Graphical display for powered surgical stapler

Abstract

A surgical system includes a surgical instrument and an interface device configured to communicate with the surgical instrument. The system includes a display coupled to the interface device. The display is configured to show a graphical user interface based on a type of surgical instrument. The graphical user interface may include a first interface and a second interface, the first interface configured to provide information about operation of the surgical instrument at a level of detail that is different than that provided on the second interface.

Description

Background Art 1. Technical Field

[0001] The present disclosure relates to surgical devices. More specifically, the present disclosure relates to electromechanical surgical systems for performing suturing surgical procedures. 2. Technical Background

[0003] Surgical fastener devices for applying fasteners or nails to tissues are well known. These fastener devices include surgical staplers, which can be manual or motor-driven. There are various types of electric surgical staplers (such as linear or circular staplers) that are specifically designed to perform certain types of surgical procedures, including endoscopic surgery that provides real-time video of the surgical site through a laparoscope or endoscopic camera. Some of the electric surgical staplers include a small display that is usually arranged on the handle of the stapler. However, due to the size of the display, the information is difficult to see and requires the surgeon to turn his gaze away from the surgical site. When the instrument is still in the patient's body, removing their eyes from the monitor to see the handle brings some risks. Therefore, a system that provides visual feedback to the surgeon in the field of vision when performing an operation is needed. Summary of the invention

[0004] The present disclosure provides a surgical system that is integrated with a surgical monitor (e.g., a laparoscopic monitor, an auxiliary monitor, a heads-up display, etc.) to display information in the surgeon's line of sight while the surgeon observes the surgical site on the monitor. The surgical system effectively communicates information in a quick and easily understood manner with few or no written instructions. The surgical system includes a graphical user interface (GUI) having elements suitable for display on a display to communicate the status of an electric surgical stapler, modular adapters (e.g., linear and circular), and an attached reloader, as well as other information related to the use of the instrument.

[0005] The surgical system is configured to operate with an electric stapler system including a handle assembly having a power source and one or more motors coupled to the power source. The electric stapler system also includes one or more adapter assemblies having a plurality of transmission assemblies (e.g., drive shafts) that transmit actuation from the electric handle. The electric handle assembly and the adapter assembly can be reusable. One type of adapter can be used with a linear stapler reloader, and another type of adapter can be used with a circular stapler reloader.

[0006] The circular stapler operates in four stages, namely clamping, suturing, cutting, and loosening. Clamping is accomplished by moving the anvil in a proximal direction to compress the tissue between the anvil and a reloader assembly comprising a plurality of staples. The anvil and reloader assembly may be disposable. During suturing, the staples are ejected from the reloader assembly into the clamped tissue and deformed against the anvil. Cutting comprises moving the annular knife through the compressed and sutured tissue until the knife contacts the anvil. During loosening, the anvil assembly moves distally away from the cut tissue and the reloader assembly.

[0007] Linear stapler also performs clamping, suturing, cutting and loosening. In an embodiment, clamping, suturing and cutting can be accomplished simultaneously by advancing a drive rod (e.g., an I-beam), which engages anvil jaws and staple cartridge jaws and approaches both toward each other. When the jaws are closed, the slide and knife advance through the drive rod, although in a staggered manner, so that the compressed tissue is initially sutured and then cut. Once the drive rod reaches the end of its stroke and the tissue is sutured and cut, the drive rod is reversed to loosen the tissue.

[0008] The surgical system is configured to display the following: an indication of the connection of the surgical instrument (i.e., stapler) to the surgical system; an indication of the device status including battery life, attached components, device readiness; an indication of the active device to be displayed and the user's enabled selection of which device is active; an indication of the type of adapter and reload (i.e., linear or circular) attached to the handle assembly, and the indication is presented with an accurate graphical depiction of each component of the electric stapler system (i.e., handle assembly, adapter, and reload). The display also indicates the characteristics of the attached reload, such as color, length of a linear reload, staple size, lumen size of a circular reload, etc.

