BRPI0722407B1 - SURGICAL INSTRUMENT WITH OPTIMIZED POWER AND OPERATING PERIOD - Google Patents

Abstract

electrical surgical instruments a surgical instrument includes a surgical terminal effector having a receiving segment for removably receiving an interchangeable segment. The receiving segment has a communication connection. A handle attached to the terminal effector activates the terminal effector. The handle has an electrically connected controller with the communication connection to authenticate the interchangeable part when positioned on the terminal effector. an interchangeable part is removably attached to the receiving segment and has an electrically removable encryption device connected to the switching connection when placed on the receiving segment. The encryption device authenticates the initiable part when requested by the electrical controller.

Description

SURGICAL INSTRUMENT WITH OPTIMIZED POWER AND OPERATION PERIOD

FIELD OF TECHNIQUE [0001] The present invention resides in the field of surgical instruments, in particular, but not necessarily, stapling devices. The stapling device described in the present application is a portable, fully energized and electrically controlled surgical stapler.

[0002] There are medical stapling devices in the art. Ethicon Endo-Surgery, Inc. (a Johnson & Johnson company; hereinafter referred to as Ethicon) manufactures and sells these stapling devices. Circular stapling devices manufactured by Ethicon are known under the PROXIMATE® PPH, CDH, and ILS brands and linear staplers are manufactured by Ethicon under the CONTOUR® and PROXIMATE® brands. In each of these examples of surgical staplers, the tissue is compressed between the staple cartridge and an anvil, and when the staples are ejected, the compressed tissue is also cut. Depending on the specific type of tissue attached by the doctor, the tissue may be very little compressed (situation where the red color of the blood is still present in the tissue), very compressed (situation where the tissue is crushed), or properly compressed (situation where the liquid is removed from the tissue, known as desiccation or discoloration).

[0003] The staples to be used have a certain length, and the cartridge and anvil must be within an acceptable staple firing distance, so that the staples close properly after firing. For this reason, these staplers have devices that indicate the relative distance between the two planes and whether or not this distance is within the firing range of the staple. An indicator of this type is mechanical and has the shape of a sliding bar behind a window, indicating a secure clip firing range. These staplers are all manual, in other words, they require physical activation by the user / doctor to position the anvil and stapler cartridge on the fabric to

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2/92 to be stapled and / or cut, to close the anvil and the stapler cartridge with respect to each other, and to activate and secure the staples in the fabric (and / or cut the fabric). None of the prior art staplers are electrically powered to perform each of these operations, as the longitudinal force required to trigger the staple is usually in the order of 113.40 kg in the staple cartridge. In addition, these staplers do not have any type of active compression indicator that would optimize the force acting on the fabric that needs to be stapled, so that there is no degradation of the fabric.

[0004] An intraluminal anastomotic manual circular stapler is described, for example, in U.S. Patent No. 5,104,025 to Main and others, which has been transferred to Ethicon. Main and others is being incorporated in full in this document as a reference. As can be seen more clearly in the exploded view of FIG. 7 in Main et al., A trocar shaft 22 has a distal indentation 21, some recesses 28 for the alignment of the trocar shaft 22 with sawmills 29 on the anvil and thus aligns the clamps with the anvils 34. One tip of the trocar 26 it is able to pierce the tissue when pressure is applied to it. FIGS. 3 to 6 in Main and others show how circular stapler 10 works to join two pieces of fabric together. As the anvil 30 is moved closer to the head 20, the interposed tissue is compressed between them, as shown particularly in FIGS. 5 and 6. If this tissue is over-compressed, the surgical stapling procedure might not happen. Therefore, it is desirable that the maximum acceptable tissue compression force is not exceeded. Interposed tissue may be subjected to a variety of acceptable compressive strength during surgery. This range of variation is known and referred to as optimal tissue compression or OTC, and is dependent on the type of fabric being stapled. Although the stapler shown in Main and others has a bar indicator that shows the user a safe staple firing distance between the anvil and the staple cartridge, it cannot indicate to the user

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3/92 all levels of compressive strength that are being imparted to the fabric prior to stapling. It would be desirable to provide a type of indication that could avoid excessive pressure on the fabric.

DESCRIPTION OF THE INVENTION [0005] The invention overcomes the deficiencies shown above and others of the prior art by offering an electrical surgical stapling device that is electrically energized to position the anvil and stapler cartridge in relation to each other on the fabric to be stapled and / or cut, to bring the anvil and the stapler cartridge together in relation to each other and shoot and fix the staples to the fabric (and / or cut the fabric). In addition, the electric surgical stapling device can indicate to the user a level of compressive force pre-defined by the user and which is being checked on the tissue before the clips are released. The present invention also provides methods for operating the electrical surgical stapling device when an OTC situation exists.

[0006] A compensation axis configuration for the two staple and anvil firing subsets creates a device that can be sized to fit comfortably in a user's hand. It also decreases manufacturing difficulties by removing previously embedded hollow (coaxial) trees. With the axis of the anvil subset being offset from the staple firing subset, the length of the threaded rod for extending and retracting the anvil can be increased by approximately 2 inches, thus saving on manufacturing costs and generating a longer longitudinal profile. I enjoy.

[0007] An example method for using electric staplers includes a power-on feature that allows you to enter a manual mode for testing. In a surgical procedure, the stapler is a unidirectional device. However, in the test mode, the user has the possibility to move the trocar back and forth as desired. This test mode can be disengaged and the stapler reconfigured to use mode for

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4/92 packaging and shipping purposes. For packaging purposes, it is desirable (but not necessary) that the anvil is at a distance from the staple cartridge. Then, a homing sequence can be programmed to place the anvil 1 cm (for example) away from the staple cartridge before being disconnected for packaging and shipping. Before use, the trocar is extended and the anvil removed. If the stapler is being used to dissect the colon, for example, the trocar is brought back towards the lever and the lever is inserted via the trans-anal towards the colon to the downstream side of the dissection while the anvil is inserted through of a laparoscopic incision on one side upstream of dissection. The anvil is attached to the trocar and two parts are retracted towards the lever until a ready stapling condition occurs. The staple firing sequence starts, but can be interrupted, to staple the dissection and simultaneously cut the tissue in the center of the dissection and to make an opening in the center of the circular staple ring. The clamp trigger sequence includes an optimal tissue compression measurement (OTC) and feedback control mechanism that causes the clamps to be triggered only when the compression is within a desired pressure range, referred to as the OTC range. This range or value is known in advance based on the known characteristics of the fabric to be compressed between the anvil and the staple cartridge.

[0008] Some examples of procedures in which the electric stapler can be used include colon dissection and gastric bypass surgery. There are many other jobs for the electric stapler in different technological areas. Taking into account the objects of the invention, there is also a surgical instrument, including a surgical end effector with at least one drive assembly to perform a surgical procedure when activated, an electric motor operationally connected to an end effector to operate by minus the actuation set, and a power source electrically connected to the motor and which selectively energizes

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5/92 the motor to drive at least one drive assembly. The power source has at least one battery cell with a critical current rating. When powered to power the motor and to drive at least one drive assembly, the power source operates at least one battery cell at a supercritical current rate.

[0009] With the objects of the invention in view, there is also a version of the surgical instrument, which includes a surgical end effector with at least one drive assembly to perform a surgical procedure when activated, an electric motor operationally connected to the end effector , to operate at least one drive assembly, and a power source electrically connected to the motor and which selectively energizes the motor to drive at least one drive assembly. The power source has at least one battery cell with a critical current rating, and when activated to power the motor and drive at least one drive assembly, the power source operates at least one battery cell within a range of average current above the critical current rate.

[0010] With the objects of the invention in view, there is also a version of a surgical instrument that includes a surgical end effector with at least one drive assembly to perform a surgical procedure when activated, an electric motor electrically connected to the end effector to operate at least one drive assembly, and a power source electrically connected to the motor and which selectively energizes the motor to drive at least one drive assembly at least 1 and less than 16 times during a clinical life of at least one effector end, engine and power source. The power source has at least one battery cell that, when activated to activate at least one drive set, operates only between approximately 0.5 seconds and approximately 15 seconds in duration.

[0011] With the objects of the invention in focus, there is also a version of a surgical instrument that includes a surgical end effector with at least

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6/92 minus a drive set to perform a surgical procedure when powered on, an electric motor with a nominal operating voltage and being operationally connected to the end effector to operate at least one drive set, and a power source electrically connected to the motor and selectively energizing the motor to drive at least one drive set. The power source has at least one battery cell with a critical current rating. When activated to energize the motor and drive at least one drive assembly, the power source operates at least one battery cell, at a supercritical current rate, at any time during at least part of a supercritical pulse discharge period and operates the motor above the rated operating voltage during the supercritical pulse discharge period.

[0012] Other features that are considered features of the invention are described in the appended claims. Although the invention is illustrated and described in this document as embedded in an electrical surgical instrument with optimized energy source and transmission, it is in no way intended to be limited to the details shown, as various structural changes and changes can be made to it without departing the spirit of the invention and within the scope and range of the claims.

[0013] The construction and method of operation of the invention, however, together with the additional versions and their advantages, will be better understood from the following description of the specific versions and when read with the aid of the drawings accompanying this report.

BRIEF DESCRIPTION OF THE DRAWINGS [0014] The advantages of the versions of the present invention will be apparent from the following detailed description of their preferred versions, whose descriptions must be considered together with the drawings accompanying this report in which:

[0015] FIG. 1 is a side view of a version of

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7/92 example of an electric stapler according to the invention;

[0016] FIG. 2 is a side elevational and fragmentary view of the stapler in Fig. 1 with a right half of a lever body and with a proximal back plate removed;

[0017] FIG. 3 is a perspective and exploded view of an anvil control assembly of the stapler of FIG. 1;

[0018] FIG. 4 is a perspective, enlarged, fragmentary and deflagrated view of the anvil control assembly of FIG. 3;

[0019] FIG. 5 is a fragmentary perspective view of a staple trigger control assembly of the stapler of Fig. 1 from its rear side;

[0020] FIG. 6 is an exploded perspective view of the clip trigger control assembly of FIG. 1;

[0021] FIG 7 is a perspective, deflagrated, fragmentary and enlarged view of the clip trigger control assembly of FIG. 6;

[0022] FIG. 8 is a horizontally and fragmentary cross-sectional view of the anvil control assembly from the bottom of the staple lever body FIG. 1;

[0023] FIG. 9 is a horizontally, enlarged and fragmentary cross-sectional view from the bottom of a proximal part of the anvil control assembly of FIG. 8;

[0024] FIG. 10 is a horizontally enlarged, fragmentary cross-sectional view from the bottom of an intermediate part of the anvil control assembly of FIG. 8;

[0025] FIG. 11 is a horizontally enlarged, fragmentary cross-sectional view from the distal part of the anvil control assembly of FIG. 8;

[0026] FIG. 12 is a vertically and fragmentary cross-sectional view from the right side of a part of the lever body of the stapler of FIG. 1;

[0027] FIG. 13 is a cross-sectional view vertically, enlarged and

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8/92 fragmentary from the right side of a part of the body of the proximal lever of the stapler of FIG. 12;

[0028] FIG. 14 is a vertically enlarged, fragmentary cross-sectional view from the right side of a part of the intermediate lever body of the stapler of FIG. 12;

[0029] FIG. 15 is a vertically transverse, more enlarged and fragmentary view from the right side of the intermediate lever body part of the stapler of FIG. 14;

[0030] FIG. 16 is a vertically enlarged, fragmentary cross-sectional view from the right side of a part of the distal lever body of the stapler of FIG. 12;

[0031] FIG. 17 is a perspective view of a part of the stapler anvil of FIG. 1;

[0032] FIG. 18 is a cross-sectional and fragmentary view of a removable stapling assembly, including the anvil, a stapler cartridge, a power key, and an assembly that connects to the removable stapler cartridge of FIG. 1;

[0033] FIG. 19 is a horizontally and fragmentary cross-sectional view of the anvil control assembly from the top of the stapler lever body part of FIG. 1 with the anvil stem in a fully extended position;

[0034] FIG. 20 is a side elevational and fragmentary view of the part of the lever body of the stapler of FIG. 1 from the left side of the lever body part with the left lever body and circuit board removed and with the anvil stem in a fully extended position;

[0035] FIG. 21 is a side elevational and fragmentary view of the stapler lever body part of FIG. 20 with the anvil stem in a 1-cm anvil closing position;

[0036] FIG. 22 is a fragmentary, horizontal side view of the anvil control assembly from the upper part of the lever body.

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9/92 stapler of FIG. 1 with the anvil stem in a secure clip firing position;

[0037] FIG. 23 is a fragmentary, horizontal cross-sectional view of the anvil control assembly from the upper part of the stapler lever body of FIG. 1 with the anvil stem in a fully retracted position;

[0038] FIG. 24 is a fragmentary, horizontal cross-sectional view of the trigger control assembly from the top of the stapler lever body part of FIG. 1;

[0039] FIG. 25 is a horizontally and fragmentary cross-sectional view from the top of a proximal part of the firing control assembly of FIG. 24;

[0040] FIG. 26 is a horizontal, enlarged and fragmentary cross-sectional view from the top of an intermediate part of the trigger control assembly of FIG. 24;

[0041] FIG. 27 is a horizontal, enlarged and fragmentary cross-sectional view from the top of a distal part of the firing control assembly of FIG. 24;

[0042] FIGS. 28 and 29 are partially transparent, enlarged, fragmented and shaded views of a staple cartridge removal assembly of FIG. 1;

[0043] FIG. 30 is a schematic circuit diagram of an example encryption circuit for interchangeable components of the medical device according to the invention;

[0044] FIG. 31 is a bar graph illustrating the speed at which a reel moves a rack shown in FIG. 32 in various loads;

[0045] FIG. 32 is a perspective and fragmentary view of an example of a simplified part of a gear train according to the present invention between a gearbox and a rack;

[0046] FIG. 33 is a cross-sectional view, longitudinally vertically and

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10/92 fragmentary of a distal end of an articulated part of an example version of an end effector with an inner tube, the balance-blade stem support, the anvil, the closing ring, and the close half of the hammer staple removed;

[0047] FIG. 34 is a schematic circuit diagram of an example switching assembly for a power source according to the invention;

[0048] FIG. 35 is a schematic circuit diagram of an example switching assembly for the forward and reverse control of the motor according to the invention; and [0049] FIG. 36 is a schematic circuit diagram of another example switching assembly and the motor forward and return control according to the invention.

BEST MODE FOR CARRYING OUT THE INVENTION [0050] Aspects of the invention are disclosed in the following description and in the respective drawings oriented to specific versions of the invention. Alternative versions can be described without departing from the spirit or scope of the invention. In addition, the well-known elements of the example versions of the invention will not be described in detail or will be omitted with the aim of not hiding the relevant details of the invention.

[0051] Before the present invention is disclosed and described, it should be understood that the technology used in it is intended only to describe the particular versions and is not intended to be limiting. It should be noted that, as used in the report and the appended claims, the forms in the singular one, one, and the references in the plural include, unless the context clearly defines otherwise.

[0052] While the report is completed with the claims defining the characteristics of the invention that are considered new, it is believed that the invention will be better understood taking into account the following description together with the figures of the drawings, in which it contains reference numbers next to each figure. The figures in the drawings are not

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11/92 drawn to scale. In addition, it is observed that the figures were created using a computer program of drawing with computer support. This program sometimes removes certain structural lines and / or surfaces when switching between a shaded or colored view to a wire view. Thus, the drawings should be treated as approximations and used as illustrative of the characteristics of the present invention.

[0053] Referring now in detail to the figures of the drawings and first and particularly to FIGS. 1 to 2, a version of an electric surgical circular stapler 1 is exemplified. The present application applies the electrically energized lever to a circular surgical staple head just to facilitate understanding. The invention is not limited to circular staplers and can be applied to any surgical stapling head, such as, for example, a linear stapling device.

