present between the first pair of detection devices 223306A, 223306B and the second pair of detection devices 223308A, 223308B and, as a result, fluid inlet may or may reach the second pair of detection devices 223308A, 223308B. As a result, fluid detection circuit 223310 is configured to use the electrical connection between the first pair of detection devices 223306A, 223306B as a fluid entry / contamination warning that does not necessarily alter any operation of the 223300 surgical instrument, and for use the electrical connection between the second pair of detection devices 223308A, 223308B as a fluid entry / contamination warning that does not alter the operation of the 223300 surgical instrument.
[664] [664] As shown in Figure 138, the absorption material
[665] [665] In several cases, the sensor matrix described above and / or another similar sensor matrix can be used in combination with absorption material 223314 to not only detect the presence of fluid within the drive shaft 223304, but also to detect when the fluid has reached an amount that can no longer be adequately handled by various electrical components of the 223300 surgical instrument. In other words, this combination can help determine how much fluid is in the drive shaft
[666] [666] Figure 139 illustrates an electrical circuit 223400 of the surgical instrument 223300 of Figure 138. Electrical circuit 223400, or at least a portion of electrical circuit 223400, can be positioned within the absorption material 223314 of surgical instrument 223300 and can be used to determine when the fluid in the drive shaft 223004 has reached a volume that can no longer be adequately handled by one or more electrical components of the 223300 surgical instrument. The electrical circuit 223400 includes a sensor matrix that includes a first pair of 223402A detection devices , 223402B and a second pair of detection devices 223404A, 223404B. The first and second pairs of detection devices 223402A, 223402B, 223404A, 223404B can be the first and second pairs of detection devices 223306A, 223306B, 223308A, 223308B shown in Figure 138, respectively, or additional detection devices. Thus, it must be recognized that the electrical circuit 223400 can form a part of the flexible circuit 223322 and can also be electrically connected to the fluid detection circuit 223310.
[667] [667] The electrical circuit 223400 also includes a first comparator 223406 that is electrically connected to the first pair of detection devices 223402A, 223402B, and a second comparator 223408 that is electrically connected to the second pair of detection devices 223404A, 223404B. As explained in more detail below, the first and second comparators 223406, 223408 are used to determine whether an input has reached a predetermined value. In several cases, the first and second comparators 223406, 223408 are performed with operational amplifiers. In certain cases, the first and second comparators 223406, 223408 are made with a dedicated comparator integrated circuit. The electrical circuit 223400 additionally includes a first resistive element 223410 which is electrically connected to the first pair of detection devices 223402A, 223402B, and a second resistive element 223412 which is electrically connected to the second pair of detection devices 223404A, 223404B.
[668] [668] Based on the configuration of the first and second pairs of detection devices 223402A, 223402B, 223404A, 223404B and their respective connection paths back to the power source
[669] [669] In operation, when a sufficient amount of fluid within the drive shaft 223004 causes the first pair of detection devices 223402A, 223402B to be electrically connected to each other through the fluid, the first pair of detection devices 223402A , 223402B provide a voltage signal for a first input (for example, the negative input -) of the first comparator 223406. The first comparator 223406 then compares the voltage signal of the first pair of detection devices 223402A, 223402B with a reference voltage which is connected to a second input (for example, the positive + input) of the first comparator 223406. Based on the higher voltage, the first comparator 223406 then emits a "high" or a "low" signal. For example, when the reference voltage is greater than the voltage signal from the first pair of detection devices 223402A, 223402B, the first comparator 223406 emits a "low" signal that is an indication that the volume of fluid within the axis drive 223004 adjacent to the first pair of detection devices 223402A,
[670] [670] Similarly, when absorption material 223314 has absorbed a sufficient amount of fluid from inside the drive shaft 223004 to cause the second pair of detection devices 223404A, 223404B to be electrically connected to each other through the absorbed fluid , the second pair of detection devices 223404A, 223404B provide a voltage signal for a first input (for example, the negative input -) of the second comparator 223408. The first comparator 223408 then compares the voltage signal of the second pair of detection 223404A, 223404B with a reference voltage that is connected to a second input (for example, the positive input +) of the second comparator 223408. Based on the higher voltage, the second comparator 223408 then emits a "high" signal or a "low" signal. For example, when the reference voltage is greater than the voltage signal from the second pair of 223404A detection devices,
[671] [671] In response to a "high" output signal from the first comparator 223406 and / or the second comparator 223408, the control circuit can emit one or more control signals that serve to emit a signal degradation warning, emit a component and / or subsystem failure warning, reduce the amount of energy available for the 223300 surgical instrument, block or disable one or more functional features of the 223300 surgical instrument, and / or block or disable one or more electrical tracks that are susceptible to signal loss or short circuit, for example.
[672] [672] Although the same reference voltage is shown in Figure 139 as being applied to the first comparator 223406 as well as to the second comparator 223408, it will be recognized that a first reference voltage can be applied to the first comparator
[673] [673] In addition, although detection devices 223402A, 223402B, 223404A, 223404B are shown in Figure 139 as being in an "open" position (for example, not electrically connected to each other), the functionality of the 223400 electrical circuit described above can also be performed with the detection devices 223402A, 223402B, 223404A, 223404B being in a "closed" position. While the detection devices 223402A, 223402B, 223404A, 223404B remain in the "closed" position and emit the respective voltage signals to the first and second comparators 223406, 223408, the output signals from the first comparator 223406 and / or the second comparator 223408 would be an indication that the volume of fluid within the drive shaft 223004 has not yet reached a level that cannot be adequately handled by the electrical components of the surgical instrument
[674] [674] When a surgical instrument is used during a surgical procedure, the air density associated with the environment in which the surgical procedure is taking place can have an effect on the performance of the surgical instrument. In most cases, the altitude at which the surgical procedure is taking place can be a substitute for air density. For example, a surgical instrument being used in a high altitude location where the air is generally less dense than at sea level can operate differently than when the surgical instrument is used at or near sea level to him. Due to performance problems associated with air / altitude density, it is desirable to capture / detect the air / altitude density at which the surgical instrument is operating and adjust various limits, control parameters and / or detected values to compensate for differences in altitude .
[675] [675] Heat dissipation inside a surgical instrument is a performance characteristic that changes with altitude. As the altitude increases, there is less air for a given volume and, as a result, the atmospheric pressure decreases. As the atmospheric pressure decreases, air molecules spread further and the temperature decreases. There are certain parts of a surgical instrument that rely on convection cooling to dissipate the heat generated by the operation of the surgical instrument. With convection cooling, the heat generated by the operation of the surgical instrument is transferred from the surgical instrument to the air surrounding the surgical instrument. At higher altitudes, where atmospheric pressure is lower and where there is less air (air density is lower), convection cooling is less efficient because there is less air, and it is more difficult to dissipate the residual heat generated by the electronics of the surgical instrument that drives the motors, generates high frequency electrosurgical energy for radiofrequency (RF) and / or ultrasonic applications, for example, due to the fact that convection cooling is less efficient. It is for this reason that the engine's heat dissipation efficiency decreases as altitude increases.
[676] [676] The volume of air released by a compressor pump in a smoke evacuation system used in a surgical procedure is another performance characteristic that changes with altitude. The compressor pump will release the same volume of air regardless of the weight or density of the air (as the altitude increases, the weight and density of the air will get lower and lower). However, since the weight of the air is less at higher altitudes, the compressor pump requires less electricity to supply the same volume of air at higher altitudes. In other words, to release a given volume of air at a higher altitude, the speed of the compressor pump motor can be reduced. That said, to release a given air weight at a higher altitude, the speed of the compressor pump motor can be increased.
[677] [677] In view of the above, it will be recognized because it is desirable to capture / detect the altitude (as a substitute for air density) at which the surgical instrument is operating, and to adjust various limits, control parameters and / or detected values to compensate for differences in altitude. The altitude can be captured / detected in several different ways. For example, the surgical instrument may include a detection device that detects and measures atmospheric / barometric pressure, such as a barometric pressure sensor, for example. The detected atmospheric pressure is a substitute for altitude. Based on the detected atmospheric pressure, a control circuit and / or an algorithm of the surgical instrument can emit one or more control signals that operate to alter / adjust the normal operation of the surgical instrument to account for the altitude / density of the air. In addition to or in lieu of taking direct atmospheric pressure readings, the surgical instrument may include a global positioning system (GPS) receiver that determines the exact position of the receiver. In such cases, the control circuit and / or algorithm can correlate the GPS readings with a GPS location, the known altitude and the average atmospheric and barometric readings at the GPS location, and emit one or more control signals to change / adjust the normal operation of the surgical instrument to account for the altitude / density of the air at that location. There are also several ways to estimate / calculate a power reduction factor that can be applied to the various limits, control parameters and / or detected values to account for changes in altitude / air density.
[678] [678] Figure 140 illustrates a 223500 graph showing the relationships between altitude, atmospheric pressure 223502 and electrical energy 223504 used by a surgical instrument in several cases. Graph 223500 can be used to determine the power reduction factors that correspond to different altitudes captured / detected, where the altitudes are substitutes for different air densities. The altitude is shown along a first horizontal geometric axis 223506 as an elevation from sea level. A second horizontal geometric axis 223508 is aligned with the first horizontal geometric axis 223506 and also represents elevation from sea level. A percentage of power is shown along a first vertical geometric axis 223510 and a scaled atmospheric pressure is shown along a second vertical geometric axis 223512. As shown in Figure 140, as the elevation increases, atmospheric pressure 223502 decreases and the electrical energy 223504 used by the surgical instrument decreases. At sea level (elevation = 0), atmospheric pressure 223502 is at level 1 of the scale, and electrical energy 223504 is at 100% of the power (total power). At an elevation of 10,000 feet above sea level, atmospheric pressure 223502 is at the scale level of approximately 0.20, and electrical energy 223504 is at 70% power (30% less than full power). In other words, at 223502 atmospheric pressure associated with an elevation of 10,000 meters above sea level, the temperature limits associated with the surgical instrument can be reduced by 30%. Similar percentages of power reduction can be determined for other elevations simply by determining where a vertical line aligned with a given elevation on the first horizontal geometric axis 223506 intersects with electrical energy 223504 and atmospheric pressure
[679] [679] Another method for determining power reduction factors and / or other applicable adjustments for differences in altitude can be found, for example, in a technical article entitled A METHOD FOR APPROXIMATING COMPONENT TEMPERATURES
[680] [680] The surgical instruments described here are configured to include temperature sensors positioned within a handle assembly and / or a drive shaft for the surgical instrument. The surgical instrument can be any of the surgical instruments described here. The temperature sensors are positioned to detect the temperature of certain components and / or subsystems positioned within the handle set and / or the drive shaft of the surgical instrument. For example, temperature sensors can be positioned to detect the temperature of an electric motor, power circuits, and / or a communication circuit, for example. The detected temperatures can be used by a surgical instrument control circuit, such as a main processor in a surgical instrument handle set, for example, and / or by an algorithm to adjust / adapt the operation of the surgical instrument.