[0009] The surgical system is also configured to display a home screen view of multiple handle assemblies being used, which includes a history tab, a settings tab, and an indicator for active connections (e.g., wireless, Ethernet, and USB). Activating the history function allows the user to view a log of past sutures, clamps, and firing sequences, which can be organized by date, time, and reloader type (e.g., color, size, and linear or circular graphics, etc.). Each log file can contain information metrics specific to linear or circular sutures. The linear suture file indicates the reloader type (e.g., length and color) and a peak clamping force curve graph with a force zone and a firing force curve indicating the area of ​​high force experienced by the suture. The circular suture file indicates a compression curve with a zone, thereby visually displaying the tissue compression information that occurs during adaptive clamping. The display indicates the clamping time and the pressure at the 100% clamping position and the pressure when the nail is fired. The display also indicates the maximum suture force and the maximum cutting force.

[0010] The graphic display also provides live feedback during use. In particular, the graphic display indicates the real-time linear suture force zone during clamping and firing, reloader clamping / opening, and new state / use state, as well as the firing progress in a high or low fidelity visual scheme determined by the user. The graphic display also indicates real-time circular suture tissue compression feedback and zone during clamping, and tissue relaxation feedback after clamping is completed. The graphic display also displays firing nails, cutting, anvil and reloader status information.

[0011] The aforementioned features allow the surgical system to provide a higher level of support for clinical decision making, especially when the surgeon encounters a scenario that challenges his or her experience level. The ability to view information and utilize device sensor information also increases trust in suturing techniques and reliance on tissue sensing features at the core of the feature set of the electric stapler system. Another advantage is the ability of the surgical system to provide feedback to other personnel (i.e., personnel who do not hold and operate the instrument). During certain surgeries (e.g., circular suturing in colorectal applications), the person firing the stapler may not be the primary surgeon, and may be an assistant who is not in the sterile field and under the sterile drape. This allows the surgeon to better communicate instructions and stop non-sterile users when unwanted actions occur.

[0012] According to one embodiment of the present disclosure, a surgical system is disclosed. The surgical system includes a surgical instrument and an interface device configured to communicate with the surgical instrument. The system includes a display coupled to the interface device. The display is configured to show a graphical user interface based on the type of surgical instrument. The graphical user interface may include a first interface and a second interface, the first interface being configured to provide information about the operation of the surgical instrument at a level of detail different from the level of detail provided on the second interface.

[0013] Implementations of the above embodiments may include one or more of the following features. According to one aspect of the above embodiments, the surgical instrument may be an electric modular surgical stapler. The electric modular surgical stapler may include a handle assembly, an adapter, and a reloader. The graphical user interface may be configured to display a graphical representation for each of the handle assembly, the adapter, and the reloader based on the connection status of the handle assembly, the adapter, and the reloader. The type of surgical instrument may be a linear stapler. The first interface displays a segmented progress bar. The segmented progress bar may include multiple color-coded segments indicating the force applied by the linear stapler. The second interface may display a live drawing of force varying with travel distance.

[0014] According to another embodiment of the present disclosure, a surgical system is disclosed. The surgical system includes an electric modular surgical stapler having a handle assembly, an adapter, and a reloader. The system also includes an interface device configured to communicate with the surgical stapler. The system further includes a display coupled to the interface device. The display is configured to show a graphical user interface based on the type of adapter and reloader. The graphical user interface includes a first interface and a second interface, the first interface being configured to provide information about the operation of the surgical instrument at a level of detail different from the level of detail provided on the second interface.

[0015] Implementations of the above embodiments may include one or more of the following features. According to one aspect of the above embodiments, a graphical user interface may be configured to display a graphical representation for each of a handle assembly, an adapter, and a reloader based on the connection status of the handle assembly, the adapter, and the reloader. The types of the adapter and the reloader may be linear. The first interface may display a segmented progress bar having a plurality of color-coded segments indicating the force applied by the surgical stapler. The second interface may display a live drawing of force varying with travel distance. The types of the adapter and the reloader may be circular. The graphical user interface may display trocar and anvil travel. The first interface may display a segmented progress bar having a plurality of color-coded segments indicating the force applied by the surgical stapler. The first interface may display an animated nail icon configured to display a nail shape during the suturing process. The first interface may display an animated knife icon having a pivoting blade displayed during the cutting process. The second interface may display a live drawing of force varying with travel distance during tissue compression.

