CN105658151B

CN105658151B - Surgical end-effector with closing indicator display

Info

Publication number: CN105658151B
Application number: CN201480058053.7A
Authority: CN
Inventors: F·E·谢尔顿四世; E·A·谢林
Original assignee: Ethicon Endo Surgery Inc
Current assignee: Ethicon Endo Surgery Inc
Priority date: 2013-08-23
Filing date: 2014-08-19
Publication date: 2018-07-06
Anticipated expiration: 2034-08-19
Also published as: BR112016003415A2; RU2684179C2; JP6453331B2; RU2016110409A3; BR112016003415B1; CN105658151A; MX2016002341A; JP2016530953A; MX367245B; RU2016110409A

Abstract

The invention discloses a kind of surgical instrument systems, the surgical instrument system may include surgical instruments (10) and end effector (10360), wherein described end effector may include distal end, the proximal connecting portion, the first jaw (10362) and the second jaw that are configured to the end effector being attached to the surgical instruments, second jaw can be moved relative to first jaw, wherein second jaw can be moved opening between orientation, part closed orientation and closed orientation.The end effector may also include at least one sensor for being configured to the orientation for detecting second jaw and the pointer array (10390) for being configured to simulate the orientation of second jaw.

Description

Surgical end-effector with closing indicator display

Technical field

The present invention relates to a kind of surgical instruments, and in various constructions, the present invention relates to be designed to cutting and Suture the powered surgical cutting of tissue and suture instruments and its nail bin.

Background technology

Surgical stapling device is deployed to commonly used in that will follow closely in soft tissue, to reduce or disappear for example especially when tissue is crosscut Except the bleeding of soft tissue.The surgical stapling device of such as inner cutter may include end effector, which can be opposite In elongated shaft assembly movement or joint motions.End effector is often configured to soft tissue being fixed on the first jaw structure Between part and the second jaw member, wherein the first jaw member often includes being configured to removedly store nail wherein Nail bin, the second jaw member often include anvil block.This kind of surgical stapling device may include anvil block is made to pivot relative to nail bin Closed system.

As described above, surgical stapling device is configured to so that the anvil block of end effector is relative to nail bin pivot Turn, so that soft tissue is trapped between them.In all cases, anvil block is configured to apply soft tissue and clamp Power, so that soft tissue is firmly held between anvil block and nail bin.However, if surgeon is unsatisfied with end effector Position, then surgeon generally have to enable surgical stapling device on relieving mechanism by anvil block be pivoted into open position and with After reposition end effector.Then, for nail usually by driver from cartridge deployment, which traverses the channel in nail bin, So that nail deforms, and soft tissue layer is fixed together against anvil block.As it is known in the art, nail often with several staple lines or Capable deployment is discharged into, organized layer is more reliably fixed together.End effector may also include the cutting element of such as knife, After soft tissue layer has been stitched together, which advances to cut soft tissue between two nails.

The size and construction of such surgical stapling device and actuator are designed to through trochar or other entrance openings Insertion body intracavitary.End effector is typically coupled to be dimensioned so as to the elongated shaft across trochar or opening.Elongated shaft group Part is typically operatively connected to shank, which is used to control the control system of the operation of end effector and/or touches Send out device.In order to be conducive to end effector being properly positioned and being orientated in vivo, many surgical instruments are configured to favorably In end effector joint motions are carried out relative to a part for elongated shaft.

Powered surgical instrument is in U.S. of the entitled POWERED SURGICAL STAPLING DEVICE of Zemlok et al. There is disclosed, the patent application publication in state patent application publication US 2009/0090763A1 (hereinafter, " Zemlok ' 763 ") Complete disclosure be hereby incorporated by reference.Powered surgical instrument is also in the entitled of Zemlok et al. U.S. Patent Application Publication US 2011/0278344A1 (the hereinafter, " Zemlok of POWERED SURGICAL INSTRUMENT ' 344 ") have in (now be United States Patent (USP) 8,201,721) it is disclosed, the complete disclosure of the patent application publication accordingly with Way of reference is incorporated herein.

The current each aspect of the relevant technologies in technical field only for the purpose of illustration discussed above, without answering When being considered as the negative to right.

Description of the drawings

Refer to the following explanation of the embodiment of the present invention in conjunction with the accompanying drawings, the features and advantages of the present invention and its acquisition Method will become more apparent, and be better understood invention in itself, wherein：

Fig. 1 is the perspective view using a form of surgical instruments of retraction construction；

Fig. 2 is that can combine the perspective view of exemplary loading unit that various surgical instruments disclosed herein use；

Fig. 3 is the decomposition perspective view of a part for loading unit shown in Fig. 2；

Fig. 4 is the top view of a part for the surgical instruments of Fig. 1；

Fig. 5 is the partial side view of a part for surgical instruments shown in Fig. 4, and wherein clutch pack, which is in, is detached from position It puts；

Fig. 6 is the top view of retraction assemblies embodiment and its a part for the lever structure that bounces back；

Fig. 7 is a form of partial exploded view of driving unit, and wherein its part is shown with section；

Fig. 8 is another top view of a part for surgical instruments, and wherein driving unit locking system is in the locked position；

Fig. 9 is a form of top view for locking pawl component；

The side front view of locking pawl component that Figure 10 is Fig. 9；

The bottom view of locking pawl component that Figure 11 is Fig. 9 and Figure 10；

Figure 12 is the front view of gearbox-case embodiment；

Figure 13 is the partial side sectional view of surgical instrument embodiment, and wherein its part is shown with section and driving unit is locked Determine system and be in locking orientation；

Figure 14 is another partial side sectional view of the surgical instruments of Figure 13, and wherein driving unit locking system is in unlock Orientation；

Figure 15 is the top view of another surgical instrument embodiment, and a part for wherein shell is removed to expose instrument A part for driving unit locking system construction；

Figure 16 is the partial side sectional view of the surgical instrument embodiment of Figure 15, and wherein its part shows that solid line shows with section The driving unit locking system that source is orientated in locking, and the driving unit locking system shown in phantom in unlock orientation；

Figure 17 is another partial top view of the surgical instrument embodiment of Figure 15 and Figure 16, and wherein solid line shows to activate it The position of retraction lever after the position of preceding retraction lever and initial activation shown in phantom；

Figure 18 is another partial top view of the surgical instrument embodiment of Figure 15-17, wherein shown in phantom in complete The retraction lever of actuated position；

Figure 19 is the partial top view of a part for another surgical instrument embodiment, and a part for wherein shell is removed To expose the driving unit locking system of instrument, solid line shows the retraction lever in unactuated position, and shown in phantom first The retraction lever to begin after activating；

Figure 20 is the partial top view of another surgical instrument embodiment, and a part for wherein shell is removed to expose it Driving unit locking system in locking orientation；

Figure 21 is another partial top view of the surgical instrument embodiment of Figure 20, and wherein driving unit locking system is in Unlock orientation；

Figure 22 is the partial cut away side views of a part for surgical instruments and end effector, and wherein its retraction assemblies are in Orientation is not activated；

Figure 23 is to fire bar assembly by the surgical instruments of Figure 22 after percussion and another part of end effector Cross sectional side view；

Figure 24 has been activated for retraction assemblies so that driving beam retraction returns to its initial position in end effector The surgical instruments of Figure 23 later and another partial cut away side views of end effector；

Figure 25 is the partial cutaway surface side of the part of another surgical instruments and end effector in pre- cock View, wherein its retraction assemblies are in and do not activate orientation；

Figure 26 is the surgical instruments of Figure 25 and another partial cut away side views of end effector after percussion；

Figure 27 is the surgical instruments of Figure 26 and another partial cut away side views of end effector, wherein its retraction member Latch be in unlatched state；

Figure 28 is the surgical instruments of Figure 27 and another partial cut away side views of end effector, wherein distal side trigger shaft It is partially in retraction orientation；

Figure 29 is the partial cutaway view of a part for another surgical instrument embodiment, and wherein it is driven at coupler assembly In joint motions orientation；

Figure 30 is the partial cutaway view of a part for the surgical instrument embodiment of Figure 29, and wherein it is driven at coupler assembly It is orientated in percussion；

Figure 31 is that view is broken in the amplification of the driving coupler assembly of the surgical instruments of Figure 29 and Figure 30, wherein being shown in solid Connector selector component be in joint motions orientation and connector selector component shown in dotted line and be in percussion and take To；

Figure 32 is the partial cutaway view of a part for another surgical instrument embodiment；

Figure 33 is the amplification partial cutaway view of a part for the surgical instruments of Figure 32；

Figure 34 is another amplification partial cutaway view of a part for the surgical instruments of Figure 32 and Figure 33, wherein its limit of advancing Device processed is in its farthest side orientation；

Figure 35 is another amplification partial cutaway view of the surgical instruments of Figure 32-34, and wherein its travel restrictor is in it Recent side is orientated；

Figure 36 is the partial cutaway view along the surgical instruments of the Figure 33 intercepted of the line 36-36 in Figure 33；

Figure 37 is the local perspective view of a part for the surgical instruments of Figure 32-36；

Figure 38 is according to the axis of the surgical instruments of the various embodiments of the disclosure, lining ring and is not attached to the disposable of axis The local perspective view of loading unit；

The local perspective view of axis, lining ring and disposable loading unit that Figure 39 is Figure 38, there is shown be attached to the one of axis Secondary property loading unit；

The partially exploded perspective view of axis, lining ring and disposable loading unit that Figure 40 is Figure 38；

Another partially exploded perspective view of axis, lining ring and disposable loading unit that Figure 41 is Figure 38；

Figure 42 is the perspective view of the distal side attachment part of the disposable loading unit of Figure 38；

Figure 43 is another perspective view of the distal side attachment part of the disposable loading unit of Figure 38；

Figure 44 is the perspective view of the proximal attachment part of the axis of Figure 38；

Figure 45 is another perspective view of the proximal attachment part of the axis of Figure 38；

Figure 46 is the lining ring of surgical instruments of Figure 38 and the perspective view of beating shaft；

The partial perspective sectional view of disposable loading unit, lining ring and axis that Figure 47 is Figure 38, there is shown be attached to axis Disposable loading unit；

The partial cross-sectional front view of disposable loading unit, lining ring and axis that Figure 48 is Figure 38, there is shown be not attached to The disposable loading unit of axis；

The partial cross-sectional front view of disposable loading unit, lining ring and axis that Figure 49 is Figure 38, there is shown be attached to axis Disposable loading unit；

Figure 50 is the lining ring of Figure 38 and the front view of axis intercepted along the plane shown in Figure 48；

Figure 51 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown be not attached To the disposable loading unit of axis, and also illustrate the lining ring that initial orientation is in relative to axis；

Figure 52 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown be not attached To the disposable loading unit of axis, and also illustrate the lining ring that initial orientation is in relative to axis；

Figure 53 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with into axis Disposable loading unit, and also illustrate the lining ring that initial orientation is in relative to axis；

Figure 54 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with into axis Disposable loading unit, and also illustrate and be in the second, lining ring that is rotationally oriented relative to axis；

Figure 55 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with into axis Disposable loading unit, and also illustrate and be in the second, lining ring that is rotationally oriented relative to axis；

Figure 56 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with insert completely Enter the disposable loading unit in axis, and the lining ring for also illustrating and being in second relative to axis, be rotationally oriented；

Figure 57 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with insert completely Enter the disposable loading unit in axis, and also illustrate the lining ring that initial orientation is in relative to axis；

Figure 58 is the disposable loading unit of Figure 38, the perspective of lining ring and axis, partial cutaway view, and there is shown with insert completely Enter the disposable loading unit in axis, and also illustrate the lining ring that initial orientation is in relative to axis；

Figure 59 is to load list with the disposable of axis is not attached to according to the axis of the surgical instruments of the various embodiments of the disclosure The part of member, perspective, sectional view；

The axis and the part of disposable loading unit, perspective, sectional view that Figure 60 is Figure 59, there is shown be fully inserted into axis Disposable loading unit, and also illustrate the latch in unlatched position；

The axis and the part of disposable loading unit, perspective, sectional view that Figure 61 is Figure 59, there is shown be fully inserted into axis Disposable loading unit, and also illustrate the latch in latch position；

Figure 62 be Figure 59 axis and disposable loading unit part, face, sectional view, there is shown be fully inserted into axis Disposable loading unit, and also illustrate the latch in latch position；

Figure 63 is the schematic diagram according to torque-voltage curve of the various embodiments of the disclosure；

Figure 64 (a) is the high duty ratio recurrent pulse delivered by pulse-width modulation circuit according to the various embodiments of the disclosure Schematic diagram；

Figure 64 (b) is the low duty ratio recurrent pulse delivered by pulse-width modulation circuit according to the various embodiments of the disclosure Schematic diagram；

Figure 65 (a) is showing by the percussion element of the high duty ratio recurrent pulse driving of the pulse-width modulation circuit of Figure 64 (a) It is intended to；

Figure 65 (b) is showing by the percussion element of the low duty ratio recurrent pulse driving of the pulse-width modulation circuit of Figure 64 (b) It is intended to；

Figure 66 (a) -66 (c) is the pulsewidth with set of main coils and ancillary coil group according to the various embodiments of the disclosure The schematic diagram of modulation circuit；

Figure 67 is according to the speed shown in entire firing schedule of various embodiments of the disclosure and the curve graph of torque；

Figure 68 is the curve for showing the rate limitation test section during firing schedule according to the various embodiments of the disclosure Figure；

Figure 69 and Figure 70 is the schematic diagram according to the simplification stepper motor of the various embodiments of the disclosure；

Figure 71-73 is the schematic diagram according to the mixing stepper motor of the various embodiments of the disclosure；

The schematic diagram of mixing stepper motor that Figure 74 (a)-74 (c) is Figure 71-73, there is shown with the polarity of variation；

Figure 75 is the display including touch screen being used together with endoscope according to the various embodiments of the disclosure Perspective view；

Figure 76 is the front view of first information layer being shown on the display of Figure 75, and wherein first information layer is included by interior The video feed of the disposable loading unit (DLU) for being attached to surgical instruments of sight glass observation；

Figure 77 is the front view of the second Information Level being shown on the display of Figure 75, wherein the second Information Level includes being used for The control panel of input is received via touch screen；

The front view for the second Information Level that Figure 78 is the Figure 77 being superimposed upon on the first information layer of Figure 76；

The front view for the second Information Level that Figure 79 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Layer includes the visual representation with the relevant numerical data of knife progress and knife progress when cutter spacing is near firing schedule section start；

The front view for the second Information Level that Figure 80 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Layer includes the vision table with the relevant numerical data of knife progress and knife progress when cutter spacing is near the distal end of firing schedule Show；

The front view for the second Information Level that Figure 81 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Layer includes the symbolic indication for the knife being superimposed upon in the test position of the knife in the DLU shown in first information layer；

The front view for the second Information Level that Figure 82 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Distal side promotes the figure of the speed of knife to represent during layer includes firing schedule；

The front view for the second Information Level that Figure 83 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information The figure that layer includes being applied to structural chucking power by DLU jaws along the length of DLU jaws represents；

The front view for the second Information Level that Figure 84 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Layer includes the relevant numerical data of orientation with DLU, and the DLU wherein shown in first information layer is in non-joint motions and takes To；

The front view for the second Information Level that Figure 85 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Layer includes the visual representation with the relevant numerical data of orientation of DLU and the orientation of DLU, and wherein shown in first information layer DLU is in joint motions orientation；

The front view for the second Information Level that Figure 86 is the Figure 77 being superimposed upon on the first information layer of Figure 76, there is shown with from The input for being used to adjust the joint motions of DLU via the touch screen of Figure 75 of user；

The front view for the second Information Level that Figure 87 is the Figure 77 being superimposed upon on the first information layer of Figure 76, there is shown with for It controls the schematic diagram of DLU and also illustrates and be used to manipulate schematic diagram via the touch screen of figure Figure 75 to adjust from user The input of the joint motions of DLU；

The front view for the second Information Level that Figure 88 is the Figure 77 being superimposed upon on the first information layer of Figure 76, there is shown with responses The DLU in joint motions orientation in the first information layer of user's input shown in Figure 86 and Figure 87；

The front view for the second Information Level that Figure 89 is the Figure 77 being superimposed upon on the first information layer of Figure 76, there is shown with from The input for being used to control the closure of movable jaw via the touch screen of Figure 75 of user；

The front view for the second Information Level that Figure 90 is the Figure 77 being superimposed upon on the first information layer of Figure 76, there is shown with responses The movable jaw of the DLU in clamping orientation in the first information layer of user's input shown in Figure 89；

Figure 91 is the front view at the controller interface of the second Information Level for Figure 77；

The front view for the second Information Level that Figure 92 is the Figure 77 being superimposed upon on the first information layer of Figure 76, wherein the second information Controller interface and progress bar of the layer including Figure 91；

Figure 93 is the communication system for showing the display for feedback controller Yu endoscope, surgical instruments and Figure 75 Schematic diagram；

Exploded views of the Figure 94 for the surgical instrument system for including shank and end effector according at least one embodiment, The surgical instrument system includes multiple indicators；

Figure 95 be according to the part of the shank of the surgical instrument system including multiple indicators of at least one embodiment just View；

Figure 96 is the part section according to the shank of the surgical instrument system including trigger lock of at least one embodiment Figure, there is shown with trigger locks in the unlocked state；

Figure 97 is the partial cutaway view of the shank of Figure 96, and there is shown with the trigger locks being in the lock state；

Figure 98 is the sectional view of the trigger lock of Figure 96, and there is shown with trigger locks to be in its unlocked state；

Figure 99 is the sectional view of the trigger lock of Figure 96, and there is shown with trigger locks to be in its lock-out state；

Figure 99 A are the flow chart for the operation sequence for summarizing surgical instruments, and the operation sequence is for evaluating surgical instruments No be exposed to more than the temperature of its threshold temperature and user's notice of true orientation of surgical instruments has been more than threshold temperature Mode；

Figure 100 is the surgical instrument system of trigger lock including being in the lock state according at least one embodiment The sectional view of shank；

Figure 101 is the cross-sectional details figure of the shank of Figure 100, and there is shown with the trigger locks in its lock-out state；

Figure 102 is another cross-sectional details figure of the shank of Figure 100, and there is shown with the triggers in its unlocked state Lock；

Figure 103 is the perspective view of the trigger lock for the Figure 100 for being shown at its lock-out state；

Figure 104 is the surgical instrument system of trigger lock including being in the lock state according at least one embodiment The partial perspective cutaway view of shank；

Figure 105 is the partial perspective cutaway view of the shank for the Figure 104 for being shown at unlocked state；

Figure 106 is the part section left side view of the shank for the Figure 104 for being shown at its lock-out state；

Figure 107 is the part section right side view of the shank for the Figure 104 for being shown at its lock-out state；

Figure 108 is the part section left side view of the shank for the Figure 104 for being shown at its unlocked state；

Figure 109 is the part section right side view of the shank for the Figure 104 for being shown at its unlocked state；

Figure 110 is to show that the controller of surgical instruments can be used to connect to handle from the end effector for being attached to surgical instruments The process chart of the step of signal of receipts；

Figure 110 A can provide the schematic diagram to the parameter array of surgical instruments to show from end effector；

Figure 111 is process chart the step of showing the end effector and surgical instruments for using Figure 110；

Figure 112 is the connectors shown between the end effector of surgical instruments and axis according at least one embodiment Schematic diagram；

Figure 113 is the plan view of the printed circuit board of the connectors of Figure 112；

Figure 114 is the local perspective view according to the end effector of the surgical instruments of at least one embodiment；

Figure 115 is the local perspective view of the axis of surgical instruments and the end effector of Figure 114；

Figure 116 is the sectional view of the end effector of the Figure 114 for the axis for being attached to Figure 115；

Figure 117 is the sectional view of the connectors between end effector and axis according at least one embodiment；

Figure 118 is the sectional view of the connectors between end effector and axis according at least one embodiment；

Figure 119 is the sectional view of the connectors between end effector and axis according at least one embodiment；

Figure 120 is the detail drawing of the connectors of Figure 119；

Figure 121 is the side view according to the end effector for including anvil block and anvil position indicator of at least one embodiment Figure, there is shown with anvil blocks in an open position；

Figure 122 is the side view of the end effector of Figure 121, and there is shown with the anvil blocks in partial closed position；

Figure 123 is another side view of the end effector of Figure 121, and there is shown with the anvils in partial closed position Seat；

Figure 124 is another side view of the end effector of Figure 121, and there is shown with the anvils in partial closed position Seat；

Figure 125 is the detail drawing of the anvil position indicator of Figure 121, and there is shown with the anvils in the position shown in Figure 121 Seat；

Figure 126 is the detail drawing of the anvil position indicator of Figure 121, and there is shown with the anvils in the position shown in Figure 122 Seat；

Figure 127 is the detail drawing of the anvil position indicator of Figure 121, and there is shown with the anvils in the position shown in Figure 123 Seat；

Figure 128 is the detail drawing of the anvil position indicator of Figure 121, and there is shown with the anvils in the position shown in Figure 124 Seat；

Figure 129 shows the cross sectional side view of the surgical instruments according to certain embodiments disclosed herein；

Figure 130 shows the power system for providing the surgical instruments of Figure 129 power, wherein power system and figure The control system connection of 129 surgical instruments；

Figure 131 shows the battery pack of the power system for the Figure 130 for being connected to charger seat；

Figure 132 shows the management circuit of the power system of Figure 130；

Figure 133 shows the schematic block diagram of the operating parameter for the power system for illustrating Figure 130；

Figure 134 shows the perspective view of the power source of the surgical instruments according to various embodiments described herein；

Figure 135 shows the perspective view of the power source of Figure 134 of the dismounting according to various embodiments described herein；

Figure 136 show according to various embodiments described herein include completely can breaking part Figure 134 power The circuit diagram of the circuit in source；

Figure 137 show according to various embodiments described herein wherein can the electricity of Figure 136 that has disconnected of breaking part The circuit diagram on road；

Figure 138 show according to various embodiments described herein for protect data stored in memory to prevent The block diagram of the system of unauthorized access；

Figure 139 shows the perspective view of the power source of the surgical instruments of the data access entrance including covering；

Figure 140 shows the data access entrance in the Figure 139 for not covering configuration；

Figure 141 shows the perspective view of the power source of the surgical instruments including internal data access entrance；

Figure 142 show according to various embodiments described herein for protect data stored in memory to prevent The block diagram of the system of unauthorized access；

Figure 143 shows the perspective view of the power source of the surgical instruments according to various embodiments described herein；

Figure 144 shows the perspective view of the power source for the Figure 143 for being connected to surgical instruments；

Figure 145 shows the power source of Figure 143 in various configuration according to various embodiments described herein LED；

Figure 146 shows the side view of the surgical instruments including shell according to various embodiments described herein；

Figure 147 shows the side view of the shell of Figure 146, and wherein external shell is removed to be consolidated with exposure by fixing component Surely the detachable part of shell is arrived；

Figure 148 shows the side view of the shell of Figure 147, and wherein detachable part is removed from shell；

Figure 149 is detectable impression, recess or the bar code marking for showing to be limited in the surface of end effector Schematic diagram；

Figure 150 is the schematic diagram of exemplary bar codes that can be used together with barcode reader；

Figure 151 is the partial side view according to the axis of the end effector including bar code of at least one embodiment；

Figure 152 is the part according to the axis of the end effector of the surgical instruments including bar code of at least one embodiment Front view；

Figure 153 is the partial perspective according to the shank of the surgical instruments including barcode reader of at least one embodiment Figure；