[681] [681] In several cases, thermal detection devices can be created in flexible circuits within different parts of the surgical instrument, and the temperatures measured / captured by the thermal detection devices can be used by the control circuit and / or an algorithm to determine if a temperature of a particular component and / or subsystem is in an alert or danger zone. After the detected / measured temperature of a given component and / or subsystem is determined to be above the alert level, the control circuit and / or algorithm can additionally operate to start reducing the level of energy supplied to the components and / or systems that generate the highest heat level. For example, the level of energy supplied to the drive motor of the surgical instrument can be reduced.
[682] [682] After the detected / measured temperature of a given component and / or subsystem is determined to be above a predetermined critical limit, the control circuit and / or the algorithm can act to put the surgical instrument in a deactivated condition, in whereas the electronic components of the surgical instrument that work to provide communication with a central surgical controller remain energized, but the surgical instrument is prevented from performing certain functions, such as closing jaws,
[683] [683] In order to control the temperatures of the components and / or subsystems of the surgical instrument and the continuous operation of the surgical instrument under heavy work conditions, in several cases, the priority of operation may be based on the level of importance of the component, subsystem and / or the task to be performed. Therefore, in certain circumstances, the surgical instrument can be controlled so that the generator with the highest level of heat can be deregulated or regulated only after performing a critical task.
[684] [684] In some cases, when a surgical instrument component and / or subsystem is being regulated, a surgical instrument control circuit, such as a main processor in a surgical instrument handle assembly, for example, can communicate with the central surgical controller to receive more information on the best way to proceed. In some cases, the situational recognition functionality of the central surgical controller may operate to inform the control circuit of the surgical instrument that the surgical instrument is in the middle of a critical task, and the control circuit and / or an algorithm can then , control the surgical instrument to ignore the warming alert or re-prioritize the importance of the component and / or the subsystem that was being regulated. Various aspects of situational recognition functionality are described, for example, in US patent application serial number 15 / 940,654, entitled SURGICAL HUB SITUATIONAL AWARENESS, filed on March 29, 2018, the description of which is incorporated herein by reference in its entirety.
[685] [685] In some cases, the surgical instrument can be controlled to proportionally limit the use of engine power based on detected / measured temperatures or estimated temperatures. For example, as predetermined temperature limits are exceeded and / or the rate of temperature rise exceeds a predetermined limit and / or a modeled heat build-up approaches a predetermined limit, the surgical instrument can be controlled to reduce the level of power made available to the engine as a first priority, then reduce the energy available for the energy mode (for example, electrosurgical energy, ultrasonic energy), if any.
[686] [686] Figure 141 illustrates a 223600 method for determining the heat flow of detected / measured temperatures over time to predict the occurrence of a predefined temperature limit being exceeded. In step 223602, the temperatures of the components and / or subsystems positioned within the handle set and / or the drive shaft of the surgical instrument are detected / measured by a temperature detection device. In step 223604, the energy supplied to each motor and the power circuit of the surgical instrument is measured over time by an energy measuring device. In step 223606, the heat accumulated inside the surgical instrument is estimated based on the information determined in steps 223602 and 223604. In step 223608, the rate of temperature increase in the surgical instrument is determined by a control circuit and / or an algorithm of the surgical instrument. Based on the determined rate of temperature rise in step 223608, the time when the predefined temperature limit will be exceeded can be determined in step 223610 by the control circuit and / or by an algorithm of the surgical instrument. In some cases, method 223600 additionally comprises a step 223612, in which the rate of temperature rise determined in step 223608 can be compared with a rate of temperature rise predicted by a heat build-up modeled to establish a higher level of confidence the accuracy of the determined rate of temperature rise. This comparison can be made by the control circuit of the surgical instrument.
[687] [687] Figure 142 illustrates a 223700 graph showing a relationship between a detected temperature 223702, an approximate temperature 223704, and a power consumption 223706 of the surgical instrument. The instant t is shown along a first horizontal geometric axis 223708 and along a third horizontal geometric axis 223712. A second horizontal geometric axis 223710 also represents the instant t. A first vertical geometric axis 223714 is associated with the approximate temperature 224704, a second horizontal geometric axis 223716 is associated with the detected temperature 223702, and a third horizontal geometric axis 223718 is associated with the energy consumption 223706. In several cases, the detected temperature 223702 is a temperature detected within a surgical instrument handle set, the approximate temperature is a temperature that is estimated by a heat accumulation model, and the energy consumption 223706 represents the total of all energy consumed by the surgical instrument during its use in a surgical procedure.
[688] [688] As shown in Figure 142, when the surgical instrument is first powered, the energy level 223706 used by the surgical instrument is very low. The small increase in the detected temperature 223702 can be attributed to the fact that the electrical circuits inside the surgical instrument are being energized. From instant t1 to instant t2, when a surgical instrument end actuator is being articulated, the energy consumption 223706 increases and the detected temperature 223702 increases. The approximate temperature 223704 is shown to increase at time t2. As the joint is paused between time t2 and time t3, energy consumption 223706 remains the same, the detected temperature 223702 continues to increase, and the approximate temperature 223704 remains the same. From instant t3 to instant t4, when the end actuator is additionally articulated, energy consumption 223706 increases and the detected temperature 223702 increases. The approximate temperature 223704 is shown to increase at time t4.
[689] [689] As the joint is paused again between time t4 and time t5, energy consumption 223706 remains the same, the detected temperature 223702 continues to increase and the approximate temperature 223704 remains the same. At instant t5, the energy modality of the surgical instrument, such as the application of mechanical energy, electrosurgical energy, and / or ultrasonic energy, for example, is energized, energy consumption 223706 begins to increase significantly, the detected temperature 223702 reaches the engine temperature limit 223720 (which is the same for the detected temperature 223702 and for the approximate temperature 223704), and the approximate temperature 223704 increases and exceeds the engine limit 223720 in the process.
[690] [690] From instant t5 to instant t6, as the energy mode continues to be energized, energy consumption 223706 increases significantly, the detected temperature 223702 increases significantly, exceeding the limit of motor 223720 approximately at instant t5 and reaching the limit of energy 223722 at time t6. As a result of the detected temperature 223702 exceeding the motor limit 223720 at approximately t5, a control circuit and / or a surgical instrument algorithm, such as a main processor in a surgical instrument handle assembly, for example, and / or a algorithm acts to limit the energy applied to the motor (or motors) of the surgical instrument. This limitation remains in effect until the detected temperature 223702 falls below the motor limit 223720 at approximately t10.
[691] [691] At approximately t6, the detected temperature 223702 exceeds the energy limit 223722. As a result of the detected temperature 223702 exceeding the energy limit 223722 at approximately t6, the control circuit and / or the algorithm acts to limit the energy applied to the energy modality of the surgical instrument. This limitation remains in effect until the detected temperature 223702 falls again below the energy limit 223722 at approximately time t7. After the power limitation for energy mode 223702 is interrupted at time t 7, the detected temperature 223702 starts to decrease. From instant t8 to instant t9, although the detected temperature 223702 is still above the motor limit 223720, the control circuit and / or the algorithm can allow the end actuator to be articulated again because the detected temperature 223702 is decreasing.
[692] [692] According to various aspects, the motor limit 223720 and the energy limit 223722 can be changed / adjusted by the control circuit and / or by an algorithm to compensate for differences in air density, altitude and / or atmospheric pressure , as described above.
[693] [693] The devices, systems, and methods described in the present application can be used with the devices, systems and methods described in US patent application serial number 13 / 832,786, now US patent No. 9,398,905, entitled CIRCULAR NEEDLE APPLIER WITH OFFSET NEEDLE AND CARRIER TRACKS; US Patent Application Serial No. 14 / 721,244, now US Patent Application No.
[694] [694] The devices, systems and methods described in this application can be used with the devices, systems and methods described in US provisional patent application serial number 62 / 659,900, entitled METHOD OF HUB COMMUNICATION, filed on April 19, 2018, US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on December 28, 2017, US provisional patent application serial number 62 / 611,340, entitled CLOUD-BASED MEDICAL ANALYTICS, filed at December 28, 2017, and provisional US patent application serial number 62 / 611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM, filed on December 28, 2017, which are incorporated herein by reference in their entirety. The devices, systems and methods described in this application can also be used with the devices, systems and methods described in US provisional patent application serial number 15 / 908.021, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE, filed on February 28, 2018 , US Patent Application Serial No. 15 / 908,012, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE
[695] [695] Several aspects of the object described here are defined in the following examples. Set of examples 1
[696] [696] Example 1 - Method for controlling a surgical instrument. The method comprises operating a drive system driven by an electric motor and a motor control circuit, detecting the stress inside the surgical instrument through an extensometer circuit in communication with the motor control circuit, and changing the motor speed through the motor control circuit based on the input of the extensometer circuit.
[697] [697] Example 2 - Method of Example 1, in which the alteration step comprises decreasing the speed of the electric motor when the effort measured by the circuit extensometer circuit exceeds a limit.
[698] [698] Example 3 - Method of Example 2, in which the alteration step involves increasing the speed of the electric motor if the effort measured by the extensometer circuit returns below the limit.
[699] [699] Example 4 - Method of Example 1, in which the surgical instrument comprises a drive shaft and an end actuator pivotally connected to the drive shaft, and in which the operation step comprises rotating the end actuator in relation to to the drive shaft.
[700] [700] Example 5 - Method of Examples 1, 2, or 3, wherein the surgical instrument comprises an end actuator that includes a movable claw, and in which the operating step comprises moving the claw.
[701] [701] Example 6 - Method of Examples 1, 2, 3, 4 or 5, wherein the surgical instrument comprises a firing system that includes a movable firing member and in which the operating step comprises moving the firing member.
[702] [702] Example 7 - Method of Examples 1, 2, 3, 4, 5 or 6, in which the surgical instrument comprises a wrap, and in which the extensometer circuit comprises an extensometer fixed to the enclosure.
[703] [703] Example 8 - Method of Examples 1, 2, 3, 4, 5 or 6, in which the surgical instrument comprises a wrap, and in which the extensometer circuit comprises an extensometer fixed to the enclosure.
[704] [704] Example 9 - Method of Examples 1, 2, 3, 4, 5 or 6, in which the surgical instrument comprises a wrap, and in which the extensometer circuit comprises an extensometer embedded in the enclosure.
[705] [705] Example 10 - Method of Examples 1, 2, 3, 4, 5, 6, 7, 8 or
[706] [706] Example 11 - Method of Examples 1, 2, 3, 4, 5, 6, 7, 8 or 9, wherein the surgical instrument comprises a handle that includes a handle cabinet, where the extensometer circuit comprises a extensometer built into the hilt cabinet, and the method additionally comprises pressing the hilt cabinet to control the speed of the electric motor.
[707] [707] Example 12 - Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which the drive system comprises a drive shaft, and in which at least a portion of the strain gauge circuit is mounted on the drive shaft.