[0016] According to another embodiment of the present disclosure, a method for controlling a surgical system is disclosed. The method includes: connecting a handle assembly of the powered surgical system to an interface device; and coupling an adapter to the handle assembly and coupling a reload to the adapter. The method also includes: displaying a graphical user interface based on the type of the adapter and the reload, the graphical user interface may include a first interface and a second interface, the first interface being configured to provide information about the operation of the surgical instrument at a different level of detail than the level of detail provided on the second interface. BRIEF DESCRIPTION OF THE DRAWINGS

[0017] Embodiments of the present disclosure are described herein with reference to the accompanying drawings, in which:

[0018] Figure 1 are surgical systems and electric stapler systems according to embodiments of the present disclosure;

[0019] Figure 2is a perspective view of an electric linear stapler according to an embodiment of the present disclosure, the electric linear stapler including a handle assembly, an adapter assembly, and an end effector;

[0020] Figure 3 is a perspective view of an electric circular stapler according to an embodiment of the present disclosure, the electric circular stapler including a handle assembly, an adapter assembly, and an end effector;

[0021] Figure 4 yes Figure 1 Schematic diagram of a handle assembly, an adapter assembly, and an end effector;

[0022] Figure 5 is a method for displaying the status of a powered stapler system according to an embodiment of the present disclosure; and

[0023] Figures 6 to 19 is a sequence of graphical user interfaces (GUIs) displayed by a surgical system during performance of a method according to an embodiment of the present disclosure. DETAILED DESCRIPTION

[0024] Embodiments of the presently disclosed surgical device and adapter assembly, and / or handle assembly for a surgical device are described in detail with reference to the accompanying drawings, in which like reference numerals represent identical or corresponding elements in each of the several views. As used herein, the term "distal" refers to that portion of a surgical instrument or a component thereof that is further away from a user, and the term "proximal" refers to that portion of a surgical instrument or a component thereof that is closer to a user.

[0025] Figure 1 A surgical system 10 is shown, which is configured to communicate with one or more surgical devices and output information related to these devices on one or more displays 12. The display 12 can be any suitable monitor, augmented or virtual reality head-mounted device, head-up display, projector, etc. In an embodiment, the display 12 can also be a touch screen. The system 10 also includes an interface device 104, which is configured to communicate with an electric surgical stapler system 100, which includes a modular surgical stapler, i.e., a linear stapler 200 and a circular stapler 300. The interface device 104 is further configured to receive device information from the electric surgical stapler system 100 and process the device information to be displayed on one or more displays 12.

[0026] refer to Figure 2 and Figure 3Each of the staplers 200 and 300 can share a common power platform, namely the handle assembly 102, which includes one or more motors, a power source, a main controller, a storage device, a transmitter / receiver, etc. The stapler 200 also includes a linear adapter 202, which is configured to connect the handle assembly 102 to a loading unit 204, which includes an end effector 206 having a first jaw 208 and a second jaw 212, the first jaw having a staple cartridge 210, and the second jaw having an anvil 214. The linear adapter 202 includes various mechanical linkages that couple the end effector 206 to the handle assembly 102, so that the end effector 206 can be actuated to perform various functions, such as clamping, suturing, and cutting. For further details on the construction and operation of the linear stapler components, reference may be made to U.S. Patent No. 9,839,425 filed on March 30, 2015, the entire contents of which are incorporated herein by reference.

[0027] The stapler 300 also includes a circular adapter 302 configured to connect the handle assembly 102 to an end effector 306 having a reloader 308 with a staple cartridge 310. The end effector 306 also includes an anvil 314 that is movable relative to the reloader 308. The linear adapter 302 includes various mechanical linkages that couple the end effector 306 to the handle assembly 102, enabling the end effector 306 to be actuated to perform various functions, such as clamping, suturing, and cutting. For further details on the construction and operation of the circular stapler components, reference may be made to U.S. Patent No. 11,045,199, filed May 7, 2018, the entire contents of which are incorporated herein by reference.