Figure 154 is the sectional view for showing wherein to be located the barcode reader of Figure 153 of end effector；

Figure 155 is according to the end effector of surgical instruments of at least one embodiment and the decomposition perspective view of axis；

Figure 156 be according to the end effector of surgical instruments of at least one embodiment and the decomposition perspective view of axis, wherein End effector includes the part of firing member being releasably locked together；

Figure 157 is the local perspective view of the firing member part of Figure 156 locked together by locking component；

Figure 158 is the firing member part of Figure 156 and the local perspective view of locking component, and there is shown with the one of firing member Part is removed to show the locking component for being releasably locked together firing member part；

Figure 159 is the exploded view of the firing member for the Figure 156 for discharging actuator, and the release actuator is configured to Locking component is moved to unlocked state and unlocks firing member part；

The partial exploded view of connectors between the release actuator that Figure 160 is Figure 159 and corresponding axis release actuator；

Figure 161 is the sectional view of the connectors of Figure 160；

Figure 162 is the decomposition perspective view for the component for including motor, drive shaft and slip-clutch, the slip-clutch Selectively transmission rotation is configured between motor and drive shaft；

Figure 163 is the sectional view of the component of Figure 162；

Figure 164 is the perspective view of the biasing element of the slip-clutch of Figure 162；

Figure 165 is the sectional view of the component of Figure 162, and there is shown with the clutch members of slip-clutch in an intermediate position Part；

Figure 166 is the sectional view of the component of Figure 162, and there is shown with the clutch elements of Figure 165 in forward location；

Figure 167 is the sectional view of the component of Figure 162, and there is shown with the clutch elements of Figure 165 in reverse position；

Figure 168 is according to the motor of various embodiments of the disclosure and the perspective view of gear assembly；

Figure 169 is the perspective according to the motor of the various embodiments of the disclosure, gear assembly and audible feedback generator Figure；

Figure 170 is the front view of the pick on the disk according to the gear assembly of Figure 169 of the various embodiments of the disclosure, In show the disk being rotated in a clockwise direction and engage Figure 169 audible feedback generator clicker pick；

Figure 171 is the front view of the pick on the disk according to the gear assembly of Figure 169 of the various embodiments of the disclosure, In show the disk being rotated in the counterclockwise direction and engage Figure 169 audible feedback generator clicker pick；

Figure 172 is that the motor according to the various embodiments of the disclosure, the gear assembly with multiple disks and audible feedback are sent out The perspective view of raw device；

Figure 173 is the audible feedback generator by Figure 172 according to the various embodiments of the disclosure at firing schedule end The figure for the feedback that end nearby generates represents；

Figure 174 and Figure 175 is being loaded for the various embodiments according to the disclosure by the audible feedback generator of Figure 172 The figure for the feedback that the joint motions limit of unit nearby generates represents；

Figure 176 is the schematic diagram for showing the algorithm for operating surgical instruments；

Figure 177 is another schematic diagram for showing the algorithm for operating surgical instruments；

Figure 178 is the schematic diagram for showing the algorithm for operating surgical instruments；

Figure 179 is the circuit for being configured to instruction cell voltage；

Figure 180 is to be configured to the scintillator circuit diagram that instruction battery is electrically charged；

Figure 181 is the schematic diagram according to the deagnostic test being used together with surgical instruments of at least one embodiment；

Figure 182 be the electric discharge and battery for showing battery electricity be less than minimum charge level when power shutoff signal Figure；

Figure 183 is the operation of retainable record battery and/or the information table of performance；

Figure 184 is the schematic diagram of Battery Diagnostic circuit；

Figure 185 is the sealing motor being used together with surgical instruments and gear assembly according to the various embodiments of the disclosure Perspective view；And

Figure 186 be according to the decomposition of the sealing motor and gear assembly of Figure 185 of the various embodiments of the disclosure, face, Sectional view.

Specific embodiment

Present applicant also possesses following patent application, and the patent application is submitted and entirely on the same day with the application Text is respectively herein incorporated by reference：

Entitled FIRING MEMBER RETRACTION DEVICES FOR POWERED SURGICAL The U.S. Patent application of INSTRUMENTS, attorney number END7293USNP/130016；

Entitled SECONDARY BATTERY ARRANGEMENTS FOR POWERED SURGICAL The U.S. Patent application of INSTRUMENTS, attorney number END7294USNP/130017；

Entitled ERROR DETECTION ARRANGEMENTS FOR SURGICAL INSTRUMENT The U.S. Patent application of ASSEMBLIES, attorney number END7295USNP/130018；

The U.S. of entitled ATTACHMENT PORTIONS FOR SURGICAL INSTRUMENT ASSEMBLIES is special Profit application, attorney number END7296USNP/130019；

U.S. of entitled TAMPER PROOF CIRCUIT FOR SURGICAL INSTRUMENT BATTERY PACK State's patent application, attorney number END7297USNP/130020；

The U.S. Patent application of entitled TORQUE OPTIMIZATION FOR SURGICAL INSTRUMENTS, generation Manage people's file number END7299USNP/130022；

Entitled SHROUD RETENTION ARRANGEMENT FOR STERILIZABLE SURGICAL The U.S. Patent application of INSTRUMENTS, attorney number END7300USNP/130023；

Entitled CONDUCTOR ARRANGEMENTS FOR ELECTRICALLY POWERED SURGICAL The U.S. Patent application of INSTRUMENTS WITH ROTATABLE END EFFECTORS, attorney number END7301USNP/130024；

The U.S. of entitled END EFFECTOR DETECTION SYSTEMS FOR SURGICAL INSTRUMENTS Patent application, attorney number END7302USNP/130025；

Entitled FIRING TRIGGER LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS's U.S. Patent application, attorney number END7303USNP/130026；

The U.S. Patent application of entitled INTERACTIVE DISPLAYS, attorney number END7304USNP/ 130027；With

The United States Patent (USP) Shen of entitled MOTOR-POWERED ARTICULATABLE SURGICAL INSTRUMENTS Please, attorney number END7305USNP/130028.

Certain exemplary embodiments will now be described, to understand the knot of apparatus and method as disclosed herein on the whole Structure, function, manufacture and purposes principle.One or more examples of these embodiments have been shown in the drawings.This field it is common Technical staff will be understood that it is unrestricted exemplary to specifically describe herein and be illustrated in the device and method in attached drawing Embodiment, and the range of multiple embodiments of the present invention is limited only by the appended claims.With reference to an exemplary embodiment into Row illustrates or the feature of description can be combined with the feature of other embodiment.These modifications and version are intended to It is included within the scope of the present invention.

Term " comprising " (and including any form, such as " including (comprises) " and " including (comprising) "), " with " (and with any form, such as " with (has) " and " with (having) "), " packet Containing " (and comprising any form, such as " include (includes) " and " including (including) " and " containing " (and contain Any form having, such as " containing (contains) " and " containing (containing) ") it is open link-verb.Therefore, " packet Include ", " with ", "comprising" or " containing " one or more elements surgery system, device or equipment with these or more A element, but it is not limited to that only there are these one or more elements.Equally, " comprising ", " having ", "comprising" or " containing " one Or the element of the systems of multiple features, device or equipment has these one or more features, but be not limited to only to have these one A or multiple features.

Term " nearside " and " distal side " are herein defined as coming relative to the clinician for the handle portions for manipulating surgical instruments It uses.Term " nearside " refers near the part of clinician, and term " distal side " refers to the portion far from clinician Point.It is also understood that for the sake of succinct and is clear, such as " vertical ", " level ", "up" and "down" can be used with reference to attached drawing herein Etc spatial terminology.However, surgical operating instrument uses in many directions and position, and these terms and nonrestrictive And/or it is absolute.

Various exemplary means and method are provided to perform laparoscopic type and minimally invasive surgical procedures.However, this field Those of ordinary skill it will be readily understood that various method and apparatus disclosed herein can be used for many surgical operations and application In, including being for example combined with open surgery.With continued reference to present embodiment, person skilled in the art Member will be further understood that various instruments disclosed herein in any way in insertion body, such as by natural cavity, can pass through Notch or puncturing hole for being formed in tissue etc..The working portion or end effector portion of instrument can be plugged directly into patient's body It is interior or can by with service aisle enter device be inserted into, the end effector and elongated shaft of surgical instruments can pass through the work Make channel and promote.

Fig. 1 shows powered surgical instrument 10, can be similar to such as Zemlok ' 763 and/or Zemlok in many aspects ' surgical instruments (including various feature structures, component and its subassembly) disclosed in 344, the full text of these patents is respectively to draw It is incorporated herein with mode.Surgical instruments 10 shown in FIG. 1 includes shell 12, and there are the shell 12 handle portions 14 to be conducive to The manipulation and operation of instrument.Therefore, the term as used herein " shell " can cover handheld configuration or can otherwise manually The construction of manipulation.However, term " shell " can also cover automation surgical instruments system (for example, system of robot control) Part, the automation surgical instruments system are not intended to be hand-held, and can by all parts of the system, part, And/or actuator is otherwise manipulated and is activated.

Form is stretched out from shell 12 and is configured to operationally attached for the elongated shaft assembly 16 of endoscopic portion Be connected to surgical end-effector, the surgical end-effector be configured in response to the firing action applied to it come perform to A few surgical operation.Such surgical end-effector may include such as linear cutter, grasper or other devices, it is described its His device may include a pair of of jaw, and one of jaw can selectively move relative to another jaw or in some configurations In two jaws can be movable with respect to each other.In a manner that another is exemplary, surgical end-effector may include being configured to The device of tissue can be cut and suture, for example, " loading unit " 20 as shown in Figures 2 and 3.Surgical end-effector (such as loading unit 20) can for example be releasably attached to the elongated shaft assembly 16 of powered surgical instrument 10, such as herein more in detail It is thin described.

Fig. 2 and Fig. 3 show a kind of exemplary forms of loading unit 20 that can be used together with surgical instruments 10.It is such Loading unit 20 can be similar to the loading list disclosed in the above-mentioned U.S. Patent Application Publication for being incorporated by reference being incorporated herein The entitled SURGICAL STAPLING INSTRUMENTS that member and such as disclosure are herein incorporated by reference The U.S. Patent Application Publication US 2012- of WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS Loading unit disclosed in 0298719-A1.

As seen in Figure 2, loading unit 20 includes anvil assembly 22, the anvil assembly 22 be supported for relative to It is operatively supported the carrier 24 of nail bin 26 therein and pivots and advance.Mounting assembly 28 is pivotally coupled to warehouse carrier 24 with shape Into actuated articulation joints 27, the actuated articulation joints 27 allow carrier 24 to surround transverse to longitudinal tool axis " LA-LA " Joint motions axis " AA-AA " pivots.Referring to Fig. 3, mounting assembly 28 may include such as top installation section 30 and lower part installation Part 32.Each installation section 30,32 may include threaded bore 34 on either side of it, the size quilt of the threaded bore 34 It is designed to that bolt (not shown) is received to be fixed to the upper the proximal end of carrier 24.The pivot member 36 of a pair of of centralized positioning It can be extended between top installation section and lower mounting part through a pair of of coupling member 38, the coupling member 38 engages outer The distal end of shell parts 40.Coupling member 38 can respectively include interlocking portions of proximal 39, and the interlocking portions of proximal 39 is by structure It causes to be contained in the groove 42 being formed in the proximal end of casing part 40, by mounting assembly 30 and casing part 40 are maintained at longitudinally fixed position.

As in figure 3 furthermore, it can be seen that the casing part 40 of loading unit 20 may include respectively being configured to accommodate Upper case half portion 44 and lower case half portion 46 in external shell 50.The proximal end of shell half portion 44 may include being used for It is releasably engaged the junction piece 48 of the distal end of elongated shaft assembly 16.Block 48 can for example with elongated shaft assembly 16 distal end portion Portion forms " bayonet type " connection.Various coupling configurations are described in greater detail herein.Shell half portion 44,46 can limit slide The channel 47 for the driving beam 60 being axially movable is accommodated dynamicly.The size of second joint motion couplings 70 can be set to slidably Ground is located in the slit 72 being formed between shell half portion 44,46.A pair of " explosion-proof " plate 74 can be positioned on neighbouring and driving beam The distal end of the adjacent casing part 40 of 60 distal end, to prevent driving beam 60 during the joint motions of carrier 24 It outwardly protrudes.

Driving beam 60 may include distal side work head 62 and nearside bonding part 64.Driving beam 60 can be by single material piece or excellent Selection of land is made of the sheet material of multiple stackings.Bonding part 64 may include a pair of engaging finger-shaped material, the size of the engagement finger It is designed to engage the corresponding holding slit of a pair formed in drive member 66 with mounting means with construction.Drive member 66 can Including nearside aperture 67, the nearside aperture 67 is configured in the proximal end of loading unit 20 and surgical instruments 10 The distal end of trigger shaft is received when elongated shaft assembly engages.Distal side work head 62 can have tissue cutting part formed thereon Divide 63.Distal side work head 62 may also include a pair of pin 65, and the pin 65 is configured to drive towards distal side in distal side work head 62 It moves across engagement anvil assembly 22 during nail bin 26 so that it is pivoted to closed position, so as to organize to be clamped in anvil block 22 and nail bin Between 26.Tissue cutting section 63 in distal side work head 62 is used for when the surgical staples (not shown) being supported in nail bin 26 is with Know that mode is driven into and clamped tissue is cut through when being formed and contacted with anvil block 22.For example, distal side work head 62 is adapted to It is enough axially to engage and promote the sliding part (not shown) being movably supported in nail bin 26.When drive member 66 is along distal side side During to driving sliding part, sliding part contact is with following closely relevant pusher (not shown) and pusher driving nail being caused to leave storehouse 26 To be engaged with the formation of the anvil block 22 of loading unit 20.

As seen in Figure 1, surgical instruments 10 includes the motor 100 that can generate rotary-actuated action, and the rotation causes Action can be used for firing action for example is applied to loading unit 20, such as will be discussed in greater detail below.At least one In kind form, for example, motor 100 is configured to for rotary-actuated action to be applied to the firing member group being generally designated as 82 Part.In a kind of construction, for example, firing member component 82 includes driving tube 102, the driving tube 102 is pivotally supported at In shell 12 and with internal thread (not shown) formed therein.The proximal threaded portion of trigger shaft 104 be supported for Driving tube 102 is threadedly engaged so that the rotation of driving tube 102 leads to the axial movement of trigger shaft 104.Trigger shaft 104 can be with adding The internal whorl handing-over of driving beam 60 in carrier unit 20.In such as Zemlok ' 763 of above-mentioned reference and Zemlok ' 344 relatively in detail Ground is discussed, and rotation of the driving tube 102 along the first direction (for example, counterclockwise) causes trigger shaft 104 to promote driving along distal direction Component 60.Drive member 60 causes anvil block 22 to be pivoted towards nail bin 26 in loading unit 20 along the initial propulsion of distal direction.Anvil Seat 22 is activated by the pin 65 in drive member 60, and the pin 65 is used to initially be driven along distal direction " DD " in drive member 60 Make anvil block 22 when dynamic with cam mode movement to closed position.Trigger shaft 104 and final drive member 60 pass through loading unit 20 Additional distal translation cause nail be driven into on anvil block 22 nail shaped lower face formation contact.

As in Fig. 1 furthermore, it can be seen that surgical instruments 10 may include being generally designated the articulation system for 109.However, Surgical instruments 10 may include that the various other articulation systems being disclosed in detail herein construct.In at least one form, joint Kinematic system 109 may include articulation mechanism 110, and the articulation mechanism 110 is including joint motions motor 112 and manually Joint motions button 114.Joint motions motor 112 can be switched 116 by power joint motions or be transported by pivoting manual joint Button 114 is moved to activate.The actuating of joint motions motor 112 is used for the joint motions gear 118 of rotary joint motion 110. The actuating of articulation mechanism 110 can lead to end effector (for example, storehouse/anvil portion of loading unit 20) from its first It puts (wherein its axis and longitudinal tool axis " LA-LA " substantial registration of elongated shaft assembly 16) and moves to following position, The axis of end effector is around such as joint motions axis " AA-AA " relative to the longitudinal tool axis of elongated shaft assembly " LA-LA " setting is at an angle.Other discussions of various aspects in relation to articulation mechanism 110 may be present in before this full text with In the Zemlok ' 763 that way of reference is incorporated herein.In addition, entire disclosure be herein incorporated by reference it is entitled 7,431,188 disclosure of United States Patent (USP) of SURGICAL STAPLING APPARATUS WITH POWERED ARTICULATION The end effector for being capable of joint motions of motor power that surgical instruments 10 uses can be combined.

In various embodiments, surgical instruments may include at least one motor, and at least one motor can be dynamic by percussion It is applied to loading unit 20 and/or joint motions action can be applied to articulation system 109, such as elsewhere more in detail It is thin described.Motor 100 for example can provide power by the power source 200 with the types in greater detail of Zemlok ' 763.Example Such as, power source 200 may include rechargeable battery (for example, lead base, Ni-based, lithium ion base etc.).It is also contemplated that power source 200 may include at least one disposable battery.Disposable battery may be, for example, about 9 volts to about 30 volts.However, other work(can be used Rate source.Fig. 1 is shown in which that power source 200 includes an example of multiple battery units 202.Used battery unit 202 Quantity may depend on the current load requirements of instrument 10.

In certain embodiments, surgical instruments 10 may include supplemental power source for at least one of surgical instruments 10 Motor provides power.For example, referring now to Figure 129, surgical instruments 10 may include power system 2000, the power system 2000 It is configured to provide operation of the energy for surgical instruments 10.As shown in Figure 129, power system 2000 may be arranged at Such as in the handle portions 14 of shell 12 and may include main power source 2002 and auxiliary or non-firm power source 2004.Main power source 2002 are configured to provide operation of the energy for surgical instruments 10 in the normal operation period, and supplemental power source 2004 be configured to when main power source 2002 cannot provide operation of the energy for surgical instruments 10 (for example, When main power source 2002 is exhausted and/or is disconnected with surgical instruments 10) at least energy is provided for surgery device with limited capacity The operation of tool 10.For example, supplemental power source 2002 is configured to exhaust in main power source 2002 during surgery And/or energy is provided in the case of being disconnected with surgical instruments 10 so that surgical instruments 10 is restored to default conditions.

Referring to Fig. 1, such as described in more detail elsewhere, power source (such as power source 200) can provide power for surgery The operation of instrument 10.For example, power source 200 can provide power to lead to driving tube 102 along first to motor (such as motor 100) Rotating and eventually leading to the axial of trigger shaft 104 for direction promotes, and it is single that driving beam 60 thus is driven distally through loading Member 20.Alternatively, power source 200 can provide power to lead to driving tube 102 along opposite with first direction second to motor 100 The axial retraction rotated and eventually lead to trigger shaft 104 in direction, thus can make driving beam 60 proximally move to its starting And/or default location.Similarly, main power source 2002 is configured to during the normal operating of surgical instruments 10 to horse Power is provided with the trigger shaft 104 that promotes and/or bounce back up to 100.In addition, supplemental power source 2004 is configured in main work( Rate source 2002 cannot provide needed in the case of power (for example, exhausting in main power source 2002 and/or being disconnected with surgical instruments 10 When) required power is provided so that trigger shaft 104 retracts to default location.

Further described above, as described in more detail elsewhere, surgical instruments 10 is configured to record With storage surgical operation during the much information in relation to surgical instruments 10, for example, end effector 20 (referring to Fig. 2) joint transport Dynamic angle, the actuating state of end effector 20, sensor reading, the position for firing number, tissue thickness, and/or trigger shaft 104 It puts.In some examples, this type of information be can record and be stored in volatibility or provisional memory cell, for example, depositing at random Access to memory (RAM) unit, the volatibility or provisional memory cell can need power to keep the information of storage.Outside During the normal operating of section's instrument 10, main power source 2002 (being similar to elsewhere other power sources in greater detail) can provide Required power is to keep the storage information in the volatibility of surgical instruments 10 or provisional memory cell.In addition, auxiliary work( Rate source 2004 can cannot be provided in main power source 2002 needed in the case of power (for example, exhaust in main power source 2002 and/or When being disconnected with surgical instruments 10) required power is provided temporarily to keep stored information.

In some aspects, surgical instruments 10 may include having the control system of the type and construction disclosed in Zemlok ' 763 2005, which is herein incorporated by reference.The other details of construction and operation in relation to such control system 2005 It is available from the announcement.For example, control system 2005 is configured to through user interface (for example, vision or audio are shown Show device) to generate or provide to user information, such as warning or instrument state.Signal or defeated caused by control system 2005 Enter can for example in response to by user, device element offer other signals or input or can be and instrument 10 relevant one The function of a or multiple measurement results.During the normal operating of surgical instruments 10, such as described in more detail elsewhere, power source (such as main power source 2002 (referring to Figure 129)) can provide required power so that control system 2005 to be allowed to perform its function, packet It includes and is interacted by user interface with user.In addition, supplemental power source 2004 can cannot be provided in main power source 2002 (for example, when main power source 2002 exhausts and/or is disconnected with surgical instruments 10) is at least with limited in the case of required power Capacity provides required power temporarily to be interacted with user by user interface.

Referring now to Figure 130, power system 2000 may include may be connected to main power source 2002 and supplemental power source 2004 Management circuit 2006.Management circuit 2006 may include semiconductor, computer chip or memory or can be with They are selectively connected.Management circuit 2006 is configured to analog or digital input or signal being sent to outer The all parts of section's instrument 10 (include but not limited to control system 2005, main power source 2002, and/or supplemental power source 2004) or the analog or digital of all parts of the reception from surgical instruments 10 inputs or signal.In all fields, power Management circuit 2006 software (one or more algorithms can be used in the software) can be used come further modulate input signal with Control and all parts of monitoring surgical instruments 10, including main power source 2002 and/or supplemental power source 2004.Such modulation Input signal can be the function of criterion that is measured and/or calculated by management circuit 2006 or in some cases, can be by Another device element, user or the autonomous system that operationally communicates with management circuit 2006 are supplied to power tube Manage circuit 2006.

Referring again to Figure 129, main power source 2002 may include one or more battery unit, this depends on the electricity of instrument 10 Current load demand.In all fields, as shown in Figure 129, main power source 2002 may include battery pack 2008, the battery pack 2008 It may include the multiple battery units 2010 that can be for example connected in series with each other.Battery pack 2008 can be interchangeable.In other words, it is electric Pond group 2008 can disconnect and remove from surgical instruments 10, and can be replaced by another similar to battery pack.In some aspects, it is main Power source 2002 may include rechargeable battery (for example, lead base, Ni-based, lithium ion base etc.).Battery unit 2008 can for Such as 3 volts of lithium cells, such as CR 123A battery units, but for example in other embodiments, different types of battery can be used Unit, such as the battery unit with different voltages level and/or different chemical product.User can disconnect simultaneously from surgical instruments 10 And the battery pack 2008 for exhausting or using up is removed, and connect the battery pack 2008 to have charged with to the offer work(of surgical instruments 10 Rate.The battery pack 2008 exhausted then can be charged and be recycled.It is also contemplated that main power source 2002 may include at least one A disposable battery.In all fields, disposable battery can be for example, about 9 volts to about 30 volts.User can disconnect and remove The disposable battery group 2008 exhausted, and new disposable battery group 2008 is connected to provide power to surgical instruments 10.

