Motor-Driven Endocutter Auto-Return With Tactile Firing Feedback

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Solution Overview

Problem

Endoscopic surgical instruments often fail without clear cause, requiring extensive analysis to determine failure reasons, which is costly and challenging, and lack user feedback for the cutting/stapling operation, reducing physician acceptance of motor-driven endocutters.

Innovation Solution

A surgical instrument with a motor-driven endocutter that provides user feedback on the deployment and loading force of the cutting instrument, featuring a sensor system that automatically reverses the motor after the firing stroke end is reached, ensuring complete stapling and severing with tactile feedback.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If a motor-driven endocutter is used to automate the cutting/stapling operation, then productivity is improved, but reliability deteriorates due to lack of user feedback and unclear failure causes

Engineering Contradiction:
Improvecutting/stapling operation efficiencyVSAvoidinstrument failure analysis
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent incorporates a feedback mechanism that provides tactile sensation to the user during the motor-driven cutting/stapling operation. The system monitors motor performance and mechanical state, translating this information into tactile feedback through the handle or trigger mechanism. This allows the user to sense the operation progress and detect anomalies, thereby maintaining reliability while enjoying automated productivity benefits.

Inventive Principle:
Principle #23Feedback

2Reliability

If extensive analysis is performed to determine failure reasons, then reliability is improved through better understanding of failures, but loss of time and cost increase significantly

Engineering Contradiction:
Improvefailure cause understandingVSAvoidfailure analysis time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent implements preliminary monitoring and recording functions that continuously track instrument performance parameters, operational conditions, and error codes during normal use. In the event of a failure, this pre-collected data is immediately available for rapid analysis, eliminating the need for extensive post-failure investigations. The system essentially performs the analysis work in advance by maintaining a digital record of operational state.

Inventive Principle:
Principle #10Preliminary action

3Ease of operation

If tactile feedback is provided to enhance user control, then ease of operation is improved, but device complexity increases due to additional sensor systems

Engineering Contradiction:
Improveuser control during firingVSAvoidsensor system complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The patent employs an intermediary feedback mechanism that translates complex motor and mechanical state data into simple tactile sensations perceivable by the user. Rather than directly exposing the user to complex sensor data or control parameters, the system uses the existing mechanical interface (handle, trigger, or pistol grip) to convey operational status through force, vibration, or resistance changes. This intermediary approach maintains ease of operation while managing device complexity through clever transduction rather than direct user interaction with complex systems.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS9517068B2Surgical instrument with automatically-returned firing member
Publication Date: 2016.12.13 CILAG GMBH INTERNATIONAL
  • US9517068B2 patent drawing
  • US9517068B2 patent drawing
  • US9517068B2 patent drawing

AI summary

A surgical instrument is disclosed. The surgical instrument comprises a handle, a shaft comprising a proximal portion extending from the handle and a distal portion, and a firing member. The surgical instrument further comprises a motor, wherein the motor is configured to be operated in a first direction to advance the firing member toward the distal portion during a firing stroke, wherein the firing stroke comprises a firing stroke end, and wherein the motor is configured to be operated in a second direction to retract the firing member away from the distal portion. The surgical instrument further comprises a switch configured to detect when the firing member has reached the firing stroke end, wherein the motor is configured to be automatically operated in the second direction when the switch detects the firing stroke end.