[0028] refer to Figure 4, the handle assembly 102 includes a main controller circuit board 142, a rechargeable battery 144 configured to power any electrical components of the handle assembly 102, and a plurality of motors (e.g., a first motor 152a, a second motor 152b, and a third motor 152c) coupled to the battery 144. The handle assembly 102 also includes a display 146. In an embodiment, the motors 152a, 152b, 152c can be coupled to any suitable power source (e.g., an AC / DC transformer) configured to provide electrical energy to the motors 152a, 152b, 152c. Each of the motors 152a, 152b, 152c is coupled to a motor controller 143, which controls the operation of the corresponding motor 152a, 152b, 152c, including the flow of electrical energy from the battery 144 to the motors 152a, 152b, 152c. A main controller 147 is provided, which controls the handle assembly 102. The main controller 147 is configured to execute software instructions embodied as algorithms, such as a clamping algorithm, a stapling algorithm, and a cutting algorithm that control the operation of the handle assembly 102 .

[0029] The motor controller 143 includes a plurality of sensors 160a, ..., 160n configured to measure the operating state of the motors 152a, 152b, 152c and the battery 144. The sensors 160a-n include a strain gauge 160b, and may also include a voltage sensor, a current sensor, a temperature sensor, a telemetry sensor, an optical sensor, and a combination thereof. The strain gauge 160b may be disposed within the linear adapter 202 and the circular adapter 302. The sensors 160a-160n may measure the voltage, current, and other electrical characteristics of the electrical energy supplied by the battery 144. The sensors 160a-160n may also measure the angular velocity (e.g., rotational speed) in revolutions per minute (RPM), torque, temperature, current consumption, and other operating characteristics of the motors 152a, 152b, 152c. The sensor 160a also includes an encoder configured to count the number of revolutions or other indicators of the motors 152a, 152b, 152c, which the main controller 147 then uses to calculate the linear movement of the components that can be moved by the motors 152a, 152b, 152c. The angular velocity can be determined by measuring the rotation of the motors 152a, 152b, 152c or the drive shaft (not shown) connected to these motors and can be rotated by the motors 152a, 152b, 152c. The positions of the drive shafts movable in various axial directions can also be determined by using various linear sensors disposed in or near the shaft, or extrapolated based on the RPM measurement results. In an embodiment, the torque can be calculated based on the adjusted current consumption of the motors 152a, 152b, 152c at a constant RPM. In another embodiment, the motor controller 143 and / or the main controller 147 can measure time and process the above values ​​as a function of time (including integration and / or differentiation), for example, to determine the rate of change of the measured value. The master controller 147 is also configured to determine the distance traveled by the various components of the adapter 202 / 302 and / or the end effector 204 / 306 by counting the number of revolutions of the motors 152a, 152b, 152c.

[0030] The motor controller 143 is coupled to a main controller 147, which includes a plurality of inputs and outputs for interacting with the motor controller 143. In particular, the main controller 147 receives measured sensor signals from the motor controller 143 regarding the operating status of the motors 152a, 152b, 152c and the battery 144, and in turn outputs control signals to the motor controller 143 to control the operation of the motors 152a, 152b, 152c based on the sensor readings and specific algorithm instructions. The main controller 147 is also configured to accept a plurality of user inputs from a user interface (e.g., switches, buttons, touch screen, etc.) coupled to the main controller 147.

[0031] The main controller 147 is also coupled to the memory 141. The memory 141 may include volatile memory (e.g., RAM) and non-volatile storage devices configured to store data (including software instructions for operating the handle assembly 102). The main controller 147 is also coupled to the strain gauge 160b using a wired or wireless connection and is configured to receive strain measurements from the strain gauge 160b, which will be used during operation of the handle assembly 102.

[0032] The handle assembly 102 includes a plurality of motors 152a, 152b, 152c, each of which includes a respective motor shaft (not explicitly shown) extending therefrom and configured to drive a respective transmission assembly. The rotation of the motor shaft caused by the respective motor acts to drive the shaft and / or gear components of the adapter 202 / 302 to perform various operations of the handle assembly 102. In particular, the motors 152a, 152b, 152c of the handle assembly 102 are configured to drive the shaft and / or gear components of the adapter assemblies 202 and 302 to actuate the end effectors 206 and 306.