[0054] The energized stapler 1 has a lever body 10 containing three keys: an anvil opening key 20, an anvil closing key 21, and a clamp firing key 22. Each of these keys is electrically connected to a circuit board 500 (see FIG. 12) with the circuit programmed to perform the stapling functions of the stapler 1. The circuit board 500 is electrically connected to a power source 600 contained within the lever body 10. An example of version uses 2 to 6 CR 123 or CR2 lithium batteries as the 600 power source. Other versions of the power source are possible, such as rechargeable batteries or a power converter that is connected to the mains (in the latest version, the stapler it must not be self-energized or self-contained). As used in this document, the terms self-energized or self-contained, when used in relation to the electric power source 600, are interchangeable, and this means that the power source is a complete and independent unit in and of itself, and can operate with its own own strength without using external energy sources. For example, a power source with a

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12/92 electrical wire that is connected to an electrical line during use is not self-powered or self-contained.

[0055] The insulated conductor wires or traces of the conductor on the circuit board 500 connect all the electronic components of the stapler 1 such as, for example, an on-off switch 12, a tissue compression indicator 14, the anvil and trip 20, 21, 22, the circuit board 500, and the power source 600. But these conductive wires and conductor tracks are not shown in the figures of the drawings to facilitate understanding and clarity.

[0056] The distal end of the lever body 10 is connected to a proximal end of a rigid anvil arm 30. On the opposite side of this connection, at the distal end of the anvil arm 30, there is a coupling device 40 for connecting the it removably a staple cartridge 50 and an anvil 60. Alternatively, the staple cartridge 50 can be of the non-removable type in a simple configuration of using stapler 1. These connections will be described in more detail below.

[0057] FIG. 2 shows the lever body 10 with a right half 13 of the lever body 10 and the circuit board 500 removed. As will be discussed below, a proximal dorsal plate 70 is also removed from the view of Figure 2, in order to allow the visualization of the internal components within the lever body 10 on its right side. What can be seen from the view of FIG. 2 is that there are two axes of the internal component within the body of the lever 10. A first of these axes is the clamp control axis 80, which is in the relatively horizontal position in the view of FIG. 2. The clamp control axis 80 is the dorsal line on which the components for controlling the clamp actuation are arranged. The second of the axes is the anvil control axis 90 and is arranged at an angle to the clamp control axis 80. The anvil control axis 90 is the dorsal line on which the components for controlling the activation of the anvil. It is this separation of the axes 80, 90 that allows the electric stapler 1 to be energized using a lever body 10 that is small enough to fit in the hand

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13/92 of a doctor and that does not take up too much space that will restrict the doctor's movements in all directions and orientations.

[0058] Inside the lever body 10 there is the on / off switch 12 (for example, a grenade pin) to control the energy (for example, battery power) for all electrical components and for the tissue compression indicator 14. The tissue compression indicator 14 indicates to the physician that the tissue to be compressed between the anvil 60 and the staple cartridge 50 was or was not compressed with a greater compressive force than the pre-established one, which will be described in more detail below . This indicator 14 is associated with a power switch 400 which was described in US Provisional Patent Application Serial No. 60 / 801,989, filed on May 19, 2006, and entitled Power Key (whose integrity is incorporated in this document as a reference) ).

[0059] The components along the control shaft of the anvil 90 form the control assembly of the anvil 100. An control structure of the anvil 110 is aligned along the control axis of the anvil 90 to house and / or fix various components of the control set from anvil 100 to the structure. The control structure of the anvil 110 has a proximal support 112, an independent support 114, and a distal support 116. Each of these supports 112, 114, 116 can be fitted or integrated into the control structure 110. In the example version, for to facilitate fabrication, the proximal support 112 has two halves and is separated from the structure 110, and the intermediate support 114 is separated from the structure 110.

[0060] At the proximal end of the anvil control set 100 is an anvil motor 120. The anvil motor 120 includes a drive motor and a gearbox that may need to convert the original speed of revolution of the motor to a speed of revolution axial outlet desired. In the present case, the drive motor has an original speed of approximately 10,000 rpm and the gearbox reduces the speed to approximately 50 to 70 rpm to an axis of 122 extending from a

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14/92 the distal end of the anvil motor 120. The anvil motor 120 is protected both longitudinally and rotationally within the proximal support 112.

[0061] A motor-shaft coupler 130 is fixed rotationally to an axis 122, so that the rotation of the shaft 122 becomes a corresponding rotation of the motor coupler 130.

[0062] Positioned distally from the coupler 130 is a rotating thread assembly 140. In this version, the thread assembly 140 is a two-part device with a proximal thread half 141 and a distal thread half 142 fixed rotationally and longitudinally to the proximal thread half 141. It is noted that these thread halves 141, 142 can be integrated, if necessary. In this document, they are illustrated in two halves to facilitate manufacturing. The proximal end of the thread assembly 140 is rotationally attached to the distal end of the coupler 130. A longitudinal and rotational support along the entire length of these two connected parts is assisted by intermediate supports 114 and distal 116.

[0063] A proximal thread bushing 150 (see FIG. 3) is interposed between the intermediate support 114 and the proximal thread half 141, and a distal thread bushing 160 is interposed between the distal support 116 and the distal thread half 142 so that these parts can rotate efficiently and substantially without friction within the lever body 10 and the anvil control structure 110. The bushings 150, 160 can be of any suitable bearing material, for example, they can be of metal, like bronze, or a polymer, like nylon. In order to further increase the longitudinal friction between the rotary thread assembly 140 and the coupler 130, an insert washer 170 is disposed between the proximal bushing 150 and the half of the proximal thread 141.

[0064] The rotation of the coupler 130 and the thread assembly 140 is used to advance or retract the threaded rod 180, which is the mechanism through which the anvil 60 is extended or retracted. Threaded rod 180 is shown in more detail in the deflagrated view of FIGS. 3 to 4 and is described in more detail

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15/92 below. A stem holder 190 is attached to a distal end of the anvil control structure 110 to extend the support surfaces within the nut assembly 140 that keeps stem 180 aligned along the axis of control of the anvil 90.0 stem holder 190 has a soft internal shape that corresponds to an external shape of the part of the stem 180 that passes through it. This crossover of shapes allows the rod 180 to move proximally and distally through the support 190 substantially without friction. To improve the frictional movement of the stem 180 through the support 190, in the example version, a cylindrical stem bushing 192 is arranged between the support 190 and the stem 180. The stem bushing 192 is not visible in FIG. 2 because it rests within the support 190. However, the stem bushing 192 is visible in the deflagrated view of FIGS. 3 to 4. With the stem bushing 192 in place, the internal shape of the holder 190 corresponds to the internal shape of the stem bushing 192 and the internal shape of the stem bushing 192 corresponds to the external shape of the stem part 180 that passes through it . The stem bushing 192 can be, for example, metal, such as bronze, or a polymer, such as nylon. [0065] The components along the staple control axis 80 form a staple control assembly 200. The staple control assembly 200 is illustrated in FIG. 5 viewed from a proximal upper and lateral perspective. The proximal end of the clamp control assembly 200 includes a stapling motor 210. Stapling motor 210 includes the drive motor and any gearbox that could be required to convert the original engine speed of revolution to a speed of revolution desired. In the present case, the drive motor has an original speed of approximately 20,000 rpm and the gearbox converts the speed to approximately 200 rpm at an output shaft 212 at the distal end of the gearbox. Axis 212 cannot be seen in the view of FIG. 5, but can be seen in the exploded view of FIGS. 6 to 7.

[0066] Stapling motor 210 is fixed rotationally and longitudinally to a motor support 220. Distance from the motor support 220

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16/92 is an intermediate coupling bracket 230. This coupling bracket 230 has a distal plate 232 which is shown, for example, in FIG. 6. The distal plate 232 is removable from the coupling bracket 230 so that a rotating screw 250 can be retained between them. It is this rotary screw 250 that acts as the drive to eject the staples out of the staple cartridge 50. The efficiency in transferring the rotational movement from shaft 212 to the rotary screw 250 is a factor that can substantially increase the capacity of stapler 1 of release the necessary longitudinal clamp ejection force up to 113.40 kg. Thus, an example of screw version 250 has a trapezoidal profile thread.

[0067] There are two example modes described in this document that allow the rotation of shaft 212 to be attached to screw 250. First, stapling motor 210 can be loosely housed within a chamber defined by lever body 10, so that it is stable rotatingly, but has game to move radially and in such a way that it is stable longitudinally, but has game to move. In this type of configuration, the stapling motor 210 “will find its own center” to align axis 212 with the axis of screw 250, which, in the example version, is also the staple control axis 80.

[0068] A second example version for aligning shaft 212 and screw is illustrated in FIGS. 1 to 5, for example. In this version, a proximal end of a flexible coupling 240 is attached (both rotationally and longitudinally) to the shaft 212. This connection is formed by fitting the distal end of the shaft 212 into a proximal hole 241 of the flexible coupling 240. See FIG . 12. Axis 212 is then fastened to it with a proximal locking screw 213. Screw 250 has a proximal extension 251 that fits into distal hole 242 of flexible coupling 240 and is secured to it by a distal locking screw 252. Observe the figures in the drawings show the flexible coupling 240 with grooves in its central part. In an example version of coupling 240, the component is

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17/92 aluminum or molded plastic and has a spiral or helix shape around the circumference of its central part. In this type of configuration, one end of the coupling 240 can move in a radial direction (360 steps) in relation to the other end (as in a suspension), and thus provide the desired bending to efficiently align the central axes of the 212 axis and screw 250.

[0069] The proximal extension 251 of screw 250 is substantially smaller in diameter than the diameter of orifice 231 that exists in and through the intermediate coupling support 230. This orifice 231 has two ascending steps in diameter on its distal side. The first upward step in diameter is dimensioned to fit a proximal radius threaded sleeve 260, which is formed of a material that is softer than the intermediate coupling support 230. The proximal radius screw bushing 260 only holds the screw 250 axially aligned and does not absorb or transmit any longitudinal thrust. The second upward step in diameter is dimensioned to fit a proximal thrust bearing 270, for screw 250. In an example version of the thrust bearing 270, proximal and distal plates join a bearing ball retaining plate and the bearing balls between them. This thrust bearing 270 absorbs all longitudinal thrust that is imparted towards axis 212 while up to 113.40 kg of longitudinal force is being applied to eject the staples from the staple cartridge 50. The longitudinal extension 251 of the screw 250 has different diameters dimensioned for each interior of the threaded sleeve 260 and thrust bearing 50. The proximal extension 251 of screw 250 has different diameters dimensioned for each interior of the threaded sleeve 260 and thrust bearing 270. The motor support 220 and the coupling holder 230 thus form two devices that support the flexible coupling 240 between them.

[0070] The rotating screw 250 is retained inside the distal plate 232 with a distal radius threaded bushing 280, similar to the radial threaded bushing

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18/92 proximal 260. Thus, screw 250 rotates freely within distal plate 232. To convert the rotation of screw 250 into a linear distal movement, screw 250 is threaded into a movable nut 290. The movement of nut 290 is limited the amount of movement that is required to complete the activation of the clamps; in other words, nut 290 only needs to move a sufficient distance to conform the closed clamps between the clamp cartridge 50 and the anvil 60 and extend the cutting blade, if applicable, inside the clamp cartridge 50, and then retract it. there. When nut 290 is in the most proximal position (see, for example, FIG. 12), the clamps are at rest and ready to be fired. When nut 290 is in the most distal position, the staples are stapled and around the fabric interposed between the staple cartridge 50 and the anvil, and the knife, if applicable, is entirely through the fabric to be cut. The most distal position of nut 290 is limited by the location of distal plate 232. Thus, the longitudinal length of the threads of screw 250 and the location of distal plate 232 limits the distal movement of nut 290.

[0071] The frictional losses between screw 250 and port 290 contribute to a significant reduction in the total weights of force that can be transmitted to the clamp cartridge 50 through the plunger of cartridge 320. For this reason, it is desirable to choose the materials of screw 250 and nut 290 and the pitch of the threads of screw 250 in an optimal way. It was concluded that the use of a low friction polymer for the manufacture of nut 290 will decrease the friction enough to transmit approximately 113.40 kg of longitudinal force to the distal end of the plunger 320 - the amount of force that is required to dispose clamps effectively. Two particular sample materials offer the desired characteristics and are referred to in the art as Mixture of Acetal AF DELRIN® (a thermoplastic material that combines TEFLON® fibers uniformly dispersed in DELRIN® acetal resin) and RULON® (a composite form of TFE fluorocarbon) or other similar low friction polymers.

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19/92 [0072] A nut coupling bracket 300 is longitudinally attached to nut 290 so that it moves together with nut 290. The nut coupling bracket 300 provides support for the relatively soft and unstable nut material. In the example version shown, the support 300 has an internal cavity with a shape that corresponds to the outer shape of the nut 290. Thus, the nut 290 fits comfortably in the coupling support 300 and the movement of the nut 290 becomes a corresponding movement of the coupling bracket of the nut 300. The shape of the coupling bracket of the nut 300 is, in the example version, dictated by the surrounding components and the longitudinal forces that it has to support. For example, there is an inner cavity 302 distal from nut 290 which is shaped to receive distal plate 232 therein. The nut coupling support 300 also has a distal housing 304 to receive a reinforcement rod 310 therein. The reinforcement rod 310 increases the longitudinal support and forms part of the connection between nut 290 and a plunger of cartridge 320 (see, for example, FIG. 5), which is the last movable connection between the elements in the lever body 10 and the cartridge clamp 50. A firing bracket 330, disposed between the distal end of the nut coupling bracket 300 and the reinforcement rod 310, extends the connection between the nut coupling bracket 300 and the rod 310.

[0073] Several components of stapler 1 are connected to each other to form a dorsal line or spine. This dorsal line is a structure that provides multidirectional stability and is constructed in four main parts (in order from proximal to distal): the control structure of the anvil 110, the proximal dorsal plate 70 (shown in Figures 3 to 4 and 6 to 7), a distal dorsal plate 340, and an anvil collar 30. Each of these four parts is fixed longitudinally and rotationally relative to the other in this order, and form the skeleton in which the rest of the lever components are in some way coupled. The lateral support of the components is provided with contours on the internal surfaces of the lever body 10, which in a version

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Example 20/92, it is formed of two halves, a left half 11 and a right half 13. Alternatively, the support could be a simple structure, pressed or incorporated into the halves of the lever 11, 13.

[0074] The functionality of the anvil control set 100 is described in relation to FIGS. 17 to 27. To perform a stapling procedure with stapler 1, anvil 60 is removed entirely from stapler 1, as shown in FIG. 17. The anvil opening key 20 is lowered to extend the distal end of the tip of the trocar 410 attached inside the clamp cartridge and which is fixedly and longitudinally connected to the screw 250. The point of the tip of the trocar 410 can now pass or perforate the fabric being stapled. The user can, at this point, replace the anvil 60 on the tip of the trocar 410 from the opposite side of the tissue (see FIG. 18) and thus lock the anvil 60 on it. The closed anvil key 22 can be operated to initiate the closing of the anvil 60 in relation to the staple cartridge 50 and to pierce the fabric between them within that of the anvil-cartridge opening 62.

[0075] To describe how the control movement of the tip of the anvil trocar 60 occurs, reference is made to FIGS. 8a10,14a15, e18. As shown in the dashed lines of FIG. 15, a rod guide pin 143 is positioned inside the central hole 144 of the distal thread half 142. As the threaded rod 180 is screwed into the rotating nut 140, 141,142, the pin 143 reaches the proximal end of the thread 182 for surround pin 143. Thus, rotation of nut 40 with pin 143 within thread 182 will cause proximal and distal movement of stem 180, depending on the direction of rotation of the nut. Thread 182 has a variable pitch, as shown in FIGS. 14 to 15, to move the anvil 60 at different longitudinal speeds. When pin 143 is inside the longest (lowest) threaded seat part 183, anvil 60 moves longitudinally faster. In comparison, when pin 143 is within the shortest (highest) threaded seated part 184, anvil 60 moves longitudinally more slowly.

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It can be seen that pin 143 is the only part that comes into contact with thread 182 when it is in the longest seated thread part 183. Thus, pin 143 is exposed to the total longitudinal force that is acting on stem 180 at this moment . Pin 143 is strong enough to retain these forces, but may not be sufficient to withstand any longitudinal force that could occur with the closure of anvil 60 on the interposed tissue.

