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Robotically-controlled end effector

a robot control and end effector technology, applied in the field of surgical instruments, can solve the problems of pinched jaws, ineffective closure of staples in severed tissue, and tissue severing and stapling,

Inactive Publication Date: 2012-11-22
CILAG GMBH INT
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0011]In various embodiments, the sensor may comprise a plurality of sensors. The plurality of sensors may be Hall Effect sensors and the firing bar may have a magnetic element. The plurality of sensors may comprise two sensors positioned on an interior surface of an elongate channel; the first sensor may be positioned proximate to the translating magnetic element and the sec...

Problems solved by technology

Firing of the surgical stapler causes severing and stapling of the tissue.
If an insufficient amount of tissue is captured between opposing jaws, the jaws may draw too close together resulting in pinching at their distal ends.
Pinched jaws may not effectively form closed staples in the severed tissue.
At the other extreme, an excessive amount of tissue clamped between the jaws may cause binding and an incomplete firing.
In that case, the manufacturer may spend hundreds of man-hours analyzing a failed instrument and attempting to reconstruct the conditions under which it failed based only on the damage to the instrument.
It can be expensive and very challenging to analyze instrument failures in this way.
Also, many of these analyses simply conclude that the failure was due to improper use of the instrument.
Additionally, motor-driven surgical instruments generally do not provide sufficient user feedback during the cutting and stapling operations.
Consequently, motor-driven endocutters where the operations are actuated by merely pressing a button are generally not accepted by physicians.

Method used

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first embodiment

[0278]FIGS. 47A, 48 and 49 show embodiments of a knife position sensor 2008. The knife position sensor 2008 senses the position of the knife 32 or cutting surface 1027 within the staple channel 22. In a first embodiment, referring to FIGS. 48 and 49, the sensor 2008 includes a magnet 2009 that is coupled to or otherwise supported by a portion of the firing bar 1022 of the instrument 10. A coil 2011 is supported within a longitudinal recess 1014 in the firing trough member 1012 (see FIG. 41) and is so positioned to permit the firing bar to reciprocate therein. As the knife 32 and cutting surface 1027 are reciprocated through the staple channel 22, the firing bar 1022 and magnet 2009 may move back and forth through the coil 2011. This motion relative to the coil 2011 induces a voltage in the coil 2011 that is indicative of the position of the firing bar 1022 within the coil 2011 and which is also indicative of the position of the cutting edge 1027 within the staple channel 22. This vo...

embodiment 3201

[0368]FIGS. 98-100 depict another surgical tool embodiment 3201 that is substantially identical to surgical tool 3200″ described above, except for the differences discussed below. In this embodiment, the threaded closure rod 3342′ has variable pitched grooves. More specifically, as can be seen in FIG. 99, the closure rod 3342′ has a distal groove section 3380 and a proximal groove section 3382. The distal and proximal groove sections 3380, 3382 are configured for engagement with a lug 3390 supported within the hollow threaded end portion 3341′. As can be seen in FIG. 99, the distal groove section 3380 has a finer pitch than the groove section 3382. Thus, such variable pitch arrangement permits the elongated channel 3222 to be drawn into the shaft 3208 at a first speed or rate by virtue of the engagement between the lug 3390 and the proximal groove segment 3382. When the lug 3390 engages the distal groove segment, the channel 3222 will be drawn into the shaft 3208 at a second speed o...

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Abstract

The present invention is directed to a surgical instrument with a robotics system, a memory device and an end effector having an elongate channel, knife position sensor(s) and a firing bar coupled to a knife. In response to drive motions initiated by the robotics system, the firing bar may translate within the elongate channel. As the firing bar translates, the sensor(s) transmit a signal to the memory device. The position of the knife may be determined from the output signals and may be communicated to the robotics system or instrument user. The sensors may be Hall Effect sensors.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]The present application is a continuation-in-part application and claims the benefit of U.S. patent application Ser. No. 13 / 118,272 filed on May 27, 2011, entitled “Robotically-Controlled Surgical Instrument with Force-Feed Capabilities” to Frederick E. Shelton, IV, Johns N. Ouwerkerk, and Eugene L. Timperman, which is a continuation-in-part of and claims the benefit of U.S. patent application Ser. No. 12 / 949,099, filed on Nov. 18, 2010, entitled “Surgical Instrument Having Recording Capabilities” to Frederick E. Shelton, IV, John N. Ouwerkerk, and Eugene L. Timperman, which is a continuation of and claims the benefit of U.S. patent application Ser. No. 11 / 343,803, filed on Jan. 31, 2006, entitled “Surgical Instrument Having Recording Capabilities” to Frederick E. Shelton, IV, John N. Ouwerkerk, and Eugene L. Timperman, now U.S. Pat. No. 7,845,537, which issued on Dec. 7, 2010, which are incorporated herein by reference in their respectiv...

Claims

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Application Information

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IPC IPC(8): A61B17/068
CPCA61B17/072A61B2019/2253A61B19/2203A61B2017/00017A61B2017/00199A61B2017/00221A61B2017/00398A61B2017/00685A61B2017/00734A61B2017/07214A61B2017/07278A61B2017/07285A61B2017/2943A61B2019/2242A61B2019/2292A61B2019/464A61B2019/465A61B2019/4815A61B2019/4857A61B2017/2903A61B17/068A61B17/07207A61B2090/064A61B34/71A61B34/76A61B2090/065A61B2090/0803A61B2090/0811A61B34/30A61B18/1445A61B50/36A61B2017/00473A61B2017/00477A61B2017/0688A61B2017/07257A61B2017/07271A61B2017/2927A61B2034/2059A61B34/37A61B2017/00115A61B2017/0053A61B2017/2923A61B2017/2929A61B2018/00297A61B2018/1455A61B2090/0805A61B2090/0807A61B2090/0814A61B34/73A61B34/20A61B34/25A61B2034/303A61B17/105A61B17/32A61B2034/302
Inventor MORGAN, JEROME R.SHELTON, IV, FREDERICK E.
Owner CILAG GMBH INT
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