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WO2019043508A3 - Système de commande d'agrafeuse linéaire coupante endoscopique - Google Patents

Système de commande d'agrafeuse linéaire coupante endoscopique Download PDF

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Publication number
WO2019043508A3
WO2019043508A3 PCT/IB2018/056331 IB2018056331W WO2019043508A3 WO 2019043508 A3 WO2019043508 A3 WO 2019043508A3 IB 2018056331 W IB2018056331 W IB 2018056331W WO 2019043508 A3 WO2019043508 A3 WO 2019043508A3
Authority
WO
WIPO (PCT)
Prior art keywords
control system
endocutter
stapling
drive
surgical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/IB2018/056331
Other languages
English (en)
Other versions
WO2019043508A2 (fr
Inventor
Iv Frederick E. Shelton
Taylor W. Aronhalt
Jason L. Harris
Iii Chester O. Baxter
Mark D. Overmyer
Kris E. Kallenberger
Vincenzo Barbato
Andrew T. Beckman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon LLC
Original Assignee
Ethicon LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/689,198 external-priority patent/US11172928B2/en
Priority claimed from US15/689,202 external-priority patent/US10881403B2/en
Application filed by Ethicon LLC filed Critical Ethicon LLC
Publication of WO2019043508A2 publication Critical patent/WO2019043508A2/fr
Publication of WO2019043508A3 publication Critical patent/WO2019043508A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00075—Motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/066—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring torque
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Systèmes et procédés d'agrafage chirurgical pour agrafer un tissu pendant une intervention chirurgicale. Selon un mode de réalisation donné à titre d'exemple, un système de commande est prévu pour commander au moins un moteur couplé à un système d'entraînement sur un dispositif d'agrafage chirurgical pour entraîner un ou plusieurs ensembles d'entraînement. Le système de commande peut être conçu pour communiquer avec le système d'entraînement de l'outil d'agrafage et pour commander et modifier le déplacement d'un ou de plusieurs ensembles d'entraînement sur la base d'une certaine rétroaction.
PCT/IB2018/056331 2017-08-29 2018-08-21 Système de commande d'agrafeuse linéaire coupante endoscopique Ceased WO2019043508A2 (fr)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US15/689,202 2017-08-29
US15/689,204 2017-08-29
US15/689,198 US11172928B2 (en) 2017-08-29 2017-08-29 Endocutter control system
US15/689,202 US10881403B2 (en) 2017-08-29 2017-08-29 Endocutter control system
US15/689,204 US10925602B2 (en) 2017-08-29 2017-08-29 Endocutter control system
US15/689,198 2017-08-29

Publications (2)

Publication Number Publication Date
WO2019043508A2 WO2019043508A2 (fr) 2019-03-07
WO2019043508A3 true WO2019043508A3 (fr) 2019-10-31

Family

ID=63586776

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2018/056331 Ceased WO2019043508A2 (fr) 2017-08-29 2018-08-21 Système de commande d'agrafeuse linéaire coupante endoscopique

Country Status (1)

Country Link
WO (1) WO2019043508A2 (fr)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695140B2 (en) 2018-02-15 2020-06-30 Ethicon Llc Near field communication between a surgical instrument and a robotic surgical system
EP4295790A3 (fr) 2019-01-10 2024-02-21 AtriCure, Inc. Pince chirurgicale
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US12185947B2 (en) * 2020-03-26 2025-01-07 Intuitive Surgical Operations, Inc. Techniques for controlling an end effector
CN111938739B (zh) * 2020-09-07 2025-06-20 苏州英途康医疗科技有限公司 一种施夹器
EP4333754A1 (fr) * 2021-05-03 2024-03-13 Covidien LP Commande de position de moteur et procédés pour instrument de scellement assisté par robot
WO2022235644A1 (fr) * 2021-05-03 2022-11-10 Covidien Lp Optimisation de lame pour instrument d'obturation assisté par robot
TWI853296B (zh) * 2021-11-03 2024-08-21 國立成功大學 負離子產生裝置及組接裝置
CN115969440B (zh) * 2022-12-09 2025-11-25 天臣国际医疗科技股份有限公司 电动吻合器、控制系统及方法
WO2025083548A1 (fr) * 2023-10-17 2025-04-24 Covidien Lp Agrafeuse chirurgicale robotisée ou motorisée avec butée d'extrémité d'agrafage prédictive

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100264194A1 (en) * 2007-06-22 2010-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US20120298719A1 (en) * 2011-05-27 2012-11-29 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
EP2777540A2 (fr) * 2013-03-14 2014-09-17 Ethicon Endo-Surgery, Inc. Agencements de commande pour un élément d'entraînement d'un instrument chirurgical
EP3034017A2 (fr) * 2014-12-18 2016-06-22 Ethicon Endo-Surgery, LLC Systèmes d'instrument chirurgical comprenant un effecteur d'extrémité articulée et des moyens de réglage de la course de mise à feu d'un élément d'allumage
WO2017132611A1 (fr) * 2016-01-29 2017-08-03 Intuitive Surgical Operations, Inc. Système et procédé pour instrument chirurgical à vitesse variable

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6132368A (en) 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US7824401B2 (en) 2004-10-08 2010-11-02 Intuitive Surgical Operations, Inc. Robotic tool with wristed monopolar electrosurgical end effectors
AU2002322374B2 (en) 2001-06-29 2006-10-26 Intuitive Surgical, Inc. Platform link wrist mechanism
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
CN107736937B (zh) 2012-06-01 2021-02-05 直观外科手术操作公司 用于手术系统的器械托架组件
US9445816B2 (en) 2012-12-17 2016-09-20 Ethicon Endo-Surgery, Llc Circular stapler with selectable motorized and manual control
US9801679B2 (en) 2014-01-28 2017-10-31 Ethicon Llc Methods and devices for controlling motorized surgical devices
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100264194A1 (en) * 2007-06-22 2010-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US20120298719A1 (en) * 2011-05-27 2012-11-29 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
EP2777540A2 (fr) * 2013-03-14 2014-09-17 Ethicon Endo-Surgery, Inc. Agencements de commande pour un élément d'entraînement d'un instrument chirurgical
EP3034017A2 (fr) * 2014-12-18 2016-06-22 Ethicon Endo-Surgery, LLC Systèmes d'instrument chirurgical comprenant un effecteur d'extrémité articulée et des moyens de réglage de la course de mise à feu d'un élément d'allumage
WO2017132611A1 (fr) * 2016-01-29 2017-08-03 Intuitive Surgical Operations, Inc. Système et procédé pour instrument chirurgical à vitesse variable

Also Published As

Publication number Publication date
WO2019043508A2 (fr) 2019-03-07

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