[708] [708] Example 13 - Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12, in which the motor control circuit comprises standard operating controls, in which the extensometer circuit provides data for the engine control circuit, and the engine control circuit modifies standard operating controls based on data from the extensometer circuit.
[709] [709] Example 14 - Method for controlling a surgical instrument. The method comprises operating a drive system driven by an electric motor and a motor control system, detecting the stress inside the surgical instrument through an extensometer circuit in communication with the motor control system, and changing the motor speed through the engine control system based on data from the extensometer circuit.
[710] [710] Example 15 - Method of Example 14, where the engine control system comprises standard operating controls, and where the engine control system modifies the standard operating controls based on data from the extensometer circuit.
[711] [711] Example 16 - Method of Examples 14 or 15, in which the surgical instrument comprises a handle that includes a handle cabinet, in which the extensometer circuit comprises an extensometer attached to the handle cabinet, and in which the method further comprises press the handle housing to control the speed of the electric motor.
[712] [712] Example 17 - Method according to Examples 14 or 15, in which the surgical instrument comprises a handle that includes a handle cabinet, in which the extensometer circuit comprises an extensometer incorporated in the handle cabinet, and in which the method additionally comprises pressing the hilt housing to control the speed of the electric motor.
[713] [713] Example 18 - Method for controlling a surgical instrument. The method comprises operating the surgical instrument using a control system, in which the surgical instrument comprises a wrap, detecting a parameter of the wrap using a sensor circuit in communication with the control system, and modifying the operation of the surgical instrument based on data from the sensor circuit.
[714] [714] Example 19 - Method of Example 18, in which the control system comprises standard operating controls, and in which the control system modifies the standard operating controls based on the data from the sensor circuit. Set of examples 2
[715] [715] Example 1 - Surgical instrument comprising a handle, a drive shaft that extends from the handle, an end actuator that extends from the drive shaft, an electric drive motor and a configurable displacement electric motor in a first configuration, a second configuration and a third configuration. The surgical instrument additionally comprises a first drive system configured to perform a first function of the end actuator. The first drive system is operable by the electric drive motor when the displacement electric motor is in the first configuration. The surgical instrument further comprises a second drive system configured to perform a second function of the end actuator. The second drive system is operable by the electric drive motor when the displacement electric motor is in the second configuration. The surgical instrument further comprises a third drive system configured to perform a third function of the end actuator. The third drive system is operable by the electric drive motor when the displacement electric motor is in the third configuration. The second drive system and the third drive system cannot be driven by the electric drive motor when the displacement electric motor is in the first configuration. The first drive system and the third drive system cannot be driven by the electric drive motor when the displacement electric motor is in the second configuration. The first drive system and the second drive system cannot be driven by the electric drive motor when the displacement electric motor is in the third configuration.
[716] [716] Example 2 - Surgical instrument of Example 1, in which the displacement electric motor comprises a solenoid.
[717] [717] Example 3 - Surgical instrument of Examples 1 or 2, in which the electric drive motor comprises a rotary drive output shaft and a drive output gear mounted on the drive output drive shaft, where the displacement electric motor comprises a translatable displacement drive shaft and a rotating displacement gear, in which the displacement gear is operatively coupled to the drive output gear and is selectively latchable to the first drive system, the second drive system and the third drive system.
[718] [718] Example 4 - Surgical instrument of Examples 1, 2 or 3, where the first drive system comprises a first rotary drive shaft, where the second drive system comprises a second rotary drive shaft, where the third drive The drive system comprises a third rotary drive axis, and wherein the first rotary drive axis, the second rotary drive axis and the third rotary drive axis are nested along a longitudinal geometric axis.
[719] [719] Example 5 - Surgical instrument of Examples 1, 2, 3 or 4, which additionally comprises an articulation joint that swivelly connects the end actuator to the drive shaft, where the end actuator comprises a clamping clamp and a translatable firing member, in which the first function of the end actuator comprises articulating the end actuator in relation to the drive shaft, in which the second function of the end actuator comprises moving the gripper to a clamping position, and in which the third function of the end actuator comprises moving the firing member through a firing stroke.
[720] [720] Example 6 - Surgical instrument of Example 5, which further comprises a staple cartridge that includes staples removably stored therein, where the firing member is configured to eject staples from the staple cartridge during the firing stroke .
[721] [721] Example 7 - Surgical instrument of Examples 5 or 6, which further comprises a second drive motor configured to drive a fourth drive system to perform the second function of the end actuator.
[722] [722] Example 8- Surgical instrument of Examples 1, 2, 3, or 4, which further comprises a second drive motor configured to drive a fourth drive system to perform the second function of the end actuator.
[723] [723] Example 9 - Surgical instrument of Examples 7 or 8, in which the electric drive motor and the second drive motor are operable at the same time.
[724] [724] Example 10 - Surgical instrument of Examples 7, 8 or 9, in which the electric drive motor and the second drive motor are operable at different times.
[725] [725] Example 11 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which additionally comprises a staple cartridge.
[726] [726] Example 12 - Surgical system comprising a cabinet, a drive shaft extending from the cabinet, an end actuator extending from the drive shaft, an electric drive motor and a configurable displacement electric motor in a first configuration, a second configuration and a third configuration. The surgical system further comprises a first drive system configured to perform a first function of the end actuator. The first drive system is operable by the electric drive motor when the displacement electric motor is in the first configuration. The surgical system further comprises a second drive system configured to perform a second function of the end actuator. The second drive system is operable by the electric drive motor when the displacement electric motor is in the second configuration. The surgical system further comprises a third drive system configured to perform a third function of the end actuator. The third drive system is operable by the electric drive motor when the displacement electric motor is in the third configuration. The second drive system and the third drive system cannot be driven by the electric drive motor when the displacement electric motor is in the first configuration. The first drive system and the third drive system cannot be driven by the electric drive motor when the displacement electric motor is in the second configuration. The first drive system and the second drive system cannot be driven by the electric drive motor when the displacement electric motor is in the third configuration.
[727] [727] Example 13 - Surgical system of Example 12, in which the cabinet comprises a handle.
[728] [728] Example 14 - Surgical system of Examples 12 or 13, in which the cabinet is configured to be attached to a robotic surgical system.
[729] [729] Example 15 - Surgical system of Example 14, further comprising the robotic surgical system.
[730] [730] Example 16 - Surgical system comprising a cabinet, a drive shaft that extends from the cabinet, an end actuator that extends from the drive shaft, a first electric drive motor, a first electric motor configurable displacer in a first configuration and a second configuration, and a first configuration drive system configured to perform a first end actuator function.
[731] [731] Example 17 - Surgical system of Example 16, in which the cabinet comprises a handle.
[732] [732] Example 18 - Surgical system of Examples 16 or 17, in which the cabinet is configured to be attached to a robotic surgical system.
[733] [733] Example 19 - Surgical system of Example 18, further comprising the robotic surgical system.
[734] [734] Example 20 - Surgical system of Examples 16, 17, 18 or 19, in which the first electric drive motor and the second electric drive motor are operable at the same time.
[735] [735] Example 21 - Surgical system of Examples 16, 17, 18, 19 or 20, in which the first electric drive motor and the second drive motor are operable at different times. Set of examples 3
[736] [736] Example 1 - Surgical instrument comprising a handle, a drive shaft that extends from the handle, an end actuator that extends from the drive shaft and a drive system. The drive system comprises an electric motor, a drive shaft operationally coupled to the electric motor, a motor control system in communication with the electric motor, and an extensometer circuit built into the drive shaft. The extensometer circuit is in signal communication with the engine control system. The motor control system is configured to control the operation of the electric motor to perform an end actuator function based on a signal from the extensometer circuit.
[737] [737] Example 2 - Surgical instrument of Example 1, in which the extensometer circuit is configured to measure the stress on the drive shaft, and in which the motor control system comprises a processor and an algorithm configured to stop the electric motor when the measured effort exceeds a predetermined limit.
[738] [738] Example 3 - Surgical instrument of Example 2, in which the drive system additionally comprises an actuator and an actuation sensor, in which the actuation sensor is in communication with the motor control system, in which the actuator is moving between an unacted position and an acted position, and in which an actuation of the actuator restarts the engine after it has been stopped by the engine control system.
[739] [739] Example 4 - Surgical instrument of Example 1, the extensometer circuit being configured to measure the effort on the drive shaft, and in which the motor control system comprises a processor and an algorithm configured to slow the electric motor when the measured effort exceeds a predetermined limit.
[740] [740] Example 5 - Surgical instrument of Example 4, in which the drive system additionally comprises an actuator and an actuation sensor, where the actuation sensor is in communication with the motor control system, in which the actuator is moving between an unacted position and an acted position, and in which an actuation of the actuator accelerates the electric motor after it has been decelerated by the motor control system.
[741] [741] Example 6 - Surgical instrument of Examples 1, 2, 3, 4 or 5, which further comprises means for regulating the temperature of the extensometer circuit.
[742] [742] Example 7 - Surgical instrument of Example 6, in which the means are configured to minimize temperature variations in the extensometer circuit in relation to a predetermined temperature.
[743] [743] Example 8 - Surgical instrument of Example 7, in which the predetermined temperature is independent of the ambient temperature surrounding the surgical instrument.
[744] [744] Example 9 - Surgical instrument of Example 6, in which the means are configured to maintain the temperature of the extensometer circuit at a constant temperature.
[745] [745] Example 10 - Surgical instrument of Example 9, in which the constant temperature is different from the ambient temperature surrounding the surgical instrument.
[746] [746] Example 11 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which further comprises a transmitter and a receiver. The transmitter is in signal communication with the engine control system. The transmitter is configured to send a wireless signal to a surgical instrument system. The receiver is in signal communication with the engine control system. The receiver is configured to receive a wireless signal from the surgical instrument system.
[747] [747] Example 12 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, which additionally comprises a joint that swivels the end actuator to the shaft drive, where the function of the end actuator comprises rotating the end actuator on the pivot joint, and where the motor control system is configured to interrupt the end actuator pivot when the stress on the drive shaft exceeds one limit level.
[748] [748] Example 13 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, which additionally comprises a joint that swivels the end actuator to the shaft drive, where the function of the end actuator comprises rotating the end actuator on the pivot joint, and where the motor control system is configured to interrupt the end actuator pivot when the effort measured on the drive shaft exceeds a threshold level.
[749] [749] Example 14 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which it additionally comprises an articulation joint that swivelly connects the end actuator to the drive shaft, where the function of the end actuator comprises rotating the end actuator on the pivot joint, and where the motor control system is configured to decelerate the end actuator pivot when the effort measured on the drive shaft exceed a threshold level.
