Surgical Stapling Instrument Speed Control for Adjustable Firing Paths

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Solution Overview

Problem

Current surgical stapling instruments face challenges in precision and control, particularly in navigating complex tissue structures during procedures like stomach sleeve creation, where existing instruments lack advanced guidance and display systems for optimal staple firing paths.

Innovation Solution

The development of a surgical stapling instrument with a sophisticated drive system and display interface that includes a joystick for altering staple firing paths, an articulatable end effector with a dampener for reduced movement, and synchronized drive mechanisms for precise tissue manipulation and staple deployment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If a sophisticated drive system with synchronized mechanisms is implemented, then precision and control of staple placement is improved, but device complexity increases

Engineering Contradiction:
Improvestaple placement precisionVSAvoiddrive system complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The drive system is divided into multiple independent motors (first motor, second motor) that can be controlled separately. Each motor drives specific components (cutter, anvil, end effector) independently, allowing precise control of each function while maintaining overall system coordination through the controller.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system incorporates dynamic speed control capabilities where the controller can adjust the speed of individual motors based on surgical requirements. The end effector speed can be modified relative to the cutter speed, and the system can transition between different operational modes (stapling only, cutting only, or combined) dynamically during the procedure.

Inventive Principle:
Principle #15Dynamics

2Adaptability or versatility

If real-time adjustment of staple firing paths is enabled through display interface, then adaptability to complex tissue structures is improved, but ease of operation increases due to better guidance

Engineering Contradiction:
Improvefiring path adaptabilityVSAvoidoperation ease
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The display interface provides real-time visual feedback to the surgeon, showing the current staple firing path and allowing adjustment through joystick control. The system monitors and displays the position and status of various components (end effector, cutter, anvil) enabling the surgeon to make informed decisions about path adjustments based on actual tissue conditions.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The display interface acts as an intermediary between the surgeon's intentions and the instrument's actions. The joystick provides a intuitive mechanical interface that translates surgeon input into precise digital control signals, while the visual display serves as an intermediary representation of the internal instrument state and firing path geometry.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Measurement precision

If articulatable end effector with dampener is used, then control precision is improved, but device complexity increases

Engineering Contradiction:
Improveend effector control precisionVSAvoidarticulation mechanism complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The dampener mechanism acts as a counterbalancing element that opposes unwanted movements of the articulatable end effector. By providing controlled resistance to movement, the dampener stabilizes the end effector position and reduces oscillations or unintended displacement during stapling operations, thereby improving control precision.

Inventive Principle:
Principle #8Anti-weight (Counterweight)

Solution Approach 2:

The articulation mechanism allows the end effector to change its angular parameter relative to the instrument shaft. The dampener controls the rate and extent of this angular change, effectively modifying the movement parameters to achieve smoother, more precise positioning while reducing abrupt or excessive articulation.

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentUS11364027B2Surgical instrument comprising speed control
Publication Date: 2022.06.21 CILAG GMBH INTERNATIONAL
  • US11364027B2 patent drawing
  • US11364027B2 patent drawing
  • US11364027B2 patent drawing

AI summary

A surgical instrument system is disclosed which comprises a control screen usable to control the surgical instrument system in real time.