[0076] As shown in FIG. 14, the stem 180 has a shorter seated thread part 184 to fit a corresponding internal thread 145 at the proximal end of the central hole 144 of the proximal nut half 141. When the shorter seated thread part 184 engages the thread internal 145, the total transverse surface 184 comes into contact with the internal thread 145. This surface contact is much greater than the contact between pin 143 and any part of thread 182 and, therefore, can withstand any longitudinal force that occurs in relation to the closure of the anvil 60, especially when the anvil 60 is closing on the tissue during the firing position of the clamp. For example, in the example version, pin 143 supports approximately 13 to 22 kg of longitudinal force. This is compared to threads, which can support up to 181 kg of longitudinal force - a difference of almost 10-by-1. An alternate example version of the anvil control set 100 can completely remove the complex screwing of stem 180. In these cases, stem 180 has a single thread pass and the anvil motor 120 is driven (through corresponding programming on the nameplate). circuit 500) at different speeds depending on the longitudinal position of the single threaded rod 180.

[0077] In any version for driving motors 120, 210, control programming can take many forms. In an example version, the microcontroller on the battery-powered circuit board 500 can apply modulation (for example, pulse width, pulse frequency) to drive one or both motors. Also, because stapler 1 is a device that has a low duty cycle, or is a device for use

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22/92, components can be driven to exceed manufacturers' acceptable specifications. For example, a gearbox can be regulated beyond its nominal capacity. Also, a drive motor, for example, a 6-volt motor, can be over-energized, for example, to 12 volts.

[0078] Closing anvil 60 from an extended position to a position in which the tissue is not compressed or only slightly compressed can occur quickly without causing damage to the interposed tissue. Consequently, the longest twisted thread part 183 allows the user to quickly close the anvil 60 on the fabric in a pre-compressed fabric state. Subsequently, it is desirable to compress the fabric slowly so that the user has control to avoid excessive compression of the fabric. As such, the shorter seated thread part 184 is used over this latter range of motion and offers the user a greater degree of control. During this type of compression, the power switch 400 seen in FIG. 18 and described in co-pending US Provisional Patent Application No. 60 / 801,989 can be used to indicate to the user through the fabric compression indicator 14 (and / or the circuit board control circuit 500) that the fabric is being compressed with a force that is greater than the preload of the spring 420 within the power switch 400. It can be seen that FIG. 18 illustrates the version of the power switch 400 in the normally open configuration described as the first example version of US Provisional Patent Application No. 60 / 801,989. It is also possible to use a tension gauge to measure tissue compression.

[0079] FIGS. 19 to 23 illustrate the movement of the stem 180 from an extended position of the anvil (see FIGS. 19 to 20), to a position of closing distance of 1 cm (see FIG. 21), to a position of ready for staple firing (see FIG. 22), and finally to a fully closed anvil position (see FIG. 23). The movement of the stem 180 is controlled electrically (by means of the circuit board 500) by the contact between the actuator part of the

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23/92 surface of the cam 185 on the stem 180 and levers or actuation keys of a series of micro keys positioned on the body of the lever 10.

[0080] A fully extended wrench of stem 610 (see FIG. 19) is in the distal position on lever body 10 so that actuator 185 compresses the actuation lever of the fully extended wrench of stem 610 when stem 180 (and thus , anvil 60) is in a fully extended position. A 1 cm 612 wrench is positioned in an intermediate position within the lever body 10 (see FIGS. 20 to 21) to prevent the 1 cm 186 cam surface portion of the stem 180 from pressing the drive key trigger key. 1 cm 612 when the stem 180 (and thus the anvil 60) is within 1 cm of the fully closed position. After reaching the closing distance of 1 cm, as shown in FIG. 22, the cam surface actuator 185 engages a key ready for clamp firing 614. The lower end of actuator 185, as shown in FIGS. 22 to 23, it has a bevel gear on both the front and rear sides in relation to the key of the 614 clamp trigger key and the distance between the part on the two bevel gears that activate the key (or, only its flat part) corresponds to the acceptable clamp formation range (for example, safe firing length) of the clamps in the clamp cartridge 50. Thus, when the clamp ready switch key 614 is lowered for the first time, the distance between the anvil 60 and the staple cartridge 50 is in the longest range to successfully achieve staple firing and closing. While the button is down, the separation distance 62 of the anvil (see FIG. 18) remains within a safe clamp firing range. However, when the 614 clip trigger key is no longer lowered - because actuator 185 is positioned proximally to the button, then the clips will not be released, because the distance is too small for therapeutic stapling. FIG. 23 shows the stem 180 in the most proximal position, which is indicated by the upper end of the actuator 185 closing the lever of a fully retracted key

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24/92 of stem 616. When this switch 616 is activated, programming on circuit board 500 prevents motor 120 from rotating in a stem retraction direction; in other words, it is an interruption switch for retracting the stem 180 in the proximal direction.

[0081] It was observed that FIGS. 2 to 3.11 to 12, and 16 illustrate the distal end of the rod 10 which is not connected to any other device at its distal end (which would then contact the proximal end of the power switch 400). The connection band or bands between the distal end of the stem 180 and the proximal end of the power switch 400 are not shown in the drawings for reasons of understanding only. In an example version, the traction strips are flat and flexible to cross the bottom side of the cartridge plunger 320 through the anvil collar 30 and to the proximal end of the power switch 400. Of course, if the power switch 400 does not is present, the bands would be connected to the proximal end of the tip of the trocar 410 which connects freely to the proximal end of the anvil 60.

[0082] The functionality of the clamp control set 200 is described in relation to FIGS. 12 to 16 and 24 to 27, in particular to FIG. 24. Stapling motor 210 is trapped between motor bearing 222 and motor shaft cover 224. Shaft 212 of stapling motor 210 is rotatably connected to the distal end of flexible coupling 240 and the distal end of flexible coupling 240 it is rotatably connected to the proximal end of the screw 250, which rotates on the bearings 260, 270, 280 which are arranged inside the intermediate coupling bracket 230 and the distal plate 232. The longitudinal translation nut 290 is threaded on the screw 250 between the bracket coupling 230 and distal plate 232. Therefore, the rotation of the shaft 212 becomes a corresponding rotation of the screw 250.

[0083] The nut 300 coupling bracket is fixed longitudinally to the nut 290 and the reinforcement rod 310 and the firing bracket 330. The firing bracket 330 is fixed longitudinally to the piston of the cartridge 320, which

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25/92 extends (via a staple driver not shown) to the staple cartridge 50 (or even the staples). With this type of connection, the longitudinal movement of the nut 290 becomes a corresponding longitudinal movement of the piston of the cartridge 320. Thus, when the clamping trigger 22 is activated, the stapling motor 210 turns a sufficient number of times. so that the staples are completely fired from the staple cartridge 50 (and the cutting blade, if present, is extended to completely cut the fabric between the anvil 60 and the staple cartridge 50). Programming in the circuit, as described below, then causes the clamp plunger 320 to retract after firing and remove any part of the clamp and / or blade parts within the clamp cartridge 50 from an opening in the cartridge- anvil 62.

[0084] The control of this stapling movement, again, occurs through the micro-keys connected to the circuit board 500 through electrical connections, for example, by wires. A first of these control switches, the proximal clamp switch 618, controls the retraction of the clamp control set 200 and defines the most proximal position of this set 200. To activate this switch, a drive plate 306 is attached, in a adjustable to one side of the nut coupling bracket 300. See, for example, FIGS. 6 and 24. As such, when nut 290 moves proximally to cause plate 306 on nut coupling bracket 300 to actuate proximal clamp switch 618, the force for stapling motor 210 is removed to interrupt too much proximally directed movement of the clamp control assembly 200. The second of the keys for controlling the movement of the clamp control assembly 200 is located opposite an opposite surface distal to the reinforcement rod 310. See, for example, FIG. 27. A longitudinally adjustable cam member 312 is arranged on the surface, which contacts a distal clamp wrench 620. In an example version, cam member 312 is a screw that is threaded into a distal hole in the reinforcement rod 310. Thus , when nut 290 moves distally to

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26/92 to cause the meat member 312 of the reinforcement rod to activate the distal clamp key 620, the force for the stapling motor 210 is removed to interrupt too much movement distally directed from the clamp control assembly 200.

[0085] FIGS. 28 and 29 illustrate a removable connection assembly that allows the replacement of a different staple cartridge 60 at the distal end of the anvil 30.

[0086] The chamber most proximal to the body of lever 10 defines a cavity to hold a power source 600 inside it. This power source 600 is connected through circuit board 500 to motors 120, 210 and the other electrical components of the stapler 1.

[0087] The electronic components of stapler 1 have been described in general with regard to control via circuit board 500. Electric stapler 1 includes, as described above, two drive motors 120, 210 powered by batteries and controlled by push buttons , 20, 21, 22. The movement ranges of each motor 120, 210 are controlled by limit switches 610, 616, 618, 620 at the movement ends and at the intermediate locations 612 614 along the movement. The logic by which motors 120, 210 are controlled can be realized in several ways. For example, relay or ladder logic language, can be used to define the control algorithm for motors 120, 210 and switches 610, 612, 614, 616, 618, 620. This type of configuration is a simple control method, but limited. A more flexible method employs a microprocessor control system that captures inputs on the switch, blocks shutdown, triggers indicator lights, records data, provides audible feedback, triggers visual displays, question identification devices (for example, frequency identification devices (RFIDs) or cryptographic identification devices), captures forces, communicates with external devices, monitors battery life, etc. The microprocessor can be part of an integrated circuit built specifically for the purpose of interfacing with and controlling systems

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27/92 complex electromechanical. Examples of this type of chip are those offered by Atmel, such as the Mega 128, and by PIC, such as the PIC 16F684.

[0088] A software program is required to provide control instructions for this type of processor. Once fully developed, the program can be written to the processor and stored indefinitely. This type of system makes changes in algorithm control relatively simple; changes in the software that are downloaded to the processor adjust the control and user interface without changing the wiring or mechanical layout of the device.

[0089] For a disposable device, a connection situation is an occurrence of a time. In this case, the connection can be made by pressing a key or a release that is permanently removed from the device. [0090] The removal allows the battery to contact, and thus turns on the device. In any version of the device, when the device is turned on, the control program starts to execute and, before leaving the device ready for use, it follows through a routine that allows the certification of the extension / retraction positions and the trigger subsets , referred to as a homing routine. The homing routine can be performed by the manufacturer before being dispatched to the user. In these cases, the homing routine is performed, the positions of the sets are established, and the device is dispatched to the user in a ready-to-use condition. Right after initialization, the device checks its positions and is ready for use.

[0091] Visual indicators (for example, LEDs) are used to provide feedback to the user. In the case of pushbutton switches 20, 21,22, they can be on (or back light) when activated and off when they are deactivated. The indicators may flash to transmit additional information to the user. In the case of a delayed response after pressing a button, a certain light may flash at an increasing speed, as the response becomes imminent, for example. Indicators can also illuminate with different colors to

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28/92 indicate several states.

[0092] Meats are used in various positions on stapler 1 to activate limit switches that provide position information to the processor. Using linear meats of various lengths, position ranges can be fixed. Alternatively, encoders can be used in place of limit switches (absolute and incremental positioning). Limit keys are binary. Turns on or off. Instead of binary input for position information, encoders (such as optical encoders) can be used to provide position information. Another way of providing position feedback includes mounting pulse generators on the end of the motors that drive the subsets. By counting pulses and knowing the ratio of motor turns to linear motion, the absolute position can be defined.

[0093] The use of a processor makes it possible to store data. For example, vital and preloaded information, such as the device's serial number and software revision. The memory can also be used to record data while stapler 1 is in use. Every push button, every limit switch transmission, every aborted trip, every completed trip, etc., can be stored for later recovery and diagnosis. The data can be recovered through a programming port or through a wireless system. In an example version, the device can be placed in diagnostic mode through a series of button presses. In this diagnostic mode, a doctor can access stapler 1 for certain data or to transmit / output certain data. Stapler 1's answer, such as a question, can be in the form of blinking LEDs, or, in the case of a device with a monitor, data with visual characters, or it can also be electronic data. As described above, a voltage meter can be used for analog output and to provide an acceptable voltage range.

[0094] Alternatively, the addition of a second spring and components

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29/92 support can fix this band mechanically.

[0095] An example control algorithm for a single trigger stapler 1 can include the following steps:

- Turn on.

- Check the home position and go to the home position, if necessary / desired.

- Allow the extension / retraction of the buttons (accesses) and disable (off) the clip trigger button.

- Allow the clamp release button only after full extension (removal of the anvil) and subsequent retraction with the extension / retraction buttons remaining enabled.

- Immediately after pressing the clamp trigger button, retract the anvil until the power switch is activated.

- Start counting by flashing the trigger button LED and increasing the blinking speed as the trigger cycle becomes imminent. Continue monitoring the power switch and retract the anvil so that the power switch remains on.

- During the staple trigger cycle, any button presses abort the staple trigger routine.

- If an abortion occurs before the clamp trigger motor is activated, the tripping cycle stops, the anvil is extended to the home position, and the clamp trigger button remains active and ready for redisplay.

- Alternatively, if the abortion occurs during the movement of the firing motor, the firing cycle stops, the firing motor is retracted, the anvil returns to the home position, and the firing button becomes inactive; thus, the stapler (or staple cartridge, cannot be used).

- After the trigger count is complete, the clamp range limit switch is asked for position. If the clamp range limit switch is activated, it means that the anvil is within

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30/92 acceptable clamp trigger range, then the clamp trigger motor is activated and the clamp trigger cycle continues. If the staple range limit switch is not activated, then the firing cycle is aborted, the anvil returns to the home position, and the staple firing button remains active and ready for a re-firing attempt.

- After a complete clamp firing, the anvil remains in the closed position and only the extension button remains active. Once the anvil is extended to at least the home position, both the extension and retraction buttons become active. The staple trigger button remains inactive after a complete staple trigger.

[0096] Throughout the entire example cycle above, button presses, key positions, abortions and triggers can be recorded.

[0097] In a surgical procedure, the stapler is a unidirectional device. In test mode, however, the test user must have the ability to move the trocar 410 and anvil 60 back and forth as desired. The link feature allows the user to enter a manual mode for testing purposes. This test mode can be disengaged and the stapler reset to the use mode for packaging and shipping purposes.

[0098] For packaging purposes, it is desired (but not necessary) that the anvil 60 is disposed at a distance from the staple cartridge 50. Therefore, a homing sequence can be programmed to position the anvil 60 one centimeter (for example ) away from the staple cartridge 50 before shutdown for packaging and shipping.

[0099] When the electric stapler is unpacked and ready to be used in surgery, the user turns on the stapler (key 12). Staples must not be fired in any way before they are in an appropriate staple firing position and in a desired tissue compression state. Thus, the anvil / trocar extension / retraction function is the only

Petition 870180141083, of 10/15/2018, p. 43/108 / 92 function that is enabled. In this situation, the extension and retraction buttons 20, 21 are lit and the clip trigger switch 22 is off (that is, disabled).

[0100] Before using on the patient, trocar 410 is extended and anvil 60 is removed. If the stapler is being used to anastomize a colon, for example, trocar 410 is retracted back into the anvil collar 30 and the staple cartridge 50 and the anvil collar 30 are inserted trans-anally into the colon to a side in the direction of dissection. Anvil 60, on the other hand, is inserted through a laparoscopic incision in the opposite direction and placed on the side against dissection. The anvil 60 is engaged with the trocar 410 and the two parts are retracted towards the anvil cartridge 50 until a ready stapling condition occurs. As described above, the anvil is moved a distance that does not substantially compress and, in particular, does not dissect the tissue between them. At this point, staple triggering can occur when desired.

[0101] The staple trigger sequence is initiated by activating the staple trigger key 22. The staple trigger can be aborted at any time during the trigger sequence, whether prior to movement (during the discoloration cycle) or during movement (whether the clamps formed or not). The software is programmed to start a staple firing count sequence, as it has understood that the tissue needs to be compressed and dissected before staple firing can occur. Thus, after the clip trigger key 22 is activated, the anvil 60 closes on the interposed tissue and begins to compress the tissue. The staple firing sequence includes an optimal tissue compression measurement (OTC) and a feedback control mechanism that causes staples to be triggered only when the compression is within a desired pressure range, referred to as the OTC range, and a sufficient period of time has elapsed to allow fluid to be removed from the compressed tissue. The OTC range is known previously based on the known characteristics of the

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32/92 tissue to be compressed between the anvil 60 and the staple cartridge 50 (the power switch can be tuned to different tissue OTC ranges). It is the power switch 400 that provides the OTC measurement and provides the microprocessor with information that indicates that the OTC for a given tissue has been reached. The OTC status can be indicated to the user through, for example, an LED.