[750] [750] Example 15 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which the end actuator comprises a rotating jaw, in which the function of the The end comprises rotating the jaw, and the engine control system is configured to stop the jaw rotation when the effort measured on the drive shaft exceeds a threshold level.
[751] [751] Example 16 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which the end actuator comprises a rotating jaw, in which the function of the The end comprises rotating the jaw, and where the engine control system is configured to slow the jaw rotation when the effort measured on the drive shaft exceeds a threshold level.
[752] [752] Example 17 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which the end actuator comprises a tissue cutting member, in which the function The end actuator comprises moving the tissue cutting member through a cutting stroke, and in which the motor control system is configured to interrupt the translation of the tissue cutting member when the effort measured on the drive shaft exceeds one limit level.
[753] [753] Example 18 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, in which the end actuator comprises a tissue cutting member, in which the function The end actuator comprises moving the tissue cutting member through a cutting stroke, and in which the motor control system is configured to slow down the translation of the tissue cutting member when the effort measured on the drive shaft exceeds one limit level.
[754] [754] Example 19 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 or 18, where the actuator The end piece comprises a staple cartridge that includes staples removably stored therein.
[755] [755] Example 20 - Surgical instrument comprising a handle, a drive shaft that extends from the handle, an end actuator that extends from the drive shaft and a drive system. The drive system comprises an electric motor, a drive shaft operationally coupled to the electric motor and a motor control system in communication with the electric motor. The surgical instrument additionally comprises an extensometer circuit in signal communication with the engine control system. The motor control system is configured to control the operation of the electric motor to perform an end actuator function based on a signal from the extensometer circuit.
[756] [756] Example 21 - Surgical system comprising a cabinet, a drive shaft that extends from the cabinet, an end actuator that extends from the drive shaft and a drive system. The drive system comprises an electric motor, a drive shaft operationally coupled to the electric motor and a motor control system in communication with the electric motor. The surgical system additionally comprises an extensometer circuit in signal communication with the engine control system. The motor control system is configured to control the operation of the electric motor to perform an end actuator function based on a signal from the extensometer circuit.
[757] [757] Example 22 - Surgical system of Example 21, in which it additionally comprises a force measurement circuit in signal communication with the motor control system, in which the motor control system is configured to control the operation of the motor electrical to perform the function of the end actuator based on a signal from the force measurement circuit.
[758] [758] Example 23 - Surgical system of Example 21, which additionally comprises a force measurement circuit in signal communication with the motor control system, in which the motor control system is configured to control the operation of the electric motor to perform the different function of the end actuator based on a signal from the force measurement circuit.
[759] [759] Example 24 - Surgical system of Examples 22 or 23, where the force measurement circuit comprises a spring element.
[760] [760] Example 25 - Surgical system comprising a first instrument and a second instrument. The first instrument that comprises an extensometer circuit and a transmitter in communication with the extensometer circuit. The second instrument comprises an electric motor, a drive shaft operationally coupled to the electric motor, and a motor control system in communication with the electric motor and the transmitter. The motor control system is configured to control the operation of the electric motor based on a signal from the extensometer circuit.
[761] [761] Example 26 - Surgical system of Example 25, which additionally comprises a central surgical data controller, in which the motor control system is in communication with the transmitter via the central surgical data controller. Set of examples 4
[762] [762] Example 1 - Surgical instrument that comprises a handle and a set of drive axes that extend from the handle. The handle comprises a cabinet, a circuit board positioned in the cabinet, and a defined door in the cabinet. The circuit board comprises an electrical connector. The door comprises a seal. The seal comprises a self-sealing opening. The door is configured to allow a communication probe to be inserted through the self-sealing opening to engage the electrical connector.
[763] [763] Example 2 - Surgical instrument of Example 1, in which the circuit board comprises a flexible circuit mounted in the cabinet.
[764] [764] Example 3 - Surgical instrument of Example 2, which further comprises a second circuit board in communication with the flexible circuit, wherein the second circuit board comprises a laminated circuit board.
[765] [765] Example 4 - Surgical instrument of Example 3, where the flexible circuit conducts electrical currents below a limit ampere, but not above the limit ampere, and where the laminated circuit board conducts electrical currents above the limit ampere.
[766] [766] Example 5 - Surgical instrument of Example 1, in which the circuit board comprises a first circuit board, in which the surgical instrument additionally comprises a second circuit board, in which the cabinet comprises a card slot defined therein , and wherein the second circuit board comprises a card removably retained in the card slot.
[767] [767] Example 6 - Surgical instrument of Example 5, where the first circuit board conducts electrical currents below a limit ampere, but not above the limit ampere, and where the second circuit board conducts electrical currents above the limit ampere .
[768] [768] Example 7 - Surgical instrument of Examples 5 or 6, which further comprises electrical contacts in the card slot, in which the electrical contacts place the second circuit board in communication with the first circuit board when the second circuit board is seated in the cardboard slot.
[769] [769] Example 8 - Surgical instrument of Example 1, in which the circuit board comprises a first circuit board, in which the surgical instrument additionally comprises a second circuit board, in which the first circuit board conducts electrical currents below a limit ampere, but not above the limit ampere, where the second circuit board conducts electrical currents above the limit ampere, where the surgical instrument additionally comprises an electric motor, and where the second circuit board comprises a motor controller configured to control the electric motor.
[770] [770] Example 9 - Surgical instrument of Example 1, in which the circuit board comprises a first circuit board, in which the surgical instrument further comprises a second circuit board, in which the first circuit board conducts electrical currents below a limit amperage, but not above the limit ampere, where the second circuit board conducts electrical currents above the limit ampere, where the surgical instrument additionally comprises an RF generator, and where the second circuit board comprises a configured controller to control the RF generator.
[771] [771] Example 10 - Surgical instrument of Example 1, in which the circuit board comprises a first circuit board, in which the surgical instrument additionally comprises a second circuit board, in which the first circuit board conducts electrical currents below a limit amperage, but not above the limit ampere, where the second circuit board conducts electrical currents above the limit ampere, where the surgical instrument additionally comprises a transducer configured to convert electrical energy into mechanical energy, and where the second plate The circuitry comprises a controller configured to control the transducer.
[772] [772] Example 11 - Surgical instrument of Example 1, in which the circuit board comprises electrical tracks printed on the cabinet.
[773] [773] Example 12 - Surgical instrument of Example 11, in which the circuit board additionally comprises solid-state components mounted on the surface over the electrical tracks.
[774] [774] Example 13 - Surgical instrument of Example 1, in which the circuit board comprises electrical tracks integrated into the cabinet, in which the cabinet has been corroded to expose at least partially the electrical tracks.
[775] [775] Example 14 - Surgical instrument of Example 1, in which the circuit board comprises a flexible circuit embedded in the cabinet.
[776] [776] Example 15 - Surgical instrument of Examples 2 or 14, which further comprises a second circuit board in communication with the flexible circuit, wherein the second circuit board comprises a laminated circuit board.
[777] [777] Example 16 - Surgical instrument of Example 15, where the flexible circuit conducts electrical currents below a limit ampere, but not above the limit ampere, and where the laminated circuit board conducts electrical currents above the limit ampere.
[778] [778] Example 17 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or 16, which additionally comprises a staple cartridge that includes staples removably stored inside.
[779] [779] Example 18 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17, in which the door is understood of an elastomeric material.
[780] [780] Example 19 - Surgical instrument comprising a handle cabinet, a first circuit board integrated into the handle cabinet, and a second circuit board in communication with the first circuit board. The first circuit board conducts electrical currents below a limit ampere, but not above the limit ampere. The second circuit board conducts electrical currents above the limit amperage.
[781] [781] Example 20 - Surgical instrument of Example 19, wherein the first circuit board comprises a flexible circuit.
[782] [782] Example 21 - Surgical instrument of Examples 19 or 20, in which the handle housing comprises a card slot defined therein and in which the second circuit board comprises a card removably retained in the card slot.
[783] [783] Example 22 - Surgical instrument of Examples 19, 20 or 21, which further comprises an electric motor, wherein the second circuit board comprises a motor controller configured to control the electric motor.
[784] [784] Example 23 - Surgical instrument of Examples 19, 20, 21 or 22, which further comprises an RF generator, wherein the second circuit board comprises a controller configured to control the RF generator.
[785] [785] Example 24 - Surgical instrument of Examples 19, 20, 21 or 22, which further comprises a transducer configured to convert electrical energy into mechanical energy, wherein the second circuit board comprises a controller configured to control the transducer.
[786] [786] Example 25 - Surgical instrument of Examples 19, 20, 21, 22, 23 or 24, in which the first circuit board comprises electrical tracks printed on the handle housing.
[787] [787] Example 26 - Surgical instrument of Examples 25 or 26, wherein the first circuit board additionally comprises solid-state components mounted on the surface over the electrical tracks.
[788] [788] Example 27 - Surgical instrument of Examples 25 or 26, in which the grip handle was corroded to expose at least partially the electrical tracks.
[789] [789] Example 28 - Surgical instrument of Examples 19, 20, 21, 22, 23, 24, 25, 26 or 27, which additionally comprises a door defined in the handle cabinet, where the door comprises a seal, in which the The seal comprises a self-sealing opening, in which the first circuit board comprises an electrical contact, and in which the door is configured to allow a communication probe to be inserted through the self-sealing opening to engage the electrical contact.
[790] [790] Example 29 - Surgical instrument comprising a handle cabinet. The handle housing comprises a rotation interface and an electrical interface defined in the rotation interface. The handle cabinet has been corroded to expose the electrical interface at least partially. The surgical instrument additionally comprises a drive shaft rotatably mounted on the handle housing at the rotation interface. The drive shaft comprises electrical contacts engaged with the electrical interface.
[791] [791] Example 30 - Surgical instrument of Example 29, in which the electrical interface comprises a flexible circuit.
[792] [792] Set of examples 5
[793] [793] Example 1 - Surgical instrument handle comprising a cabinet, a control circuit positioned in the cabinet, a button wrap, and a flexible circuit at least partially embedded in the button wrap. The flexible circuit is in electrical communication with the control circuit.
[794] [794] Example 2 - Surgical instrument handle of Example 1, in which the button wrap has been corroded to expose at least a portion of the flexible circuit.
[795] [795] Example 3 - Surgical instrument handle of Examples 1 or 2, in which the button wrap is molded on at least a portion of the flexible circuit.
[796] [796] Example 4 - Surgical instrument handle of Examples 1, 2 or 3, in which the button wrap and the cabinet comprise a set.
[797] [797] Example 5 - Surgical instrument handle of Examples 1, 2, 3, or 4, in which the button wrap is integrally formed with the cabinet.
[798] [798] Example 6 - Surgical instrument handle of Examples 1, 2, 3, 4 or 5, in which the flexible circuit comprises a capacitive key element.
[799] [799] Example 7 - Surgical instrument handle of Example 6, in which the button wrap comprises an external surface accessible by a user of the surgical instrument handle, in which the capacitive key element is mounted on the external surface.
[800] [800] Example 8 - Surgical instrument handle of Examples 1, 2, 3, 4 or 5, wherein the flexible circuit comprises a force-sensitive piezoelectric switch element.