As described above, battery pack 2008 may include rechargeable battery cells and can for example may be removably disposed in shell In 12 handle portions 14.In such cases, battery pack 2008 can be charged using charger seat.For example, such as Figure 131 institutes Show, charger seat 2012 can be connected to battery pack 2008 in the following manner：By battery pack 2008 from it in handle portions 14 Position remove and be connected to charger seat 2012.As shown in Figure 131, charger seat 2012 may include for battery The power source 2014 of 2008 charging of group.The power source 2014 of charger seat 2012 can for example battery (or multiple be connected in series with Battery) or the alternating current for example from power main is converted into the AC/DC converters of direct current or for for battery pack Any other suitable power source of 2008 chargings.Charger seat 2012 may also include device indicating, such as LED, LCD are shown Device etc., to show the charged state of battery pack 2008.

In addition, as shown in Figure 131, charger seat 2012 may include such as one or more processors 2016, one or more A memory cell 2018 and i/o interfaces 2020,2022.Charger seat 2012 can pass through the first i/o interfaces 2020 and power packages 2008 connect (via the i/o interfaces of power packages) to allow for example to download the data being stored in the memory of power packages 2008 To the memory 2020 of charger seat 2012.It in all cases, then can be via the 2nd i/o interfaces 2022 by the data of download Download to another computer installation, for such as hospital system operation of instrument 10 (performed in the hospital system be related to), Outer section office, instrument dealer, equipment manufacturers etc. are assessed and are analyzed.

Charger seat 2012 may also include voltameter 2024 for measuring on the battery unit of entire battery pack 2008 Electricity.Voltameter 2024 can be connected with processor 2016 so that processor 2016 can determine being applicable in for battery pack 2008 in real time Property, for ensuring that battery carrys out work in desired manner.

Referring again to Figure 129, supplemental power source 2004 may include may be provided at one or more in such as handle portions 14 A battery unit 2026.Battery unit 2026 can be rechargeable (for example, lead base, Ni-based, lithium ion base etc.).For example, Battery unit 2026 can be 3 volts of lithium cells, for example, CR 123A battery units.In addition, battery unit 2026 can be constructed Into can not from instrument 10 remove in the case of recharged.For example, when main power source 2002 is connected to instrument 10, it can It is charged using main power source 2002 to battery unit 2026.

Referring to Figure 132, the exemplary embodiment of management circuit 2006 is shown.Inter alia, power management Circuit 2006 is configured to monitoring and the relevant electricity of operation of main power source 2002 and/or supplemental power source 2004 is joined Number.For example, management circuit 2006 is configured to monitor in main power source 2002 and/or supplemental power source 2004 Power level.As shown in Figure 132, management circuit 2006 may include voltameter 2028, and the voltameter 2028 can be constructed Into the electricity that can be measured in entire main power source 2002 and/or supplemental power source 2004.Management circuit 2006 can also wrap Include nonvolatile memory 2030 (for example, flash memory or ROM memory) and one or more processors 2032.Processor 2032 can It is connected to and can control memory 2030.In addition, processor 2032 may be connected to voltameter 2028 to read voltameter 2028 Reading and otherwise control voltameter 2028.In addition, processor 2032 can control the defeated of management circuit 2006 Go out device, such as LED.

Reader will be appreciated that, voltameter 2024 and/or 2028 be configured to measure voltage, electricity, resistance and/ Or electric current.In some examples, voltameter 2024 and/or 2028 may include circuit for measuring capacity of battery, and the battery capacity is surveyed Amount circuit is configured to measure the voltage status under predetermined load.

Further described above, processor 2032 can be by related main power source 2002 and/or supplemental power source 2004 information is stored in memory 2030.Described information may include (inter alia) available total electricity, using secondary Number, and/or performance.In addition, the information being stored in memory 2030 may include that management circuit 2006 can be read and store Main power source 2002 ID values.Such ID can for example management circuit 2006 be read by RFID transponder 2034 RFID.RFID transponder 2034 can read RFID from the power source including RFID label tag.ID values can be read, be stored in memory In 2030 and by processor 2032 come to be stored in memory 2030 or be stored in it is related with management circuit 2006 Acceptable ID value lists in another memory of connection are compared, relevant removable for example with the ID values of reading to determine Unload/alternatively main power source 2002 whether be authorized to and/or appropriate.In such cases, if processor 2032 determine with Relevant detachable/interchangeable component of ID values of reading is uncommitted, then management circuit 2006 is configured to The use of instrument 10 is prevented, such as (not shown) is switched so that power to be prevented to be delivered to instrument 10 by disconnection.It can be by processor 2032 for assess with determine component whether be authorized to and/or appropriate various parameters include such as date code, number of element types/ Type, manufacturer, regional information, and/or error code in the early time.

Further described above, management circuit 2006 may also include i/o interfaces 2036 for it is another The connection of a device (such as computer), so as to allow the data being stored in memory 2030 be downloaded to another device for Such as hospital system (operation for being related to instrument 10 is performed in the hospital system), outer section office, instrument dealer, and/or instrument Manufacturer is assessed and is analyzed.I/o interfaces 2036 can be for example wired or wireless interface.

Referring to the block diagram shown in Figure 133, management circuit 2006 can be by power from main power source 2002 and auxiliary power Source 2004 is selectively transmitted to surgical instruments 10.For example, processor 2032 can be programmed to can be used in main power source 2002 Power is allowed to be transferred to instrument 10 from main power source 2002 and cannot be right in main power source 2002 when providing power to instrument 10 Power is allowed to be transferred to instrument 10 from supplemental power source 2004 when instrument 10 provides power.

During the normal operating of instrument 10, (as above institute after processor 2032 is detected and authorizes in main battery source 2002 State) main power source 2002 is allowed to provide power to instrument 10.Main power source 2002 is sustainable to provide power to instrument 10, until Main power source 2002 reaches or drops below scheduled minimum charge level, for example, when main power source 2002 is disconnected and/or consumed When to the greatest extent.Management circuit 2006 can be used for determining when main power source 2002 reaches or drop below scheduled minimum electricity It is horizontal.For example, processor 2032 be configured to using voltameter 2028 or another monitor main work(similar to voltameter It the charge level in rate source 2002 and detects charge level and when reaches or drop below and be stored in management circuit 2006 Memory 2030 in predetermined minimum level.At this point, processor 2032 can prompt user to replace main power source 2002.Work( Rate management circuit 2006 may include indicator, for example, LCD display, one or more LED, the indicator are actuated to carry Show the user of instrument 10 to replace main power source 2002.In addition, processor 2032 is configured to detecting main work( By the energy supply of instrument 10 from main power source when the charge level in rate source 2002 has reached or has dropped below predetermined minimum level 2002 are switched to supplemental power source 2004.Reader will be appreciated that, auxiliary pointer can be used to provide additional feedback to user. For example, indicator can be used for instrument 10 being prompted just to be switched to supplemental power source 2004 from main power source 2002 to user, it is on the contrary It is as the same.

Further described above, processor 2032 can be programmed to be connected to surgical instruments in main power source 2002 Main power source 2002 is allowed to charge supplemental power source 2004 when 10.In some examples, supplemental power source 2004 is once led Power source 2002, which is fully charged to predetermined highest, can keep idle, and precondition is that main power source 2002 keeps energy It is enough to provide power to instrument 10.In addition, management circuit 2006 can be used for determining when supplemental power source 2004 is fully filled Electricity.For example, processor 2032 is configured to monitor the charge level of supplemental power source 2004 using voltameter 2028, directly Reach the predetermined maximum level being storable in the memory 2030 of management circuit 2006 to charge level, at this time processor 2032, which can stop main power source 2002, charges to supplemental power source 2004.Management circuit 2006 may include indicator, for example, LCD display, one or more LED etc., the indicator can be actuated to carry when supplemental power source 2004 is fully charged Show the user of instrument 10.

Referring again to Figure 129, main power source 2002 may be housed in the chamber 2038 of the handle portions 14 of instrument 10.In order to Main power source 2002 is replaced, the external shell of handle portions 14 can be removed to expose chamber 2038.In some examples, trigger Or switch can be associated with the external shell of handle portions 14 so that the external shell for attempting to remove handle portions 14 can be handled Device 2032 is interpreted as trigger event to be switched to supplemental power source 2004 from main power source 2002.

In the main power source 2002 that surgical instruments 10 is replaced using new main power source 2002, management circuit 2006 The mandate of new main power source 2002 can be checked, as described above, and after this mandate is confirmed, management circuit 2006 can permit The main power source 2002 of Xu Xin is to 10 transimission power of instrument.In addition, main power source 2002 can charge to supplemental power source 2004, such as It is upper described.

Surgical end-effector (such as loading unit 20 (Fig. 2 and Fig. 3)) is operably linked to powered surgical instrument 10 The elongated shaft assembly 16 of (Fig. 1).For example, referring now to Figure 38-58, surgical end-effector (such as disposable loading unit (DLU) surgical instruments can 5502) be releasably attached to, for example, powered surgical instrument 10 (Fig. 1).In various embodiments, Surgical instruments may include axis 5520, the engageable such as DLU 5502 of axis 5520.In various embodiments, lining ring is (for example, can Rotation lining ring 5580) it can releasedly lock DLU 5502 relative to axis 5520.In addition, in various embodiments, lining ring 5580 Rotation can be conducive to fire the attachment and/or alignment of component and/or joint motions component, as described herein.

In various embodiments, DLU 5502 may include distal side attachment part 5504, and axis 5520 may include outer tube 5554 and proximal attachment part 5522.When DLU 5502 is fixed to axis 5520 (Figure 39), the distal side attachment part of DLU 5502 5504 can receive the proximal attachment part 5522 of axis 5520.In addition, the nearside that rotatable lining ring 5580 can be positioned on axis 5520 is attached Around socket part point 5522 so that the distal side attachment part 5504 of DLU 5502 is alternatively positioned in rotatable lining ring 5580.It can revolve Axis 5502 and/or proximal attachment part 5504 can be fixed to, and be rotatably fixed in certain embodiments by turning lining ring 5580 To the proximal attachment part 5504 of such as axis 5502.In certain embodiments, when DLU 5502 is fixed to axis 5520, axis 5520 Proximal attachment part can receive the distal side attachment part of DLU 5502.In addition, in certain embodiments, lining ring 5580 is rotatable Ground is fixed to DLU 5502.

Referring also to Figure 38-58, when DLU 5502 between non-attachment location and attachment location relative to the axis of surgical instruments During 5520 movement, DLU 5502 can be translated along the longitudinal axis limited by axis 5520.When DLU 5502 is transported from non-attachment location When moving attachment location, the distal side attachment part 5504 of DLU 5502 can be inserted into the proximal attachment part 5522 of axis 5520.Example Such as, when DLU 5502 is moved between non-attachment location and attachment location, DLU 5502 can be translated along direction A (Figure 39). In certain embodiments, the engagement of the groove between distal side attachment part 5504 and proximal attachment part 5522-slit can along by The longitudinal axis guiding DLU 5502 that axis 5520 limits.Referring primarily to Figure 42, distal side attachment part 5504 may include guide rail 5514. In addition, referring primarily to Figure 44, proximal attachment part 5522 may include guide groove 5534.The size and construction of guide groove 5534 can be designed It is led into receiving and guiding when the proximal attachment part 5504 of DLU 5502 is inserted into the distal side attachment part 5522 of axis 5520 Rail 5514.For example, guide groove 5534 may include longitudinal slit, and guide rail 5514 may include such as longitudinal ridge.In some embodiments In, guide groove 5534 and guide rail 5514 can prevent torsions and/or rotation of the DLU 5502 relative to the longitudinal axis limited by axis 5520 Turn.

Referring primarily to Figure 38, distal side attachment part 5504 may include the first alignment mark 5510 (for example, first arrow), and And axis 5520 and/or lining ring 5580 may include the second alignment mark 5590 (for example, second arrow).First alignment mark, 5510 He Second alignment mark 5590 to that will definitely be aligned guide rail 5514 and guide groove 5534, it is attached that this can be conducive to distal side attachment part 5504 It is connected to proximal attachment part 5522.As described herein, DLU 5502 can be relative to axis along the translation of longitudinal path towards axis 5520 5520 releasedly lock DLU 5502.In such embodiments, it may be unnecessary to LU 5502 relative to axis 5520 rotation, with DLU 5502 is attached relative to axis 5520.It in fact, can be by between proximal attachment part 5522 and distal side attachment part 5504 Groove-slit engagement limit and/or prevent rotations of the DLU 5502 relative to axis 5520, as described herein.In various realities It applies in example, lining ring 5580 can rotate DLU 5502 being releasably locked to axis relative to LU 5502 and/or axis 5520 5520.For example, as described herein, lining ring 5580 can rotate to second orientation (Figure 54) from initial orientation (Figure 53) and then return Initial orientation (Figure 57) is returned to so that DLU 5502 is locked to axis 5520.

Referring primarily to Figure 42 and Figure 43, the portions of proximal 5504 of DLU 5502 may include rotation key or rib 5506.Work as DLU 5502 between non-attachment location (Figure 38) and attachment location (Figure 39) along direction A (Figure 39) when moving, and rotation key 5506 can Influence the rotation of lining ring 5580.For example, rotation key 5506 can be such that lining ring 5580 is rotated along direction B (Figure 39) from initial orientation And/or it is biased to second orientation.When lining ring 5580 is biased to second orientation, distal side attachment part 5504 can be inserted into proximal attachment In part 5522.In addition, when distal side attachment part 5504 is fully inserted into proximal attachment part 5522, rotation key 5506 can be permitted Perhaps lining ring 5580 rotates to initial orientation along direction C (Figure 39) from second orientation.Direction C can be for example opposite with direction B.Such as this Described in text, when lining ring 5580 returns to initial orientation, it is attached that lining ring 5580 can lock distal side relative to proximal attachment part 5522 Socket part point 5504.Referring also to Figure 42 and Figure 43, rotation key 5506 may include positioned at the rotation ramp 5508 of its proximal end.Rotation The element of 5508 engageable axis 5520 of ramp with influence for example rotate lining ring 5580 rotation.

In various embodiments, rotation ramp 5508 can influence the rotation of the beating shaft being located in axis 5,520 5540.Example Such as, referring primarily to Figure 47-50, beating shaft 5540 may include can be from the beating shaft circulator that beating shaft 5540 extends radially outwardly 5544.When DLU 5502 is inserted into axis 5520, the 5508 engageable beating shaft circulator 5544 of rotation ramp of rotation key 5506. In various embodiments, 5508 rotatable beating shaft circulator 5544 of ramp is rotated, the beating shaft circulator 5544 is rotatable Beating shaft 5540.For example, beating shaft 5540 and beating shaft circulator 5544 can be in first orientations (Figure 53) and second orientation (figure 54) it is rotated between along direction B (Figure 54).Referring also to Figure 47-50, beating shaft 5540 can be engaged with rotatable lining ring 5580.Example Such as, rotatable lining ring 5580 may include circulator groove 5584, and the construction and size of the circulator groove 5584 can be designed Into receiving and/or keep beating shaft circulator 5544.Beating shaft circulator 5544 can be kept by circulator groove 5584, be made Obtaining the rotation of beating shaft circulator 5544 causes rotation lining ring 5580 to rotate.In such embodiments, DLU 5502 is inserted into axis Can rotation of the rotatable lining ring 5580 along direction B for example be led to along the rotation of direction B by beating shaft circulator 5544 in 5520 Turn (Figure 54).

Referring primarily to Figure 44 and Figure 45, proximal attachment part 5522 may include rotation key slit 5524, and the rotation key is narrow Slot 5524 can receive rotation key 5506 when distal side attachment part 5504 is inserted into proximal attachment part 5522.In various embodiments In, rotation key slit 5524 may include clearance notches 5526 for receiving beating shaft circulator 5544.For example, rotation key 5506 Proximal end at rotation ramp 5508 can make that beating shaft circulator 5544 rotates to second orientation and to rotate to gap recessed In 5526 (Figure 54) of mouth.When DLU 5502 is inserted into axis 5520, rotation key 5506 can continue on rotation key slit 5524 and transport It is dynamic.In addition, when the movement of distal end 5509 of rotation key 5506 is by beating shaft circulator 5544, beating shaft circulator 5544 First orientation (Figure 58) can be reversely rotated, this can correspondingly be such that rotatable lining ring 5580 reversely rotates to its initial orientation.

In various embodiments, rotatable lining ring 5580 can be biased relative to axis 5520 and/or proximal attachment part 5522 Into initial orientation.For example, locking lining ring 5580 can be biased to initial orientation by spring 5592.Spring 5592 may include can be relative to The proximal end 5594 that axis 5520 is fixed and the distal end 5596 that can be fixed relative to lining ring 5580.For example, bullet The proximal end 5594 of spring 5592 is positively retained in the nearside Spring slot 5538 (Figure 51) of axis 5520, and spring 5592 is remote Side end 5596 is positively retained in the distal side Spring slot 5588 (Figure 46) of for example rotatable lining ring 5580.In such embodiment In, the rotation of lining ring 5580 can be relative to the distal end 5596 of 5594 mobile spring 5592 of proximal end of spring 5592, this Twisting resistance can be generated.Therefore, lining ring 5580 can prevent the rotation from initial orientation to second orientation, and when lining ring rotates to During two orientations, spring 5592 can be by 5580 reverse bias of lining ring to initial orientation.Due to beating shaft circulator 5544 and lining ring Beating shaft 5540 can be also biased to its first orientation by 5580 engagements, spring 5592.

In various embodiments, rotatable lining ring 5580 may include DLU 5502 being locked to the locking pawl of axis 5520 5582.Referring primarily to Figure 46, locking pawl 5582 can be extended radially inwardly from the inner periphery of rotatable lining ring 5580.In various realities It applies in example, locking pawl 5582 may extend into the pawl slit 5536 (Figure 44) in proximal attachment part 5522.Referring primarily to Figure 44, pawl slit 5536 can form the recess in guide groove 5534.In various embodiments, pawl slit 5536 can be from guide groove 5534 extensions, and can be perpendicular to or substantially perpendicular to such as guide groove 5534.In addition, when rotatable lining ring 5580 is relative to axis 5520 between initial orientation and second orientation when rotating, and locking pawl 5582 can be moved along pawl slit 5536.

In various embodiments, the distal side attachment part 5504 of 5582 engageable DLU 5502 of locking pawl is with relative to axis 5520 locking DLU 5502.For example, referring again to Figure 42, distal side attachment part 5504 may include guide rail 5514, the guide rail 5514 can have be defined in locking recess 5516 therein.The construction and size of locking recess 5516 are designed in DLU 5502 receive the locking pawl 5582 of rotatable lining ring 5580 when being fully inserted into proximal attachment part 5522.For example, work as distal side When attachment part 5504 is fully inserted into proximal attachment part 5522, the locking recess 5516 of distal side attachment part 5504 can with it is near The pawl slit 5536 of side attachment part 5522 is aligned.Therefore, locking pawl 5582 can be along in proximal attachment part 5522 Pawl slit 5536 is slided and is slided into the locking recess 5516 in the attachment part of distal side.In addition, locking pawl 5582 can It is biased to engage with locking recess 5516 by torsionspring 5592.For example, leave rotation key in beating shaft circulator 5544 After 5506 distal end 5509, beating shaft 5540 can reverse bias can pass through to first orientation and rotatable lining ring 5580 5592 reverse bias of torsionspring is to initial orientation.In addition, when lining ring 5580 is reversely rotated from second orientation to initial orientation, Its locking pawl 5582 can be aligned and engage with the locking recess 5516 in guide rail 5514.

In various embodiments, the rotation of lining ring 5580 can be conducive to fire the attachment and/or alignment of component.For example, it hits Hair axis 5540 can extend between proximal end 5546 and distal end 5542.Proximal end 5546 can have rotary joint, institute State the rotation that rotary joint allows beating shaft 5540 between the first configuration and the second configuration.In addition, distal end 5542 can With for being attached the connector of the element of DLU 5502.The rotation of beating shaft 5540 can be conducive to the attachment of cutting element.Example Such as, when the connector at the distal end 5542 of beating shaft 5540 rotates, connector is engageable and is connected to DLU 5502 In cutting element.In certain embodiments, connector may include bayonet mount, cutting in the engageable DLU 5502 of bayonet mount Cut the correspondence bayonet receiver of element.Referring primarily to Figure 40 and Figure 41, percussion component may also include for example around beating shaft 5540 Casing 5550 between proximally positioned end 5546 and distal end 5542.

In various embodiments, when the rotation in axis 5520 of beating shaft 5540, beating shaft 5540 may rotate to and DLU Beating shaft slit 5518 in 5502 is aligned.For example, when DLU 5502 is fully inserted into and is attached to axis 5520, beating shaft rotation Turning device 5544 can be aligned with beating shaft slit 5518.However, in various embodiments, when DLU 5502 is only partially inserted into axis 5520 When interior, beating shaft circulator 5544 can be rotated by rotation key 5506 and is not aligned with beating shaft slit 5518.In other words, it hits Hair axis circulator 5544 can be aligned, and can be in beating shaft when beating shaft 5540 is in first orientation with beating shaft slit 5514 5540 when rotating to second orientation with 5514 misalignment of beating shaft slit.In such embodiments, when the only parts of DLU 5502 are inserted When entering in axis 5520 and/or before DLU 5502 is releasably locked to axis 5520 by rotatable lining ring 5580, hit The percussion path of hair axis circulator 5544 can be stopped by distal side attachment part 5504.The integration of beating shaft 5540 and lining ring 5580 can Ensure that DLU 5502 is fixedly attached to axis 5520 before beating shaft 5540 can be fired and/or be promoted.For example, surgical instruments is not It can fire, until the cutting element in DLU 5502 is connected to beating shaft 5540 and/or until beating shaft 5540 for example exists It is appropriately aligned in axis 5520.

In certain embodiments, the rotation of lining ring 5580 can be conducive to the attachment and/or alignment of joint motions component 5559. Referring primarily to Figure 40 and Figure 41, joint motions component 5559 may include proximal joint moving lever 5560, distal joint movement bar 5562 and joint motions connector 5566.In addition, axis 5520 may include proximal joint moving lever slit 5528, and DLU 5502 may include such as distal joint movement bar slit 5512.In certain embodiments, proximal joint moving lever 5560 can with it is near Lateral joint moving lever slit 5528 is aligned, and distal joint movement bar 5562 can be right with distal joint movement bar slit 5512 It is accurate.Referring now to Figure 46, joint motions connector 5566 may be housed in rotatable lining ring 5580.For example, rotatable lining ring 5580 may include joint motions connector slit 5586, and joint motions connector 5566 can be movably positioned in it In.

In various embodiments, referring again to Figure 40 and Figure 41, proximal joint moving lever 5560 can have nearside recess 5572, and distal joint movement bar 5562 can have distal side recess 5574.In addition, joint motions connector 5566 may include closely Lateral joint moves lug 5568 and distal joint movement lug 5572.Proximal joint movement lug 5568 is positively retained at proximal joint In the nearside recess 5572 of moving lever 5560.In certain embodiments, distal joint movement lug 5570 can operationally connect Close the distal side recess 5574 of distal joint movement bar 5562.As described herein, rotatable lining ring 5580 can be in initial configuration and It is rotated between two configurations.When lining ring 5580 rotates, being contained in joint motions connector 5566 therein also can be relative to by axis The 5520 longitudinal axis rotations limited.In various embodiments, when joint motions connector 5566 rotates, joint motions connection The proximal joint movement lug 5568 of device 5566 can be remained positioned in the nearside recess 5572 of proximal joint moving lever 5560.This Outside, when joint motions connector 5566 and lining ring 5580 rotate to initial orientation from second orientation, joint motions connector The 5566 movable distal side recess 5574 into distal joint movement bar 5562 of distal joint movement lug 5570 engages.Example Such as, when DLU 5502 is fully inserted into axis 5508, the distal side recess 5574 of distal joint movement bar 5562 can be with joint motions The distal joint movement lug 5568 of connector 5566 is aligned.In such embodiments, when rotatable lining ring 5580 reversely rotates During to initial configuration, distal joint movement lug 5568 is slid into the distal side recess 5574 of distal joint movement bar 5562. When distal joint movement lug 5568 is located in distal side recess 5574, joint motions component 5559 can be to have assembled completely 's.