[0102] When the firing sequence starts, the clamp firing switch 22 may flash at a given frequency and continue to blink faster and faster, for example, until firing occurs. If no abortion occurs during this waiting time, the OTC state will remain for the preprogrammed dissection duration and staple firing will occur after the count is complete. In the example of colon anastomosis with a circular stapler, stapling of the dissection occurs simultaneously with a cut of tissue in the center of the dissection. This cut ensures a clear opening in the center of the circular ring of the clamps, sufficient to create an opening for normal colon behavior after surgery is completed.

[0103] As the liquid from the interposed compressed tissue is removed, the compressive force on the tissue naturally reduces. In some cases, this reduction may be outside the OTC range. For this reason, the program includes a closed-loop anvil compression control that is dependent on the continuous measurements provided by the 400 power switch. With this feedback, the compressed tissue is kept within the OTC range throughout the procedure and even after be dissected.

[0104] During the clamp trip cycle, any activation of a control switch by the user can be programmed to abort the clamp trip routine. If an abortion occurs before the clamp trigger motor 410 is activated, the tripping cycle stops, the anvil 60 is extended to a home position, and the clamp trigger switch 22 remains active and ready for an attempt to reset. trigger if necessary. Alternatively, if the abortion occurs during the movement of the clamp trigger motor 210, the

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33/92 firing stops and the clamp firing motor 210 causes anvil 60 to extend into its home position. At this point, the clip trigger switch 22 becomes inactive. Thus, the stapler (or that specific staple cartridge) can no longer be used (unless the staple cartridge is replaced).

[0105] It has been observed that before a staple trigger can occur, a staple range limit switch is asked about the relative position of the staple cartridge 50 and anvil 60. If the staple range limit switch is activated, this means that the anvil 60 is within an acceptable clamp firing range, so the clamp firing motor 210 can be activated and the firing cycle can proceed. If the clamp range limit switch is not activated, then the firing cycle is aborted, the anvil 60 returns to the home position, and the clamp firing switch 22 remains active and ready for a re-firing attempt. .

[0106] The energization (also referred to as activation, energization, control or activation) of the motor and / or the drive train of a part of the end effector (for example, anvil or the stapler / cutter) is described in this document. It should be understood that this energization need not be limited to a simple press of a button by the user or the energization of an engine limited to a simple energization of the engine by the power source. Controlling any motor on the device may require the user to press a trigger button several times, for example, a first time to trigger a portion of the end effector for one third of movement, a second time for a second third of movement, and a third time for a last third of movement. More specifically for a surgical stapler, a first example drive can move the staple hammer or blade beyond locking, a second example drive can move the part up to the tissue, and a third example drive can move the hammer beyond all staples to the end of the staple cartridge. Similarly, energizing an engine does not need to

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34/92 be constant, for example, where the motor is constantly energized from the moment the blade starts to move until it reaches the end point of its movement. Instead, the motor can be operated in a pulsed mode, a first example of which includes periodically turning the power supplied by the power source to the motor on and off during the activation of an end effector function. More specifically for a stapler, the motor can be pulsed ten times per second as the stapler / cutter moves from its proximal / starting position to its most distal position. This pulse can be controlled directly or controlled by a microprocessor, both controls can have an adjustable pulse range. Alternatively, or in addition, the motor can be operated with pulse modulation (pulse width or pulse frequency, with pulses occurring at very short intervals, for example, tenths, hundredths, thousandths or millionths of a second). Thus, when the power source, the motor and / or the drive train are described in this document as being energized, any of these and other possible modes of operation are envisaged and included.

[0107] After a complete clamp firing, the anvil 60 remains in the closed position and only the extension key 20 remains active (all other keys are deactivated). Since anvil 60 is extended to at least the home position, both the extension and retraction keys 20/21 become active, but the retract switch 21 does not allow closing of the anvil 60 beyond the home position. Staple trigger switch 22 remains inactive after a complete staple trigger.

[0108] As described above, the anvil collar 30 houses a linear force switch 400 connected to the trocar 410. This switch 400 is calibrated to activate when a given tensile load is applied. The given load is adjusted to correspond to a desired pressure that must be applied to the specific fabric before stapling can occur. Interface of this key 400 with the processor can guarantee that the staple firing only occurs

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35/92 within the OTC range.

[0109] The following text is an example version of a program listing for carrying out the methods according to the invention described in this document. The following text is presented as an example only and those skilled in the art can observe that the programming of the methods according to the invention can take different forms to achieve the same functionality.

'Circular stapler program using rev 3c plate (chip set cb280) V8.03 (CS-3C-080306.CUL)' 8-3-06 'Program modified to abort only with the trigger button, variable pbcount added' elevation of PWM added '7-28-06' final pulls - stan is now an integer '7-17-06 This version written for the 3c board.

'7-14 LIMPARGING VERSION' Written program for 3c card using the Cubloc 280 chip set

Note: this program is a modified version of the one noted below. All changes not related to the addition of the E / R limit keys' apply. The programs below were written to use the gray logic of the 1 cm switch. This version uses a 'limit switch at each end of the extend / retract stage.

'Final version of the Gray Logic Program V6.20 as used in prototype 0, serial number 100' V6.05 'modified the extension routines to 1 cm and retraction to 1 cm to make sure that when they are called, they move the engine until the centimeter 'key is closed; that is: when the anvil is all out and the

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36/92 retract is pressed, retract the anvil until the centimeter limit switch 'is closed regardless of the retract button being released before the centimeter switch is closed. The same change when the anvil is extended from the 1 cm position ‘make changes to the comments in the extension and retraction routines í

'V6.02' added cycle that requires releasing both buttons to exit the orientation change routine, and one second delay at the end of the orientation change subroutine before 'returning to the main routine' datadump tags' variable added for high and low speed pwm values' extension added only capacity at the end of the completed shot to prevent compression of the stapled tissue 'OUT OF SERVICE - REMOVED checks added to ensure that the 1 cm key is made when extends or retracts by 1 cm and fully extended positions respectively

V6.01 'All previous versions were made to test the program on the cubloc development board. All exits were pulled DOWN. The actual device 'requires that all outputs be pulled upwards (+ 5V). This version is designed to work on the real device.

'Limited EEPROM data values to 255 max' added delays before changes in the direction of the engine, makes the program run more smoothly 'removed pwnoff commands. They do not allow engines to stay on when changing subroutines (for some reason)

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37/92

V5.27 'added the record of activation of the button of routine of turn direction' added the record of data requests' V5.26 'added the record of activation of the extension / retraction button' added the serial number field in eeprom 'the datadump routine now keeps all data running as it is read from the eeprom' V5.25 (circular-stapler-5-25. cul) 'code added to allow the addition of data from each connection cycle in eeprom 'V5.24 works well, no known errors (circular-stapler-5-24.cul) í

'KMS Medical LLC (c) 2006' MAP 'P10 Extension Button' P11 Retract Button 'P12 Shooting Button' P13 Extension Limit 'P14 Retract Limit' Front Shooting Limit P 15 'Rear Shooting Limit P16' Key Limit Switch P 17 'Clamp Range Limit Switch P 18' Power Switch P 19 'Extension Button LED P20' Retract Button LED P21 'Trigger Button LED P22' Power LED (blue ) P23

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38/92 ‘Not USED P24’ Not USED P25 ’Not USED P26‘ Not USED P27 ‘Not USED P28’ Clamp Strip LED (green) P29

Const device = cb280 'Comfile Tech. Cubloc CB280 chip set

Dim ver As String * 7 ver = 3C-8.03 'establish the software version here

Dim extendbutton As Byte

Dim retractbutton As Byte

Dim firebutton As Byte

Dim firstout As Byte

Dim firstbackAs Byte Dim status As Byte '1cm limit switch position

Dim srstatus As Byte 'staple range limit switch status

Dim x As Integer

Dim powerons As Byte 'store in eeprom 2 address

Dim cycnumfíres As Byte 'store in eeprom (powerons * 5) Dim cycabortfires As Byte' store eeprom (powerons * 5) + l

Dim cycers As Byte 'store in eeprom, number of triggers of the extension / retraction cycle

Dim cycjogs As Byte

Dim arm As Byte

Dim completefire As Byte Dim staplerangestatus As Byte

Dim bail As Byte

Dim ds As Integer 'location of the start of the eeprom data for writing the individual cycle data

Dim fast As Integer

Dim slow As Integer Dim extendonlyAs Byte

Dim extlimit As Byte

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Dim retlimit As Byte

Dim speed As Integer

Dim dracula As Byte 'Start outputs' Output extension button 20.0 LED' Output retract button LED 21.0 'Output trigger button 22.0' LED Output power button 23, 0 'Output clip range LED 29.0' Start variables firstout = 0 firstback = O compietefíre = 0 arm = O bail-0 cycnumfires = O cycabortfíres = 0 cycers = O cycj ogs = 0 extendoniy = 0 'CHANGE PWM VALUES HERE fast = 60000 'pwm value at high speed slow = 60000' pwm value at low speed veiocity = 0

Output 5 'on pwm output to DRILL Output 6' on pwm output to SHOOT

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40/92 'read totals from eeprom powerons = Eeread (2, 1)

Incr powerons' increment total connection number

If powerons> = 255, then powerons = 255 limit number of registered powerons to an integer of a maximum byte

Eewríte 2, powerons, l 'write the total number of connection to the eeprom ds = powerons * 5' JOG and DATADUMP check 'press any button within 2 seconds (or equivalent) to go to the hold turn routine all three buttons connected at startup to download data

For x = 1 to 50

If Keyin (10.20) -0 and Keyin (l 1.20) = 0 and Keyin (12.20) = 0 and download the data 'record all stored data to the cleaning screen

Exit to

Elseif Keyin (10.20) = 0 or Keyin (1.20) = 0 or Keyin (12.20) = 0, so 'either the e / r button or the trigger button pressed

Change of direction

Exit to

Final if

Delay 20

Next 'HOMING SEQUENCES

Petition 870180141083, of 10/15/2018, p. 53/108 / 92 cmstatus = Keyin (17.20) 'read 1 cm limit switch position

If cmstatus = O, then homeretract

Elseif cm status = 1, then homeextend

Final if 'Return the firing motor to the homefire rear position' this returns the firing motor to the fully retracted condition (limit switch P6) ****************** **************************************************** **********************

Main Cycle ************************************************ ******************************************

From 'Clear Main Cycle, Cr' Delay 1000 cmstatus = Keyin (17.20) 'read 1 cm key' staplerangestatus = Keyin (5.20) 'read staple range limit key extension button = Keyin ( 10.20) retract button = Keyin (11.20) trigger button = Keyin (12.20)

If cmstatus = O and Keyin (13.20) <> 0, then 'turn on output extension led 20.1 ‘turn on output retraction led 21.1

Elseif cmstatus = O and Keyin (13.20) = 0, so ‘turn off extension led because the extension limit has been reached from output 20.0’ on output retraction limit 21.1 ’Elseif cmstatus = 1, then

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Exit 20.1

Exit 21.0

End if ‘check the position of the trigger button led

If firstout = 1 and firstback = 1 and arm = 1 and completefíre <> 1 and cmstatus <> 0, then ‘Turn on output trigger button 22.1 led

Different ‘Turn off trigger output 22.0

Final if 'check the extension length of the retract button

If .... = 0 and cmstatus = O, then extend

Elseif cmstatus = 1 and extendbutton = 0, then extend

Final if

If retractbutton = 0 and cmstatus = O, then 'And extendonly = 0 retract

End if 'check trigger button trigger

If firebutton = 0 and firstout = 1 and firstback = 1 and arm = 1 and completefire <> 1 and cmstatuso = 0, then the initial trigger

Cycle 'keep cycle until powerdown

End 'End of program ********************************************* *********************************************

SUBROUTINES 'HOME: retract to cm = key not pressed

Sub homeretractQ 'retract until the 1 cm key is open' Clear Homeretract, Cr 'Delay 1000

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Pwm 0, slow, 60000

Make up to Keyin (17.20) = 1 'retract until the 1 cm switch is open' reversing the ER engine output 31.1

Cycle 'engine off and output 31.0' retraction led off output 21.0 'extension led on output 20.1

Pwmoff 0 'pwm off

Sub end

ΉΟΜΕ: extend to the cm = key pressed

Sub homeextend () 'extend until the 1 cm switch is closed' Clear 'Homextend, Cr' Delay 1000

Pwm 0, slow, 60000

If Keyin (17.20) = 1, then

Make up to Keyin (17.20) = 0 'now the 1 cm key is pressed “Front DDD of ER engine output 30.1

Cycle

End of ‘Outbound DDD 30.0

Pwmoff 0

300 homeretract delay 'once the key is made, call homeretract

Final Sub 'firing motor roming routine'

Sub homefire ()

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44/92 'Clear Homefire, Cr' Delay 1000

Pwm 1, slow, 60000

Make until Keyin (16.20) = 0 'retract the trigger stage until the rear key is closed

Output 33.1

Cycle

Output 33.0, Pwmoff 1

End Sub 'CHANGE DIRECTION Routine'

Subjog 0

Exit 20.1

Exit 21.1

Do

Delay 25

If Keyin (10.20) = 0 and Keyin (11.20) = 0, then exit 'if both buttons are pressed, exit the turn direction routine and the home routine after 1 second delay

If Keyin (10.20) = 0 and Keyin (11.20) <> 0 and Keyin (12.20) <> 0, then

Pwm 0, slow, 60000 'extend motor to 30.1 output front

Make up to Keyin (10.20) <> 0 or Keyin (13.20) = 0 'extend the engine in front DDD of output 30.1 Cycle' Extend the engine forward DDD

Pwmoff 0

Incr cycjogs

If cycjogs> = 255, then cycjogs = 255

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Eewrite ds + 3, cycjogs, 1

Final if

If Keyin (11.20) = 0 and Keyin (10.20) <> 0 and Keyin (12.20) <> 0, then

Pwm 0, slow, 60000

Make until Keyin (11.20) <> 0 or Keyin (14.20) = 0 'extend output motor reversal 31.1

Cycle 'extend outreverse motor output 31.0

Pwmoff 0

Incr cycjogs

If cycjogs> = 255 Then cycjogs = 255

Eewrite ds + 3, cycjogs, 1

Final if

If Keyin (12.20) = 0 and Keyin (10.20) = 0 Then 'change the direction of the firing motor forward

Pwm 1, slow, 60000

Make up to Keyin (10.20) or Keyin (12.20) <> 0 or Keyin (15.20) = 0 'trigger motor for output front 32.1

Cycle 'trigger motor off for 32.0 output front

Pwmoff 1

Incr cycjogs

If cycjogs> = 255 Then cycjogs = 255

Eewrite ds + 3, cycjogs, 1

Final if

If Keyin (12.20) = 0 and Keyin (11.2O) = o Then 'jog the reversal of the Pwm 1, slow, 60000 firing engine

Make up to Keyin (11.20) <> 0 or Keyin (12.20) <> 0 or Keyin (16.20) = 0 'output trigger motor reversal 33.1

Cycle

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46/92 'trip motor reversed off

Pwmoff 1

Incr cycjogs

If cycjogs> = 255, then cycjogs = 255

Eewrite ds + 3, cycjogs, 1

Final if

Cycle

Make up to Keyin (10.20) = 1 and Keyin (11.20) = 1 'turn off both buttons before leaving the turn routine

Delay 10

Cycle 'turn on and / r the output button leds 20.0

Exit 21.0

Delay 1000

End Sub 'Extend until the extent limit is reached

Sub extend () 'turn off trigger button led while extending output 22.0' turn off led retract button while extending output 21.0

Pwm 0, fast, 60000

Make up to Keyin (10.20) = 1 or Keyin (13.20) = 0 'extend until either the extension limit is closed or the extension button is released' front DDD of the ER output motor 30.1

Output DDD cycle 30.0

If firstout = 0, then 'this will keep the extension motor running on the first extension until the anvil is all out

