Surgical End Effector Jaw Stiffener for Firing Member Monitoring

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Solution Overview

Problem

Current surgical stapling systems face challenges in efficiently deploying staples and cutting tissue with precise control, particularly in minimally invasive procedures, where the alignment and alignment monitoring of dynamic clamping assemblies are complex and may lead to tissue compression issues.

Innovation Solution

A surgical stapling system with a shaft and end effector featuring a pivotable anvil and staple cartridge, where the end effector includes an articulation joint for rotation and a dynamic clamping assembly with a cutting edge that aligns staples and cuts tissue, allowing for precise staple deployment and tissue incision, and includes features for monitoring the dynamic clamping assembly's position during firing.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If a dynamic clamping assembly is used for staple deployment and tissue cutting, then surgical precision and versatility are improved, but alignment monitoring becomes complex and difficult

Engineering Contradiction:
Improvesurgical precisionVSAvoidalignment monitoring
Core Design Contradiction:
Manufacturing precisionVSDifficulty of detecting and measuring

Solution Approach 1:

The patent employs visual indicators that change appearance or position based on the alignment state of the dynamic clamping assembly. These indicators use color contrasts or visual transitions to communicate alignment status, making it easy to monitor without complex measurement systems.

Inventive Principle:
Principle #32Color changes

Solution Approach 2:

The patent introduces visual indicator elements as intermediaries between the dynamic clamping assembly and the operator. These indicators translate complex alignment information into simple visual signals, allowing the operator to monitor alignment without directly measuring the complex mechanical parameters.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If the end effector includes rotation and articulation capabilities, then adaptability for different surgical procedures is improved, but device complexity increases

Engineering Contradiction:
Improveadaptability for different surgical proceduresVSAvoiddevice complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The end effector is designed with multiple functions integrated into a single device, including stapling, cutting, articulation, and rotation capabilities. This universal design allows the same device to perform various surgical procedures without requiring multiple specialized tools.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent employs a nested structure where the articulation joint and rotation mechanisms are integrated within the compact end effector assembly. The dynamic clamping assembly is housed within the jaw structure, and articulation components are nested within the overall device framework, reducing overall complexity while maintaining functionality.

Inventive Principle:
Principle #7Nested doll (Nesting)

3Difficulty of detecting and measuring

If visual indicators are added to monitor firing member position, then alignment monitoring is improved, but device complexity increases

Engineering Contradiction:
Improvealignment monitoringVSAvoiddevice complexity
Core Design Contradiction:
Difficulty of detecting and measuringVSDevice complexity

Solution Approach 1:

The visual indicators utilize color contrasts or optical properties to indicate the position of the firing member. By using materials with different optical characteristics, the system provides clear visual feedback without requiring complex electronic sensors or measurement devices.

Inventive Principle:
Principle #32Color changes

Solution Approach 2:

The visual indicators are designed to automatically display the firing member position without requiring external monitoring equipment or complex processing. The indicators self-regulate based on the mechanical position, providing passive visual feedback that reduces the need for additional active monitoring components.

Inventive Principle:
Principle #25Self-service

Data Source

PatentEP3498182B1Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
Publication Date: 2020.08.19 ETHICON INC
  • EP3498182B1 patent drawingFigure 1
  • EP3498182B1 patent drawingFigure 2
  • EP3498182B1 patent drawingFigure 3

AI summary

An end effector for use with a surgical instrument. The end effector includes first and second jaws that are pivotally interconnected and moved between open and closed positions by a firing member. One or both of the jaws are configured with jaw stiffener features that are adapted to permit a user to monitor movement of the firing member during use.