Referring primarily to Figure 45, in various embodiments, proximal joint moving lever slit 5528 may include the first gap 5530 With the second gap 5532.The proximal joint movement lug 5568 and distal joint movement lug 5570 of joint motions connector 5566 It can extend respectively into the first gap 5530 and the second gap 5532.In certain embodiments, when lining ring 5580 rotates and/ Or when joint motions component 5559 for example carries out joint motions, the first gap 5530 and the second gap 5532 can provide space So that proximal joint movement lug 5568 and distal joint movement lug 5570 move.

Referring now to figure Figure 51-58, in order to which DLU 5502 to be connected to the axis 5520 of surgical instruments, user can make DLU 5502 alignment mark 5510 is aligned with the alignment mark 5590 of axis 5520 and/or lining ring 5580 (Figure 51).It is keeping to fiducial mark During the alignment of note 5510,5590, user can move DLU relative to axis 5520 along the longitudinal axis limited by axis 5520 5502.User can move DLU 5502, and in various embodiments along the path of straight line or substantially straight line, it is not necessary to phase DLU is rotated for such as axis 5520.Referring primarily to Figure 53, DLU 5502 can continue to translate relative to axis 5520, and distal side is attached The guide rail 5514 of socket part point 5504 may fitted in the guide groove 5534 (Figure 44) in the proximal attachment part 5522 of axis 5520.When remote When side attachment part 5504 is moved in proximal attachment part 5522,5534 bootable guide rail 5514 of guide groove and it can keep for example The alignment of alignment mark 5510,5590.In other words, guide groove 5534 and guide rail 5514 can prevent DLU 5502 relative to axis 5520 Longitudinal axis rotation.Referring primarily to Figure 52, the proximal joint movement lug 5568 of joint motions connector 5522 is extensible In to the first gap 5530 and it can be positioned in the nearside recess 5572 of proximal joint moving lever 5562, and joint motions connect The distal joint movement lug 5570 for connecing device 5522 can extend across such as the second gap 5532.

Referring primarily to Figure 54, when distal side attachment part 5504 is inserted into proximal attachment part 5522, rotation key 5506 Rotation key ramp 5508 can abut beating shaft circulator 5544.Rotation key ramp 5508 can guide beating shaft circulator 5544 simultaneously And/or person is directed to out of, rotation key slit 5524 extends clearance notches 5526.In addition, when beating shaft circulator 5544 moves When in clearance notches 5526, beating shaft 5540 can be rotated along direction B.Beating shaft 5540 can rotate to second from first orientation Orientation.Such rotation of beating shaft 5540 can be conducive to the cutting member in the distal end 5542 and DLU 5502 of beating shaft 5540 The attachment of part.In addition, the rotation of beating shaft circulator 5544 can pass through the percussion in beating shaft circulator 5544 and lining ring 5580 Engagement between axis circulator groove 5584 (Figure 46) makes lining ring 5580 be rotated along direction B.Lining ring 5580 can be for example from initial Orientation rotates to second orientation.In addition, when lining ring 5580 rotates, locking pawl 5582 can be along the pawl slit in axis 5520 5536 movements.In addition, the rotation of lining ring 5580 can rotate the distal end 5596 of spring 5592, because of the distal side of spring 5592 End 5596 is positively retained at the distal side Spring slot 5588 (Figure 46) in lining ring 5580 Nei.Distal end 5596 is relative to proximal end The displacement in portion 5594 can generate torsion screen resilience, and the torsion screen resilience can for example deflect into lining ring 5580 just from second orientation Begin to be orientated and for example can deflect into first orientation from second orientation by beating shaft 5540.

Referring primarily to Figure 55, when lining ring 5580 is rotated towards second orientation, proximal joint movement lug 5568 can be with nearside Nearside recess 5572 in joint motions bar 5560 remains engaged with.In addition, distal joint movement lug 5570 it is rotatable so that Distal joint movement lug 5570 provides the gap of the distal joint movement bar 5562 for DLU 5502.Referring to Figure 56, work as lining When circle 5580 and the joint motions connector 5566 being positioned in rotate to second orientation, DLU 5502 can be fully inserted into axis In 5520.In various embodiments, when joint motions connector 5566 rotates to second orientation, distal joint movement bar 5562 The distal joint movement lug 5570 of joint motions connector 5566 can be left.In addition, distal joint movement lug 5570 can It is rotatably aligned with the distal side recess 5574 in joint motions connector 5566.Referring also to Figure 56, when DLU 5502 is inserted completely When entering in axis 5520, trigger shaft circulator 5544 can leave the distal end 5509 of rotation key 5506.

Referring now to Figure 57, when the distal end 5509 of rotation key 5506 is by beating shaft circulator 5544, beating shaft Circulator 5544 can be rotated along direction C.For example, beating shaft circulator 5544 can rotate to along direction C from second orientation One orientation.In addition, the rotation of beating shaft circulator 5544 can cause lining ring 5580 to be rotated to initially from second orientation along direction C Orientation.In various embodiments, trigger shaft 5540 can be biased to its first orientation by spring 5592, and can be inclined by lining ring 5580 Put its initial orientation.For example, beating shaft circulator 5544 can be positioned on the beating shaft circulator groove 5584 in lining ring 5580 In (Figure 46) so that the rotation of beating shaft circulator 5544 rotates lining ring 5580.It is remote due to joint motions connector 5566 Lateral joint moves the alignment of the distal side recess 5574 of lug 5570 and distal joint movement bar 5562, joint motions connector 5566 It can be rotated, and distal joint movement lug 5570 may rotate to and be connect with distal side recess 5574 with the rotation of lining ring 5580 It closes.When distal joint movement lug 5570 engages distal side recess 5574, joint motions component 5559 can be assembled.This Outside, when beating shaft circulator 5544 is rotated along direction C, the distal end 5542 of beating shaft 5540 can be rotated along direction C, this can Be conducive to the distal end 5542 that the cutting element in DLU 5502 is attached to beating shaft 5540.

Referring now to Figure 58, the rotation of lining ring 5580 can also make the locking pawl 5582 of lining ring 5580 rotate to distal side attachment In locking recess 5516 in the guide rail 5514 of part 5504.For example, when DLU 5502 is fully inserted into axis 5520, locking is recessed Mouth 5516 can be aligned with pawl slit 5536 so that locking pawl 5582 can rotate to locking recess by pawl slit 5536 In 5516.As described herein, after beating shaft circulator 5544 leaves the distal end 5509 of rotation key 5506, spring 5592 Lining ring 5580 can be biased to be rotated along direction C (Figure 57).Referring also to Figure 58, when beating shaft circulator 5544 is rotated along direction C, Beating shaft circulator 5544 is movable to be aligned into the beating shaft slit 5518 in DLU 5502.Beating shaft circulator 5544 is with hitting The alignment of hair axis slit 5518 allows such as beating shaft 5540 to promote to fire DLU 5502 towards distal side.

As described herein, rotatable lining ring 5580 can releasedly lock DLU 5502 relative to axis 5520.In addition, lining ring 5580 rotation can be conducive to the attachment of such as joint motions component 5559 and/or alignment and beating shaft 5540 and DLU The attachment and/or alignment of cutting element in 5502.In addition, the rotation of lining ring can also unlock DLU 5502 from axis, disconnect joint Cutting element in moving parts 5559, and/or DLU 5502 disconnects beating shaft 5540.For example, when lining ring 5580 is again from first When the orientation that begins rotates to second orientation, locking pawl 5582 can be detached from the locking recess 5516 in distal side attachment part 5504.Cause This, distal side attachment part 5504 can for example along the longitudinal axis limited by axis 5520, proximally attachment part 5522 exits. In various embodiments, DLU 5502 can be detached from from axis 5520, without rotating DLU 5502 relative to axis 5520.However, lining ring 5580 can rotate relative to axis 5520, this for example can be such that distal joint movement bar 5562 is connect with the joint motions in lining ring 5580 Device 5566 disconnects and can disconnect the cutting element in beating shaft 5540 and DLU 5502.

Referring now to Figure 59-62, disposable loading unit (DLU) or end effector 5602 can be releasably attached to The axis 5620 of surgical instruments.In various embodiments, spring or multiple springs for example can be inclined relative to axis 5620 by DLU 5602 It is set to latched position.For example, DLU 5602 can be releasably attached to axis 5620 by bayonet mount, and spring is rotatable DLU 5602 by DLU 5602 by bayonet coupling so that be connected to axis 5620.DLU 5602 may include distal side attachment part 5604, and axis 5620 may include such as proximal attachment part 5622.When DLU 5602 is fixed to axis 5620, DLU's 5602 Distal side attachment part 5604 can receive the proximal attachment part 5622 of axis 5620.In other embodiments, when DLU 5602 is fixed During to axis 5620, the proximal attachment part of axis 5620 can receive the distal side attachment part of DLU 5602.

In various embodiments, the distal side attachment part 5604 of DLU 5602 may include pawl 5606, the pawl 5606 Can the part of distally attachment part 5604 extend radially outwardly.In addition, pawl 5606 may include inclined surface 5608.Such as this Described in text, when distal side attachment part 5604 is inserted into proximal attachment part 5622, the inclined surface 5608 of pawl 5606 can connect It closes spring (such as spring 5636b) and can deform spring 5636b.In addition, pawl 5606 can be by proximal attachment part 5622 It keeps DLU 5602 being releasably locked to axis 5622.Referring primarily to Figure 59, the proximal attachment part 5622 of axis 5620 can Limit cavity 5624.In various embodiments, the construction of cavity 5624 and size are designed to receive the distal side of DLU 5602 Attachment part 5604.In addition, spring 5636a, 5636b can be positioned in cavity 5624.For example, the first spring 5636a can be positioned In the first side of cavity 5624, and second spring 5636b can be positioned on the second side of cavity 5624.Spring 5636a, 5636b It can be relative to cavity 5624 symmetrically or non-symmetrically.In various embodiments, at least part of spring 5636a, 5636b may extend away Into cavity 5624.For example, the leg 5637 of second spring 5636b may extend into cavity 5624, and second spring 5636 Another leg 5637 can for example be maintained in proximal attachment part 5622.

Referring also to Figure 59, proximal attachment part 5622 may also include locking slit 5638, and the locking slit 5638 is for example It can be limited in cavity 5624 and/or can be touched via cavity 5624.The construction and size for locking slit 5638 can be set It counts into and receives such as pawl 5606.In various embodiments, locking slit 5638 can keep pawl 5606 with relative to axis 5620 Releasedly lock DLU 5602.In addition, in various embodiments, proximal attachment part 5622 may include latch 5630.Latch 5630 can move between unlatched position (Figure 59 and Figure 60) and latch position (Figure 61 and Figure 62).In various embodiments, Latch 5630 can be spring-loaded, and latch 5630 can be biased to latch position by spring 5634.For example, latch 5630 can Including late spring 5634, latch 5630 can be biased to and/or be biased to latch position by the late spring 5634.Latch position Putting can be for example positioned at the distal side of unlatched position.In certain embodiments, latch 5630 may include thumb grip part and/or ridge 5632 move to unlatched position to be conducive to latch 5630 from latch position.For example, the engageable thumb grip part of user 5632 and proximally drawing latch 5630 to be unlocked to latch 5630.

In various embodiments, latch 5630 can operationally stop or stop at least partly locking slit 5638. For example, when latch 5630 is in latch position (Figure 61 and Figure 62), the arm 5635 of latch 5630 may extend into locking slit In 5638 at least part.Latch 5630 can cover or cover at least partly locking slit 5638, and can prevent and/or Limitation enters locking slit 5638.In certain embodiments, the arm 5635 of latch 5630 can prevent pawl 5606 from moving and/or slide It moves in locking slit 5638.In addition, when latch 5630 is in latch position, 5630 engageable spring 5636a of latch, 5636b.For example, with reference to Figure 61 and Figure 62, latch 5630 can support spring 5636b so that the deformation of spring 5636b is limited And/or it prevents.In addition, latch 5630 can support spring 5636b so that cavity 5624 cannot receive the distal side of DLU 5602 to be attached Part 5604.For example, at least part of spring 5636b can stop cavity 5624, this can prevent distal side attachment part 5604 complete It is fully inserted into proximal attachment part 5622.In certain embodiments, proximal attachment part 5622 may include multiple springs, described more Rotary force can be applied in distal side attachment part 5604 by a spring so that distal side attachment part 5604 is relative to proximal attachment portion Divide 5622 rotations.For example, proximal attachment part 5622 may include a pair of of spring or more than three spring.In other embodiments, Single spring in proximal attachment part 5622 can attempt to that distal side attachment part 5604 is made to revolve relative to proximal attachment part 5622 Turn.In addition to this or alternatively, in various embodiments, the distal side attachment part 5602 of DLU 5602 may include for example, at least one A spring, at least one spring can be such that distal side attachment part 5602 is rotated relative to proximal attachment part 5622.

In various embodiments, when latch 5630 is in unlatched position (Figure 59 and Figure 60), the arm of latch 5630 5635 can not stop and/or less stop locking slit 5638.For example, pawl 5606 can fit through unlatched latch 5630 are locked with being assembled in slit 5638.In addition, pawl 5606, which may pass through unlatched latch 5630, is biased to locking slit In 5638, as described herein.In addition, in various embodiments, when latch 5630 is in unlatched position, latch 5630 can take off From spring 5636a, 5636b.For example, when latch 5630 is unlatched, latch 5630 can not protect and/or limited spring 5636a, The deformation of 5636b.

Referring primarily to Figure 59, when latch 5630 moves and is maintained at such as nearside and/or unlatched position, spring 5636b can not be latched 5630 supports.In such embodiments, DLU 5602 can be moved along direction A so that distal side attachment 5604 are divided to be moved relative to proximal attachment part 5622.Referring primarily to Figure 60, the pawl 5606 of distal side attachment part 5604 can connect Spring 5636b is closed, and spring 5636b can for example be made to compress and/or deform.In certain embodiments, the inclination of pawl 5606 Surface 5608 can be slided along spring 5636b, and the free leg 5637 of removable spring 5636b.The deformation of spring 5636b Screen resilience can be generated so that screen resilience can be applied on pawl 5606 by spring 5636b.Referring now to Figure 61, screen resilience can be led Cause the rotation of pawl 5606.For example, pawl 5606 can rotate to the locking slit 5638 being defined in cavity 5624 along direction B It is interior.In various embodiments, when user discharges latch 5630, it is unlatched that late spring 5634 can return to latch 5630 Position.In addition, when latch 5630 returns to unlatched position, the arm 5635 of latch 5630 can stop or be partially blocked by locking Slit 5638.In such embodiments, when pawl 5606 is maintained in locking slit 5638, the spine of distal side attachment part 5604 Pawl 5606 can releasedly be locked relative to proximal attachment part 5622.In addition, in certain embodiments, latch 5630 can It is kept against pawl 5606 and/or support spring 5636b, until latch is re-moved to unlatched position.In various embodiments In, in order to discharge DLU 5602 from axis 5620, user can make latch 5630 move to unlatched position from latch position again, So that pawl 5606 is rotatable to leave locking slit 5638.In such embodiments, the rotation of pawl 5606 makes spring again 5636b compresses and/or deformation, and up to distal side attachment part 5604, proximally attachment part 5622 exits.

Further described above, surgical instruments is configured to identification or at least attempts to identify be installed to The end effector of surgical instruments.In certain embodiments, following article is further described in more detail, and end effector may include electricity Contact, the electric contact can engage the correspondence electric contact on the axis of surgical instruments when end effector is installed to axis.Such In embodiment, the controller of surgical instruments can establish wired connection with end effector, and controller and end effector it Between signal communication can be carried out by electric contact.As described in more detail below, end effector may include what is be stored thereon At least one data, at least one data can be accessed to identify end effector by controller.At least one data It may include the information of a such as bit, more than one bit, a byte or more than one byte.In other certain implementations In example, end effector may include transmitter, and the transmitter can carry out communicating wireless signals with the controller of surgical instruments.Class It is similar to described above, end effector may include at least one data being stored thereon, and at least one data can be sent out Controller is mapped to identify end effector.In such embodiments, the controller of surgical instruments may include receiver or use Receiver, the receiver can receive the transmitting from end effector.Such receiver can be positioned on such as surgical instruments In axis and/or shank.

Reader will be appreciated that, transmitting wireless communication is for example configured to the end effector of controller wireless communication Number.In all cases, end effector is configured to emit primary or more than one signal.In certain situations Under, end effector can be prompted to emit signal at the required moment and/or continuously repeatedly emit signal.One In the case of a little, end effector may include switching, and the switch can be assembled into surgical instruments in the end effector of surgical instruments Before upper, period, and/or operated later by the user of surgical instruments.In various embodiments, open can for end effector Including on/off or power switch, the switch can be closed or operate to start end effector.In at least one such implementation In example, end effector may include at least one power source, such as battery, and at least one power source can be in ON/ Device is launched during closure using to emit signal.When end effector starts, in all cases, the control of end effector Device is configured to generate signal and emits signal by transmitter.In some cases, end effector can not be sent out Signal is penetrated, until end effector is activated.Such construct can for example save the power of battery.In certain embodiments, it is holding Before portion's actuator switch is activated, surgical instruments, which may be arranged at it, can wait until the operation mould of the signal from end effector Formula.In all cases, surgical instruments can be at spare or low-power operating mode, once wherein signal is connect by controller It receives, surgical instruments can be arranged in full power operation pattern by controller.In some embodiments, end effector switch can refer to Show end effector controller to transmit signals to surgical instruments controller.Such switch may include or may not include power opening Close, however, such being selected by the user property of switch activate to prompt end effector at the required moment and/or from follow-up institute It takes and is continually transmitted signal at quarter.

Turning now to Figure 114, end effector (such as end effector 9560) may include can be used for starting end execution One or more electric contacts of device 9560, such as contact 9561.For example, turning now to Figure 112, the axis 9040 of surgical instruments can wrap Contact carriage 9562 is included, the contact carriage 9562 is configured to make to touch when end effector 9560 is assembled on axis 9040 Two or more short circuits or electrical connection in point 9561.Bridge 9562 can connect circuit, the circuit include two contacts 9561, Battery 9564 and at least one integrated circuit 9566 being limited on printed circuit board 9565.Further described above, Once circuit is switched on, battery 9564 can provide power to integrated circuit 9566 and end effector 9560 can be activated. In all cases, the integrated circuit 9566 and antenna 9567 being limited on printed circuit board 9565 may include control discussed above Device and transmitter processed.In certain embodiments, axis 9040 may include biasing member, for example, spring 9563, the biasing member can It is configured to be biased to contact with electric contact 9561 by bridge 9562.Bridge 9562 connect electric contact 9561 before and/or After end effector 9560 has disengaged from axis 9040, circuit can be what is opened, and the power from battery 9564 can not be provided to Integrated circuit 9566 and/or the power provided to integrated circuit 9566 can reduce, and end effector 9560 can be at not opening Dynamic state.Due to described above, in such embodiments, the assembling of end effector can be assembled into surgery device because of end effector It is activated on tool.In all cases, further described above, end effector and surgical instruments can be constructed and End effector will be started by being arranged so that the only complete and appropriate assembling of end effector and surgical instruments.

As described above, referring now to Figure 111, end effector could attach to surgical instruments (as shown in step 9600), quilt Startup is assessed (as shown in step 9604) (as shown in step 9602) and then by surgical instruments.Work as surgical instruments During the wireless signal of end effector that positive trial assessment carrys out self-starting, further described above, surgical instruments can quilt Whether complete it is constructed to be permeable to evaluation signal.In various embodiments, the asynchronous serial between end effector and surgical instruments Whether communication can be used for evaluating complete by surgical instruments received signal.For example, end effector can emit including start bit and/ Or the signal of stop position, the start bit is before data frame (for example, information byte), and the stop position is after data frame. In such cases, start bit, data byte and stop position may include such as 10 character frames or bit pattern.In such situation Under, when the controller of surgical instruments can recognize that the start bit and stop position of bit pattern, controller can be assumed that in start bit and stop The data byte or data bit received between stop bit is correctly and/or in other words complete.In all cases, start bit And/or stop position may include next information byte be transmitted before and/or previous information byte by the stopping before transmitting again Period.

Further described above, turning now to Figure 110, the controller of surgical instruments may compare the bit pattern of data Or whether certain positions are correct and/or in other words complete with the determining data that it is received.In all cases, data can be passed It is defeated, so that controller can assess data and be compared data and the expected bit pattern template for receiving data.For example, this Class template can be constructed and arranged to so that most visible data position (for example, leftmost side data bit) is including such as 1.If controller It can recognize that most visible data position is equal to 1, referring to the step 9700 in Figure 110, then controller can be to data progress xor operation And data and the bit pattern template available for controller are compared, as shown in step 9702.Xor operation be it is known, And it for simplicity, is discussed in detail and does not provide in this article.If the bit pattern matching received by surgical instruments can be used for The bit pattern template of controller, then controller will identify end effector.When identifying end effector, controller can Access the storage information in relation to end effector in the memory chip that can be for example accessed by controller.If the controller determine that institute Most visible data position in the bit pattern of reception is not equal to 1, and referring again to step 9700, then controller can perform shifting function. Many shifting functions are known, for example, arithmetic shift, logical shift and/or cyclic shift, the shifting function can be used for removing Go to the abnormal data position received before required bit pattern.In all cases, guiding or 0 data bit of the leftmost side can be removed, Referring now to the step 9704 in Figure 110, and bit pattern can be shifted for example to the left, until guiding position is 1.At this point, to upper Text is described further, and the bit pattern of displacement and bit pattern template can be compared to identification end effector.If The bit pattern of displacement mismatches bit pattern template, then controller can again shift bit pattern, until under in bit pattern Become guiding position for one 1 and the bit pattern newly shifted and bit pattern template can be compared.It is such to shift and compare operation Any suitable number can be performed, until end effector is identified and/or surgical instruments assert that end effector cannot be by Identification.

Reader will be appreciated that surgical instruments may include the information of any appropriate digital in relation to end effector.Work as end When actuator is identified by surgical instruments, further described above, surgical instruments may have access to related end effector Storage information.For example, such storage information can be indicated for example to surgical instruments：1) in order to complete firing schedule, end performs The distance that firing member in device must promote and/or the maximum power that 2) motor of surgical instruments should apply to firing member Amount or torque.This type of information or information collection can be unique for each end effector, therefore identify in some way End effector allows surgical instruments to operate in desired manner.If there is no this type of information, then surgical instruments can cannot Identification, which is fully utilized the stroke length needed for end effector and/or cannot suitably limit it, is applied to firing member Power.In all cases, surgical instruments can be dependent on sensor, and how the sensor is configured to detection firing schedule When completed and/or be applied to firing member power it is whether excessive.Sensors with auxiliary electrode can prevent the motor of surgical instruments will be super Cross the firing member that rate provides and damages such as end effector.