Make up to Keyin (13.20) = 0

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47/92 'Outbound DDD 30.1

Cycle

Final if 'exit code 30.0

Pwmoff 0

Incr cycers

If cycers> = 255 Then cycers = 255

Eewrite ds + 2, cycers, 1

If Keyin (13.20) = 0, then firstout = 1 'set the firstout flag to allow the trigger button' turn off the output extension led 20.0

End Sub 'Retract until the cm switch is open

Sub retractQ 'turn off the trigger button led while retracting 22.0 output' turn off the extension button led while retracted output 20.0 Pwm 0, fast, 60000

Make up to Keyin (11.20) = 1 or Keyin (17.20) = 1 'retract until either the 1 cm key opens or the extension button is released' reversing the ER engine output 31.1

Cycle

Exit 31.0

Pwmoff 0

Incr cycers

If cycers> = 255 Then cycers = 255

Eewrite ds + 2, cycers, 1

If Keyin (17.20) = 1, then firstback = 1

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48/92 'turn off the output retraction led 21.0

Final if

If fírstout = 1 and firstback = 1 Then arm = 1 'fix the arm flag to embrace the trigger button

End Sub 'DATADUMP Routine

Sub datadump ()

Dim chefAs Byte

Dim ifAs Byte 'total shots

Dim ifAs Byte 'Total abortions

Dim ers As Integer

Dim tf As Byte

Dim tdd As Byte

Dim stan As Integer

Dim kyle As Byte

Dim token As Byte

Dim ike As Byte

Dim kennyAs Byte

Dim sn As Byte tf = O ta = O ers = O tj = O tdd = O

Eewrite ds + 4,1,1 'write 1 to the ds + 4 eeprom register meaning that the datadump has been accessed

Delay 1000 sn = Eeread (0.1)

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Clear Stored Data from Circular Stapler, Cr

Clear Version, view, Cr

Clear KMS Medical LLC ”, Cr

Clear ..................., Cr

Clear Cr

Clear Serial Number:, Dec sn, Cr powerons = Eeread (2,1)

If powerons> = 255 Then powerons = 255

Clear Total Cycles:, Dec powerons, Cr

Clear Cr

Clear ...................., Cr

Clear Cr

For stan = 5 a (powerons * 5) Step 5

Clear Cycle, Dec (stan / 5), Cr Clear ..................., Cr chef = Eeread (stan, 1) tf = chef + tf

Clear Shots completed:, Dec chef, Cr kyle = Eeread (stan + 1,1) ta = kyle + ta

Clear Aborted Shots:, Dec kyle, Cr token = Eeread (stan + 2.1) ers = token + ers Clear Έ / Rs:, Dec token, Cr ike = Eeread (stan + 3.1) tj = ike + tj

Clear Jogs:, Dec ike, Cr kenny = Eeread (stan + 4.1) tdd = kenny + tdd

Clear Datadumps:, Dec kenny, Cr

Clear Cr

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Next ‘stan

Clear .................., Cr

Clear Cycle Totals, Cr

Clear Cr

Clear Completed Shots:, Dec tf, Cr

Clear Aborted Shots:, Dec ta, Cr

Clear Pressures E / R:, Dec ers, Cr

Clear Pressings Jog:, Dec tj, Cr

Clear Datadumps:, Dec tdd, Cr

Clear Cr

Delay 1000

For x = 1 to tf ‘flash the number of firing cycles completed

Exit 22.1

Delay 500

Exit 22.0

Delay 500

Next 'x

Make until Adin (0)> 800 and Keyin (3.20) = 1 'wait until the datadump buttons are released

Cycle

End Sub 'Initial firing

Initial sub trigger

Dim fAs Integer Dim p As Integer

Dim t As Integer

Dim yAs Integer Dim z As Integer

Petition 870180141083, of 10/15/2018, p. 63/108 / 92

Dim q As Integer

Dim timmyAs Integer

Dim butter As Integer

Dim numblinks As Integer

Dim fbcount As Integer

Clear clr, Cr 'turn off extension and retraction buttons to show that they are not active for abortion?

'output extension button 20.0' output retraction button 21.0 baü = O t = 15 'total flash time p = 3' number of flash periods

Pwm 0, fast, 60000 'start flashing and set the drill motor to force f = (t * 1000) / p fbcount = 0

If Keyin (12.20) = 1 Then fbcount = 1

For y = 1 a p numblinks = (t * y) / p

For z = 1 for numblinks timmy = f / numblinks butter = timmy / 50 'calibrate this for seconds If timmy = O Then timmy = 1

If Keyin (12.20) = 0 and fbcount = 1 Then bail = 1 'set the abortion trigger flag

Exit to

Final if

If Keyin (12.20) = 1 Then fbcount = 1

Make up to Keyin (19.20) = 0 or

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Keyin (14.20) = 0 'retract until the power key answers or the retract key answers

Exit 31.1

If Keyin (12.20) = 0 and fbcount = 1, then bail = 1 'Set the abortion trigger flag

Output to do

Final if

If Keyin (12.20) = 1 Then fbcount = 1

Cycle

If bail = 1 Then exit to

Exit 31.0

Output 23.1 'power led

Output 22.1 'trigger button led

For q = 0 a butter

Delay 10

If Keyin (12.20) = 0 and fbcount = 1 Then bail = 1 'set the abortion trigger flag

Exit to

Final if

If Keyin (12.20) = 1 Then fbcount = 1 lfKeyin (19.20) = 1 Then Exit 23.0

Next 'q

If bail = l Then Exit to

Make until Keyin (19.20) = 0 or Keyin (14.20) -0 'to retract until the power key reaches or the retraction limit reaches

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Exit 31.1

If Keyin (12.20) = 0 and fbcount = 1 Then bail = 1 'set the abortion trigger flag

Go out to do

Final if

If Keyin (12.20) = Then fbcount = 1

Cycle

Exit 31.0

Exit 23.1

If Keyin (12.20) = 0 and fbcount = 1, then bail = 1 'set the abortion trigger flag

Exit to

Final if

If Keyin (12.20) = 1 Then fbcount = 1

Exit 22.0

For q = 0 for butter

Delay 10

If Keyin (12.20) = 0 and fbcount = 1 Then bail = 1 'Set the abortion trigger flag Exit to

Final if

If Keyin (12.20) = 1 Then fbcount = 1

If Keyin (19.20) = 1 Then Exit 23.0

Next 'q

If bail = 1, then Output to

Next 'z' Clear Dec? fbcount, Cr

If bail = 1, then Output to

Next 'y

Pwmoff 0

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If bail = 1 Then abortion shot

Different 'staple track verification

Final shot

Final if

End Sub 'Staple Track Checking Routine

Staple range check Sub () srstatus = Keyin (29,20) 'read staple range limit key If srstatus = O Then

Final shot

Different

Abortion Trigger

Final if

End Sub 'Final Shooting Routine

Sub Final trigger Q 'Turn off output force led 23.0' Turn off output extension led 20.0 'Turn off output retraction led 21.0' Turn on the trigger led to indicate that the final trigger abortion is ready outgoing 22.1

Pwmoff 1 'Pwm 1, fast, 60000' 32D front exit trigger motor DDD

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55/92 full shot = 1

Make up to Keyin (15.20) = 0 'forward firing until the front limit is reached

If speed> = 60000, then speed = 60000

If speed <60000, then

Speed = speed + 10000

Final if

Pwm 1, speed, 60000

Output 32.1

Delay 50

If Keyin (12.20) = 0 Then or Keyin (10.20) = 0 or Keyin (11.20) = 0 bail = 1

Output to do

Final if

Cycle 'Turn off front engine DDD output 32.0 veiocity = 0

Delay 250

Make up to Keyin (16.20) = 0 'retract firing engine

If speed> = 60000, then speed = 60000

If speed <60000, then speed = speed + 10000

Final if

Pwm 1, speed, 60000

Output 33.1

Delay 50

Vehicle cycle = 0

Outbound 33.0

Pwmoff 1

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56/92 'Turn off output trigger led 22.0' Turn off output retract led 21.0 extendonly = 1

Incr cycnumfires

If cycnumfires> = 255 Then cycnumfíres = 255

Eewrite ds, cycnumfires, 1 'record the number of the current firing cycle for the eeprom

Delay 200

End Sub 'return to main routine' Abortion trigger

Sub Abortion Trigger Q 'Clear Trigger aborted before triggering !!, Cr' Turning off retraction motor 31.0 'Turning off front trigger DDD output 32.0' Turning off power LED 23.0

Pwm 1, fast, 60000

Delay 250

Make up to Keyin (16.20) = 0 'retract firing engine

Output 33.1

Cycle

Outbound 33.0

Pwmoff 1 'Turn off output trigger led 22.0

Incr cycabortfires

If cycabortfires> = 255 Then cycabortfires = 255

Eewrite ds + 1, cycabortfires, 1 'record current cycle abortion shots for eeprom

Delay 200

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57/92 homeextend 'extend to 1 cm

End Sub [0110] Also mentioned above there is the possibility to use identification devices with removable and / or interchangeable portions of the end effector. This type of identification device, for example, can be used to track usage and inventory.

[0111] An example identification device employs radio frequency and is referred to as RFID. In an example version where a surgical stapler uses refillable and interchangeable staple cartridges such as, for example, stapler 1 described in this document, an RFID can be placed on the staple cartridge to ensure compatibility with the particular stapler and an RFID reader for capturing compatible staple cartridges can be attached to the lever. In this type of configuration, the reader interrogates the RFID installed on the cartridge. RFID responds with a unique code that the stapler checks. If the stapler cartridge is labeled as checked, the stapler becomes active and ready for use. If the cartridge is rejected, however, the stapler gives a rejection indication (for example, a blinker led, an audible signal, a visual indicator). To avoid accidental or improper reading of a nearby staple cartridge, the RFID reader antenna can be built to read only the RFID when the staple cartridge is installed in the stapler or is very close (optimally, at the distal end of the device) . The use of RFID can be combined with a mechanical lockout to ensure that only one trigger cycle is allowed per staple cartridge. RFIDs have disadvantages, because readers are expensive, antennas need to be relatively large and the reading distance is relatively close, usually measured in centimeters.

[0112] Other wireless authentication measures can be employed. Active RFIDs can be used. Similarly, infrared (IR) transmission devices can be used. However, both require the generation

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58/92 strength at the receiving end, which is a disadvantage in both cost and size.

[0113] Another sample identification device employs encryption. With encryption comes the need for processing numbers and, associated with these calculations, the use of processing chips (for example, a microprocessor), one of which must be placed in the interchangeable component, for example, a staple cartridge or a replaceable end effector shaft. These encryption chips have certain characteristics that can be analyzed for optimization with the surgical instrument of the present invention. First, an independent power source for the interchangeable component is not required. Not only would this source cost more, it would also add unwanted weight and take up space that is needed for other features or that is simply not available. Thus, the power source for the component must come from an existing power source within the lever. And the power source must be guaranteed at all times. Because the interchangeable component is relatively small, the encryption chip must be correspondingly small. In addition, both the lever and the interchangeable component are configured to be disposable, so both encryption processors must have a cost that allows for disposal. Finally, the connections between the encryption device on the interchangeable component and the corresponding encryption device on the lever should be minimized. As will be discussed below, the encryption device according to the present invention offers all of these desirable features while limiting undesirable ones.

[0114] Devices for coded identification are commercially available. One of these encryption devices is produced by Dallas Semiconductor and is referred to as a DS2432 chip. The DS2432 chip not only offers coded identification between a reader and a transponder, but also has a memory that can be used to store information

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59/92 device specifics, whose usage information will be described in more detail below. A positive feature of the DS2432 is that it is a one-wire device. This means that the energy and both the input and output signals travel on the same line. With a one-wire device, such as the DS2432, there is only a need for a single wire to traverse the distance from the lever body 10 through the anvil collar 30 to the interchangeable clamp cartridge 50 to create a connection between the lever and the end effector. This configuration satisfies the characteristic of having a minimum amount of electrical connections and has a correspondingly reduced cost of manufacture. It is true that the DS2432 chip requires grounding, however, the collar of the metal anvil 30 is electrically conductive and is connected to the ground of device 1, so an example version for a ground connection of the DS2432 chip is made by direct electrical contact through a wire to the collar of the anvil 30 or directly connecting the chip ground to the collar of the anvil 30.

[0115] An example encryption circuit configuration places a first encryption chip over the interchangeable component (for example, the staple cartridge). The ground for the first encryption chip is electrically connected to a metal part of the interchangeable component which, in turn, is electrically connected to the device ground, for example, to the collar of the anvil 30. The connection of a DS2432 chip wire is electrically connected to a contact pad that is somewhere on the interchangeable component, but is disconnected from ground. For example, if the interchangeable component is a 60 mm linear clamp cartridge, the DS2432 can be coupled or embedded within the electrically insulated distal end of the distal cartridge of the last set of clamps. The encryption chip can be embedded on one side of the cartridge opposite to the staple ejection, facing so that it is neither exposed to work surfaces nor exposed fabric when in use. The ground wire of the DS2432 chip can be electrically connected to the external metallic structure of the

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60/92 clamp, which is electrically connected to the stapler ground. The conductor of a wire is electrically connected to the first conductive device (such as a pad, wire or button) that is electrically isolated from the metal structure of the cartridge. An electrically simple, but insulated, conductive wire is connected at the proximal end to the circuit board or to the appropriate control electronics within the device lever. This wire is isolated from electrical contact with any other part of the stapler, especially the grounded structure, and passes through the lever through the collar and up to the receiving chamber for the interchangeable component. At the distal end, the insulated wire is exposed and electrically connected to a second conductive device (such as a pad, wire, or button.) That is configured to positively contact the first conductive device on the cartridge when the cartridge is locked in place to the end effector. In this type of configuration, the two conductive devices form a direct electrical connection whenever the interchangeable component (for example, the staple cartridge) is inserted into the end effector, in a specific version, contact can only be made when the part is correctly inserted.

[0116] The DS2432 also has only a few square millimeters of area, making the chip easy to install in a small interchangeable band, such as a staple cartridge, while simultaneously meeting the minimum size requirement. It should be noted that the DS2432 chip is relatively inexpensive. To keep all communication with the DS2432 chip protected from external examination, a DS2460 (also manufactured by Dallas Semiconductor) can be used to perform a comparison of an encoded transmission received from a DS2432 with an expected result calculated internally. The characteristics of both chips are clarified, for example, by Application Note No. 3675 from Dallas Semiconductor which are incorporated in their entirety in this document by reference. The DS2460 chip costs a lot more than the DS2432 chip, but it is still cheap enough

Petition 870180141083, of 10/15/2018, p. 73/108 / 92 to be placed along the lever. It will be seen that the number of interchangeable disposable components of surgical devices (such as the surgical instrument of the present invention) usually exceeds in number the lever that receives the interchangeable components by a significant amount. Thus, if the DS2432 chip is placed in the interchangeable component and the DS2460 chip is placed on the lever, the low-cost encryption feature is satisfied. There is an alternative circuit configuration using two DS2432 chips which is explained in figure 2 of Application Note 3675, whose circuit eliminates the need for the more expensive DS2460 chip by performing the comparison with a local microprocessor (for example, microprocessor 2000). In this type of configuration, the cost to add encryption on device 1 is reduced, however, as explained, the configuration neglects some aspects of security making available to the inspection both numbers that must be compared.

[0117] The process of electronically verifying the identity of an interchangeable component in a medical device using encryption is described in an example version having a DS2432 chip and a DS2460 chip. The example control circuit for the encryption device is shown in FIG. 30. This example version is described using a linear stapler with a lever containing a 2000 microprocessor circuit board on it. A free microprocessor 2000 input and output pin 2010 is connected to a first wire 2110 of the DS2460 and another input pin and output 2020 is connected to a second wire 2120. Each interchangeable component 2200 is provided with a DS2432 chip and the wire conductor is connected to a third input and output pin 2030 of the 2000 microprocessor.