[801] [801] Example 9 - Surgical instrument handle of Example 8, in which the button wrap comprises an external surface accessible by a user of the surgical instrument handle, in which the force-sensitive piezoelectric key element is mounted on the external surface.
[802] [802] Example 10 - Surgical instrument handle of Examples 1, 2, 3, 4 or 5, in which the flexible circuit comprises an extensometer.
[803] [803] Example 11 - Surgical instrument handle of Example 10, in which the extensometer is contained within the button wrap.
[804] [804] Example 12 - Surgical instrument handle of Examples 1, 2, 3, 4, or 5, in which the button wrap comprises a malleable section configured to allow the button wrap to be deflected observably when pressed by a user of the surgical instrument handle.
[805] [805] Example 13 - Surgical instrument handle of Example 12, in which the flexible circuit comprises a key in a position adjacent to the button wrap so that the button wrap contacts the key when the button wrap is deflected by the user.
[806] [806] Example 14 - Surgical instrument handle of Example 12 or 13, where the button wrap comprises a living joint.
[807] [807] Example 15 - Surgical instrument handle of Examples 12 or 13, in which the button wrap comprises a notch configured to allow the button wrap to be deflected in an observable manner.
[808] [808] Example 16 - Surgical instrument handle of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15, in which the button wrap is constructed so as to withstand the deflection observed when pressed by the user of the surgical instrument handle.
[809] [809] Example 17 - Surgical instrument handle of Example 16, in which the control circuit comprises a tactile feedback generator, and in which the control circuit acts on the tactile feedback generator when the button wrap is pressed.
[810] [810] Example 18 - Surgical instrument handle of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17, in which the compartment and the button wrap are comprised of the same material.
[811] [811] Example 19 - Surgical instrument handle of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17, in which the cabinet and the button wrap are comprised of different materials.
[812] [812] Example 20 - Surgical instrument comprising a cabinet, a control circuit positioned in the cabinet, a button wrap, and an actuation circuit formed with the button wrap. The actuation circuit is in electrical communication with the control circuit.
[813] [813] Example 21 - Surgical instrument of Example 20, in which the actuation circuit is at least partially embedded in the button wrap.
[814] [814] Example 22 - Surgical instrument of Example 20, in which the actuation circuit is at least partially fixed to the button wrap.
[815] [815] Example 23 - Surgical instrument of Example 20, in which the actuation circuit is at least partially printed on the button wrap.
[816] [816] Example 24 - Surgical instrument of Examples 20, 21, 22 or 23, in which the actuation circuit comprises electrical tracks and surface mounting components connected to the electrical tracks.
[817] [817] Example 25 - Surgical instrument comprising a cabinet, a control circuit and a button wall. The control circuit is at least partially formed with the wall button.
[818] [818] Example 26 - Surgical instrument of Example 25, in which the control circuit is at least partially embedded in the button wrap.
[819] [819] Example 27 - Surgical instrument of Example 25, in which the control circuit is at least partially fixed to the button wrap.
[820] [820] Example 28 - Surgical instrument of Example 25, in which the control circuit is at least partially printed on the button wall.
[821] [821] Example 29 - Surgical instrument of Examples 25, 26, 27 or 28, in which the control circuit comprises electrical tracks and surface mounting components connected to the electrical tracks. Set of examples 6
[822] [822] Example 1 - Surgical instrument comprising an electric motor and a control circuit. The control circuit comprises a plurality of logic gates and a monostable multivibrator connected to a first among the logic gates. The control circuit is configured to change an action rate of a surgical instrument function by controlling the rotation speed of the electric motor based on a detected parameter.
[823] [823] Example 2 - Surgical instrument of Example 1, in which the plurality of logic gates includes at least one of the following; (1) an E port; (2) an OR port, and (3) an inverter port.
[824] [824] Example 3 - Surgical instrument of Examples 1 or 2, in which the monostable multivibrator comprises a reactivable monostable multivibrator.
[825] [825] Example 4 - Surgical instrument of Examples 1, 2 or 3, in which the function of the surgical instrument comprises an articulation of an end actuator of the surgical instrument.
[826] [826] Example 5 - Surgical instrument of Examples 1, 2, 3, or 4, in which an action rate comprises a speed of articulation of an end actuator in the opposite direction to a longitudinal geometric axis of an instrument driving axis surgical.
[827] [827] Example 6 - Surgical instrument of Example 5, in which the speed of the joint is reduced as the end actuator passes through a defined zone around a centralized state of a driving axis of the surgical instrument.
[828] [828] Example 7 - Surgical instrument of Examples 1, 2, 3, 4, 5, or 6, in which the detected parameter comprises a detected position of an end actuator in relation to a longitudinal geometric axis of a drive axis end actuator.
[829] [829] Example 8 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6 or 7, in which the detected parameter comprises a state of a switching device.
[830] [830] Example 9 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7 or 8, in which the control circuit additionally comprises an asynchronous counter connected to the monostable multivibrator.
[831] [831] Example 10 - Surgical instrument of Example 9, in which the asynchronous counter comprises an undulation counter.
[832] [832] Example 11 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which additionally comprises a detection device connected to the monostable multivibrator.
[833] [833] Example 12 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11, which additionally comprises a motor controller configured to control the rotation speed of the electric motor.
[834] [834] Example 13 - Surgical instrument comprising a flexible circuit comprising at least two conductors. The flexible circuit is configured to transfer electrical energy within the flexible circuit, transmit a signal within the flexible circuit, and provide a secondary function.
[835] [835] Example 14 - Surgical instrument of Example 13, wherein the flexible circuit comprises a flexible multilayer circuit.
[836] [836] Example 15 - Surgical instrument of Examples 12 or 13, in which at least two conductors comprise a twisted pair of conductors that overlap at regular intervals.
[837] [837] Example 16 - Surgical instrument of Example 15, in which the twisted pair of conductors is configured to mitigate the interference of an electromagnetic field coming from an external source.
[838] [838] Example 17 - Surgical instrument of Examples 13, 14, 15 or 16, in which at least two conductors comprise a first and a second plurality of conductors.
[839] [839] Example 18 - Surgical instrument of Example 17, in which the flexible circuit additionally comprises an electromagnetic shield surrounding the first and second pluralities of conductors.
[840] [840] Example 19 - Surgical instrument of Examples 13, 14, 15, 16, 17 or 18, where the secondary function comprises electromagnetic shielding.
[841] [841] Example 20 - Surgical instrument of Examples 13, 14, 15, 16, 17 or 18, where the secondary function comprises protection against short circuits.
[842] [842] Example 21 - Surgical instrument of Examples 13, 14, 15, 16, 17 or 18, where the secondary function comprises contamination detection. Set of examples 7
[843] [843] Example 1 - Surgical instrument comprising a drive system and a control circuit. The drive system comprises an electric motor. The control circuit comprises an acoustic sensor. The control circuit is configured to use a drive system parameter measured by the acoustic sensor to control an electric motor speed.
[844] [844] Example 2 - Surgical instrument of Example 1, in which the drive system additionally comprises a gearbox and a drive train.
[845] [845] Example 3 - Surgical instrument of Example 1 or 2, in which the control circuit additionally comprises at least one of the following: (1) a fast Fourier transform circuit (2) an executable fast Fourier transform algorithm by a control circuit processor.
[846] [846] Example 4 - Surgical instrument of Examples 1, 2 or 3, in which the control circuit is additionally configured to determine a degradation of the drive system.
[847] [847] Example 5 - Surgical instrument of Example 4, in which the control circuit is additionally configured to adjust a motor control algorithm in response to the determined degradation of the drive system.
[848] [848] Example 6 - Surgical instrument of Example 5, in which the engine control algorithm, when executed by the surgical instrument, is configured to adjust at least one of the following; (1) the speed of the electric motor (2) a motor speed command signal provided by a motor controller of the surgical instrument (3) a voltage applied to the electric motor (4) a pulse width modulation duty cycle and (5) a current limit for a surgical instrument motor controller.
[849] [849] Example 7 - Surgical instrument of Examples 1, 2, 3, 4, 5, or 6, in which the control circuit is additionally configured to provide an indication of an impending failure of the surgical instrument.
[850] [850] Example 8 - Surgical instrument comprising a drive system and a control circuit. The drive system comprises an electric motor. The control circuit comprises an acoustic sensor. The control circuit is configured to use a drive system parameter measured by the acoustic sensor to control a torque applied by the electric motor.
[851] [851] Example 9 - Surgical instrument of Example 8, in which the drive system additionally comprises a gearbox and a drive train.
[852] [852] Example 10 - Surgical instrument of Examples 8 or 9, where the control circuit additionally comprises a fast Fourier transform circuit.
[853] [853] Example 11 - Surgical instrument of Examples 8, 9 or 10, in which the control circuit is additionally configured to determine a degradation of the drive system.
[854] [854] Example 12 - Surgical instrument of Example 11, in which the control circuit is additionally configured to adjust a motor control algorithm in response to the determined degradation of the drive system.
[855] [855] Example 13 - Surgical instrument of Example 12, in which the engine control algorithm, when executed by the surgical instrument, is configured to adjust at least one of the following; (1) the speed of the electric motor (2) a motor speed command signal provided by a motor controller of the surgical instrument (3) a voltage applied to the electric motor (4) a pulse width modulation duty cycle and (5) a current limit for a surgical instrument motor controller.
[856] [856] Example 14 - Surgical instrument of Examples 8, 9, 10, 11, 12, or 13, in which the control circuit is additionally configured to provide an indication of an impending failure of the surgical instrument.
[857] [857] Example 15 - Surgical system comprising a surgical instrument and a central surgical controller system. The surgical instrument comprises a drive system and a control circuit. The drive system comprises an electric motor. The control circuit comprises a detection device. The control circuit is configured to use a drive system parameter detected by the detection device to control an electric motor speed. The central surgical controller system is in communication with the surgical instrument. The central surgical controller system is configured to provide a second parameter to the control circuit. The control circuit is additionally configured to use the second parameter to modify an operation of the surgical instrument.
[858] [858] Example 16 - Surgical system of Example 15, wherein the detection device comprises at least one of the following; (1) an acoustic sensor, a vibration sensor (2), (3) and an accelerometer.
[859] [859] Example 17 - Surgical system of Examples 15 or 16, wherein the control circuit additionally comprises a fast Fourier transform circuit.
[860] [860] Example 18 - Surgical system of Examples 15, 16, or 17, in which the second parameter comprises the presence of an anterior stapling line in the patient's tissue.
[861] [861] Example 19 - Surgical system of Examples 15, 16 or 17, in which the second parameter comprises the presence of a gastric band in the patient's tissue.
[862] [862] Example 20 - Surgical system of Examples 15, 16 or 17, in which the second parameter comprises the presence of scar tissue from a previous surgical procedure.
[863] [863] Example 21 - Surgical instrument of Examples 15, 16, 17, 18, 19, or 20, wherein the central surgical controller system is additionally configured to predict a failure of the surgical instrument.
[864] [864] Example 22 - Examples 15, 16, 17, 18, 19 or 20 surgical system, where the central surgical controller system is additionally configured to provide notification of an expected failure of the surgical instrument.
[865] [865] Example 23 - Surgical system of Examples 15, 16, 17, 18, 19, or 20, wherein the central surgical controller system is additionally configured to report a predicted failure of the surgical instrument to the surgical instrument. Set of examples 8
[866] [866] Example 1 - Surgical instrument comprising a body, a drive shaft and a control circuit comprising at least one detection device. The control circuit is configured to determine the presence of another surgical instrument adjacent to the surgical instrument in a surgical procedure environment.
[867] [867] Example 2 - Surgical instrument of Example 1, in which the surgical instrument comprises a monopolar surgical instrument.
[868] [868] Example 3 - Surgical instrument of Examples 1 or 2, wherein the at least one detection device comprises a passive detection device.