Further described above, certain end effectors can be more strong compared to other end effectors, because This certain end effector be resistant to the motor from surgical instruments more energetically.Accordingly, other end effectors can not It is too strong, therefore can only be resistant to the low-force from motor.In order to which surgical instruments is made to determine to be applied to any specific end The appropriate forces of actuator, further described above, surgical instruments must identify that the end for being attached to surgical instruments performs Device.If end effector cannot identify end effector, the operation sequence or pattern of acquiescence can be used in surgical instruments.Silent In the operation mode recognized, motor can be applied to the power limit of the firing member of end effector by the controller of surgical instruments In minimum or default power.Minimum power can be selected so that, regardless of used end effector, motor will not Damage end effector.In some cases, the most weak or least strong end execution for that can be used together with surgical instruments The parameter of device can be used by default mode of operation so that regardless of used end effector, surgical instruments will be not super Rate is crossed to provide to end effector.In all cases, the appearance of motor power surgical instruments can cause end effector to be carried For overpower.In other words, it is previously used by manually driven surgical instrument and substantially cannot be by such manually driven surgical The end effector of instrument damage can be easy to be damaged by motor power surgical instruments.In addition, such previous end effector can not Technology including surgical instruments identification will be driven by a motor, and due to default operating program as described herein, such elder generation front end Portion's actuator still can be even used together with motor driving surgical instruments.That is, other can also be used in default operating program Default parameters.For example, minimum or acquiescence firing schedule length can be used in default operating program.In all cases, acquiescence behaviour The shortest route length for the end effector that can be used together with surgical instruments can be used as program.In such cases, no matter How is used end effector, and firing member will not be collided or be hit with the distal end of end effector.

Reader will be appreciated that surgical instruments includes the storage of the end effector letter in relation to that can be used together with surgical instruments Breath, the information available for surgical instruments can need to be updated.If for example, preferred operations ginseng in relation to specific end effector Number changes over time, then the information being stored in each surgical instruments can need to be updated.In addition, for example, when new End effector developed for when surgical instruments is used together, surgical instruments can need to be updated.With regard to surgery device For the situation that tool is updated not in time, surgical instruments can cannot identify end effector, and this paper institutes therefore can be used The default operating program stated.In various embodiments, surgical instruments may not include the end in relation to that can be used together with surgical instruments The storage information of portion's actuator or at least some of end effector.In such embodiments, end effector may include and end The relevant storage information of actuator or parameter.Such parameter can access and/or may pass to surgical instruments by surgical instruments. In the case of various, further described above, the assembling of end effector and surgical instruments can cause end effector to be sent out Penetrating can be by surgical instruments received signal.Otherwise similar to described above, end effector can be prompted to emit signal.Each In the case of kind, which can be emitted to surgical instruments by wiredly and/or wirelessly connecting.In certain embodiments, surgical instruments End effector can be prompted to emit signal.

Further described above, end effector may include being stored in one in relation to end effector therein Or multiple parameters.Such parameter is storable on for example one or more memory devices.In all cases, such parameter can The required retraction speed of required percussion speed, firing member including such as firing member, firing member by the distance of traveling or Stroke, the peak torque that firing member is applied to by the motor of surgical instruments, and/or end effector in fact for joint transport The maximum angle that end effector will carry out joint motions in the case of dynamic formula end effector.It holds certain joint motions formula ends Row device is disclosed in entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE's In U.S. Patent application 13/803,097, the complete disclosure of the patent application is herein incorporated by reference.Just in relation to most For the parameter of large joint movement angle, controller can using this parameter come limit the articulating part of end effector into The angle of row joint motions.In some cases, maximum articulation angle can be such as 45 degree, such as from the vertical of surgical instrument shaft It is measured to axis.For the percussion speed in relation to such as firing member and/or the parameter of retraction speed, this parameter can convey example Such as the percentage or score of the required speed of firing member and/or the maximum speed of motor.For example, when promoting firing member When, the value 3 for firing speed can convey controller that should make motor for example in 30% time operation of its maximum speed.In addition, example Such as, when bounce back firing member when, can convey controller that should make motor for example in its maximum speed for the value 5 of retraction speed 50% time operation.For the parameter of the peak torque in relation to such as motor, this parameter can convey the peak torque of such as motor The percentage or score of value and/or peak torque.In addition, for the parameter of the stroke length in relation to such as firing member, this Parameter can convey firing member by the hundred of the required distance for being pushed into and/or bouncing back, and/or the maximum length of stroke of surgical instruments Divide ratio or score.For example, value 60 may indicate that firing schedule should be such as 60mm.In all cases, parameter value any can close Suitable form is transmitted, including such as binary format (including data bit and/or byte).The exemplary implementation of parameter array It is illustrated in Figure 110 A.

In various embodiments, further described above, surgical instruments is configured to according to specific Sequence gets parms from end effector.For example, the signal emitted from end effector may include such as start bit, for first The first bit pattern, the second mould for the second parameter (such as firing speed) of parameter (such as maximum articulation angle) Formula, the third bit pattern for third parameter (such as retraction speed), for the 4th parameter (such as maximum motor torsional moment) Four bit patterns, the 5th bit pattern and stop position for the 5th parameter (such as stroke length).But it is only for an example.Appoint What appropriate number of parameter can be transmitted as a part for signal.In addition, can be used any appropriate number of start bit and/ Or stop position.For example, start bit can before each parameter bit pattern and/or stop position can each parameter bit pattern it Afterwards.As described above, the use of at least one start bit and/or at least one stop position can be conducive to the controller point of surgical instruments Whether complete analyse the signal from end effector.In certain embodiments, start bit and/or stop position can not used.In addition, Multiple signals can be emitted from end effector, so that the parameter of end effector is transmitted to surgical instruments.

In all cases, further described above, the controller of surgical instruments can be using inspection and to evaluate Its from end effector received signal it is whether complete and/or its whether received signal has been what is authorized, that is, carry out self-identifying End effector.It examines and may include ensuring data by free from errors storage, the value for emitting, and/or receiving.It can lead to In the following manner is crossed to generate：The binary value of calculated example such as data and binary value is combined using some algorithm. For example, the binary value of data can be added together, but various other algorithms can be used.Wherein in relation to certain end effectors Parameter be stored in the embodiment of surgical instruments, as described above, can also store each such end effector inspection and. In use, the controller of surgical instruments may have access to supplemental characteristic and examine and value, and by supplemental characteristic calculate examine with After value (that is, calculating inspection calculated and value), controller can by the inspection of the inspection of calculating and value and storage and be worth into Row compares.If the inspection of inspection and value equal to storage calculated and value, controller can be assumed that the memory from surgical instruments The total data of retrieval is correct.At this point, controller then can operate surgical instruments according to the data uploaded from memory. If the inspection of inspection and value not equal to storage calculated and value, controller can be assumed that at least one of retrieved data number According to being incorrect.In all cases, further described above, controller then can be for example in default operating program Lower operation surgical instruments locks the firing trigger of surgical instruments, and/or otherwise by event transmission to surgical instruments User.In some cases, controller can reattempt to from the memory of surgical instruments and upload data and re-execute Inspection and calculating described in text and compare.If the inspection recalculated and value and the inspection of storage and value matching, controller Surgical instruments then can be operated according to the data uploaded from memory.If the inspection recalculated and value and the inspection of storage It is unequal with being worth, then further described above, controller then can operate surgery device for example under default operating program Tool, lock surgical instruments firing trigger, and/or otherwise by event transmission to the user of surgical instruments.

In the embodiment being stored in the memory of end effector in the parameter wherein in relation to end effector, as above It is described, it examines and value may also be stored in the memory in such as end effector.In use, the controller of surgical instruments can Access inspection and the value of supplemental characteristic and storage.In all cases, further described above, end effector can be sent out One or more signals are penetrated, parameter and inspection and value are transmitted to surgical instruments by one or more of signals.By institute above It states, the inspection of storage and value and parameter can be emitted together, and for the discussion purpose of this paper, be received by surgical instruments Surgical instruments can be described as the inspection received and value.Once supplemental characteristic has been received, similarly as described above, controller can be by Supplemental characteristic, which calculates, to be examined and value (that is, calculating inspection calculated and value) and by the inspection of calculating and value and the inspection of reception It tests and value is compared.If the inspection calculated and value, equal to the inspection and value received, controller can be assumed that be performed from end Whole supplemental characteristics of device retrieval are correct.At this point, controller then can be grasped according to the data uploaded from end effector Make surgical instruments.If the inspection and value that calculate can be assumed that not equal to the inspection and value, controller received in retrieved data At least one data to be incorrect.In all cases, further described above, controller then can for example exist Surgical instruments is operated under default operating program, locks the firing trigger of surgical instruments, and/or otherwise by event transmission To the user of surgical instruments.When supplemental characteristic is transmitted to for example, by one or more wireless transmitting systems from end effector During surgical instruments, such event can be more frequently.Under any circumstance, in some cases, controller can reattempt to from End effector uploads data and re-executes inspection described above and calculating and compare.If the inspection recalculated and Value and the inspection received and value matching, then controller then can operate surgery device according to the data uploaded from end effector Tool.If the inspection and value of the inspection recalculated and value and reception are unequal, further described above, controller Surgical instruments then can be operated for example under default operating program, locks the firing trigger of surgical instruments, and/or with its other party Formula is by event transmission to the user of surgical instruments.In all cases, due to described above, surgical instruments does not need to be stored with Any information of end effector is closed, described information is for operating surgical instruments when using end effector.In such situation Under, in relation to being performed for confirming that the data of the end effector parameter of data integrity and inspection and value can be completely stored in end On device.Surgical instruments may include operation sequence, and the operation sequence only needs enough inputs from end effector to make Use end effector.For can be able to be not need to the particular operational program of each end effector that surgical instruments is used together 's.Single operation program can be used together with each end effector.Surgical instruments can not need to be updated to include as a result, Such as the operation sequence for attached ends actuator and/or the modification program for existing end effector.

In addition to or substitution it is as described herein for identify be attached to surgical instruments end effector wireless communication system, Turning now to Figure 149-154, surgical instruments may include being scanned with user according at least one embodiment and identification end is held The device of row device.Figure 153 shows the shank 11020 including barcode reader 11022, the barcode reader 11022 It is configured to Figure 149 and Figure 150 that scanning is located on the end effector 11060 shown in Figure 151, Figure 152 and Figure 154 Shown bar code.Similar to other embodiment disclosed herein, end effector 11060 may include such as shaft portion, anvil Seat 11062, and/or nail bin 11064, one or more parts of end effector 11060 may include bar code thereon. In some embodiments, end effector 11060 may include being located in the removable portion among anvil block 11062 and nail bin 11064 Part 11063, the removable member 11063 can before or after end effector 11060 is had been assembled on surgical instruments quilt It removes.In Figure 151, bar code 11065 is illustrated as on the shaft portion for being located in end effector 11060.In Figure 152, item Shape code 11065 is illustrated as being located on removable member 11063.In various embodiments, the shank 11020 of surgical instruments can wrap Include the barcode reader for being configured to read the bar code on end effector, such as barcode reader 11024.Example Such as, referring primarily to Figure 154, shank 11020 may include internal barcode reader part 11022, and the internal bar code is read Device part 11022 is configured to read the bar code 11065 being limited on the axis of end effector 11060.At least one In the case of kind is such, barcode reader part 11022 may include slot 11026, and the size and construction of the slot 11026 are designed Into the axis for receiving end effector 11060, wherein barcode reader 11024 can be mounted on the opening being defined in slot 11026 In 11027 and/or opposite its is installed so that 11024 readable bar code 11065 of barcode reader.Reader will know Road, many barcode readers and bar code agreement are known, and any suitable bar code can be used.In some cases Under, bar code may include such as bidirectional information, and the bidirectional information allows bar code to be read out in two different directions. Under some cases, multiple Information Levels can be used in bar code.In some cases, bar code agreement may include preface information, described It is following information after preface information, described information will identify end effector and/or otherwise provide information To surgical instruments, to allow, surgical instruments operates or utilization particular operational program operates.In some cases, barcode reader One or more light beams can be emitted, one or more of light beams can contact the multiple peak and valleys for forming bar code.In some feelings Under condition, the paddy of bar code may extend into and/or be limited in the shaft housing of end effector.The light beam of transmitting can be reflected back it can The barcode reader being interpreted.That is, the barcode reader 11024 of shank 11020 positions and is arranged in slot 11026 It is interior so that the light beam of transmitting and reflection is limited in or is at least substantially limited in barcode reader part 11022.In this way, Barcode reader 11024 can be unlikely to unintentionally or unintentionally scan the different end effectors that may be present in surgical kit, That is, the end effector for the end effector that will be not assembled on surgical instruments.

It in all cases, further described above, can be before end effector be assembled on surgical instruments End effector is made to pass through the barcode reader of surgical instruments.In various alternative embodiments, surgical instruments may include can Mobile barcode reader, the removable barcode reader can be used for having been assembled on surgical instruments it in end effector The bar code of scanning end effector later.Under any circumstance, once end effector has been identified, at least some situations Under, controller just may have access to the operation sequence for being configured to the end effector using identification.In some respect, bar code It may include boot loader.In other cases, as described elsewhere herein, bar code can submit necessary information to controller Or parameter is to use general operating system.In some cases, each end effector can be identified using sequence number so that Any two end effector has on it there are two different bar codes even if can be the end effector of same type. In such cases, controller is configured to refusal and uses the end effector previously scanned by surgical instruments.This Class system can for example prevent the end effector at least partly consumed from being used again.

As described above, end effector is configured to through wired connection and/or wireless connection and surgical instruments Communication.For wired connection, turning now to Figure 115, the proximal end of end effector (such as end effector 9960 is near Side end 9969) it may include multiple electric contacts 9968, the multiple electric contact 9968 can be arranged to and be arranged on surgical instruments Axis 9940 distal end 9942 on and/or internal multiple electric contacts 9948 be electrically connected.Referring primarily to Figure 116, each Electric contact 9968 may include the contact element being positioned at least partially in element cavity 9,965 9967.Each electric contact 9968 is also It may include being located in the biasing member among the madial wall of contact element 9967 and element cavity 9965, for example, spring 9966.Bullet Spring 9966 is configured to radially outward bias contacts element.Contact element 9967 is from the stop part 9964 of its protrusion, institute State stop part 9964 can at least before end effector 9960 is installed to axis 9940 by spring 9966 be movably biased to Another madial wall engagement of element cavity 9965.Interaction between the side wall of stop part 9964 and element cavity 9965 can Prevent moving out for contact element 9967.When end effector 9960 is installed to axis 9940, axis electric contact 9948 can be fought The bias force applied by spring 9966 inwardly pushes the contact element 9967 of electric contact 9968, as shown in Figure 116.In various feelings Under condition, each pair of contact 9948 can connect circuit or communicating passage 9950 with 9968.Although showing three pairs of contacts, it can be used and appoint What appropriate number of contact and/or communicating passage.In various embodiments, referring to Figure 117, axis contact 10048 can respectively include Moveable element 10047 and bias spring 10046, the bias spring 10046 are configured to push moveable element 10047 with against corresponding end effector contact 10068.In certain embodiments, turning now to Figure 118, end effector One or both of contact and axis contact may include flexible portion.For example, end effector may include flexible contacts 10168, The flexible contacts 10168 can the corresponding axis contact 9948 of resilient engagement.

For the above for the embodiment described, in all cases, end effector can be installed to axis along longitudinal axis. In such cases, referring primarily to Figure 115, recent side end effector contact 9968 will be electric with farthest side axle contact 9948 first Contact.Reader will be appreciated that, when these contacts, which are formed, to be engaged, end effector 9960 is not attached to axis 9940 completely yet.To the greatest extent It can be interim to manage such engagement between these contacts, that is, be placed in axis 9940 it deeper in end effector 9960 Before, but one or more signals from end effector 9960 can be obscured or be mistranslated to surgical instruments controller.It is performed in end Device 9940 by before disposing completely, with end effector contact 9968 longitudinal array progressively engagement shaft contact 9948 it is vertical To array, it can generate and such obscure.In various embodiments, the controller of surgical instruments is configured to ignore by touching The signal of transmission is put, side end actuator contact 9968 is engaged with nearest side axle contact 9948 as of late.Turning now to Figure 119 And Figure 120, a contact is to may differ from another contact pair so that controller can recognize that this when contact has been matched and Therefore when recognizable end effector is disposed completely.For example, the end effector and axis of surgical instruments may include first To contact 10248a, 10268a, second couple of contact 10248b, 10268b and third are to contact 10248c, 10268c, wherein Three pairs of contacts may differ from a pair of contact and second pair of contact.When a pair of contact 10248a, 10268a has been matched, contact Element 10267a can be pressed inwardly so that the first pontes 10263a contact communication paths of contact element 10267a The second connecting portion of the first path part 9951a and contact element 10267a of 9950a divide 10264a to contact communication path The second path sections 9952a of 9950a.In the position of contact element 10267a, first path part 9951a and the second path Part 9952a can transmit signal by contact element 10267a.When second couple of contact 10248b, 10268b have been matched, touch Point element 10267b can be pressed inwardly so that the first pontes 10263b contact communication paths of contact element 10267b The second connecting portion of the first path part 9951b and contact element 10267b of 9950b divide 10264b to contact communication path The second path sections 9952b of 9950b.In the position of contact element 10267b, first path part 9951b and the second path Part 9952b can transmit signal by contact element 10267b.When third has matched contact 10248c, 10268c, touch Point element 10267c can be pressed inwardly so that the first pontes 10263c of contact element 10467c does not contact communication path The first path part 9951c of 9950c, the second connecting portion of contact element 10267c divide 10264c not contact communication path The second path sections 9952c of 9950c and contact first path part 9951c.In the position of contact element 10267a, One path sections 9951c can transmit signal by contact element 10267c.Due to described above, when end effector has been pacified completely When putting first, second, and third group can its corresponding channel path there is specific connecting structure, and controller can be by structure Cause can this construction for being fully engaged it is whether appropriate.For example, when end effector is initially inserted into axis, third contact 10264c can initially contact first axle contact 10248a.In the position, only two path sections (that is, 9951a and 9952a) can Signal is transmitted to controller from end effector, thus controller is configured to detect the pressure drop between interconnection, The pressure drop be different from disposed completely when end effector and make five path sections (that is, 9951a, 9952a, 9951b, 9952b and 9951c) it can be transmitted the pressure drop generated during signal.Similarly, end effector can be inserted further into axis, directly The second axis contact 10248b and the second contact element 10267b contact first axles contact are contacted to third contact element 10267c 10248a.In the position, only four path sections (that is, 9951a, 9952a, 9951b and 9952b) can be by signal from end Actuator is transmitted to controller, and thus controller is configured to detect the pressure drop between interconnection, and the pressure drop is different Make five path sections (that is, 9951a, 9952a, 9951b, 9952b and 9951c) in being disposed completely when end effector It can be transmitted the pressure drop generated during signal.

In some cases, when end effector is assembled on the elongated shaft of surgical instruments, the engageable end of operator The drive system of actuator and/or articulation system are to be conducive to the closure of such as end effector, percussion, and/or joint Movement.End effector may include the first jaw, the second jaw and one or more sensors, one or more of sensors It is configured to position of the first jaw of detection relative to the second jaw.Referring now to Figure 121-124, end effector 10360 may include the first jaw or 10362 and second jaw of anvil block or nail bin 10364, and wherein anvil block 10362 can be toward and away from Nail bin 10364 moves.In general, end effector 10360 is inserted into the patient by trochar, and here, end effector 10360 can be not easy to observe, even if being also such under the auxiliary of endoscope.Therefore, the user of surgical instruments can cannot Easily evaluate position of the anvil block 10362 relative to the second jaw 10364.In order to be conducive to the use of end effector, as above It is described, end effector 10360 may include for detect anvil block 10362 position sensor.In all cases, such biography Sensor is configured to the gap between detection anvil block 10362 and nail bin 10364.Certain sensors are configured to Detect rotation position of the anvil block 10362 relative to nail bin 10364.Sensor be disclosed in submit on March 13rd, 2013 it is entitled 13/800,025 He of U.S. Patent Application Serial of STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM The U.S. of entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM submitted on March 13rd, 2013 In state's Patent Application Serial 13/800,067.The entitled STAPLE CARTRIDGE TISSUE submitted on March 13rd, 2013 The U.S. Patent Application Serial 13/800,025 of THICKNESS SENSOR SYSTEM and the title submitted on March 13rd, 2013 U.S. Patent Application Serial 13/800,067 for STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM Entire disclosure be herein incorporated by reference.Regardless of used sensor, the position of anvil block 10362 can pass through Display sends the user of surgical instruments to.This class display can be located at the end effector 10360 and/or axis of surgical instruments On (such as axis 10340).When display is located on end effector, display is observed using such as endoscope. In the case of such, display can be positioned on end effector so that its not sleeve needle masking, described sleeve pipe needle allow end Actuator enters surgical kit.In other words, display, which can be positioned so that, makes it during use relative to the distal side of trochar End is distally located.When display is located on axis, display can be positioned on axis so that its not sleeve needle masking.In other words It says, display, which can be positioned so that, makes it be located at nearside relative to the proximal end of trochar during use.Referring to Figure 121-124 Shown embodiment, display 10390 are located on axis 10340.

With continued reference to Figure 121, the anvil block 10362 of end effector 10360 is shown as being in a fully open position.In anvil block 10362 position, the firing member 10330 of end effector 10360 are in proximal position and are not promoted towards distal side also.Such as To be described in further detail below, firing member 10330 is promoted towards distal side so that anvil block 10362 is moved towards nail bin 10364.Figure The position of firing member 10330 shown in 121 can represent not the firing of firing member 10300, nearest side position.Work as anvil block 10362 be in its fully open position when, referring primarily to Figure 125, anvil block display 10390 can not be lit.Reader will know Road, anvil block display 10390 can show the position of anvil block 10362 in one in several different locations.Anvil block display 10390 can show five possible positions of anvil block 10362 by chance；It is contemplated, however, that other embodiment, the embodiment can Include the use of the anvil block display more than five indicators or less than five indicators.As anvil block 10362 is from its open position Its closed position is moved to, display 10390 can continuously show the position of anvil block 10362 using indicator 10391-10395. Indicator 10391 shows the anvil block 10362 in slight closed position.Indicator 10392,10393 and 10394 shows place In the anvil block 10362 of partial closed position.Indicator 10395 is shown in being closed completely or the anvil block of parallel position 10362. In relatively Figure 121 and Figure 122, reader will be appreciated that, firing member 10330 has promoted to be closed anvil at least partly towards distal side Seat 10362.When anvil block 10362 is in the position shown in Figure 122, anvil position sensor can detect the new position of anvil block 10362 It puts and the indicator of anvil block display 10,390 10391 can be lit, as shown in Figure 126.In relatively Figure 122 and Figure 123, Firing member 10330 promotes further to be closed but not fully closed anvil block 10362 towards distal side.When anvil block 10362 is in During position shown in Figure 123, anvil position sensor can detect the new position of anvil block 10362 and indicator 10393 can be by point It is bright, as shown in Figure 127.In further relatively Figure 122 and Figure 123, reader will be appreciated that, anvil block 10362 is rotated for example About 10 degree and if anvil block 10362 is rotated such as only about 5 degree, the indicator 10392 of anvil block display 10390 will It is lit.In relatively Figure 123 and Figure 124, firing member 10330 has promoted to be closed completely anvil block 10362 towards distal side.Work as anvil When seat 10362 is in the position shown in Figure 124, anvil position sensor can detect the new position of anvil block 10362 and indicator 10395 can be lit, as shown in Figure 128.In further relatively Figure 123 and Figure 124, reader will be appreciated that, anvil block 10362 is Rotated for example, about 10 degree and if anvil block 10362 is rotated such as only about 5 degree, the instruction of anvil block display 10390 Device 10394 will be lit.