[0118] To start the process, an interchangeable component 2200 is connected to the device, making electrical contact with the ground and the conductor of a wire. When the 2000 microprocessor detects that a new 2200 component has been connected to device 1, it triggers an authentication routine. First, microprocessor 2000 initiates a random number request for the

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DS2460 in addition to the first communication pin 2010. The DS2460 has a preprogrammed secret number that is the same as the preprogrammed secret numbers stored on each of the DS2432 chips contained in the interchangeable components 2200. Therefore, when the same random number is provided for both DS2432 and DS2460 chips, the output result for each of the two chips will be identical. The DS2460 generates a random number and supplies it, via the second pin 2020, to the microprocessor 2000 to follow, through the pin 2030, over the DS2432 in addition to the wire conductor. When the DS2432 receives a random number it applies its SHA-1 algorithm (developed by the National Institute of Standards and Technology (NIST)) to cryptographically generate a scrambled code response. This scrambled code response is transmitted back by a wire conductor to the 2000 microprocessor and is tracked via the 2010 or 2020 pin to the DS2460. During that time, the DS2460 is also calculating its own scrambled code response. First, the DS2460 internally applies the same random number sent to the DS2432 to its own SHA-1 algorithm and internally stores the generated scrambled code response. The DS2460 also stores the scrambled code response transmitted from the DS2432 through the microprocessor 2000. Both scrambled code responses are compared and, if they are identical, the interchangeable component 2200 is confirmed as authenticated. If there is a difference between scrambled code responses, then the 2200 component is rejected and the device is placed in a position where the 2200 component can either not be used or can be used, but only after certain safeguards have been met. For example, data regarding time, date, environment, etc. and the characteristics of the unauthenticated component may be stored for future or simultaneous transmission to the manufacturer (or its agent) to inform the manufacturer that the user is attempting to use or has used an unauthorized 2200 component with the device. If there was no encryption in the messages, authentication messages can be

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63/92 intercepted and counterfeit, pirated, or 2200 unauthorized components could be used without having to purchase 2200 components from an authorized distributor. In the sample encryption version described in this document, the only information that is transmitted across the lines and that can be examined is a simple random number and a simple scrambled code response. It is understood that it would take hundreds of years to decode this generated SHA-1 response, thereby reducing any incentive for return engineering.

[0119] Because each of the chips used in this example has security memories that can only be accessed after authentication, they can be programmed to employ multiple secret keys, each stored inside the memory. For example, if the DS2460 has multiple keys stored within it and the 2200 components each only one key selected from this stored set of multiple keys, the DS2460 can act as a “master” key in relation to the “general” simple keys of the components 2200.

[0120] By authenticating the interchangeable component of the surgical instrument of the present invention, many positive results are obtained. First, the instrument manufacturer can prevent a user from using unauthorized components, thereby ensuring that only authorized components are used. This not only ensures that the manufacturer can receive royalties from sales of the interchangeable component, but it also allows the manufacturer to ensure that the quality of the surgical components remains high. With the encryption circuit containing memory, it dramatically improves the benefits provided by the present invention. For example, if the straight-end effector of a linear stapler can receive 30 mm, 60 mm, and 120 mm staple cartridges, for example, each cartridge size could be supplied with an individualized wrench and the lever could be programmed to store and use each of these three keys. Upon receiving a scrambled code response that corresponds to one, but

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64/92 not the other two scrambled code responses calculated internally, the lever would know what type of cartridge was inserted in the device. Each cartridge could also contain specific cartridge parameters in its memory, for example, length of movement of the clamp hammer, which are different between the various sized cartridges and, therefore, cause the lever to behave differently depending on the detected cartridge. The parameters examined can also be taken as a basis for the revision levels in the specific component. For example, a revision of cartridge 1 could have certain usage parameters and, detecting that cartridge in particular, programming could cause the lever not to allow the use of revision 1 cartridges, but to allow the use of revision 2 cartridges, or vice versa.

[0121] With memory in the encryption chips the cartridge can also keep track of other types of data. For example, the cartridge can store the identity of each lever to which it was connected, the identity of the lever that fired the cartridge, the time, date and other time information when the use and / or connection occurred, how long it took for fire the cartridge, how many times the trigger was triggered during staple firing, and many other similar parameters. One particular parameter could record data from when the cartridge went off by mistake. And this would allow the manufacturer to determine if the cartridge was at fault or if a user error occurred, for example, in the latter case, being investigated to assist the user with preventive measures and other training. Having memory available on the lever, other relevant parameters of the lever could be stored, for example, duration of each procedure, speed of each clamp firing, the torque generated in each firing, and / or the load experienced during each firing. The memory could be energized for years simply from the lithium batteries already present on the lever. Thus, the longevity of the lever data can be guaranteed. Memory can be used to store all applications for a given lever, and

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65/92 relevant calendar data. For example, if a lever is only certified for use in a simple surgical procedure, but the lever has data indicating that the staple cartridges have been triggered days or weeks later, then, when it finally returns manufacturer for recycling, the manufacturer could detect that the user (hospital, doctor's office, clinic, etc.), used the lever inappropriately and possibly insecurely. Encrypted authentication can also be used with removable battery packs. In addition, sensors can be included in each part of the device to communicate information to be stored within the memory of the encryption chips. For example, temperature sensors can transmit the operating temperature of the existing room when the cartridge was fired. This temperature reading can be used to establish whether subsequent infections were caused by improper temperature control during the procedure (for example, in countries where an air conditioning system is not available).

[0122] In the unlikely event that the stapler becomes inoperable during use, mechanical protection or ejection is provided that allows manual removal of the patient's device. All eject uses can be registered with the memory on these encryption chips. In addition, the data that could indicate why the ejection was necessary could be stored for future examination. To ensure quality, when ejection is detected, the lever can be programmed to indicate that a certified letter could be sent to the customer / user informing them of the ejection usage.

[0123] As described above, the present invention is not limited to a circular stapler, which was used as an example version above, and can be applied to any surgical stapling head, such as a linear stapling device. Thus, a linear stapler is being used in the test that follows for several example versions. However, the use of a linear stapler in this context should not be considered as

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66/92 limited to these versions only.

[0124] Described above are the components existing along the staple control axis 80 of the circular and linear staplers, and these components form the staple control set 200. As expressed in this document, the force required for proper staple ejection and fabric cut can be over 90 kg and possibly over 113 kg. It has been determined that the minimum requirements for performing the desired stapling and cutting functions with a linear electric surgical stapler for human tissue (such as colon tissue) are:

1) Release of approximately 54.5 kg (120 pounds) of force over a course of approximately 60 mm (~ 2.4 ”) in approximately 3 seconds; or

2) Release of approximately 82 kg (180 pounds) of force over a course of approximately 60 mm (~ 2.4 ”) in approximately 8 seconds.

[0125] The portable, electrically powered linear surgical stapling device of the present invention can meet these requirements because it is optimized in a new way as expressed below.

[0126] To generate the force necessary to achieve the requirements mentioned above, the maximum force (in watts) of the mechanical assembly needs to be calculated based on the maximum limits of these requirements: 82 kg over 60 mm in 3 seconds. The mathematical conversion of these numbers generates a maximum of approximately 16 watts of mechanical force required at the output of the drive train. The conversion of electrical force to mechanical force is not 1: 1 because the motor is less than 100% efficient and because the drive train is also less than 100% efficient. The product of these two efficiency estimates forms the overall efficiency. The electrical energy required to produce the 16 watts of mechanical force is greater than the 16 watts for a product inverse to the overall efficiency. Once the required electrical power can be determined, an examination of the available energy supplies can be made to meet the minimum power requirements. Later, you can

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67/92 an examination and optimization of the different sources of energy should be carried out. This analysis is described in detail in the following text.

[0127] Equate or optimize the energy source and the engine involves observing the individual characteristics of both. When examining the characteristics of an electric motor, larger motors can perform a given number of jobs more efficiently than smaller motors. Motors with rare earth magnetic materials or without a core construction can also provide the same power in a smaller size, but at a higher cost. In addition, in general, larger engines cost less than smaller ones, if both are designed to deliver the same power over a given period of time. Larger engines, however, have an undesirable characteristic when used in surgical stapling devices, because the lever on which they are arranged is limited by the size of an operator's hand. Doctors want to use devices that are smaller and lighter and not the largest and heaviest. Taking these points into account, cost, size and weight are factors that can be optimized for use in the surgical stapler lever of the present invention.

[0128] Motors available for use that fit in the hand of a doctor include motors with relatively inexpensive ceramic magnets and motors with relatively expensive rare earth magnetic materials (eg neodymium). However, the increase in power of the latter compared to the former is not large enough to guarantee a substantial increase in the cost of the latter. Thus, ceramic magnet motors can be selected for use on the lever. Sample motors come in standard sizes (diameter) of 27.5 mm or 24 mm, for example. These engines have a nominal efficiency of approximately 60% (which decreases to 30% or below depending on the size of the load). These engines operate at speeds of approximately 30,000 rpm (between 20,000 and 40,000 rpm) when unloaded.

[0129] Although these conventional engines can be used, it would be

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68/92 desirable to reduce the size even more. To this end, the inventors found that brushless and coreless DC motors produce similar power output, but with a significant reduction in size. For example, a 17 mm diameter coreless motor can generate approximately the same power as a standard 24 mm diameter motor. Unlike a standard motor, the coreless motor can have an efficiency of up to 80%. Almost all coreless engines use rare earth magnetic materials.

[0130] With this type of limited volume and available mechanical power, it is advisable to choose a mechanical gear train with greater efficiency. By placing a rack sprocket assembly as a control stage of the final drive train, a high efficiency final stage is available in the drive train compared to a control spindle because, in general, the rack sprocket has an approximate efficiency of 95%, and the control spindle has a maximum of approximately 80% efficiency. For the linear electric stapler, there is a 60 mm travel range for the stapling / cutting mechanism when the stapler has a 60 mm cartridge (cartridges ranging from 30 mm to 100 mm can be used, but the 60 mm range is used in this example for illustration purposes). With this travel range, a total travel time of 3 seconds puts the rack sprocket extension index at 0.8 inches per second. To accomplish this with a reasonably sized rack sprocket assembly, a gear train must reduce the engine output to approximately 60 rpm. With an engine output speed of approximately 30,000 rpm, the reduction in speed for the drive train becomes approximately 500: 1. To achieve this reduction with the engine, a five-stage drive train is chosen. It is known that these drive trains have an efficiency of approximately 97% for each stage. Thus, combined with an approximate 95% efficiency of the rack sprocket, the overall efficiency of the drive train

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69/92 is (0.95) (0.97) ⁵ or 82%. Combining the efficiency of the 60% motor with the efficiency of the drive train of 82% generates an overall electrical efficiency for final mechanics of approximately 49.2%. Knowing this general efficiency estimate, when determining the amount of electrical energy needed to operate the stapler within the desired criteria, the actual electrical energy required is almost twice the value that is calculated to produce the stapling / cutting force.

[0131] To generate the force necessary to meet the requirements mentioned above, the power (in watts) of the mechanical assembly can be calculated, based on 82 kg over 60 mm in 3 seconds as being approximately 16 watts. It is known that the overall mechanical efficiency is 49.2%, so 32.5 watts is required for the power supply (16 mechanical watts -32.5 electrical watts x 0.492 overall efficiency, as soon as 32.5 watts power supply is required (16 mechanical watts - 32.5 electrical watts x 0.492 overall efficiency) .With this minimum electrical power requirement, the type of cells to power the stapler can be identified, which in this case includes batteries high-power lithium primary batteries A known feature of high-power lithium batteries (for example, CR123 or CR2 batteries) is that they produce around five peak watts of power per battery, so at least six cells in series will generate the approximate necessary amount of 32.5 watts of electrical energy, which converts to 16 watts of mechanical power. This does not end the optimization process, because each type of high power lithium battery fabric This has different peak power supply characteristics and these characteristics differ with respect to the load being applied.

[0132] Several battery characteristics exist that differentiate a battery from a first manufacturer from another battery from a second manufacturer. The significant characteristics of the comparison battery are those that limit the power that can be obtained from each battery, some of which are included:

- type of electrolyte in the battery;

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- concentration of electrolyte and chemistry;

- how the anode and cathode are manufactured (both in chemistry and mechanical construction); and

- the type of construction of the PTC device (positive temperature coefficient of resistance).

[0133] By testing one or more of these characteristics, valuable information is obtained in choosing the most desirable battery for use in the stapling device. It was found that an examination of the last characteristic behavior of the PTC device - allows an optimization of the type of battery to perform the desired work.

[0134] Most sources of energy are required to operate, with relative certainty and efficiency, over a long period of time. When designing and building an energy source, it is not normal to choose the energy source for short term use combined with a low number of uses. However, the power source of an electrical stapling device is only used for a short period and for short periods of time. With each use, the engine must be ready for a peak load and must run smoothly. This means that, for surgical staplers, the stapling / cutting feature will be performed during only one medical procedure, which has cycle counts between 10 and 20 uses at most, with each use needing to reach a possible peak load of the device. After procedure 1, the device is no longer used and is discarded. Therefore, the energy source for the present invention needs to be built unlike any other traditional energy source.

[0135] The device according to the present invention is built to have a limited life of a battery of energy compared to the expected life of a battery of energy when not used in the device. When so configured, the device is expected to work a few times after this defined “life cycle”. It is known that self-contained energy sources, such as batteries, have the ability to recover after

Petition 870180141083, of 10/15/2018, p. 83/108 / 92 some type of use. For the optimization of the present invention, the device is built within certain parameters that, by a defined procedure, will execute accordingly, but will be limited or unable to continue the execution if the usage time is extended after the procedure. Although the device may recover and possibly be used again in a different procedure, the device is designed to use the energy batteries in such a way that they are very unlikely to be able to operate at an improved level well above the range of the periods of use. intended use or outside the aggregate range of time of use. Taking this into account, a useful life or clinical life of the energy source or device is defined, whose life can also be described as an intended use. It is understood that this useful life / clinic does not include periods or occurrences of use during a trial period to make sure that the device works as intended. The useful life also does not include other periods when the device is activated outside the intended procedure, that is, when it is not activated according to a surgical procedure.

[0136] Conventional batteries available on the market are designed to be used in two ways: (1) providing a significant amount of energy for a short time (for example, in a high-drain digital camera-type device) or (2 ) supply a small amount of energy over a long period of time (such as computer clock backup). If one of these operations is not followed, then the battery starts to heat up. If left unchecked, the battery can heat up to the point that chemical elements could cause significant damage, such as an explosion. As is apparent, a battery explosion must be avoided. These extremes are prevented in conventional batteries by the presence of the PTC device - a device that is built to limit the conduction of the battery as the battery increases in temperature (for example, a positive temperature coefficient of resistance). The PTC device protects batteries and / or excess circuits

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72/92 current and temperature. Significantly, the PTC device protects a battery from internal short circuits while still allowing the battery to continue to function after the short circuit is removed. Some batteries have short-circuit and / or over-temperature protection using a one-time fuse. However, an accidental short circuit of a battery with a fuse of this type causes the fuse to open, rendering the battery unusable. PTC-protected batteries have an advantage over fused batteries, because they are able to “reset” automatically when the short circuit is removed, allowing the battery to return to normal operation. Understanding the characteristics of the PTC device is particularly important in the present invention, because the motor will often attract greater current than would have been seen in a normal self-draining application.

[0137] The PTC device is supplied in series with the anode and cathode, and is made of a conductive layer partially in the form of sandwich between two conductive layers, for example. The device is in a low temperature resistance condition during normal operation (depending on the circuit conditions in which the device is used, for example the room temperature at 40 ° C). Exposure to high temperature due, for example, to an unusual large current resulting from the formation of a short circuit or excessive discharge (depending on the conditions of the circuit in which the device is used, for example, from 60 ° to 130 ° C ), the PTC device switches to an extremely high resistance mode. Simply put, when a PTC device is included in a circuit and an abnormal current passes through the circuit, the device enters the highest temperature condition and thus switches to the highest resistance condition to increase the current that passes through of the circuit to a minimum level and thus protect the electrical elements of the circuit and the battery (s). At the minimum level (for example, around 20% of the peak current), the battery can cool to a “safety” level where a longer power time can be provided. The conductive layer

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73/92 partly of the PTC device is, for example, a composite of carbon powder and polyolefin plastic. Further description of these devices is unnecessary, since these devices are described and are well known in the art.