[0033] The handle assembly 102 also includes a communication interface 162 that is configured to communicate using a wired (e.g., Serial Serial etc.) or wireless (e.g. Wireless Tiny 802.11IEEE and other radio, infrared, UHF, VHF communication, etc.) connection and connected to the interface device 104. The interface device 104 is configured to store data transmitted to the interface device by the stitcher 200 / 300 and process and analyze the data. The interface device 104 is also connected to other devices, such as the display 12.

[0034] refer to Figure 5 , a method for displaying the status of the electric stapler system 100 on the display 12 is shown. One or more staplers 200 / 300 can be used simultaneously with the interface device 104. At step 400, the handle assembly 102 is activated and paired with the interface device 104. Figures 6 to 19 , a screenshot of GUI 500 shown on display 12 during use of surgical system 10 is continuously updated during surgery. Figure 6, on a home screen 501 of the GUI 500, a graphical handle representation 502 of the handle assembly 102 is displayed in one of a plurality of regions 503, indicating that the handle assembly 102 is paired with the interface device 104. The home screen 501 supports views of multiple staplers 200 / 300, a history tab, a settings tab, and indicators for active connections (e.g., wireless, Ethernet, and USB connections).

[0035] At step 402, when the stapler 200 / 300 is assembled, each component is also shown in the corresponding area 503. Thus, when the adapter 202 / 302 is coupled to the handle assembly 102, a graphical adapter representation 504 is displayed, which represents the adapter 200 / 300, such as a linear adapter or a circular adapter. Similarly, when the end effector 206 / 306 is coupled, a graphical end effector representation 506 is also displayed, which shows the fully assembled stapler 200 / 300, indicating that the stapler 200 / 300 is ready for use. Thus, area 503 provides an indication of the device status, including battery life, attached components, device readiness status, etc.

[0036] At step 404, one of the paired and immediately available staplers 200 / 300 is selected via the GUI 500. The selection may be accomplished via the stapler 200 / 300 (e.g., by pressing a button thereon), or via the surgical system 10 using any suitable user interface (e.g., keyboard, mouse, touch screen) to select one of the staplers 200 / 300 for use. The GUI 500 may highlight the selected area 503 to indicate the active stapler 200 / 300.

[0037] Once selected stapler 200 / 300 is used for surgical operation, GUI 500 switches to corresponding surgical interface, and this surgical interface is unique for each in stapler 200 / 300.In addition, each in surgical interface comprises two versions with different detail levels, for example, high fidelity interface and low fidelity interface.Interface device 104 is configured to display surgical interface based on selected stapler 200 or 300.Especially, stapler 200 / 300 is configured to transmit the indicator that surgery is starting to interface device 104, and in response to this indicator, interface device 104 switches to corresponding surgical interface.

[0038] If the linear stapler 200 is in use, the interface device 104 advances to step 406, during which the linear stapler 200 advances a drive rod (not shown) that clamps the tissue between the first jaw 208 and the second jaw 212. The drive rod (e.g., an I-beam) engages the first jaw 208 and the second jaw 212 and brings the two toward each other. At step 408, as the drive rod continuously advances, an ejector (e.g., a slide) is advanced together with the blade to sew and cut tissue. At step 410, the drive rod retracts, which retracts the knife, and the slide can remain in the distal position. As the drive rod further retracts, at step 412, the first jaw 208 and the second jaw 212 are released.

[0039] During steps 406 to 412, the interface device 104 outputs the linear surgery GUI 510 as the first GUI 512 ( Figure 7 ) or the second GUI 514 ( Figure 8 ). The GUI 510 indicates real-time linear suturing force zones 1, 2, 3 and firing progress during clamping, cutting and staple ejection, new state / use state. The user has the option of selecting the first GUI 512 or the second GUI 514 depending on the desired level of detail by pressing the corresponding button 516a or 516b, respectively. Figure 7 , a first GUI 512 can provide low fidelity (i.e., minimal) information and includes a segmented progress bar 518 that outputs a color-coded bar corresponding to the force measured during the clamping process. In addition, a progress bar 520 is shown that demonstrates the progress of the drive rod as it advances along its length through the staple cartridge 210. In addition, a force gauge 522 is also shown that provides instantaneous (e.g., live) force as zones 1, 2, 3. Figure 8 , the second GUI 514 can be high fidelity (i.e., maximum) information and includes a live plot 524 that replaces the segmented progress bar 518 to track force. The area below the plot 524 is color-coded based on the vertical zone scale 526. In addition, the progress bar 530 is copied from the first GUI 512. A live histogram 532 indicating the compression force is also displayed along the vertical zone scale 526. The histogram 532 is live only during tissue compression (i.e., clamping) and remains at peak force once full clamping is achieved. The live force is then displayed via the plot during firing.