[869] [869] Example 4 - Surgical instrument of Example 3, in which the passive detection device is configured to be activated by a magnetic field associated with the other surgical instrument.
[870] [870] Example 5 - Surgical instrument of Example 3 or 4, in which the passive detection device is configured to be activated by an electric field associated with the other surgical instrument.
[871] [871] Example 6 - Surgical instrument of Example 2, in which the at least one detection device comprises a continuity sensor and is positioned on at least one of the following; (1) a monopolar surgical instrument body and (2) a drive shaft for the monopolar surgical instrument.
[872] [872] Example 7 - Surgical instrument of Examples 1, 2, 3, 4, 5, or 6, wherein the at least one detection device comprises a proximity sensor configured to detect the presence of the other surgical instrument within the environment of the surgical procedure.
[873] [873] Example 8 - Surgical instrument of Example 7, in which the proximity sensor comprises one of the following; (1) an inductive proximity sensor and (2) a capacitive proximity sensor.
[874] [874] Example 9 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7 or 8, wherein the at least one detection device comprises an electrical detection grid.
[875] [875] Example 10 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8 or 9, in which the control circuit is additionally configured to determine the electrical continuity within the surgical instrument.
[876] [876] Example 11 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, where the control circuit is additionally configured to determine electrical continuity within a configured electrical circuit to transport electrosurgical energy.
[877] [877] Example 12 - Surgical instrument comprising a transmitter, a receiver and a control circuit. The transmitter is configured to transmit a signal. The receiver is configured to receive a reflected signal associated with the transmitted signal. A control circuit configured to determine the proximity of another surgical instrument to the surgical instrument based on the reflected signal.
[878] [878] Example 13 - Surgical instrument of Example 12, in which the transmitter comprises a magnetic transmitter.
[879] [879] Example 14 - Surgical instrument of Examples 12 or 13, in which the transmitter is additionally configured to generate random sequenced on / off pulses.
[880] [880] Example 15 - Surgical instrument of Examples 12, 13 or 14, in which at least one of the following forms a part of a flexible circuit; (1) the transmitter and (2) the receiver.
[881] [881] Example 16 - Surgical instrument comprising a transmitter and a transducer. The transmitter is configured to transmit a signal. The transducer is configured to detect a primary magnetic field associated with the transmitter. The surgical instrument further comprises means for determining the proximity of another surgical instrument to the surgical instrument based on a condition of the primary magnetic field.
[882] [882] Example 17 - Surgical instrument of Example 16, in which the transmitter comprises a magnetic transmitter.
[883] [883] Example 18 - Surgical instrument of Examples 16 or 17, in which the transducer comprises a Hall effect sensor.
[884] [884] Example 19 - Surgical instrument of Examples 16, 17 or 18, in which the condition comprises one of the following; (1) an unaffected condition that is indicative of that there is no object comprising metal adjacent to the surgical instrument and (2) an affected condition that is indicative of that there is an object comprising metal adjacent to the surgical instrument.
[885] [885] Example 20 - Surgical instrument of Example 19, in which the object comprises the other surgical instrument. Set of examples 9
[886] [886] Example 1 - Surgical instrument comprising a drive shaft, a sensor matrix positioned within the drive shaft and a detection circuit electrically coupled to the sensor matrix. The detection circuit is configured to determine when a fluid from an environment external to the drive shaft is present within the drive shaft.
[887] [887] Example 2 - Surgical instrument of Example 1, in which the sensor matrix forms a part of the flexible circuit.
[888] [888] Example 3 - Surgical instrument of Example 1 or 2, in which the sensor matrix comprises first and second detection devices.
[889] [889] Example 4 - Surgical instrument of Example 3, in which the first and second detection devices comprise electrically conductive electrodes.
[890] [890] Example 5 - Surgical instrument of Example 3, in which the sensor matrix additionally comprises third and fourth detection devices.
[891] [891] Example 6 - Surgical instrument of Example 3, which additionally comprises an electrically insulating material positioned between the first and the second detection devices.
[892] [892] Example 7 - Surgical instrument of Example 6, in which the electrically insulating material forms a part of a flexible circuit.
[893] [893] Example 8 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6 or 7, which additionally comprises an absorption material positioned within the drive shaft.
[894] [894] Example 9 - Surgical instrument of Example 8, in which the absorption material comprises a ring of absorption material that is concentric with the drive shaft.
[895] [895] Example 10 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, or 9, which additionally comprises an electrical circuit electrically connected to the sensor matrix, in which the electrical circuit is configured to determine if a quantity of the fluid within the drive shaft is greater than a limit quantity.
[896] [896] Example 11 - Surgical instrument of Example 10, in which the electrical circuit comprises at least one comparator.
[897] [897] Example 12 - Surgical instrument of Example 10, in which the electrical circuit comprises a plurality of comparators.
[898] [898] Example 13 - Surgical instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12, which additionally comprises a control circuit attachable to the detection circuit, in which the The control circuit is configured to adjust a surgical instrument's operation based on a signal from the detection circuit.
[899] [899] Example 14 - Surgical instrument comprising a detection device and a control circuit. The detection device is configured to detect atmospheric pressure. The control circuit is configured to determine an altitude of the surgical instrument based on the detected atmospheric pressure. The control circuit is additionally configured to adjust at least one of the following based on the detected atmospheric pressure; (1) a limit used by the control circuit and (2) a control parameter of the surgical instrument.
[900] [900] Example 15 - Surgical instrument of Example 14, in which the limit comprises at least one of the following: (1) a temperature limit (2) and an energy limit.
[901] [901] Example 16 - Surgical instrument of Examples 14 or 15, where the control parameter comprises an engine speed.
[902] [902] Example 17 - Surgical instrument of Examples 14, 15 or 16, in which the control circuit is additionally configured to determine a power reduction factor based on the detected atmospheric pressure.
[903] [903] Example 18 - Surgical instrument comprising a handle set, at least one detection device and a control circuit. The handle assembly comprises a cabinet. The at least one detection device is positioned inside the cabinet and is configured to measure a temperature. The control circuit is configured to determine if at least one of the following is operating in a danger zone based on the measured temperature; (1) an electrical component of the surgical instrument and (2) a subset of the surgical instrument.
[904] [904] Example 19 - Surgical instrument of Example 18, in which at least one detection device forms a part of a flexible circuit.
[905] [905] Example 20 - Surgical instrument of Examples 18 or 19, in which the control circuit is additionally configured to adjust an operation of the surgical instrument based on the measured temperature.
[906] [906] The surgical instrument systems described here are driven by an electric motor; however, the surgical instrument systems described herein can be induced in any suitable manner. In certain cases, the engines described in this document may comprise a portion or portions of a robotically controlled system. US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US patent No. 9,072,535, for example, reveals several examples of a robotic surgical instrument system in more detail, whose The description is hereby incorporated by reference in its entirety for reference.
[907] [907] The surgical instrument systems described here can be used in connection with staple implantation and deformation. Several modalities are foreseen, which implant fasteners in addition to staples, such as claws or tacks, for example. In addition, several modalities are contemplated, which use any suitable means to seal the fabric. For example, an end actuator, according to various modalities, may comprise electrodes configured to heat and seal the tissue. Likewise, for example, an end actuator according to certain modalities, can apply vibrational energy to seal the tissue. In addition, several modalities are provided that use a suitable cutting medium to cut the fabric.
[908] [908] The entire descriptions of:
[909] [909] - US patent application serial number 11 / 013,924, entitled TROCAR SEAL ASSEMBLY, now US patent No. 7,371,227;
[910] [910] - US patent application serial number 11 / 162,991, entitled ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR GRASPER, now US patent No. 7,862,579;
[911] [911] - US patent application serial number 12 / 364,256, entitled SURGICAL DISSECTOR, now, publication of US patent application No. 2010/0198248;
[912] [912] - US patent application serial number 13 / 536,386, entitled EMPTY CLIP CARTRIDGE LOCKOUT, now US patent No. 9,282,974;
[913] [913] - US patent application serial number 13 / 832,786, entitled
[914] [914] - US patent application serial number 12 / 592,174, entitled APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING, now US patent No. 8,123,764;
[915] [915] - US patent application serial number 12 / 482,049, entitled ENDOSCOPIC STITCHING DEVICES, now US patent No. 8,628,545;
[916] [916] - US patent application serial number 13 / 118,241, entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS", now US patent No. 9,072,535;
[917] [917] - US patent application serial number 11 / 343,803, entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES", now US patent No. 7,845,537;
[918] [918] - US patent application serial number 14 / 200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now US patent No. 9,629,629;
[919] [919] - US patent application serial number 14 / 248,590, entitled
[920] [920] - US patent application serial number 14 / 813,242, entitled SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR ASSURING
[921] [921] - US patent application serial number 14 / 248,587, entitled POWERED SURGICAL STAPLER, now US patent No. 9,867,612;
[922] [922] - US patent application serial number 12 / 945,748, entitled SURGICAL TOOL WITH A TWO DEGREE OF FREEDOM WRIST, now US patent No. 8,852,174;
[923] [923] - US patent application serial number 13 / 297,158, entitled METHOD FOR PASSIVELY DECOUPLING TORQUE APPLIED BY A
[924] [924] - international application No. PCT / US2015 / 023636, entitled SURGICAL INSTRUMENT WITH SHIFTABLE TRANSMISSION, now international patent publication No. WO 2015/153642 A1;
[925] [925] - international application No. PCT / US2015 / 051837, entitled HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM, now an international patent publication No. WO 2016/057225 A1;
[926] [926] - US patent application serial number 14 / 657,876, entitled
[927] [927] - US patent application serial number 15 / 382,515, entitled
[928] [928] - US patent application serial number 14 / 683,358, entitled SURGICAL GENERATOR SYSTEMS AND RELATED METHODS, US patent No. 10,117,702;
[929] [929] - US patent application serial number 14 / 149,294, entitled HARVESTING ENERGY FROM A SURGICAL GENERATOR, US patent No. 9,795,436;
[930] [930] - US patent application serial number 15 / 265,293, entitled
[931] [931] - US patent application serial number 15 / 265,279, entitled TECHNIQUES FOR OPERATING GENERATOR FOR DIGITALLY GENERATING ELECTRICAL SIGNAL WAVEFORMS AND SURGICAL
[932] [932] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. The specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the specific resources, structures or characteristics illustrated or described in conjunction with a modality can be combined, in whole or in part, with the structures of the resources or characteristics of one or more other modalities, without limitation. In addition, where materials for certain components are described, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The description mentioned above and the following claims are intended to cover all such modifications and variations.
[933] [933] The devices described here can be designed to be discarded after a single use, or they can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
[934] [934] The devices described here can be processed before surgery. First, a new or used instrument can be obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and the instrument can then be placed in a radiation field that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened at the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
[935] [935] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the description. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.
[936] [936] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention as a reference, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other description material presented in this description. Accordingly, and to the extent necessary, the description as explicitly presented herein replaces any conflicting material incorporated by reference to the present invention.
Any material, or portion thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other description materials contained herein, will be incorporated here only to the extent that there is no conflict between the embedded material and the existing description material.