Further described above, end effector and/or surgical instruments may include being configured to control The controller of anvil block display 10390.For example, when end effector includes anvil block display 10390, controller can be positioned on end In portion's actuator.When the axis of surgical instruments includes any other part packet of anvil block display 10390 and/or surgical instruments When including anvil block display 10390, surgical instruments may include controller.In other cases, in end effector and surgical instruments One of may include anvil block display 10390, and the other of end effector and surgical instruments may include controller.It is in office In the case of what, anvil position sensor can carry out signal communication with controller.Controller is configured to interpretation and carrys out autobiography One or more signals of sensor are with the position of determining anvil block 10362.Controller can communicate with anvil block display 10390, so as to Illuminating indicators 10391-10395, as described above.In all cases, each indicator 10391-10395 may include for example sending out Optical diode.In such cases, each light emitting diode can be arranged to and the output channel of the microprocessor of controller electricity Connection so that controller optionally lights light emitting diode, and this is independently of other light emitting diodes.In various situations Under, controller can continuously assess the position of anvil block 10362 based on the data from anvil block sensor, and be connected using this data The indicator being lit is updated continuously.For example, when anvil block 10362 just closes or opens, anvil block 10362 can be traced in controller Position and the user that this information is rapidly shown to surgical instruments by indicator 10391-10395.Such situation can The real-time or near real-time that the position in relation to anvil block 10362 is provided to user is fed back.In other cases, controller may wait for showing Show the position of anvil block 10362, until such as stop motion of anvil block 10362 or at least substantially stop motion certain period of time it Afterwards.Reader will be appreciated that indicator 10391-10395 can represent the discrete positions of anvil block 10362；However, it is possible to situation is anvil Seat 10362 only can instantaneously pass through each in these discrete positions for example when it is closed.In all cases, controller Using algorithm to determine which indicator will be lighted.For example, controller can apply algorithm, the algorithm determines which is indicated Device relatively accurately represents the position of anvil block 10362, even if anvil block 10362 can not be with that can be represented by indicator for displaying device 10390 The alignment of any one of discrete positions.In all cases, when anvil block 10362 is located in what is represented by two adjacent indicators When among two discrete positions, two adjacent indicators that controller can be in illuminating indicators display 10390.

In all cases, further described above, indicator 10391-10395 can respectively include light-emitting diodes Pipe, at least substantially light of the light emitting diode transmitting same color or the light of same color.In other cases, indicator One or more of 10391-10395 can emit the color different from another indicator 10391-10395.For example, instruction Device 10391 is configured to transmitting yellow, and indicator 10392-10395 is configured to transmitting such as green. Reader will be appreciated that, referring to Figure 122, when anvil block 10362 is in the partial closed position shown in Figure 122, be located in anvil block Tissue T between 10362 and storehouse 10364 can not clamped fully by anvil block 10362, and when the position with anvil block 10362 When relevant indicator 10391 is lit yellow, the user of surgical instruments can be alerted in mobile end effector 10360 And/or continue to keep careful before percussion process.In some cases, each in indicator 10361-10365 respectively may be used It is configured to emit more than one color.For example, each indicator 10361-10365 may include being configured to emit Green and red light emitting diode.In such cases, indicator 10361-10365 can be in the position of instruction anvil block 10362 Emit green when putting, as described above, and alternatively, can be sent out when end effector 10360 and/or surgical instruments have mistake Penetrate red.

As described above, the anvil block of end effector can between the open and the closed positions be moved relative to nail bin, and And surgical instrument system is configured to the movement of detection anvil block and sends the movement of anvil block to user.Namely It says, it is anticipated that the embodiment that wherein nail bin can be moved relative to anvil block.In at least one such embodiment, anvil block can be solid It is fixed or cannot pivot.When fixing or cannot pivot, anvil block can rigidly extend from a part for end effector frame； However, anvil block can be relative to the end effector of surgical instruments from the part of its end effector frame extended and nail bin Another part or axis carry out joint motions.No matter whether end effector can carry out joint motions, in such embodiments, Nail bin can be pivoted relative to anvil block.The system and method for movement as described herein for detecting anvil block are applicable to detection nail The movement in storehouse.In addition, the system and method for the movement as described herein for being used to show anvil block are applicable to the movement of display nail bin.

In all cases, operator can it is expected the drive member that bounces back during firing schedule.It is disclosed in Zemlok ' 763 In surgical instruments using retraction assemblies, the retraction assemblies include the manual actuation machinery interface with reference to driving tube, the drive Dynamic pipe is started by the way that the retraction lever on shank is made to carry out ratcheting motion.If during percussion power source interrupt or Person's motor or control system failure, such construct is it is said that allow surgeon's retraction trigger shaft and the finally drive of retraction loading unit Dynamic component.However, such retraction assemblies can be difficult to operate effectively, this is because following true：Motor and motor gear roller box exist It is remained engaged with during ratcheting motion (startup).Therefore, the retraction assemblies of the device allow for forming enough torques to rotate Gear and motor drive shaft in gear-box, so as to which driving tube be allowed manually to be rotated.The generation of such power can be by overstress It is arranged on retraction assemblies component, so as to lead to the significant trouble of retraction assemblies.Surgical instruments 10 shown in Fig. 1-2 8 can quilt It is constructed to be permeable to construct with unique and novel retraction assemblies, thus can avoid the problem and other problems.

For example, surgical instruments 10 may include retraction assemblies 120, the retraction assemblies 120 include having 126 He of top section The retraction pedestal 124 of bottom part 128.In various forms, retraction assemblies 120 pass through drive gear 130 and retraction gear 132 Mechanically join with driving tube 102.Referring to Fig. 5.Drive gear 130 is non-rotatably attached to driving tube 102 so that sliding tooth The rotation of wheel 130, which applies driving tube 102, to rotate.Drive gear 130 and retraction gear 132 may include bevel gear etc. to allow it Between intermeshing engagement, as shown in Figure 5.Retraction gear 132 can be connected to the first mandrel 134 (Fig. 4 and Fig. 5), described First mandrel 134 substantially perpendicular to retraction pedestal 124 top section 126 and bottom part 128 and extend between the two. Mandrel 134 can be supported for advancing around the rotation of axis " SA-SA ", and the axis " SA-SA " is substantially Perpendicular to the longitudinal axis " LA-LA " of surgical instruments 10.Referring to Fig. 5.In various forms, the gear 132 that bounces back can have and it First spur gear 136 of attachment.First spur gear 136 joins with the second spur gear 138, and second spur gear 138 is operable Ground is supported in the second mandrel 137, second mandrel 137 namely be arranged in a substantially upright manner retraction pedestal 124 Top section 126 and bottom part 128 between and can surround the second axis axis " SA '-the SA ' " rotation limited by it.The Two spur gears 138 are supported for being engaged with third spur gear 140, and the third spur gear 140 is arranged on first heart On axis 134.Third spur gear 140 is attached to the first clutch part 144 of one-way clutch assembly 142.Clutch pack 142 Further include the second clutch part 146 that can be rotatably set in the first mandrel 134 of 144 top of first clutch part. Spring (not shown) may be provided between first clutch part 144 and second clutch part 146, thus by first clutch Part 144 and second clutch part 146 are maintained at " non-interlocking " orientation of protrusion, as shown in Figure 5.

It should be appreciated that when driving tube 102 rotates, drive gear 130 will be to the first spur gear 136, the second spur gear 138 Apply rotation with third spur gear 140 and to first clutch part 144 and corresponding mandrel 134,137.Due to second from Clutch part 146 can surround mandrel 134 and rotate and can be biased to by the spring construction (not shown) being disposed there between It is not engaged with first clutch part 144, the rotation of first clutch part 144 is not converted into second clutch part 146. As seen in fig. 5, first clutch part 144 and second clutch part 146 include multiple interlockable teeths 148, the multiple Interlockable teeth 148 respectively has flat interlocking surface and tilt sliding surface.As described in greater detail below, second clutch Part 146 can be biased to be engaged with first clutch part 144 by retraction lever 150.The slidingsurface of tooth 148 allows mutual Latching surface is in contact with each other so that the rotation of second clutch part 146 causes first clutch part 144 to rotate.First clutch The rotation of device part 144 equally also results in handing-over gear rotation, so as to finally apply driving tube 102 around longitudinal tool axis The spinning movement of LA-LA.

Referring now to Fig. 6, retraction lever 150 may include elongate shaft portion part 152, and the elongate shaft portion part 152 includes Cam portion 154.Cam portion 154 may include being open, and the opening can accommodate unidirectional needle roller clutch (not shown), the list The accessory (not shown) mechanical engagement of the first mandrel 134 is supported for and could attach to needle roller clutch, so as to allow to bounce back Lever 150 is rotated around the first mandrel 134.Zemlok ' 763 also describes the behaviour of such unidirectional needle roller clutch and ting element Make and it is incorporated by reference being incorporated herein.In various forms, retraction lever 150 includes respectively having CAM table thereon One or more cam members 156 in face 158.In first orientation, retraction lever 150 along shell 12 lever pit 14 into Row setting, as shown in Figure 1.The spring between first clutch part 144 and second clutch part 146 is arranged on for biasing Bounce back lever 150 with against retraction pedestal 124 top section 126.As in figure 6 as it can be seen that cam member 156 is arranged on retraction In correspondence cam slot or pit 160 in the top section 126 of pedestal 124.Retraction lever 150 is protected by return spring 162 It holds in first orientation, the return spring 162 is mounted on the top section 126 of retraction pedestal 124 and the cam of retraction lever 150 Between part 154.Cam member 156 and cam slot 160 are also prevented from the rotation of retraction lever 150.

In use, when bounce back lever 150 remove shell 12 in lever pit 14 (Fig. 1) when, cam member 156 with it is right The cam slot 160 answered joins to fight the spring being located between first clutch part 144 and second clutch part 146 Bias force along the cam portion 154 for being always biased back to contracting lever 150 downwards.It is such to move downward compressed spring and incite somebody to action First clutch part 144 and second clutch part 146 are forced into interlocking engagement.Cam portion 154 is in the counterclockwise direction Rotary-actuated needle roller clutch, the needle roller clutch join with accessory and the first mandrel 134.The continuous cause of retraction lever 150 Dynamic to rotate clutch pack 142, the clutch pack 142 then makes spur gear 136,138,140 and retraction gear 132 It is rotated with drive gear 130.This then makes driving tube 102 be rotated around longitudinal tool axis " LA-LA ".Due to trigger shaft 104 It is threadedly engaged with driving tube 102, the rotation of driving tube 102 in a manner described causes trigger shaft 104 to bounce back (nearside is axially advanced) Into driving tube 102.

In operation, motor 100 is configured to make driving tube 102 along the direction (example opposite with retraction direction Such as, clockwise it) is rotated around longitudinal tool axis " LA-LA ".Such rotation of driving tube 102 leads to trigger shaft 104 move axially along distal direction " DD ".This propulsion of the drive member 60 of trigger shaft 104 and loading unit 20 is at this It can be described as " firing " action in text.It is as seen in fig. 5, for example, gear assembly 170 be used to implement required driving torque amount with Trigger shaft 104 is driven along distal direction " DD ", so as to activate loading unit 20.Gear assembly 170 may include being connected to motor 100 Gearbox-case 172.For example, gearbox-case 172 can pass through screw rod 103 or other machanical fasteners and/or fastener structure It makes and is connected to motor case 101.Gear assembly 170 and motor 100 can be collectively referred to as " driving unit ", and it is 186 to be generally designated.

Gearbox-case 172 is pivotally supported in motor holder part 190, the motor holder part 190 It is being formed as one or otherwise non-rotatably supported by shell 12.Such construct allows driving unit 186 outside It is rotated in shell 12 around longitudinal tool axis " LA-LA ", but prevents its axial movement in shell 12.Motor 100 can be such as By with Zemlok ' 763, the power source 200 of type and/or power system 2000 (Figure 129) provide work(in greater detail Rate.

It is workable only in order to be conducive to provide electric current to driving unit 180 and more specifically provide motor 100 Special contact configuration 210.For example, contact configuration 210 may include being supported on the annular cathode motor contact on motor case 101 212 and annular anode motor contact 114, as seen in Figure 4.Fixed cathode contact 216 may be supported in shell 12 with In the sliding contact with cathode motor contact 112.Similarly, when the rotation in shell 12 of driving unit 180, fixed anode Contact 218 can be supported for the sliding contact with anode motor contact 214.Fixed cathode contact 216 and cathode contact 218 may include flexure spring shape contact to be conducive to assembling and adjustment of the driving unit 186 in shell 12.Fixed cathode touches Point 216 can be electrically coupled to power source 200, and fixed cathode contact 218 can pass through positive wire by negative wire 220 222 are electrically coupled to power source 200.Such contact configuration allows from power source 200 to provide electrical power to motor 100, has simultaneously The rotation of longitudinal tool axis " LA-LA " is surrounded in shank shell conducive to driving unit 186.

Referring to Fig. 5, gear assembly 170 may include being operably linked to the planetary gear structure of motor drive shaft 107.In one kind In construction, for example, ring gear 173 can be formed on the inner surface of gearbox-case 172.Main sun gear 171 can be connected to Motor drive shaft 107.Main sun gear 171 can be supported for and be supported on multiple first planet teeth on the first pinion frame 174 Wheel 175 is engaged so that they are also engaged with ring gear 173.First sun gear 176 can be formed in other words Be attached on the first pinion frame 174, and can be supported for and be supported on the second pinion frame 177 multiple second Planetary gear 178 is engaged.Second planetary gear 178 can also be supported for being engaged with ring gear 173.Second sun Gear 179 can be formed in or perhaps be attached on the second pinion frame 177, and can be supported for and multiple third planets Gear 181 is engaged.Third planet gear 181 may be supported on third planet tooth rest 180 to engage with ring gear 173 Engagement.Third sun gear 183 can be formed in or perhaps be attached on third planet tooth rest 180 and with multiple fourth lines Star gear 187 is engaged, and the multiple fourth planet gear 187 could attach to output axle unit 184, the output axle unit 184 are pivotally supported at by bearing 185 in gearbox-case 172.Fourth planet gear 187 can be also supported for and annular Gear 173 is engaged.

Fig. 7 shows for driving unit 186 to be pivotally supported at a kind of construction in shell 12.As in the figure As it can be seen that the motor installation hub 192 of motor holder 190 may include being rotatably supported at gearbox-case section 196 therein. In a kind of construction, for example, gear assembly 170 is pivotally supported at by bearing 185 in gearbox-case section 196.Similarly, Motor 100 is pivotally supported at motor by bearing 198 and installs in casing part 13.Can also be used can by driving unit 186 The other methods being rotationally supported in shell 12.

Output axle unit 184 is operably linked to have the clutch of the type and construction disclosed in Zemlok ' 763 230 (Fig. 5), the full patent texts are herein incorporated by reference.The other details of construction and operation in relation to such clutch 230 It is available from the announcement.However, in alternative embodiment, clutch 230 can be replaced by axis-axis connector or casing construction, institute It states axis-axis connector or casing is configured to be conducive to export axle unit 184 and is directly coupled to driving tube 102.

When the driving beam being axially movable for the surgical instruments being disclosed in Zemlok ' 763 is stuck or the work(of instrument When rate is lost, user has to driving beam is retracted to initial position backward to be conducive to loading unit using retraction assemblies Removal.However, effective retraction is difficult, because retraction system has to generate required enough torque capacities to invert tooth Multiple gear configurations in wheel assembly.Therefore, such retraction system can be extremely hard to effectively operate.

At least one surgical instrument embodiment disclosed herein is locked using unique and novel releasable driving unit System (be generally designated is 240) is determined to solve the problems, such as this.As described in greater detail below, for example, when releasable driving When unit locking system 240 is in " locking " position, driving unit 186, which is stopped in shank shell 12, to be rotated.When surgery device When tool is " fired ", driving unit 186 is maintained at latched position, passes through gear set with the motor torsional moment favorably from motor 100 Part 170 is eventually transferred to driving tube 102.When it is expected to start retraction assemblies 120, move to driving unit locking system 240 " unlock " position, driving unit 186 to be allowed to be rotated freely through in shell 12, therefore without the retraction torque that generation is enough Gear configurations in counter gear component 170.During the operation of retraction assemblies 120, gear assembly 170 can be kept operationally It is connected between motor 100 and driving tube 102.In such embodiments, although the holding of gear assembly 170 is operably linked to Motor 100 and driving tube 102, but rotating freely for driving unit 186 can be reduced when gear configurations are inverted with the driving tube 102 that bounces back When drive gear assemblies 170 needed for torque.The reduction of torque can improve the validity of retraction system needed for this.

As in FIG. 8, it can be seen that for example, the third spur gear 140 of retraction assemblies 120 may include unlocking cam 141, the solution Lock cam 141 can activate the locking pawl component 250 of driving unit locking system 240.Lock the one of pawl component 250 Kind form is shown in Fig. 9-11.It is seen, for example, locking pawl component 250 may include pawl component 252 as in Fig. 10, The pawl component 252 has locking recess 254 formed therein.The size of locking recess 254 is designed to allow It is formed in a series of first locking wedges 256 spaced apart around the outer periphery of gearbox-case 172 therefrom freely It passes through.See, for example, Figure 12 and Figure 13.Pawl locking wedge 258 is formed on locking pawl 252 for first Any one of locking wedge 256 is engaged by locking, as described in greater detail below.As in addition in figures 8-11 may be used See, locking pawl component 250 may also include pawl guiding bar 260, and the pawl guiding bar 260 is configured to can It is slidably received in the channel 194 in motor installation hub 192.262 axle journal of pawl spring is connected to pawl guiding bar 260 It is upper and be located between pawl component 252 and motor installation hub 192 with by the cam engaging portion of pawl component 252 264 are biased to engage with third spur gear 140.

Operation retraction assemblies 120 and driving unit locking system 240 are described now with reference to Fig. 8, Figure 13 and Figure 14 A kind of method.Figure 13 shows the driving unit locking system 240 being in the locked position.As in this view, it may be seen that pawl structure Part 252 is biased to distal side latched position by pawl spring 262.When in the latched position, on pawl component 252 Pawl locking wedge 258 is engaged by locking to the corresponding one in the first locking wedge 256 on gearbox-case 172. When at that position, retraction assemblies 120 are not activated also and gear assembly 170 is stopped in shell 12 and rotates.Pass through pressure Lower master power switch 80 (Fig. 1) leads to the operation of motor 100 rotating and eventually leading to trigger shaft 104 for driving tube 102 It is axial to promote, driving beam 60 is thus driven distally through loading unit 20.

If such as driving beam 60 is stuck in the tissue being clamped in loading unit 20 or the power of motor 100 is lost It loses or since certain other reasons motor 100 cannot be driven reverse the rotation of pipe 102 with the trigger shaft 104 that finally bounces back, then faces Retraction assemblies 120 can be used come trigger shaft 104 and the driving beam 60 of manually bouncing back in bed doctor.Fig. 8, which shows to be in, does not activate position The retraction assemblies 120 (for example, when driving unit locking system 240 is in the locked position) put.In order to start manual retrieving mistake Journey, clinician pull retraction lever 150 to leave the lever pit 14 in shank shell 12 (along " R " direction-referring to Fig. 6). The movement in retraction lever 150 along " R " direction leads to rotation of the cam portion 154 of retraction lever 150 in retraction pedestal 124. Such initial rotation in retraction lever 150 along " R " direction causes to unlock the cam engagement that cam 141 engages pawl component 252 Thus part 264 allows driving unit 186 free in shank shell 12 so that pawl component 252 is biased to unlocked position Ground rotates.Cam slot 160 in retraction pedestal is set and is conducive to the convex of lever 150 that bounce back with enough length Take turns the initial disengaging that this rotation of part 154 is advanced without clutch pack 142.Therefore, cam slot 160 can be longer than fixed Cam slot of the position in previously retraction base structure, to be conducive to lead to 102 rotation of driving tube applying actuation motion The unlock of preceding drive unit assembly 186.For example, at least one constructs, cam slot 160 can be elongated, with advantageous About 15 degree are rotated in making retraction lever 150.When clinician continues to rotate retraction lever 150 along " R " direction, cam engagement Part 264 will be straddled along the outer periphery of unlock cam 141 on third spur gear 140.Lever 150 bounce back along " R " direction Continue rotation the cam member 156 on cam portion 154 is caused to be engaged with the end of its respective cams slit 160, with along to Lower direction offset cam part 154.This moves downward compression set in first clutch part 144 and second clutch part Spring between 146, the engagement so that tooth 148 thereon is engaged with each other.Cam portion 154 in the counterclockwise direction continue rotation can Needle roller clutch is activated, the needle roller clutch joins with accessory and the first mandrel.The continuous actuating of retraction lever 150 makes clutch Device assembly 142 rotates, and the clutch pack 142 then makes spur gear 136,138,140 and retraction gear 132 and sliding tooth 130 rotation of wheel.This then rotates driving tube 102 and drives trigger shaft 104.

Retraction lever 150 can activated scheduled amount of travel, until the one of a part of latch housing 12 of retraction lever 150 Part.Then, retraction lever 150 is made to return to its first position by return spring 162.This action raising cam portion 152, Thus second clutch part 146 is allowed also to move upwards and be detached from first clutch part 144.Needle roller clutch is releasable Thus accessory allows movement of the lever 150 back to first position without influencing driving tube 102 that bounce back.Once bounce back lever 150 Back to first position, driving unit 186 is just again maintained in latched position.The ratcheting motion of retraction lever 150 or rotation can It is iteratively repeated, until trigger shaft 104 has returned to required position.

It is previous compared to operation since gearbox-case 172 rotates freely through during the application of this spinning movement Torque needed for retraction assemblies, rotating the torque capacity needed for the gear in driving tube 102 and gear assembly 170 significantly reduces.This Class construction, which is also advantageously used in, to be prevented during the holding of gear assembly 170 is driveably connected to motor drive shaft 107 by retraction assemblies institute The torsional forces of generation is transmitted to motor drive shaft 107.In other words, during the operation of retraction assemblies 120, gear assembly 170 can be protected It holds drivingly coupled between motor drive shaft 107 and driving tube 102.Such construct is different from following retraction and constructs, the retraction structure It makes in the United States Patent (USP) 7,959,050 for being disclosed in and being for example incorporated by reference being incorporated herein, but in the starting period of retraction system Between cause transmission section physics be detached from or physical discontinuity.

Figure 15-18 shows another that above-mentioned surgical instruments 10 is substantially similar to other than difference described below Surgical instruments 310.As it can be seen that instrument 310 includes gear assembly 470, the gear assembly 470 includes for example pressing in figure 16 Manner as described above is connected to the gearbox-case 472 of motor 100.Gear case assembly 470 and motor 100 can be collectively referred to as " driving Moving cell ", it is 486 to be generally designated.Other than difference described below, gear assembly 470 can be identical with gear assembly 170.