[0040] refer to Figure 5, if the circular stapler 300 is in use, the interface device 104 proceeds to step 414, during which the circular stapler 300 extends the trocar (not shown) until it pierces the tissue. In particular, the user begins the surgical procedure by positioning the circular adapter 302 (including the trocar and the anvil 314) in the colorectal or upper gastrointestinal region. After the trocar is extended, the anvil 314 previously positioned by the surgeon is attached to the trocar. In an embodiment, the anvil 314 is detected based on the force reaching a minimum threshold as measured by the strain gauge 160b when the anvil 314 is retracted.

[0041] At step 416, a clamping process is started on the tissue between the reloader 308 and the anvil 314. The clamping process may include controlled tissue compression until a desired force threshold is reached. Once the tissue is compressed, once the tissue compression is confirmed by the main controller 147, the suturing process is manually or automatically initialized at step 418. During this process, the nails are ejected into the compressed tissue held between the anvil 314 and the reloader 308. After the suturing is completed (which can also be monitored by the main controller 147), the cutting process can be automatically or manually started. During step 420, an annular knife (not shown) is advanced through the sutured tissue. Confirmation of the suturing process and the cutting process is performed based on the measured force (e.g., reaching a threshold). At step 422, after confirming that the cutting is completed, the anvil 314 is advanced away from the reloader 308, thereby releasing the tissue. As the anvil 314 advances, the anvil moves relative to the shaft 315 ( Figure 3 ) is tilted and decoupled from the circular adapter 302, thereby allowing the anvil 314 and the adapter 302 to be removed from the patient.

[0042] During steps 416 to 422, the interface device 104 outputs the circular surgical GUI 600 as the first GUI 602 ( Figures 10 to 12 ) or the second GUI 604 ( Figures 14 to 16 ). At the beginning of a circular stapler procedure, the circular surgery GUI 600 displays a trocar / anvil GUI 606 showing a graphical reloader representation 608 coupled to a graphical trocar representation 610 and an anvil graphical representation 612. The trocar / anvil GUI 606 indicates the reloader size and color and the trocar position during advancement and retraction, including maximum extension. Arrows 614a and 614b indicate the direction of travel of the trocar (i.e., retraction or extension). The trocar / anvil GUI 606 indicates when the trocar is far enough to attach the anvil 314. In addition, the trocar / anvil GUI 606 also indicates when the anvil 314 is attached to the trocar when the strain gauge 160b identifies the minimum force threshold when the anvil 314 contacts the reloader 308.

[0043] refer to Figures 10 to 12, the first GUI 602 can provide low fidelity (i.e., minimal) information and includes a segmented progress bar 618 that provides the distance traveled and the force during compression. The segmented progress bar 618 conveys the distance and status of closure in addition to the percentage value displayed on the graphical reloader representation 608. The segments of the segmented progress bar 618 change color depending on the state of tissue compression, for example, a green segment indicates that the tissue is compressed in zone 1 or 2, and a yellow segment indicates that the tissue is compressed under high pressure zone 3. Full compression is indicated by a 100% indication ( Fig.11 )wait.

[0044] Additionally, a pressure gauge 620 is shown that provides instantaneous pressure as zones 1, 2, 3. A live histogram 622 indicating tissue compression is also displayed along the pressure gauge 620. The histogram 622 may change color corresponding to zones 1, 2, 3. A maximum line may also be displayed indicating the maximum pressure detected as a high mark, thereby maintaining peak levels while the histogram is freely moving up and down, using live feedback from the strain gauge 160b.