[0138] Because PTC circuits from different manufacturers operate with different behavior characteristics, the present invention takes advantage of this characteristic and offers a process for optimizing the choice of a particular battery to align a specific motor and a specific use. An examination of the time when the PTC device switches to the highest resistance condition can be used as this indicator to optimize a particular motor and drive train for a battery. It is desirable to know when the PTC device makes this switch, so that, during normal use of the stapler, the PTC device does not make this switch.

[0139] The example batteries were charged with varying levels from approximately 3 amps to approximately 8 amps. At the high end, the PTC device switched to the high resistance state almost immediately, making this current level too high for standard CR123 batteries. It was determined that, between 4 and 6 Amps, a manufacturer's battery had PTC activation sooner than a battery from another manufacturer. The longest PTC modification time for the second manufacturer was> 3 minutes for 4 Amps, approximately 2 minutes for 5 Amps, and almost 50 seconds for 6 Amps. Each of these durations was significantly longer than the 8-second peak load requirement. Thus, it was determined that the batteries from the second manufacturer would be great for use at peak amps compared to the batteries from the first manufacturer.

[0140] Initially, it was assumed that the higher amps of lower or constant containment would generate a higher loss of battery power. Based on the configuration of six batteries in series, the peak voltage could be 18 volts with a peak current of only 6 volts. Laying the batteries in parallel, in theory, should allow for a higher peak amperage and a

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74/92 3x2 configuration (two parallel sets of three batteries in series) could peak 9 volts with a peak up to 12 volts.

[0141] Different single batteries have been investigated and it has been confirmed that a relatively low voltage (around 1.5 to 2 volts) and approximately 4 to 6 A produces the highest power in volts. Two sixths of battery configurations were examined: a 6x1 series connection and a 3x2 parallel connection. The 3x2 configuration produced the highest peak amps of approximately 10 A. The 6x1 configuration produced around 6 A peak and the single battery was able to reach 5 to 6 A peak before the PTC device changed state. This information indicated the state in which any single battery in the series group would be activating its PTC device and thus limiting current across the total battery group. So, the completion of attempting to generate peak amps at lower voltage with a 3x2 setting was maintained.

[0142] Three different CR123 battery configurations were tested: 4x1, 6x1, and 3x2 to see what speed the reel would move the rack (in inches per second (“IPS”)) for loads number 120 and 180 and for a normal gear . The results of this dynamic loading test in the real world were shown in the graph of FIG. 31, both for cargo number 120:

- the 4x1 battery pack was able to move the load at approximately 0.6 IPS at approximately 2.5 A, but at approximately 8 volts;

- the 6x1 battery pack was able to move the charge approximately

0.9 IPS at approximately 2.5 A, but at approximately 13 volts;

- the 3x2 battery pack was able to move the charge approximately

0.4 IPS at approximately 2.5 A, but at approximately 6 volts;

and for cargo number 180:

- the 4x1 battery pack was able to move the charge approximately

0.65 IPS at approximately 4 A, but at approximately 7.5 volts;

- the 6x1 battery pack was able to move the charge approximately

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0.9 IPS at approximately 4 A, but at approximately 12 volts;

- the 3x2 battery pack was able to move the charge approximately

0.4 IPS at approximately 4 A, but at approximately 7 volts.

[0143] Clearly, the peak current was limited, and this limit was dependent on the load. This experience revealed that the motor drew a similar current regardless of the power supply for a given load, but that the voltage changed depending on the configuration of the battery cell. With respect to each of the loads, the power output was the largest in the 6x1 configuration and not in the 3x2 configuration, as expected. From this, it was determined that the total power of the battery pack is directed by the voltage and not by the current and, therefore, the parallel configuration (3x2) was not the way forward in the optimization of the energy source.

[0144] Traditionally, when designing the specifications for the motor, the motor bearings are aligned to the anticipated tension that the motor will work with. This alignment takes into account the duration of the individual cycles and the desired general product life. In the case of an electrical clamping device the motor will only be used for very short cycles and for a very short service life, traditional alignment methods yield results that are less than optimal. Engine manufacturers give a rated motor voltage that corresponds to the number of revolutions of the bearings. The lower the number of revolutions, the lower the estimated tension. Within a given motor bearing size, a lower number of revolutions allows larger wires to be used, so that a lower number of revolutions results in a lower resistance in the bearing, and a higher number of revolutions results in a resistance bigger. These characteristics limit the maximum current that the engine will attract, which is what creates most situations of heat and damage when the engine is speeding. For the present invention, a desirable configuration will have the lowest rolling resistance to draw the majority of the current from the power supply (e.g., a battery pack). Operating the engine at a voltage

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76/92 much higher than the rated motor voltage, significantly more power can be attracted from motors of similar size. This character was verified with tests of motors with a very identical core that only varied in rolling resistance (and, consequently, in the number of revolutions). For example, motors estimated for 12 volts and 6 volts operated on batteries of 6 (for example, at 19.2 volts). The motors estimated for 12 volts had a peak power output of 4 volts with the battery voltage dropping only slightly to 18 volts when it attracted 0.7A. In comparison, the motors estimated for 6 volts with 15 watts of power output. with the voltage dropping to 15 volts, but drawing 2 amps of current. For this reason, lower resistance bearings have been selected to attract sufficient battery power. It was observed that the motor bearings should be balanced with respect to the particular battery set so that in a loss condition, the motor does not attract enough battery current to activate PTC, the condition of which would not allow the use of an electric surgical stapler during an operation.

[0145] The 6x1 strength battery configuration appeared to be much more than efficient in meeting the requirements of the electrical stapling device. In spite of this, at this point, the power battery can be further optimized to determine whether six batteries are needed to get the job done. Four batteries were then tested and it was concluded that, with regard to load number 120, the motor / drive train could not move the rack over a free space of 60 mm within 3 seconds. Six batteries were tested and it was concluded that, with respect to load number 120, the engine / drive train could move the rack in a free space of 60 mm in 2.1 seconds - much faster than the requirement of 3 seconds . It was also concluded that, with respect to load number 180, the engine / drive train could move the rack in a free space of 60 mm in less than 2.5 seconds - much faster than the required 8 seconds. At this point, it is desirable to optimize the power source and the mechanical layout for

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77/92 ensure that there is no “escape” stapling / cutting; in other words, if the load is significantly less than the maximum load required for the number 180, or even for the maximum load of the number 120, then it would not be desirable for the rack to move that fast.

[0146] The gear reduction ratio and the drive system must be optimized to maintain peak efficiency close to the motor during the trip stroke. The desired stroke of 60 mm in 3 seconds means a minimum rack speed of 20 mm / s (—0.8 inches / second). To reduce the number of variables in the optimization process, a basic reduction of 333: 1 is fixed in the gearbox. This leads to the final reduction to be carried out by the gears present between the gearbox output shaft 214 and the rack 217, whose gears include, for example, a bevel gear 215 and a reel 216 (which drives the rack), an example simplified of this is illustrated in FIG. 32.

[0147] These variables can be combined in the number of inches of movement of the rack with a simple revolution of the output shaft 214 of the gearbox 333: 1. If the gearbox output (in rpm) has never changed, this would be a simple function to align the inches of rack movement by the revolution of the output shaft (“IPR”) for the output in rpm to reach a desired speed as follows :

- (60 rpm -> 1 revolution / second (rps); 1 rps @ 0.8 IPR -> 0.8 in / s).

[0148] In this idealized case, if the IPR is against speed, a straight line would be produced. Speed over a set distance can be reduced more for the trigger time. Thus, a unit of trigger time versus IPR would also be a straight line in this idealized case. However, the engine output (in rpm) and, therefore, the gearbox, is not fixed because this speed varies with the load. The degree of load determines the amount of energy that the engine can discharge. As the load increases, the rpm decreases and the efficiency changes. Based on an efficiency exam with differentiated loads, it is concluded that the efficiency reaches peaks of almost above 60%.

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However, the corresponding voltage and amps for this peak efficiency are not the same at the peak power point. Power continues to increase as the load increases until efficiency drops faster than the power is increasing. As the IPR increases, an increase in speed is expected, but a corresponding increase in IPR decreases the mechanical advantage and thereby increases the load. This increased load, with the corresponding decrease in efficiency at progressively higher loads, means that there will be a point when more altar speeds outside the rack will no longer be possible with higher IPR. This behavior is reflected as a deviation from a straight line predicted in the trigger time unit (in seconds) versus the IPR. Experiments of the system of the present invention reveal that the limit between unnecessary mechanical advantage and insufficient mechanical advantage occurs at approximately 0.4 IPR.

[0149] From this IPR value, it is now possible to choose the final gear ratio of bevel gear 215 to be approximately three times higher (3: 1) than that of the output shaft sprocket. This ratio becomes an approximate IPR of 0.4.

[0150] Now that the 215 bevel gear has been optimized, the drum kit can be re-examined to determine whether the six batteries could be reduced to five or even four, which could save costs and considerably increase the required volume of power supply inside the lever. A constant load of approximately number 120 was used with the optimized engine, the drive train, the bevel gear, and the toothed gear and rack and it was found that the four batteries resulted in a time period of almost 5 seconds to move the 60 mm rack. With the five batteries, the time was reduced to about 3.5 seconds. With the configuration of 6 batteries, the time was 2.5 seconds. Thus, interpolating this curve resulted in a minimum battery configuration of 5.5 batteries. Due to the fact that the batteries can only be supplied in whole quantities, it was found that the six battery configuration was

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79/92 necessary to satisfy the requirements required by the electrical stapling device.

[0151] From this, the minimum volume of energy source could be calculated as a fixed value, unless batteries of different sizes could be used and that provide the same characteristics of electrical energy. The lithium batteries referred to as CR2 have similar characteristics of electric power as the characteristics of CR123 batteries, but they are smaller. So using a six-battery CR2 power source has reduced the space requirement to more than 17%.

[0152] As expressed in detail above, the power source (for example, the batteries), the drive train, and the motor are optimized for total efficiency in order to release the desired output power within the time window required for complete the surgical process. The efficiency of each type of power source, the drive train and the engine was examined and then the type of power source, drive train and the engine was selected based on this examination of releasing the maximum power in a period of desired time. In other words, the maximum power condition (voltage and current) is examined that may exist for a given period of time without activating PTC (for example, in about 15 seconds). The present invention locates the voltage-current power value that optimizes the way in which the power is extracted from the batteries to drive the motor. Even after this optimization, other changes can be made to improve these characteristics of the electric stapler 1.

[0153] Another type of power source can be used and is referred to in this document as a “hybrid” battery. In this type of configuration, a rechargeable lithium ion or lithium polymer battery is connected to one or more of the optimized batteries mentioned above (or perhaps the other primary battery of a smaller size, but of a similar or higher voltage). In this type of configuration, the lithium ion battery could power the stapling / cutting motor, because the total energy contained in a CR2 battery is

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80/92 enough to recharge the lithium-ion battery many times, however, primary batteries are limited from delivery. Lithium ion and lithium polymer batteries have very low internal resistance and are capable of very high currents in short periods of time. To capture this beneficial behavior, a primary battery (CR123, CR2, or another battery) could take 10 to 30 seconds to charge the secondary battery, which would form an additional power source for the motor when firing. An alternative version of the lithium-ion battery is the use of a capacitor; however, capacitors are inefficient in volume. Even so, a supercapacitor can be placed in the engine's energization system; it can be electrically connected from this system until the operator decides whether additional power is required. At this point, the operator could connect the capacitor for an added “improvement” of energy.

[0154] As mentioned above, if the load on the motor increases beyond a certain point, the efficiency starts to decrease. In this type of situation, a multi-relationship transmission can be used to change the energy released over the desired period of time. When the load becomes so large that efficiency decreases, a multi-ratio transmission can be used to switch the gear ratio to return the engine to the highest efficiency point, where, for example, at least one force of number 180 can be applied. It has been observed, however, that the engine of the present invention needs to operate in both the forward and reverse direction. In the operating mode mentioned last, the engine must be able to disengage the stapling / cutting instrument from outside a “locked” fabric stapling situation. And so, it would be beneficial for the reverse gear to generate more force than the front gear.

[0155] With significantly variable loads, for example, light weight up to 81 kg, there is a possibility that the transmission set is too energized at the lower end of the load range. Thus, the invention can include a speed guidance device. Possible guidance devices

Petition 870180141083, of 10/15/2018, p. 93/108 / 92 include dissipative (active) and passive regulators. An example passive regulator is a compensating circuit, such as energy storage element 56, 456 disclosed in US patent application No. 2005/0277955 to Palmer et al. Another passive regulator that can also be used is a "fly" paddle aerator. This type of set uses wind resistance to regulate the speed, because it absorbs more force since it spins faster and thus provides a speed regulation feature when the engine is rotating very fast. Another type of regulator can be a compression spring that the engine slowly compresses to a compressed state. When activation is desired, the compressed spring is released, allowing all energy to be transferred to the transmission in a relatively short time. Another version of the example regulator may include a multi-stage switch with stages that are connected respectively to the various subsets of the battery cells. When low power is desired, a first switch or the first part of a switch can be activated to dispose of only a few batteries in the power supply circuit. As more energy is desired, the user (or an automated computing device) can dispose of other successive batteries in the power supply circuit. For example, in a six-battery configuration, the first four batteries can be connected to the power supply circuit with a first position on a switch, the fifth battery can be connected with a second position on the switch, and the sixth battery can be connected connected with a third switch position. [0156] Electric motors and the associated gearbox produce a certain amount of noise when used. The stapler of the present invention isolates the motor and / or the motor drive train with respect to the lever to decrease the acoustic and vibration characteristics and thus the general noise produced during operation. In a first version, a humidification material is disposed between the lever body and the motor and the drive train. The material can be foam, such as latex, polyester, based on

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82/92 plant, polyether, polyetherimide, polyimide, polyolefin, polypropylene, phenolic, polyisocyanates, polyurethane, silicone, vinyl, ethylene copolymer, expanded polyethylene, fluoropolymer or styrofoam. The material can be an elastomer, such as silicone, polyurethane, chloroprene, butyl, polybutadiene, neoprene, natural rubber, or isoprene. The foam can be closed cell, open cell, flexible, reticular or syntactic, for example. The material can be arranged at given positions between the lever and the engine / gearbox, or it can be fully inserted into the chamber surrounding the engine / gearbox. In a second version, the motor and the drive train are isolated within a built-in box configuration, sometimes referred to as a "Chinese box" or "Russian nested doll". In this type of configuration, the humidification material is arranged around the engine / gearbox and the two are placed inside a first box with the gearbox shaft protruding from them. Then, the first box is mounted inside the “second box” - the lever body - and the humidification material is arranged between the first box and the inside of the lever.

[0157] The electric stapler of the present invention can be used in surgical applications. Most stapling devices are used once. They can be discarded after a medical procedure, because the cost is relatively low. The electric surgical stapler, however, has a higher cost and it may be desirable to use at least the lever for more than one medical procedure. Thus, the sterilization of the lever components after use becomes an issue to be considered. Sterilization before use is also important. Because the electrical stapler includes electronic components that do not normally go through standard sterilization processes (for example, steam or gamma radiation), the stapler needs to be sterilized by other (possibly more expensive) means, such as with ethylene dioxide gas . It would be desirable, however, for the stapler to undergo sterilization with gamma radiation to reduce the costs related to gas sterilization. It is known that the components

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83/92 electronics can be used in spaces where these electronic components are exposed to gamma radiation. In these applications, however, electronic components must function while they are exposed. In contrast, the electric stapler does not need to function when exposed to gamma sterilization radiation. When semiconductors are used, even when the power to the electronic components is turned off, gamma radiation will adversely affect the stored memory. These components only need to resist this radiation and, only after exposure ceases, they need to be ready for use. Knowing this, there are several measures that can be taken to heat the electronic components within the lever range. First, instead of using MOSFET memory, for example, fused link memories can be used. For these memories, once the fuses are programmed (for example, blown), the memory becomes permanent and resistant to gamma sterilization. Second, the memory can be programmed in a mask. If memory is heavily programmed to use masks, gamma radiation at the level of medical sterilization will not adversely affect programming. Third, sterilization can be performed while the volatile memory is empty and, after sterilization, the memory can be programmed by various measures, for example, a wireless link can be used that includes infrared, radio, ultrasound communication or Bluetooth. As an alternative or in addition, the external electrodes can be connected in a clean environment and these conductors can program the memory. Finally, radiopaque protection (made of molybdenum or tungsten, for example) can be provided around components sensitive to gamma radiation to prevent exposure of these elements to potentially harmful radiation.