At least one construct in, gearbox-case 472 be non-rotatably supported in motor holder part 190 or It can be integrally formed therewith, the motor holder part 190 is formed as one interior with described herein in shell 12 in other words Mode be non-rotatably attached.Since driving unit 486 does not rotate in this configuration, can power be directly connected to line Source.For example, motor 100 can be in the way of described in Zemlok ' 763 or other suitable modes provide power.Such as in Figure 16 In as it can be seen that gear assembly 470 may include being operably linked to the planetary gear structure of motor drive shaft 107.In a kind of construction, example Such as, stationary annular gear 473 can be formed on the inner surface of gearbox-case 472.Main sun gear 471 could attach to motor drive shaft 107.Multiple first planetary gears 475 that main sun gear 471 can be supported for and be supported on the first pinion frame 474 are nibbled Splice grafting closes.First planetary gear 475 can be also engaged with ring gear 473.First sun gear 476 can be formed in the first row On gear rack 474 and multiple second planetary gears 478 with being supported on the second pinion frame 477 are engaged.The Two planetary gears 478 can also be supported for being engaged with stationary annular gear 473.Secondary sun wheel 479 can be formed in or Person is attached on the second pinion frame 477, and can be supported for and be supported on third planet tooth rest 480 multiple Three planetary gears 481 are engaged.Third planet gear 481 is engaged with stationary annular gear 473.Third sun gear 483 can be formed in or perhaps be attached on third planet tooth rest 480.Third sun gear 483 can be supported for it is multiple Fourth planet gear 487 is engaged, and the multiple fourth planet gear 487 could attach to output axle unit 484, the output Axle unit 484 is pivotally supported at by bearing 185 in gearbox-case 472.The multiple fourth planet gear 487 can be with Lockable ring gear 485 is engaged, and the lockable ring gear 485 is rotatably installed in gearbox-case In 472.Gear 471,473,475,476,478,479,481 and 483 can be collectively referred to as gear train 460 herein.

Lockable ring gear 485 is rotatably installed in the annular housing in motor holder part 190 (Figure 16) In 490.Cavity 490 is dimensioned so as to allow lockable ring gear 485 to surround longitudinal tool axis " LA- wherein LA's " rotates freely.Lockable ring gear 485 can be mounted in circular passage 490 and then pass through plug member 492 It remains fixed, the plug member 492 is pressed against or perhaps is maintained in circular passage 490.

Surgical instruments 310 may also include driving unit locking system 540, and the driving unit locking system 540 includes can The displacement ring assemblies 542 of movement.In at least one form, displacement ring assemblies 542 may include for example shifting ring 543, the shifting Position ring 543 has the locking component of at least one and preferably multiple 544 forms of such as pin.Pin 544 is protruded from displacement ring 543 And it is configured to selectively be engaged by locking with lockable ring gear 485.Each in locking pin 544 can be slided It is received in dynamicly in the respective channel 546 in plug member 492.Displacement ring 542 is supported for by being attached to clutch The reversion connector 550 of fixture 560 is axially moved.As in fig.15 as it can be seen that clutch fixture 560 may include spring perch, A part of the spring perch around the outer periphery of third spur gear 140 is clamped.Clutch fixture 560 can have on it There is the lug 562 for being attached to shift unit bar 564.Shift unit bar 564 can be slightly flexible and be pivotally coupled to shift Ring 542.(that is, when the just driving trigger shaft 104 of motor 100) during normal use, locking pin 544 and lockable annular tooth Wheel 475 is engaged by locking, lockable ring gear 475 to be prevented to rotate so that rotation torque is passed to output axle unit 484 And it is eventually transferred to driving tube 102.

When clinician it is expected using retraction assemblies 120 come bounce back trigger shaft 104 when, make retraction lever 150 from Figure 15 institutes The initial position shown is rotated along " R " direction.When the lever 150 that bounces back rotates, clutch fixture 560 and third spur gear 140 1 Rotation is played, so that shift unit bar 564 shifts ring 542 along distal direction " DD " is mobile.When displacement ring 542 is along distal direction When " DD " is moved, locking pin 544 moves into not to be engaged by locking with lockable ring gear 485, to allow lockable annular Gear 485 is rotated relative to gearbox-case 472.Clinician continues to make shown in 150 ratcheting motion to Figure 18 of retraction lever End position.In for example, at least a kind of construction, retraction lever 150 needs only to rotate about 15 degree, so that locking pin 544 is de- From lockable ring gear 485.After clinician discharges retraction lever 150, return spring 162 will make retraction lever 150 repeat the process back to initial position and clinician, until trigger shaft 104 retracts to desired position.Due to Lockable ring gear 485 rotates freely through in bearing case 472, therefore the rotation of driving tube 102 and output axle unit 484 Turn resisting other gear configurations not in by gear assembly 470.As a result, compared to holding and gear set in retraction process The retraction construction that gear configurations in part are operatively engaged, the ratcheting motion torque capacity needed for trigger shaft 104 that bounces back are subtracted It is small.In addition, although required torque is reduced, trigger shaft 104 can keep being operatively engaged with gear assembly 470.It changes Word says that trigger shaft 104 can keep being operably linked to motor 100.When displacement ring 542 is contacted in motor installation hub 192 During bearing 185, locking pin 544 is engaged by locking lockable ring gear 485.In the axis of displacement ring contact motor installation hub 192 After holding 185 or other parts, clutch fixture 560 is configured to slide relative to third spur gear 140.Therefore, Driving unit locking system 540 is used to be conducive at least the one of driving unit during retracting action is applied to driving tube 102 Rotation of the part in shank shell, to reduce the retraction torque capacity needed for retraction trigger shaft 104.

Surgical instruments 610 in Figure 19 is substantially the same with surgical instruments 310, the difference is that clutch fixture 560 is attached To third spur gear 140 so that removing for the reversion connector 550 in surgical instruments 310.As in figure 18 as it can be seen that example Such as, shift unit bar 564 is directly connected to displacement ring 542.The ratcheting motion of retraction rod thick stick 150 in the manner described above causes to shift ring 542 engagement and disengaging that move and lead to locking pin 544 and lockable ring gear 485.

Figure 20 and 21 shows substantially the same with surgical instruments 610 another surgical instruments other than following difference 610’.In this configuration, for example, at least two " blade type " Lock springs 620 and ring gear locking component 622 are supported on tooth On the gearbox-case 472 ' of wheel assembly 470 '.As in fig. 20 as it can be seen that each Lock spring 620 and corresponding locking component 622 are supported in the slit 624 in gearbox-case 472 '.In this configuration, it is attached to 544 ' the quilt of locking pin of displacement ring 542 It is constructed to be permeable to contact and presses inward against corresponding Lock spring 620, corresponding ring gear locking component 622 is squeezed It is engaged by locking into lockable ring gear 485.When in position (being shown in Figure 20), lockable ring gear 485 are prevented from rotating relative to gearbox-case 472 '.When shift unit bar 564 pulls displacement ring 542 along distal direction " DD ", Locking pin 544 ' is detached from its corresponding Lock spring 620, this allows spring 620 to bend to initial position, to allow ring gear Locking component 622 is detached from lockable ring gear 485, it is thus allowed to be rotated relative to gearbox-case 472 '.Therefore, when When retraction assemblies 120 start, lockable ring gear 485 is rotated freely through relative to gearbox-case 472 ', so as to reduce Lead to the retraction torque capacity needed for trigger shaft 104 along proximal direction " PD " retraction.

Figure 22-24 show if the distal part of the trigger shaft for the surgical instruments being operationally attached during operation or Other component is stuck or for the operation power of percussion bar assembly to be promoted to interrupt then for selectively manual retrieving surgery Another retraction assemblies construction of the distal part of the trigger shaft of instrument 710.Other than difference described below, surgical instruments 710 can be similar to the surgical instruments disclosed in above-described and/or Zemlok ' 763, the full patent texts in design and operation It is herein incorporated by reference.

As it can be seen that surgical instruments 710 includes the shell 712 for being operably supported percussion bar assembly 720 such as in Figure 22-24. Shell 712 can for example be operably supported motor and gear assembly (not shown), for spinning movement is applied to driving tube, It is axially moved so as to lead to fire bar assembly 720 according to various modes as described herein.In at least one constructs, hit Hair bar assembly 720 may include the nearside firing member operativelyd interface with according to various modes disclosed herein and driving tube or Bar part 722.In other surgical instruments construction, nearside percussion bar part 722 can be operable with other drive configurations and system Ground joins, other described drive configurations and system are configured to axial action being applied to nearside percussion bar part 722.

Furthermore, it can be seen that percussion bar assembly 720 may also include distal side firing member or bar part 724 such as in Figure 22-24, The distal side firing member or bar part 724 according to various modes as described herein be operably linked to loading unit 20 can The proximal end of the driving beam 60 of axial movement.The retraction assemblies 730 of retraction 732 form of link assembly are pivotably coupled to closely Flank attack is sent out between bar part 722 and distal side percussion bar part 724.In the construction shown, retraction link assembly 732 includes actuating Device connector 734, the actuator links 734 have the connector handle portions for being pinned to nearside percussion bar part 722 736.Retraction link assembly 732 further includes the distal side retraction company for being pinned to actuator links 734 and distal side percussion bar part 724 Fitting 738, as shown in the figure.In embodiment illustrated, shell 712 includes the joint motions casing part 714 extended towards distal side, The joint motions casing part 714 extended towards distal side may also include the shaft housing section 716 extended towards distal side.When retraction connecting rod Component 732 in response to fire bar assembly 720 axial movement along distal direction and proximal direction move axially when, shaft housing section 716 can be used for vertically supporting retraction link assembly 732.In order to which the link assembly 732 that is conducive to bounce back is relative to shaft housing section 716 Axial movement, actuator links 734 extend through the slit 718 being formed in shaft housing section 716, as shown in the figure.

Figure 22 shows the position of the percussion bar assembly 720 and retraction assemblies 730 before percussion.Figure 23 is shown along distal side The position of percussion bar assembly 720 and retraction assemblies 730 after the percussion of direction " DD ".If during percussion, clinician Wish driving beam 60 retracting to initial position backward, then clinician can only hold the connector handle of actuator links 734 It portion part 736 and is pivoted along " R " direction, as shown in figure 24, thus along nearside " PD " direction drawing distal side percussion bar portion Divide 724 and driving beam 60.As shown in Figure 22 and Figure 23, during percussion, distal side fires the proximal end 725 of bar part 724 The distance for being demarcated as " RD " can be usually axially spaced with the distal end 735 of nearside percussion bar part 734.For example, logical During over-drive unit fires and normal retraction fires bar assembly 720, distance " RD " can remain unchanged.However, work as clinician When starting retraction assemblies, the proximal end 725 of distal side percussion bar part 724 and the distal end 735 of nearside percussion bar part 734 The distance between (distance " RD ' ") distance " RD " will be less than.In addition, as in fig. 22 as it can be seen that the distal side work head of driving beam 60 The distance of (that is, after complete firing schedule) is by distance between 62 initial position and the end position of distal side work head 62 " FD " is represented.If desired, distance " RD " can be it is sufficiently large, with allow distal side percussion bar part 724 fully bounce back (that is, Move to the distal end 735 of closer nearside percussion bar part 722), so as to which work head 62 be made to return to it from end position Initial position.In other words, distal side percussion bar part 724 can bounce back be at least equal to or greater than percussion distance " FD " retraction away from From.In such construct, if for example, work head 65 is stuck in or is otherwise parked in its end position, retraction assemblies Startup can be fully retracted driving beam 60 so that distal side work head 62 returns to its initial position, wherein distal side work head 62 can permit Perhaps anvil block 22 pivotally opens and discharges tissue.

Figure 25-28 shows the alternative percussion bar assembly 720 ' of optionally manual retrieving.Percussion as depicted Bar assembly 720 ' according to the nearside that various modes disclosed herein and driving tube operatively interface with including that can fire bar part 722’.In other surgical instruments construction, nearside percussion bar part 722 ' can operationally be handed over other drive configurations and system It connects, other described drive configurations and system are configured to control action being applied to nearside percussion bar part 722 '.Percussion Bar assembly 720 ' may also include distal side percussion bar part 724 ', and the distal side percussion bar part 724 ' is hollow at least partly And the end of driving beam 60 being axially movable of loading unit 20 is operably linked to according to various modes as described herein Portion.For example, distal side percussion bar part 724 ' can have channel 725 wherein, the channel 725 is dimensioned so as to allow far Flank attack sends out bar part 724 ' and axially slides retraction distance " RDD " in nearside percussion bar part 722 '.Retraction distance can be equal to Or more than percussion distance " FD ", so as to which retraction assemblies 730 be allowed driving beam 60 to bounce back enough distances, to make its work head 62 move to initial position " SP " from end position " EP ".Referring to Figure 25.Retraction assemblies 730 ' may include the latch 732 ' that bounces back.It returns Contracting latch 732 ' may include what can be moved between latch position (Figure 25 and Figure 26) and unlatched position (Figure 27 and Figure 28) Latch shank 735.When in latch position, retraction latch 732 ' attaches distal side percussion bar part 724 ', so that it is prevented from It slides axially in nearside percussion bar part 722 ' and distal side percussion bar part 724 '.When in the orientation, nearside trigger shaft Part 722 ' is moved basically as whole.Therefore, when being orientated in latch, percussion bar assembly 720 ' can be along distal direction " DD " is fired into its end position " EP ", as shown in figure 26.If driving beam 60 is stuck or instrument during firing schedule Interruption in power or loss (or due to other reasons), then clinician can only will retraction latch shank 735 be moved to it is unlatched Position (Figure 27) and then along proximal direction " PD " manually pull retraction latch 732 ', as shown in figure 28.

Various retraction systems disclosed herein and construction can solve the certain defects that construction is frequently run onto that previously bounce back, institute It states previously retraction and is configured to the motor power drive member used by surgical end-effector that bounces back.It is for example, disclosed herein Various retractions construction can be conducive to manually for retracting action to be applied to drive member and/or associated drive configuration, and The resistance usually provided by gear associated with motor/transmission structure will not be provided, while gear/transmission structure is allowed to keep " drivingly " or it is physically coupled to motor.

Therefore, at least one example includes the surgical instruments that can have firing member component, and the firing member component can Including the part for being supported for selectively being axially moved along distal direction and proximal direction.The instrument may also include packet Driving unit is included, the driving unit includes the motor with motor drive shaft.Gear assembly be driveably connected to motor drive shaft and Including output shaft assembly, the output shaft assembly is configured to and firing member component joins so that when motor drive shaft is along the The part of firing member component along distal direction axially drive and when motor drive shaft edge when one direction of rotation rotates The part of firing member is axially driven along proximal direction when second direction of rotation rotates.Surgical instruments may also include Retraction assemblies, the retraction assemblies and firing member component join for when motor is deactivated by other spinning movements along second Direction of rotation is manually applied to firing member component.Surgical instruments may also include locking device, the locking device and retraction Component and driving unit handing-over, it is for being prevented during gear assembly holding is driveably connected to motor drive shaft that other rotations is dynamic It is transmitted to motor drive shaft.

According to another example, surgical instruments may include the driving unit for generating firing action and retracting action.Institute It states instrument and may also include surgical end-effector, the surgical end-effector is configured to hit in response to apply it At least one of work and retracting action is started to perform at least one surgical function.Surgical instruments may also include firing member group Part, the firing member component may include nearside firing member part, and the nearside firing member part can be grasped with driving unit Make ground to join and be configured to operationally receive rotary actuating movement from it.Firing member component may also include distal side Firing member part, the distal side firing member part are supported on the distal side of nearside firing member part and are adapted to It is enough that firing action and retracting action are transferred to surgical end-effector.Retraction assemblies are operably linked to nearside firing member Part and distal side firing member part.Retraction assemblies can unactuated position (wherein retraction assemblies can by firing action and return Proximally firing member is partially transferred to distal side firing member part for contracting action) and actuated position (wherein distal side firing member portion Split-phase moves axially nearside firing member part) between selectively move.

Another surgical instruments example may include shank shell, and the shank shell includes being operatively coupled with it thin Long axis component.Elongated shaft assembly can support the trigger shaft being axially movable wherein.Loading unit is operably linked to elongated Axis and be configured to and trigger shaft join.Driving tube is pivotally supported in shank shell and can be grasped with trigger shaft Make ground handing-over.Surgical instruments may also include the motor with motor drive shaft.Motor is operatively supported in shank shell and can It is operably coupled to power source.Gear assembly is driveably connected to motor drive shaft and including output shaft assembly, the output shaft Component is configured to and driving tube joins so that driving tube is along distal direction when motor drive shaft rotates along the first direction of rotation Drive trigger shaft and when motor drive shaft rotate along the second direction of rotation driving tube along proximal direction driving trigger shaft.Retraction assemblies It can join manually to apply it other spinning movements along the second direction of rotation when motor is deactivated with driving tube.Locking Device can join with retraction assemblies and gear assembly, for being prevented during motor sub-assembly holding is driveably connected to motor drive shaft Other spinning movements are transmitted to motor drive shaft.

Referring again to Fig. 1-3, in various embodiments, the motor 100 of surgical instruments 10 is operably linked to percussion member Part (such as percussion element 60), and percussion element 60 can be driven to pass through end effector or DLU 20 during firing schedule. For example, during firing schedule, percussion element 60 is cleavable to be organized and/or nail is fired into tissue.Battery can will be electric Stream is provided to such as motor 100, and the electric current of offer to motor 100 can be related to the torque generated by motor 100.In addition, The torque generated by motor 100 can be related to the percussion force applied by percussion element 60.Voltage on motor can be with such as motor 100 angular speed is related, and the angular speed can be with the velocity correlation of percussion element 60.Referring now to Figure 63, motor can limit torsion Square-voltage curve 5802.In various embodiments, torque-voltage curve 5802 can have peak torque in the case where optimizing voltage V T₁.For example it is being higher than and/or less than under the voltage for optimizing voltage V, peak torque T is smaller than by the torque of motor generation₁.Example Such as, under the voltage of 1/2V, it is, for example, less than T that torque-voltage curve 5802, which can have,₁Torque T₂。

In various embodiments, the control system that signal communication is carried out with motor can provide electric current to motor from battery. In some embodiments, control system may include such as speed management control, and the speed management control can control percussion element Speed.Control system may include such as variable resistance circuit and/or voltage regulator circuit, the variable resistance circuit and/or Voltage regulator circuit can control offer to the voltage on the electric current and/or motor of motor.In such embodiments, control system can The torque and/or angular speed of motor are controlled, and therefore can control the percussion force and/or speed of the percussion element for being connected to motor Degree.For example, the voltage on motor is adjusted to influence the speed of percussion element in voltage regulator circuit.Referring to Figure 63, if voltage It adjusts circuit and voltage is for example dropped into 1/2V from desired voltage V, then torque can be dropped to less than peak torque T₁T₂And speed can Such as it is adjusted to speed S₂。

In various embodiments, control system may include pulse-width modulation circuit, and control system can propose current impulse It is supplied to motor.Referring primarily to Figure 64 (a) -65 (b), electric current can be pulsed with constant voltage.In various embodiments, the duty of pulse Than (that is, at interval of or the period pulse duration) can influence fire element 5804 percussion speed.When duty is higher When (Figure 64 (a)), each pulse can be interval longer portion and therefore motor can be for example with fast speed S₁Driving percussion Element 5804.When duty ratio is relatively low (Figure 64 (b)), each pulse can be the shorter part at interval and therefore motor can be such as With slower speed S₃Driving percussion element 5804.In various embodiments, pulse-width modulation circuit can be in the optimization voltage V of motor (Figure 63), which gets off, provides current impulse to motor.It in such embodiments, can be in the feelings for not reducing the torque generated by motor Condition, which is got off, controls the speed of percussion element 5804.For example, motor can operate to generate peak torque for example in the case where optimizing voltage V T₁, and percussion element 5804 can be made by changing the width of voltage pulse with the speed of reduction (such as speed S₃) and/or appoint What suitable speed is driven across end effector.

In various embodiments, battery can have the volt-ampere limit or power threshold.In other words, battery per unit time may be used The energy of limited quantity is provided.The power threshold of battery can be related to battery and/or circuit design.For example, battery and/or circuit Thermoae limit (for example, thermal capacity and/or wire insulation) power threshold can be influenced.It is carried in addition, the power threshold of battery can limit It is supplied to the magnitude of current of motor.In various embodiments, the motor for controlling (for example, pulsewidth modulation) using speed management can not need to The maximum volt-ampere of battery.For example, when battery provides current impulse with using required speed and most under maximum or optimization voltage During big or optimization torque drive percussion element, residual current can be not used in driving percussion element.In such embodiments, it is remaining Electric current can be used for generating additional torque.Referring to Figure 66 (a) -66 (c), motor may include for example adding or ancillary coil group and remain Aftercurrent can be selectively guided to interpole coil group to generate additional torque.In such embodiments, motor can for example exist Compared with generating high torque under low velocity.In various embodiments, the volt-ampere limit that control system can be for example based on battery is come maximum The residual current provided to ancillary coil group is provided.In addition, in certain embodiments, control system can be at least the one of firing schedule Optimize the torque generated by motor during part.

Referring also to Figure 66 (a) -66 (c), battery 6002 can by current selective provide motor 6004.Motor 6004 can Including such as set of main coils 6006 and ancillary coil group 6008.In various embodiments, with the control of 6004 signal communication of motor System 6020 can by current selective be directed to set of main coils 6006 and/or ancillary coil group 6008.For example, control system 6020 can provide electric current to set of main coils 6006, and can carry electric current during second operates during the first mode of operation It is supplied to such as set of main coils 6006 and ancillary coil group 6008.In various embodiments, switch (such as switching 6010) can beaten It moves by current selective to provide such as ancillary coil group 6008 between open position and closed position.In various embodiments In, coil group 6006,6008 can individually be started.In addition, control system 6020 may include pulse-width modulation circuit 6022, and Current impulse can be provided such as coil group 6006, at least one of 6008 by battery 6002.In various embodiments, main line Circle group 6006 can be connected to the first circuit 6030 (Figure 66 (a)), and the second coil group can be connected to independently of the first circuit 6030 second circuit 6032 (Figure 66 (a)).In other embodiments, set of main coils 6006 and ancillary coil group 6008 can examples Such as (Figure 66 (b)) in parallel or series connection (Figure 66 (c)) arrangement.In certain embodiments, motor 6004 may include for example, at least one Additional set of main coils and/or at least one additional ancillary coil group.

In various embodiments, motor can generate the first torque capacity during the first mode of operation, and in the second operation The second torque capacity is generated during state.Second torque capacity can be greater than the first torque capacity.In addition, during the second mode of operation by Low locking of the percussion element between the departure date is fired can be organized and/or be limited to the additional torque that ancillary coil group 6006 generates.For example, Referring to Figure 67, motor can during the first mode of operation towards distal side drive percussion element and can during the second mode of operation court Nearside driving percussion element.In various embodiments, compared to percussion element is promoted, motor can be generated when retraction fires element The torque of bigger.In such embodiments, the retraction of percussion element can be improved.If percussion element is stuck, for example, tissue pair It is too thick and/or too hard and cannot cut and/or suture for element is fired, then additional torque for example can be used come the percussion that bounces back Element.Referring also to Figure 66, the torque generated by motor can be incrementally increased during " soft " startup stage 5902 of firing schedule And/or it can be gradually lowered during " soft " stop stage 5904,5906 of firing schedule.For example, when promoting percussion member During part, motor can progressively or slowly increase percussion speed when firing schedule starts, and can be hit in percussion element completion Progressively or percussion speed is slowly decreased when issuing the forward portion of journey.In addition, in various embodiments, motor can bounce back Generate peak torque and/or speed when firing element immediately immediately or substantially.Motor can be for example using interpole coil group 6008 (Figure 65 (a)-(c)) come maximize bounce back start when the torque that generates.