[0045] refer to Fig.11 When the closure is completed, as the circular stapler 300 begins to staple, the first GUI 602 switches to a staple indication to display the circular suturing progress. The first GUI 602 includes an animated staple icon 624 that indicates when the staple firing is initiated, when the staple legs have been partially formed, and when the staple is fully formed and the suturing is complete. In an embodiment, if the staple fails to form, an error message may be displayed in the staple icon 624 or elsewhere. Fig.12 As shown, once suturing is completed, circular stapler 300 starts cutting, and then first GUI 602 indicates that the annular knife is extending, passes through tissue, and completes cutting. In particular, first GUI 602 includes an animated knife icon 626, which shows the blade slicing, that is, pivoting in an arc.

[0046] After the cutting is completed, the circular stapler 300 extends out of the anvil 314 to release the tissue. Fig.13 Shown is a trocar / anvil GUI 606 wherein anvil graphical representation 612 is shown in an inclined configuration. In addition, the position and orientation of anvil 314 is also shown until the release position is reached.

[0047] Figures 14 to 16 A second GUI 604 is shown that can provide high fidelity (ie, maximum) information. During compression, as Fig.14As shown, the second GUI 604 displays a live drawing 630 that shows tissue compression pressure in a 30-second window rather than an instantaneous histogram. The line graph 630 rises and falls with a leading point to indicate the tissue compression reading. The rise and fall are visual representations of the adaptive clamping technology, which applies instantaneous pressure and then waits for the tissue pressure to drop slightly before applying more pressure, thereby allowing compression while not exceeding the zone 2 / 3 threshold within the first 30-second window. The timer 632 indicates at the top right, and the vertical zone scale 633 for each pressure zone 1, 2, 3 indicates the current compression zone. The second GUI 604 also indicates the tissue compression response at the threshold between compression zones 2 and 3, and if necessary, the tissue compression response when gradually entering zone 3. When 100% clamping is reached, the circular stapler 300 marks the compression pressure and time. Depending on user preference, the system can display pressure (PSI) or force (lb), as shown herein. As edema leaves the tissue and the compression level decreases, plot 630 continues to display live compression feedback, visually demonstrating tissue relaxation.

[0048] Fig.15 A second GUI 604 using an animated nail icon 634 during suturing is shown, which indicates when the nail firing is initiated, when the nail legs have been partially formed, and when the nail is fully formed and suturing is completed. A live histogram 636 indicating the nail closing force is also displayed below the animated nail icon 634.

[0049] Fig.16 A second GUI 604 is shown during cutting using an animated knife icon 638 that shows the blade slicing (e.g., pivoting in an arc), which indicates the progress of the cutting. A live histogram 639 indicating cutting force is also displayed below the animated knife icon 638.

[0050] Fig.17 A history tab 640 is shown accessible from the home screen 501 of the GUI 500. Activating the history tab 640 allows the user to view a log of past staple clamping and firing sequences, which is shown as an icon 642 and organized by date, time, and reloader type (e.g., color, size, linear or circular). Each file contains information metrics specific to linear or circular suturing.

[0051] Fig.18 A linear suture file 644 is shown that provides similar information as the second GUI 514 and indicates the reloader type (e.g., length and color) and a peak clamping force graph having force zones and a firing force curve indicating areas of the suture that experience high forces.

[0052] Fig.19A circular suture file 646 is shown that provides similar information to the second GUI 604 and indicates a compression curve with zones to visually display tissue compression information that occurs during adaptive clamping. The circular suture file 646 also indicates the clamping time and the pressure at 100% clamping and the pressure at which the staples are initiated. The circular suture file 646 also indicates the maximum suture force and the maximum cutting force as well as the color and lumen size of the circular reload.

[0053] Although the present disclosure is presented with respect to a surgical instrument including a handle assembly, it should be understood that the principles of the present disclosure can also be applied to a robotic surgical system that technically does not include a handle assembly. The disclosed GUI solution can be suitable for a teleoperated robotic surgical system. It should be understood that various modifications can be made to the embodiments of the currently disclosed stapler. Therefore, the above description should not be interpreted as restrictive, but merely as an example of an embodiment. Those skilled in the art will envision other modifications within the scope and spirit of the present disclosure.