权利要求:
Claims (21)
[1]
1. Surgical instrument, characterized by comprising: a claw; a drive shaft extending from said claw; an end actuator extending from said drive shaft; an electric drive motor; an electric displacer motor configurable in a first configuration, a second configuration and a third configuration; a first drive system configured to perform a first end actuator function, wherein said first drive system is operable by said electric drive motor when said electric displacement motor is in said first configuration; a second drive system configured to perform a second end actuator function, wherein said second drive system is operable by said electric drive motor when said electric displacement motor is in said second configuration; and a third drive system configured to perform a third end actuator function, wherein said third drive system is operable by said electric drive motor when said displacement electric motor is in said third configuration, wherein said second drive system and said third drive system are not operable by said electric drive motor when said displacement electric motor is in said first configuration, wherein said first drive system and said third drive system are not operable by said electric drive motor when said electric displacement motor is in said second configuration, and wherein said first drive system and said second drive system are not operable by said electric drive motor when said electric motor displacer is in said third configuration.
[2]
2. Surgical instrument according to claim 1, characterized in that said electric displacer motor comprises a solenoid.
[3]
3. Surgical instrument, according to claim 1, characterized in that said electric drive motor comprises a rotary drive output shaft and a drive output gear mounted on said drive output drive shaft, in which said displacer electric motor comprises a translatable displacer drive shaft and a rotary displacer gear, wherein said displacer gear is operatively engaged with said drive output gear and selectively engagable with said first drive system, said second drive system and the third drive system.
[4]
4. Surgical instrument according to claim 1, characterized in that said first drive system comprises a first rotary drive shaft, wherein said second drive system comprises a second rotary drive shaft, wherein said third system drive means comprises a third rotary drive axis, and wherein said first rotary drive axis, said second rotary drive axis and said third rotary drive axis are nested along a longitudinal geometric axis.
[5]
5. Surgical instrument, according to claim 1,
characterized in that it further comprises a pivot joint that pivotally connects said end actuator to said drive shaft, wherein said end actuator comprises a fixable claw and a translatable firing member, wherein said first actuator function The end actuator comprises articulating said end actuator with respect to said drive shaft, wherein said second end actuator function comprises moving said claw to a fixed position, and wherein said third end actuator function comprises moving said firing member through a firing stroke.
[6]
Surgical instrument according to claim 5, characterized in that it additionally comprises a staple cartridge that includes staples removably stored therein, wherein said firing member is configured to implant said staples of said staple cartridge during said firing course.
[7]
Surgical instrument according to claim 5, characterized in that it additionally comprises a second drive motor configured to drive a fourth drive system to perform said second end actuator function.
[8]
8. Surgical instrument according to claim 1, characterized in that it further comprises a second drive motor configured to drive a fourth drive system to perform said second end actuator function.
[9]
9. Surgical instrument, according to claim 8, characterized in that said electric drive motor and said second drive motor are operable at the same time.
[10]
10. Surgical instrument, according to claim 8,
characterized in that said electric drive motor and said second drive motor are operable at different times.
[11]
Surgical instrument according to claim 1, characterized in that it additionally comprises a staple cartridge.
[12]
12. Surgical system characterized by comprising: a cabinet; a drive shaft extending from said cabinet; an end actuator extending from said drive shaft; an electric drive motor; an electric displacer motor configurable in a first configuration, a second configuration and a third configuration; a first drive system configured to perform a first end actuator function, wherein said first drive system is operable by said electric drive motor when said electric displacement motor is in said first configuration; a second drive system configured to perform a second end actuator function; wherein said second drive system is operable by said drive electric motor when said displacement electric motor is in said second configuration; and a third drive system configured to perform a third end actuator function, wherein said third drive system is operable by said electric drive motor when said electric displacement motor is in said third configuration,
wherein said second drive system and said third drive system are not operable by said electric drive motor when said displacement electric motor is in said first configuration, wherein said first drive system and said third system drive units are not operable by said electric drive motor when said displacer electric motor is in said second configuration, and wherein said first drive system and said second drive system are not operable by said electric drive motor when said electric displacer motor is in said third configuration.
[13]
13. Surgical system according to claim 12, characterized in that said cabinet comprises a claw.
[14]
14. Surgical system according to claim 12, characterized in that said cabinet is configured to be fixed to a robotic surgical system.
[15]
15. Surgical system according to claim 14, characterized in that it further comprises said robotic surgical system.
[16]
16. Surgical system characterized by comprising: a cabinet; a drive shaft extending from said cabinet; an end actuator extending from said drive shaft; a first electric drive motor; a first electric displacer motor configurable in a first configuration and a second configuration; a first drive system configured to perform a first end actuator function, wherein said first drive system is operable by said first electric drive motor when said first displacer electric motor is in said first configuration; a second drive system configured to perform a second end actuator function, wherein said second drive system is operable by said first electric drive motor when said first displacer electric motor is in said second configuration; wherein said second drive system is not operable by said first electric drive motor when said first displacer electric motor is in said first configuration, and wherein said first drive system is not operable by said first electric drive motor activation when said first displacer electric motor is in said second configuration; a second electric drive motor; a second displacer electric motor configurable in a third configuration and a fourth configuration; a third drive system configured to perform a third end actuator function, wherein said third drive system is operable by said second electric drive motor when said second electric drive motor is in said third configuration; and a fourth drive system configured to perform a fourth end actuator function, wherein said fourth drive system is operable by said second electric drive motor when said second electric drive motor is in said fourth configuration, wherein said fourth drive system is not operable by said second electric drive motor when said second displacer electric motor is in said third configuration, and wherein said third drive system is not operable by said second electric drive motor when said second electric displacer motor is in said fourth configuration.
[17]
17. Surgical system according to claim 16, characterized in that said cabinet comprises a claw.
[18]
18. Surgical system according to claim 16, characterized in that said cabinet is configured to be fixed to a robotic surgical system.
[19]
19. Surgical system according to claim 18, characterized in that it further comprises said robotic surgical system.
[20]
20. Surgical system according to claim 16, characterized in that said first electric drive motor and said second electric drive motor are operable at the same time.
[21]
21. Surgical system according to claim 16, characterized in that said first electric drive motor and said second electric drive motor are operable at different times.

