Surgical Instrument Timing Indicator for Tissue Drainage

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Solution Overview

Problem

Existing surgical cutting and stapling devices lack the ability to monitor the elapsed time between actions without restricting the clinician's flexibility to initiate the stapling process, and they often fail to account for tissue liquid drainage, which can impede staple formation.

Innovation Solution

A surgical cutting and fastening instrument with a timing indicator system that includes a series of indicator lights and a control circuit to provide real-time elapsed time feedback, allowing the clinician to monitor time without diverting attention from the surgical site while maintaining the ability to activate the device at any time.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a controller delays the firing of staples until a predetermined amount of time has elapsed after clamping, then tissue liquid drainage is improved, but the clinician's flexibility to fire the device at any time is lost

Engineering Contradiction:
Improvetissue liquid drainageVSAvoidclinician's flexibility to fire
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The patent employs a timing indicator system that provides visual feedback to the clinician about the elapsed time since clamping. This feedback mechanism allows the clinician to make informed decisions about when to fire, balancing the need for tissue drainage with operational flexibility. The indicator lights show time progression without preventing early firing.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system transitions from a static predetermined delay mechanism to a dynamic timing indication system. The timing indicator can be reset by the clinician at any point, making the system adaptable to changing surgical conditions while still providing guidance on optimal firing timing for tissue drainage.

Inventive Principle:
Principle #15Dynamics

2Manufacturing precision

If the clinician monitors the elapsed time between actions, then tissue handling precision is improved, but the clinician's attention from the surgical site is diverted

Engineering Contradiction:
Improvetissue handling precisionVSAvoidclinician's attention
Core Design Contradiction:
Manufacturing precisionVSLoss of information

Solution Approach 1:

The timing indicator system is self-service in that it automatically tracks and displays elapsed time without requiring clinician intervention or attention. The system serves itself by providing continuous visual feedback, freeing the clinician to focus on the surgical site while still maintaining precise timing awareness.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces the need for manual time monitoring with an automated electronic timing and indication system. This substitution eliminates the cognitive burden on the clinician while providing precise timing information through visual indicators.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Productivity

If the tissue is cut too quickly after it is clamped, then surgical efficiency is improved, but staple formation is impeded by liquid traversing out of the tissue

Engineering Contradiction:
Improvesurgical efficiencyVSAvoidstaple formation
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The timing indicator system prepares the clinician by showing when the optimal firing time has been reached, allowing tissue liquids to drain sufficiently before stapling. This preliminary timing indication ensures reliable staple formation while minimizing delay to surgical efficiency.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentEP2165655B1Surgical instrument with apparatus for measuring elapsed time between actions
Publication Date: 2016.04.20 ETHICON ENDO SURGERY INC
  • EP2165655B1 patent drawingFigure 1
  • EP2165655B1 patent drawingFigure 2
  • EP2165655B1 patent drawingFigure 3

AI summary

A surgical instrument is disclosed. According to various embodiments, the instrument includes a handle assembly and a drive system that is at least partially supported by the handle assembly. A surgical implement may be operably coupled to the handle assembly for receiving at least two independent drive motions from the drive system to cause the surgical implement to perform at least two surgical activities. The instrument may further include a timing indicator on at east one of the handle assembly and the surgical implement to provide an indication of an amount of time that has elapsed from an application of one of the control motions while maintaining an ability to selectively apply a second control motion after the first control motion has been applied.