[0158] As described in this document, the characteristics of the battery, the drive train and the motor are examined and optimized for an electrical stapling application. The particular design (for example, chemistry and PTC) of a battery will determine the amount of current that can be

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84/92 applied and / or the amount of energy that can be generated over a period of time. It has been established that standard alkaline batteries do not have the capacity to generate the high power required for a short period of time to affect the activation of the electrical stapling device. It was also found that some lithium manganese dioxide batteries were also unable to meet the triggering needs of the stapling device. Therefore, the characteristics of certain lithium manganese dioxide battery configurations have been examined, such as the electrolyte and the positive temperature coefficient of the device.

[0159] It has been understood that conventional manganese lithium dioxide batteries (eg CR123 and CR2) are designed for charging over a long period of time. For example, commercial SUREFIRE® blinker lamps and these batteries, and states that the batteries will last from 20 minutes to a few hours (3 to 6) at the maximum lumen output of the blinker light. The charge on the battery (s) during that time is not close to the energy capacity of the battery (s) and therefore the critical current rating of the battery (s) is not achieved and there is no danger of overheating or explosion. If this type of use is not continuous, the batteries can last for many cycles (for example, hundreds) with this same total power output.

[0160] Simply put, these batteries are not designed for charges over a period of 10 seconds or less, for example, 5 seconds, and they are also not designed for a small number of uses, for example, 10 to 15. What the present invention does is to configure the power supply, the drive train and the motor to optimize the power supply (the battery) for a small number of uses with each use occurring in a period of less than 10 seconds and a load that is significantly higher than estimated.

[0161] All primary lithium batteries that have been examined, have a critical current rate defined by the respective PTC device and / or by chemistry and internal construction. If used above the critical current rating by

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85/92 a period of time, the batteries may overheat and possibly explode. When exposed to a very high energy demand (close to the PTC input) with a low number of cycles, the voltage and amperage profiles do not behave in the same way as in the prior art standard uses. And it has been found that some batteries have PTC devices that prevent the power generation required by the stapler of the present invention, but that other batteries can generate the desired power (can supply the voltage current) to energize the electrical stapling device. This means that the critical current rate is different depending on the particular chemistry, construction and / or PTC of the battery.

[0162] The present invention configures the power supply to operate in a range above the critical current range, referred to in this document as “Supercritical Current Rate”. It was observed within the definition of Supercritical Current Rate, which is also an average of a modulated current supplied by the power supply that is above the critical current rate. Because the batteries do not last long while they are supplying energy at a Super Critical Current Rate, the time of use is shortened. This shortened time period where the batteries can operate at the Supercritical Current Rate is referred to in this document as “Supercritical Pulse Discharge Period”, while the total time when the power supply is activated is referred to as a “Discharge Period of Supercritical Pulse”. Pulse". In other words, the Supercritical Pulse Discharge Period is an interval that is less than or equivalent to the pulse discharge period, during which time the current rate is greater than the critical current rate of the batteries. The Supercritical Pulse Discharge Period for the present invention is less than about 16 seconds, in other words, in a range of around half to 15 seconds, for example, between 2 and 4 seconds, and more particularly, at around 3 seconds. During the life of the clamping device, the power supply may be subject to Supercritical Current Rate during the pulse discharge period for at least one interval

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86/92 and less than 20 times the time of a clinical procedure, for example, between approximately 5 and 15 times, in particular, between 10 and 15 times within a period of 5 minutes. Therefore, compared to the hours of use for standard power supply applications, the present invention will have an aggregate use, referred to as Aggregate Pulse Time, of a maximum of approximately 200 to 300 seconds, and in particular, approximately 225 seconds. It was observed that, during an activation, the device may not need to exceed or always exceed the Supercritical Current Rate in a given procedure, because the load presented to the instrument is dependent on the specific chemical application (for example, some tissues are denser than than others and the increased tissue density will increase the load presented to the device). However, the stapler is designed to be able to exceed the Supercritical Current Rate a number of times during the intended use of the surgical procedure. Acting in this Supercritical Pulse Discharge period, the device can operate a sufficient number of times to complete the desired surgical procedure, but not much more, because the energy supply is required to operate at an increased current.

[0163] When running in the increased range, the force generated by the device, for example, the electric stapler 1, is significantly greater than that which exists in a manual stapler. In fact, the force is so great that it could damage the stapler itself. In one example use, the motor and drive assemblies can be operated at the expense of the knife blade locking feature - the security that prevents knife blade 1060 from advancing when there is no staple cartridge or a triggered staple cartridge previously on the 1030 staple cartridge holder. This feature is illustrated in FIG. 33. As discussed, knife blade 1060 will only be able to move distally when the hammer of clamp 102 is present in the ready firing position, that is, when hammer 102 is in the position illustrated in FIG. 33. If hammer 102 is not present in this position, this can mean one of two things, or there is no

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87/92 clamp in support 1030 or hammer 102 has already moved distally - in other words, a partial or total firing has already occurred with the loaded clamp cartridge. Thus, the 1060 blade must not move or its movement must be restricted. So, to ensure that hammer 102 can propel blade 1060 when in firing state, hammer 102 has a locking contact surface 104 and blade 1060 is provided with a correspondingly formed contact nose 1069. if at that point, the lower guide wings 1065 do not rest against a floor 1034 on the cartridge holder 1030 until blade 1060 has moved distally beyond the edge 1035. With this type of configuration, if hammer 102 is not present at the distal end of the blade 1060 to propel the nose 1069, then the lower guide wings 1065 will follow the depression 1037 very proximal to the edge 1035 and, instead of advancing on the floor 1034, it will reach the edge 1035 and prevent further movement forward blade 1060. To assist in this contact, when hammer 102 is not present (referred to as a “lock”), the 1030 clamp cartridge has a 1090 plate spring (attached to the cartridge by at least one rivet 1036) to tilt the blade 1060. With the plate spring 1090 flexed up and pressed down against flange 1067 (at least until flange 1067 is distal from the distal end of plate spring 1090), a downward force is imparted against the blade 1060 to press the wings 1065 downwards towards the depression 1037. Thus, as the blade 1060 advances distally without the hammer 102 being present, the blades 1065 follow the lower curve of the depression 1037 and are interrupted from other distal movement when the distal edge of the wings 1065 reaches the edge 1035.

[0164] This safety feature operates as described while the force transmitted by the blades of knife 1062 to blade 1060 is not large enough to pull the lower guide wings 1067 from blade 1060. With forces capable of being generated by the power supply , the motor and the drive train of the present invention, the blade 1060 can be pushed

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88/92 distally so strongly that wings 1065 are thrown out. If this occurs, there is no way to prevent the distal movement of blade 1060 or hammer 102. So, the present invention offers a way to decrease the forces capable of being conferred on wings 1065 before they pass beyond edge 1035. In in other words, the upper force limit that can be applied to blade 1060 is reduced in the first part of the blade's movement (in addition to edge 1035) and increases after wings 1065 have opened edge 1035 and rested on floor 1034. More specifically a first example version of this two-part power generation limiter takes the form of a circuit in which only one or a few batteries for power supply are connected to the motor during the first part of the clipping / cutting path and, in the second part of the clipping / cutting path, most or all of the power supply batteries are connected to the motor. A first example form of this type of circuit is illustrated in FIG. 34. In this first version, when switch 1100 is in position “A”, the motor (for example, stapling motor 210) is only energized with a battery of force 602 (of possible four in this example version). However, when switch 1100 is in the “Β” position, the motor is powered with all four batteries 602 from power source 600, thus increasing the amount of force that can be applied to blade 1060. Control of switch 1100 between the positions A and B can occur by placing a second key somewhere along the blade control assembly or along the hammer 102, where the second key sends a signal to a controller after wings 1065 have passed edge 1035 It was observed that this first version of the control circuit is only as an example and any set of execution in a similar way can provide locking protection for the device, see for example, the second example version illustrated in FIG.

36.

[0165] A first example form of a reverse front engine control circuit is illustrated in FIG. 35. This first example version uses

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89/92 a two-way double pole wrench 1200. The wrench 1200 is normally spring-tilted to a central position where both poles are off. The illustrated M motor can, for example, illustrate the stapling motor 210 of the present invention. As can be seen, the 2110 power-on switch must be closed to turn on the device. Of course, this key is optional. When forward movement of the M motor is desired, the key 1200 is placed in the right position, as shown in FIG. 35, where power is supplied to the engine to operate the engine in a first direction, defined here as the forward direction, because the battery “+” is connected to the “+” of the M motor. In this front switching position, the M motor can energize blade 1060 in a distal direction. It is possible to place an appropriate sensor or wrench to indicate the desired frontmost position of blade 1060 or hammer 102 in order to control a front movement limit switch 1220 that interrupts the power supply to the M motor and prevents other forward movements, at least while switch 1220 remains open. The circuit can be programmed to never allow that key 1220 to close and complete the circuit or to only allow the reset of key 1220 when a new staple cartridge, for example, is loaded. [0166] When reverse motion of the M motor is desired, the key 1200 is placed in the left position, as shown in FIG. 35, in which the power supplied to the motor to operate the motor in a second direction, defined here as the reverse direction, because that of the battery is connected to the “+” of motor M. In this reverse switching position, motor M can energize blade 1060 in a proximal direction. It is possible to place an appropriate sensor or wrench to indicate the desired rearmost position of blade 1060 or hammer 102 in order to control a rear movement limit switch 1230 that interrupts the power supply to the M motor and prevents other rear movements, at least as long as key 1230 remains open. It was observed that other switches (indicated with dotted arrows) can be provided in the circuit to selectively prevent movement in both

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90/92 directions independent of limit switches 1220, 1230.

[0167] It has been observed that the motor can energize the gear train with a significant amount of force that converts to a high rotational inertia. And so, when any key mentioned with respect to FIGS 34 and 35 is used to stop the engine, the gears may not just stop. Instead, rotational inertia continues to propel, for example, rack 217 in the direction it was moving when the motor's energy was extinguished. This move can be disadvantageous for many reasons. By configuring power supply and the motor appropriately, a circuit can be formed to substantially eliminate this type of post-shutdown movement, thus giving the user more control over the drive.

[0168] FIG. 36 illustrates an example version where the motor (for example, the stapling motor 210) is prevented from overrunning when the forward or reverse control is off. FIG. 36 also illustrates alternative versions of the forward / reverse control and the multi-stage power source. The circuit of FIG. 36 has a motor interruption subcircuit that uses an electric motor's short circuit property. More specifically, the electric motor M is placed in a short circuit so that an electrically generated magnetic field is created in opposition to the permanent magnetic field, thus slowing down the motor that still rotates at a rate that substantially prevents the inertia-induced over-current . To explain how the circuit of FIG. 36 can interrupt the M motor, an explanation of the forward / return switch 1300 is given here. As can be seen, the forward / return switch 1300 has three positions, just like the switch 1200 in FIG. 35. When placed in the right position, the M motor is driven in a forward rotation direction. When placed in a left position, the M motor is driven in a direction of rear rotation. When the switch 1300 is not activated - as shown in FIG. 36 - the motor is short-circuited. This short circuit is illustrated in diagram form by the

Petition 870180141083, of 10/15/2018, p. 103/108 / 92 upper of the 1300 switch. It has been noted that it is preferable that the switching processes on an emergency switch take place in a time-delayed manner, which is also referred to as a switching configuration made before the interruption. When switching from the M operation to interrupt the M motor, the double pole double direction part, the 1300 forward / return switch part is opened before the motor short circuit is performed. In the opposite direction, when switching from motor interruption M to operate motor o, the short circuit is opened before switch 1300 can start the motor. Therefore, in operation, when the user releases the 1300 three-way switch from both the forward and reverse position, the motor short-circuits and stops quickly.

[0169] Other characteristics of the circuit in FIG. 36 have been explained in FIG. 35. For example, an on / off switch 210 is provided. Also present is the power lock switch 1100 which only energizes the motor with a battery of power 602 in a given part of the drive (which can occur at the beginning or in any other desired part of the path) and energizes the M motor with all 602 power batteries (here, for example, six power batteries) in another part of the drive.

[0170] A new feature of the 1320,1330 forward and reverse limit switches prevents any further forward movement of the M motor after the 1320 front limit switch is activated. When this limit is reached, the front limit switch 1320 is activated and the switch moves to the second position. In this state, no energy can reach the motor for forward movement, but the motor can be energized for reverse movement. The front limit switch can be programmed to reverse or use a time for a given staple cartridge. But specifically, key 1320 will remain in the second position until a reset occurs by replacing the staple cartridge with a new one. Then, until the replacement occurs, the M motor can only be energized in the reverse direction. If the key is merely an articulated lever, then energy can be

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92/92 restored to other movements only when the movement recovered the component from the actuation of switch 1320.

[0171] The return limit switch 1330 can be configured in a similar way. When the reverse limit is reached, switch 1330 moves to the second position and remains there until a reset occurs. It was observed that, in this position, the M motor is in a short circuit, which prevents the movement of the motor in both directions. With this type of configuration, the stapler operation can be limited to a simple recovery to the advance limit and a simple recovery to the return limit. When both happened, the M motor was disabled until the two 1320 keys were reset.

[0172] The present description and the accompanying drawings illustrate the principles, preferred versions and modes of operation of the invention. But specifically, the optimized power supply, the motor and the drive train according to the present invention have been described with respect to a surgical stapler. However, the invention should not be interpreted as being limited to the particulate versions discussed above. Other variations of the versions discussed above will be analyzed by those skilled in the art as well as for applications, not related to surgical devices, which require an advanced occurring power output for short and limited durations such as a power battery with a power output or limited current. As shown and described, when optimized according to the present invention, a limited energy supply can produce lifting, thrust, traction, drag, retention and other types of forces sufficient to move a substantial volume of weight, for example, above 82 kg.

[0173] The versions described above should be considered as illustrative rather than restrictive. Thus, it is expected that variations on these versions may be made by those who are skilled in the art without departing from the scope of the invention, as defined by the following claims.

Claims (9)

1. SURGICAL INSTRUMENT WITH OPTIMIZED POWER AND OPERATION PERIOD (1), characterized by comprising: - a surgical terminal effector (60) with an actuator (180) to perform a surgical procedure when actuated; - an electric motor (120) operationally connected to said terminal effector (60) to operate said actuator (180); - a power source (600) that is electrically connected to said motor (120) and actuates said actuator (180) when the power source (600) energizes said motor (120), with said power source (600 ) having at least one battery cell with a certain nominal power; and - said motor (120) having the characteristics of a motor that, when powered by said energy source (600), said battery cell will be operated at a power greater than said given nominal power. 2. SURGICAL INSTRUMENT, according to claim 1, characterized in that said terminal effector (60) is selected from a group consisting of: - a circular surgical stapler; and - a linear surgical stapler having a staple cartridge between approximately 30 mm and approximately 100 mm in length. 3. SURGICAL INSTRUMENT, according to claim 1, characterized in that said nominal power of said battery cell is for an operating period greater than 15 seconds. 4. SURGICAL INSTRUMENT, according to claim 1, characterized in that said nominal power of said battery cell is for an aggregate total operating time greater than 300 seconds. 5. SURGICAL INSTRUMENT, according to claim 1, characterized by: - said battery cell having a certain rated current; and Petition 870180141083, of 10/15/2018, p. 106/108 2/2 - said motor (120) has the characteristics of a motor that, when powered by said power source (600), said battery cell will be operated at a power greater than said given rated power. 6. SURGICAL INSTRUMENT, according to claim 5, characterized in that said nominal current given from said battery cell is for an operating period greater than 15 seconds. 7. SURGICAL INSTRUMENT, according to claim 5, characterized in that said nominal current of said battery cell is for a total aggregate operating time greater than 300 seconds. 8. SURGICAL INSTRUMENT, according to claim 1, characterized in that said battery cell is operated with a power greater than the rated power given for periods of operation less than 16 seconds. 9. SURGICAL INSTRUMENT, according to claim 1, characterized in that said battery cell is operated with a power greater than said nominal power for a total aggregate operating time of less than 300 seconds.