类似技术:

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同族专利:

---

公开号 | 公开日

---

JP2021510557A|2021-04-30|

---

WO2019133364A1|2019-07-04|

---

CN111787869A|2020-10-16|

---

EP3505081B1|2020-08-05|

---

EP3505081A1|2019-07-03|

---

US20190201030A1|2019-07-04|

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US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|

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US11051807B2|2019-06-28|2021-07-06|Cilag Gmbh International|Packaging assembly including a particulate trap|

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US20200405307A1|2019-06-28|2020-12-31|Ethicon Llc|Control circuit comprising a coating|

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US11246678B2|2019-06-28|2022-02-15|Cilag Gmbh International|Surgical stapling system having a frangible RFID tag|

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US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|

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US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags|

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US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key|

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US10962100B2|2019-07-24|2021-03-30|Denso International .America, Inc.|Engine pulley movement detection|

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US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|

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US20210196270A1|2019-12-30|2021-07-01|Ethicon Llc|Surgical instrument comprising a flex circuit|

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GB2594946A|2020-05-12|2021-11-17|Gyrus Medical Ltd|RF Shaver connector|

法律状态:
2021-12-07| 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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US62/778,571|2018-12-12|

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US16/220,313|2018-12-14|

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US16/220,313|US20190201030A1|2017-12-28|2018-12-14|Surgical instrument comprising a plurality of drive systems|

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PCT/US2018/066444|WO2019133364A1|2017-12-28|2018-12-19|Surgical instrument comprising a plurality of drive systems|

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