[0054] In one or more examples, the described techniques may be implemented in hardware, software, firmware, or any combination thereof. If implemented in software, the functions may be stored as one or more instructions or codes on a computer-readable medium and executed by a hardware-based processing unit. Computer-readable media may include non-transitory computer-readable media, which corresponds to tangible media such as data storage media (e.g., RAM, ROM, EEPROM, flash memory, or any other medium that can be used to store desired program code in the form of instructions or data structures and can be accessed by a computer).

[0055] Instructions may be executed by one or more processors, such as one or more digital signal processors (DSPs), general-purpose microprocessors, application-specific integrated circuits (ASICs), field programmable logic arrays (FPGAs), or other equivalent integrated or discrete logic circuits. Accordingly, the term "processor" as used herein may refer to any of the above structures or any other physical structures suitable for implementing the described techniques. In addition, these techniques may be fully implemented in one or more circuits or logic elements.

Claims

1. A surgical system, comprising: Surgical instruments; an interface device configured to communicate with the surgical instrument; as well as A display connected to the interface device, the display being configured to display a graphical user interface based on the type of the surgical instrument, the graphical user interface comprising a first interface and a second interface, the first interface being configured to provide information about the operation of the surgical instrument at a level of detail different from a level of detail provided on the second interface.

2. The surgical system according to claim 1, wherein: The surgical instrument is an electric modular surgical stapler.

3. The surgical system according to claim 2, wherein: The electric modular surgical stapler includes a handle assembly, an adapter, and a reloader.

4. The surgical system according to claim 3, wherein: The graphical user interface is configured to display a graphical representation for each of the handle assembly, the adapter, and the reload based on a connection status of the handle assembly, the adapter, and the reload.

5. The surgical system according to claim 1, wherein: The type of surgical instrument is a linear stapler.

6. The surgical system according to claim 5, wherein: The first interface displays a segmented progress bar.

7. The surgical system according to claim 6, wherein: The segmented progress bar includes a plurality of color-coded segments indicating a force applied by the linear stapler.

8. The surgical system according to claim 5, wherein: The second interface displays a live plot of force versus distance traveled.

9. A surgical system, comprising: An electric modular surgical stapler comprising a handle assembly, an adapter, and a reloader; an interface device configured to communicate with the surgical stapler; as well as a display coupled to the interface device, the display configured to show a graphical user interface based on the type of the adapter and the reload, the graphical user interface comprising a first interface and a second interface, the first interface configured to provide information regarding the operation of the surgical instrument at a different level of detail than the level of detail provided on the second interface.

10. The surgical system according to claim 9, wherein: The graphical user interface is configured to display a graphical representation for each of the handle assembly, the adapter, and the reload based on a connection status of the handle assembly, the adapter, and the reload.

11. The surgical system according to claim 9, wherein: The adapter and the reload are of linear type.

12. The surgical system according to claim 11, wherein: The first interface displays a segmented progress bar having a plurality of color-coded segments indicating a force applied by the surgical stapler.

13. The surgical system according to claim 11, wherein: The second interface displays a live plot of force versus distance traveled.

14. The surgical system according to claim 9, wherein: The adapter and the reload are of circular type.

15. The surgical system of claim 14, wherein: The graphical user interface displays the trocar and anvil travel.

16. The surgical system of claim 14, wherein: The first interface displays a segmented progress bar having a plurality of color-coded segments indicating tissue pressure applied by the surgical stapler.

17. The surgical system of claim 14, wherein: The first interface displays an animated staple icon configured to display a staple shape during a suturing process.

18. The surgical system of claim 14, wherein: The first interface displays an animated knife icon having a pivoting blade that is displayed during a cutting process.

19. The surgical system of claim 14, wherein: The second interface displays a live plot of tissue pressure as a function of distance traveled during tissue compression.

20. A method for controlling a surgical system, the method comprising: connecting a handle assembly of the electric surgical system to the interface device; coupling an adapter to the handle assembly and coupling a reload to the adapter; as well as A graphical user interface is displayed based on the types of the adapter and the reload, the graphical user interface comprising a first interface and a second interface, the first interface configured to provide information regarding the operation of the surgical instrument at a different level of detail than the level of detail provided on the second interface.

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