Referring to Figure 68, control system can control percussion element with during the test section 5912 of firing schedule with slower speed Movement.For example, when promoting percussion element, percussion element is initially moved with slower speed, to ensure the selection of end effector And/or arrangement is suitable for target tissue.In addition, as described in more detail herein, the engageable actuator of surgeon, such as switch or press Button with such as driven motor and starts the opening and closing of end effector jaw, fires the movement, and/or loading of element The joint motions of unit.Firing test section is (for example, indicated by Figure 68 when engaging actuator at motor drive actions beginning Test section 5912) permissible surgeon " experiment " surgery action, with ensure it is expected and/or suitably surgery act by Start.For example, in certain embodiments, the first button can start the joint motions of motor driving along the first direction, and the Two buttons can start the joint motions of motor driving in a second direction.When surgical instruments rotation and/or " inversion " are orientated, the One and second button position can from normal place rotate or become " reversed ", such as from the perspective of operator.If the One direction is expected joint motion direction, then can be it is desirable to assure that loading unit carries out joint along the first direction during test section Movement, that is, the first button is actually activated.Similarly, if second direction is expected joint motion direction, can it is expected Ensure that loading unit carries out joint motions in a second direction during test section, that is, the second button is activated.In some embodiments In, the test section during the initial part of surgery action can provide the time to be opened in the action of unexpected surgery for clinician Change in the case of dynamic and/or modification surgery acts.As described in more detail herein, pulse-width modulation circuit (such as pulsewidth modulation electricity Road 6022) can be achieved surgery action initial part during test section.

As described above, motor controller is configured to utilize pulse-width modulation operation motor 6004.In various situations Under, identical pulsewidth modulation for example can be used for set of main coils 6006 and ancillary coil group 6008 by motor controller.In other feelings Under condition, motor controller can be by the first pulse-width signal for set of main coils 6006, and second or distinct pulse widths are modulated Signal is used for ancillary coil group 6008.In some cases, motor controller can by pulse-width signal for coil group 6006, One of 6008, but it is not used in another one.In addition, teachings described herein content is applicable to more than two coil group Motor.For example, motor controller can operate multiple coil groups using multiple pulse-width signals.

In various embodiments, motor can for if any brush d.c. motor or Brushless DC motor.In certain embodiments, Motor can be stepper motor, for example, mixing stepper motor.Stepper motor can provide rotation control so that encoder is unnecessary 's.The removal of encoder can for example reduce the cost and/or complexity of motor.Referring to Figure 69 and Figure 70, motor can be to simplify step Into motor.For example, motor may include four electromagnetic poles being spaced apart around periphery.Referring now to Figure 71-74 (c), motor can be Mix stepper motor.Mixing stepper motor may include such as permanent magnet and electromagnet.

The existing surgical instruments construction being disclosed in such as Zemlok ' 763 and Zemlok ' 344 uses two separate motors. One motor for for example driving element being made to be advanced through loading unit towards distal side, this cause the closure of anvil block, tissue cutting, And nail is from the percussion of the nail bin being supported in loading unit.Another motor is used to that loading unit to be made to surround actuated articulation joints Carry out joint motions.Other details in relation to being used to that loading unit construction to be made to carry out joint motions are also disclosed in United States Patent (USP) 7, In 431,188, the entire disclosure of the patent is herein incorporated by reference.It can be increased using two motors in such device Add complexity and increase the overall cost of surgical instruments.For example, such construct can make the retraction system that can be failed during use The doubles of system and other mechanisms.Surgical instruments 810 shown in Figure 29-31 uses single-motor, the motor alternative For firing surgical end-effector and surgical end-effector being made to carry out joint motions, the surgical end-effector can on ground At least one surgical operation is performed in response to the firing action applied to it.

In at least one form, for example, institute in the various surgical instruments being described in detail herein can be used in surgical instruments 810 Multiple same parts.For example, surgical instruments 810 includes the shell 12 for being wherein operably supported motor 100, the motor 100 are configured to generate rotary actuating movement.Motor 100 is operably linked to gear assembly 820, the gear assembly 820 have the associated driving coupler assembly 840 that can selectively position, and the driving coupler assembly 840 will be Hereinafter it is explained in more detail.Surgical instruments 810 may also include the articulation system being generally designated as 859, the pass Section kinematic system operativelys interface with joint motions action being applied to surgical end-effector with elongated shaft assembly. In a kind of form, for example, articulation system 859 may include being generally designated the joint motions actuating mechanism for 860, the joint Motion actuation mechanism can be substantially similar in addition to difference described below Zemlok ' 763 and/or Zemlok ' 344 and/or Joint motions actuating mechanism disclosed in United States Patent (USP) 7,431,188.For example, shell 12 may include wherein being equipped with it is rotatable The cylindrical portions 90 of component 92.Rotating parts 92 can join to be conducive to elongated shaft assembly with the proximal end of elongated shaft assembly Relative to the rotation of shell 12.Rotating parts 92 are operably supported joint motions button and such as 7,431,188 institutes of United States Patent (USP) Disclosed slip-clutch construction.The main joint movement gear 94 of this construction is represented by the dotted line in Figure 29 and Figure 30.Main joint Moving gear 94 can be by such as above-mentioned United States Patent (USP) 7, and the slip-clutch described in 431,188 is connected to main shaft 95 so that main The rotation of joint motions gear 94 will cause the corresponding of main shaft 95 to rotate.As wherein described in more detail, joint motions button can be used as Articulated position indicator.Main shaft 95 and J- channel components 96 operatively interface with, and the J- channel components 96 are transported with joint The proximal end handing-over of follower link component 97.In one form, joint movement connector component 97 may include single with loading The proximal joint movement connector 98 of joint movement connector 70 (Fig. 3) handing-over in member 20.

Articulation mechanism 860 may also include joint motions driving series structure 870, and the joint motions drive series structure 870 move gear 94 with main joint and coupler assembly 840 are driven to operatively interface with.As it can be seen that closing such as in Figure 29 and Figure 30 Section movement driving series structure 870 may include joint motions drive shaft 872, and the joint motions drive shaft 872 is attached to driving connection The output section of device assembly 840 is connect, it such as will be described in more detail below.First joint motions drive gear 873 is attached to joint fortune It moves drive shaft and is engaged with the central gear seat ring 875 on second joint motion transmission gears 874, the second joint Motion transmission gears 874 are pivotally supported in rotating parts 92.Therefore, the rotation of the first joint motions drive gear 873 Transduction causes the rotation of the second center knuckle motion transmission gears 874.Furthermore, it can be seen that " third " joint such as in Figure 29 and Figure 30 Movement shaft gear 877 is mounted thereto the second joint kinematic axis 876 with " the 4th " joint motions worm gear 878.Third joint Movement shaft gear 877 is engaged with the second center knuckle motion transmission gears 875 so that the first joint motions drive gear 873 rotation eventually leads to the rotation of third joint motions shaft gear 877 and second joint kinematic axis 876.4th joint motions Worm gear 878 is engaged with main joint movement gear 94 so that the rotation of the 4th joint motions worm gear 878 causes main joint to move It the rotation of drive gear 94 and eventually leads to joint motions action is applied to joint movement connector component 97.It such as will be under Text is described in more detail, and when coupler assembly 840 is driven to be in joint motions control orientation, joint motions drive shaft 872 is by horse It is rotated up to 100.

As it can be seen that motor 100 is operably linked to gear assembly 820 such as in Figure 31.Gear assembly 820 may include coupling To the gearbox-case 822 of motor 100.For example, gearbox-case 822 can by screw rod 103 or other machanical fasteners and/or Fastener construction is connected to motor case 101.Gear assembly 820 may include being operably linked to the planet tooth of motor drive shaft 107 Wheel construction 821.In a kind of construction, for example, ring gear 823 can be formed on the inner surface of gearbox-case 822.The main sun Gear 821 is connected to motor drive shaft 107.Main sun gear 821 and multiple first planets being supported on the first pinion frame 824 Gear 825 is engaged so that they are also engaged with ring gear 823.First sun gear 826 is formed in other words It is attached on the first pinion frame 824, and multiple second planetary gears with being supported on the second pinion frame 827 828 are engaged.Second planetary gear 828 is also supported for being engaged with ring gear 823.829 shape of secondary sun wheel It is attached on the second pinion frame 827, and be engaged with multiple third planet gears 831 into other words.Third Planetary gear 831 is supported on third planet tooth rest 830 and is supported for being engaged with ring gear 823.Third Sun gear 833 is formed in the shaft extension 832 being attached on third planet tooth rest 830 in other words and joins with being attached to The multiple fourth planet gears 835 for connecing device gear are engaged, and the connector gear includes being pivotally supported at axis extension Fourth planet tooth rest 834 in portion 832.In addition, thrust bearing 836 can axle journal be connected between fourth planet tooth rest 834 Shaft extension 832 on.Fourth planet gear 835 is engaged with output axle unit 850, and the output axle unit 850 is by tooth Roller box shell 822 is pivotably supported.Second thrust bearing 836 may be supported on fourth planet gear and output axle unit 850 it Between, it is such as visible in fig. 30.Fourth planet gear 835 is supported for being engaged with internal gear seat ring 854.

In embodiment illustrated, output axle unit 850 is operably linked to the class for having disclosed in Zemlok ' 763 The clutch 230 of type and construction, the full patent texts are herein incorporated by reference.Construction and behaviour in relation to such clutch 230 The other details of work are available from the announcement.However, in alternative embodiment, clutch 230 can be by axis-axis connector or casing Construction is replaced, and the axis-axis connector or casing, which are configured to be conducive to export axle unit 850, is directly coupled to driving tube 102.

Referring again to Figure 31, main joint movement drive gear 837 is attached to joint motions drive shaft 872 and and fourth line External teeth torus 838 on gear rack 834 is engaged.In various forms, driving coupler assembly 840 may also include connection Device selector component 842 is connect, the connector selector component 842 is movably connected to gearbox-case 822 or shell 812 Other parts in other words movably supported by it.In at least one constructs, connector selector component 842 can be with the One drive shaft retainer part 844 and the first articulating shaft retainer part 846 are formed together.First drive shaft retainer portion Divide 844 to include regions, the regions such as the channel form, coarse shape such as channel form, coarse shape to be configured to not connect movably Close the second drive shaft retainer part 845 on output axle unit 850.Similarly, the first articulating shaft retainer part 846 Including regions such as channel form, coarse shapes, the regions such as the channel form, coarse shape are configured to not engage the 4th movably Second joint kinematic axis retainer part 847 on pinion frame 834.

Figure 29 and Figure 30 be can refer to understand the operation of coupler assembly 840.As it can be seen that connector selector such as in Figure 29 Component 842 is pivoted to articulated position, wherein the first articulating shaft retainer part 846 is with exporting on axle unit 850 Second joint kinematic axis retainer part 847 do not engage movably.When at that position, output axle unit 850 is hindered Only rotated around longitudinal axis L A-LA.Therefore, when at that position, the operation of motor 100 will lead to third sun gear 833 rotation, the third sun gear 833 are engaged with fourth planet gear 835.The rotation of fourth planet gear 835 It will cause the rotation of rotatable fourth planet tooth rest 834.Such rotation of fourth planet tooth rest 834 will also cause It is connected to the rotation of the main joint movement gear 837 of joint motions drive shaft 872.The rotation of joint motions drive shaft 872 will be led The first joint motions drive gear 873 is caused to rotate and drives second joint motion transmission gears 874.Second joint movement is transmitted The rotation of gear 874 leads to the rotation of third joint motions Transmission gear and the 4th joint motions worm gear 878.4th joint motions The rotation of worm gear 878 will drive main joint movement gear 94, this will cause joint motions action to be applied to joint motions connection Part 97,70, so as to eventually lead to the rotation that loading unit 20 surrounds actuated articulation joints.Motor drive shaft 107 is rotated along first The rotation in direction will lead to joint motions of the loading unit along the first joint motion direction, and motor drive shaft 107 is along opposite The rotation of direction of rotation will lead to joint of the loading unit along the second joint direction of motion opposite with the first joint motion direction Movement.

Referring next to Figure 30, connector selector component 842 is pivoted to driving or firing position, wherein the first driving Axis retainer part 844 and the 845 not movable engagement of the second drive shaft retainer part on fourth planet tooth rest 834. When at that position, fourth planet tooth rest 834 is prevented from rotating around longitudinal axis " LA-LA ".Therefore, when in the position When putting, rotation that the operation of motor 100 will lead to third sun gear 833.Third sun gear 833 is with being supported on fourth planet Fourth planet gear 835 on tooth rest 834 is engaged.Due to fourth planet tooth rest 834 because the first articulating shaft is protected Not movable between second joint kinematic axis retainer part 847 on holder part 846 and fourth planet tooth rest 834 connects It closes and is blocked for rotation, the rotation of fourth planet gear 835 will cause to export the rotation of axle unit 850.Exporting axle unit 850 can Driving tube 102 is connected to by clutch pack 230 or by directly coupling.Therefore, the rotation of output axle unit 850 causes The rotation of driving tube 102.As described above, the rotation of driving tube 102 leads to the axial movement of trigger shaft (being not illustrated in Figure 31).Horse The distal side for leading to trigger shaft is promoted up to the rotation of drive shaft 107 along the first direction of rotation, and motor drive shaft 107 is along opposite The proximal movement that the rotation in direction will lead to trigger shaft.In various embodiments, the closure of 20 jaw of loading unit is (for example, anvil Holder assembly 22 relative to carrier 24 pivot) articulation system and/or trigger system of motor 100 and surgical instruments 10 can be made Connection and/or separation.For example, anvil assembly 22 can make motor 100 and articulation system (example relative to the closure of carrier 24 Such as, with joint motions drive shaft 872) detach, and motor 100 can be connected to trigger system (for example, output axle unit 850).In addition, anvil assembly 22 can be such that motor 100 is detached with trigger system relative to the opening of carrier 24, and can be by motor 100 are connected to articulation system.In such embodiments, motor 100 can influence loading unit when loading unit 20 is opened 20 joint motions, and motor 100 can influence the percussion of trigger shaft when loading unit 20 is closed.Surgical instruments 10 may include Such as sensor and/or selector.In certain embodiments, sensor can detect the closure of 20 jaw of loading unit.In addition, it passes Sensor can carry out signal communication with selector (such as connector selector component 842).When anvil assembly 22 is for example relative to load When body 24 is opened and/or is closed, selector can make motor 100 couple and/or divide with articulation system and/or trigger system From.Compared to the multiple motors of use so that end effector carries out the elder generation of joint motions and fighting end actuator drive member Preceding powered surgical instrument can be represented huge using the various powered surgical instruments of various driving coupler configurations disclosed herein It improves.

For example, at least one surgical instruments includes limiting the elongated shaft assembly of longitudinal tool axis.Surgical end-effector Elongated shaft assembly is operably linked to for its opposite selective joint motions.Surgical end-effector can be configured to At least one surgical operation can be performed in response to the firing action applied to it.Articulation system can be with elongated shaft assembly It operativelys interface with joint motions action being applied to surgical end-effector.Firing member component can be with elongated shaft group Part operativelys interface with firing action being applied to surgical end-effector.Surgical instruments, which may also include, to be adapted to Enough generate the motor of rotary actuating movement.Drive coupler assembly that can join with motor and articulation system so as to work as driving When coupler assembly is in the first configuration, the operation of motor will cause actuation motion to be applied to articulation system, thus lead Joint motions of the surgical end-effector relative to longitudinal tool axis are caused, and when driving coupler assembly is in the second configuration When, the operation of motor will cause actuation motion to be applied to firing member component, thus cause firing member component will at least one A firing action is applied to surgical end-effector.

Another surgical instruments example may include shank, and the shank, which has, is operably linked to its restriction longitudinal direction work Has the elongated shaft assembly of axis.Loading unit is operably linked to elongated shaft assembly and is configured in response to it The firing action of application cuts off and sutures tissue.Loading unit is configured to around actuated articulation joints relative to vertical Joint motions are selectively carried out to tool axis.Surgical instruments may also include articulation system, the articulation system Including joint movement connector component, the joint movement connector component is supported and is configured to by elongated shaft assembly It is operativelyd interface with the actuated articulation joints part in one of elongated shaft assembly and loading unit.Joint motions actuator Structure can join to apply it joint motions actuation motion by shank support and with joint movement connector component.Surgical instruments Firing member component is may also include, the firing member component operativelys interface with dynamic to apply percussion to it with loading unit Make.Motor can be operably supported by shank and be configured to generate rotary actuating movement.Drive coupler assembly can Join with motor and joint motions actuating mechanism so that when coupler assembly is driven to be in the first configuration, the operation of motor will Actuation motion is caused to be applied to articulation system, loading unit is thus caused to be transported relative to the joint of longitudinal tool axis It is dynamic, and when coupler assembly is driven to be in the second configuration, the operation of motor will cause actuation motion to be applied to percussion structure Thus part component causes firing member component that at least one firing action is applied to loading unit.

Another surgical instruments example may include limiting the elongated shaft assembly of longitudinal tool axis.Surgical end-effector can Elongated shaft assembly is operably coupled to for its opposite selective joint motions.Surgical end-effector is configured to Enough at least one surgical operation is performed in response to the firing action applied to it.Articulation system can with elongated shaft assembly Operatively join joint motions action being applied to surgical end-effector.Firing member component can be with elongated shaft assembly It operativelys interface with firing action being applied to surgical end-effector.Motor is configured to generate rotation cause Dynamic movement.Surgical instruments may also include following device, and described device is used to be applied selectively to close from motor by output action Save each in kinematic system and firing member component.

In certain motors drive surgical instruments, touch feedback can be supplied to the operator of surgical instruments by motor.For example, The rotation of motor for example can generate vibration action or noise according to the direction of motor rotation and/or speed.However, various motors Minimum noise can be generated, and therefore surgical touch feedback can be restricted and/or can not be cured by surgery Physiology solution.For example, motor and/or the various modifications and/or improvement transmitted in design can be reduced by motor and/or transmission design production Raw tactile noise.In such embodiments, it may be advantageous to change motor and/or be operably linked to the gear of motor Component, to generate artificial or deliberate touch feedback and/or other sensory feedbacks.In certain embodiments, surgical instruments can incite somebody to action Feedback sends surgeon to, and surgeon need not be made to shift sight from operating position.For example, motor and/or gear can produce Tactile and/or audio feedback are given birth to communicate with surgeon.In such embodiments, it is for example next need not to watch display screen by operator Find out the mode of operation or situation of surgical instruments.As described in more detail herein, surgical instruments can transmit the rotation side of such as motor To the direction of rotation may correspond to the percussion direction of such as firing member and/or the joint motion direction of loading unit.Except this Except or alternatively, surgical instruments can be transmitted for example during firing schedule firing member speed and/or position and/or The speed and/or degree of the joint motions of loading unit can for example be transmitted.

In various embodiments, as described in more detail herein, motor is operably linked to percussion component and/or joint fortune Dynamic component.Referring to Figure 168, motor 7010 can drive the motor drive shaft 7014 of for example engageable gear assembly 7020.In various implementations In example, the key 7016 on key, such as motor drive shaft 7014, a part for engageable gear assembly 7020.In certain embodiments, tooth Wheel assembly 7020 may include such as disk 7022,7024, and the disk 7022,7024 can be configured to by key and motor drive shaft 7014 It rotates or rotates together with motor drive shaft 7014 during engagement.For example, the first disk 7022 may include groove (not shown).In addition, from horse Groove in engageable first disk 7022 of the first key (not shown) extended up to axis 7014 so that the first disk 7022 is in motor drive shaft 7014 (CW) clockwise are rotated clockwise when rotating and are rotated counterclockwise in (CCW) rotation counterclockwise of motor drive shaft 7014. In at least one embodiment, the first key can be kept and the first disk 7022 during the whole operation of surgical instruments and/or its motor In groove engagement.

In certain embodiments, the first disk 7022 can be balance relative to its rotation axis along motor drive shaft 7014.Still Referring to Figure 168, block (such as block 7026) can extend from the first disk 7022 and can be moved into deviateing by the barycenter of the first disk 7022 The rotation axis of first disk 7022.For example, block 7026 can prolong far from the outer periphery of motor drive shaft 7014 and/or separate first disk 7022 It stretches.In other words, block 7026 can upset the balance of the first disk 7022, lead to the rotation unbalance of the first disk 7022, and therefore exist First disk 7022 generates centrifugal force when being rotated together with motor drive shaft 7014.Therefore, the rotation of the first disk 7022 and block 7026 can produce Raw touch feedback, for example, the vibration or shake of surgical instruments shell and/or shank.Touch feedback may correspond to surgical instruments Mode of operation or situation.In addition, motor drive shaft can be dependent on by the touch feedback that the rotation of the first disk 7022 and block 7026 generates 7014 rotary speed.In such embodiments, firing speed and/or joint motions speed also can for example be sent to surgery doctor It is raw.For example, the first disk 7022 can be generated when motor drive shaft 7014 rotates quickly with upper frequency touch feedback and The touch feedback with lower frequency is generated when motor drive shaft 7014 more slowly rotates.

Similar to the first disk 7022, in certain embodiments, the second disk 7024 can be relative to its rotation along motor drive shaft 7014 Shaft axis is balance.Referring also to Figure 168, however, block (for example, block 7028) can extend from the second disk 7024 and can make its matter The heart deviates.For example, block 7028 can extend far from the outer periphery of motor drive shaft 7014 and/or separate second disk 7024.In other words, block 7028 can upset the balance of the second disk 7024, lead to the rotation unbalance of the second disk 7024, and therefore in the second disk 7024 and horse Centrifugal force is generated when being rotated together up to axis 7014.Therefore, the rotation of the second disk 7024 and block 7028 can generate touch feedback, example Such as, the vibration or shake of surgical instruments shell and/or shank.Touch feedback may correspond to the mode of operation or feelings of surgical instruments Condition.In addition, it can be dependent on the rotary speed of motor drive shaft 7014 by the touch feedback that the rotation of the second disk 7024 and block 7028 generates. In such embodiments, firing speed and/or joint motions speed also can for example be sent to surgeon.In various embodiments In, the first disk 7022 and/or the second disk 7024 may include for example similar to the extra block of block 7026 and/or 7028, described additional Block can for example further help to the haptic response of surgical instruments shell and/or shank.In addition, in some embodiments, horse It is additional and/or different selectively to generate that the additional and/or different disks of gear assembly 7120 are operatively engaged up to axis 7014 Touch feedback.

Referring also to Figure 168, the second disk 7024 may include inner periphery 7026.In various embodiments, the second key 7016 can be from Motor drive shaft 7014 extends, and the second disk 7024 can be operatively engaged by inner periphery 7030.Inner periphery 7030 may include example Such as the multiple arcs surface 7034 between multiple flat surfaces 7032 and adjacent planar surface 7032.Each pair of 7032 He of flat surfaces Curved surfaces 7034 can limit groove, and the groove can be configured to receive the second key 7016.In certain embodiments, work as key 7016 when being rotated in a first direction, and key 7016 can abut flat surfaces 7032 and be fixed and/or be maintained at the second disk 7024 Groove in.In such construct, the second disk 7024 can be together rotated in a first direction with motor drive shaft 7014.In addition, certain In embodiment, when key 7016 rotates in the second direction opposite to the first direction, key 7016 could rotate through curved surfaces 7034 and it can be fixed and/or be maintained in the groove in inner periphery 7030.In other words, key 7016 can be relative to the second disk 7024 rotations.In such construct, motor drive shaft 7014 can be rotated in a second direction relative to the second disk 7024.Therefore, work as motor When axis 7014 is rotated in a first direction, key 7016 can only engage the second disk 7024 and the second disk 7024 is caused to rotate.Certain In embodiment, first direction may correspond to CW rotations, and in other embodiments, and first direction may correspond to CCW rotations.

As described herein, since the engagement of the second disk 7024 may depend on the direction of rotation of motor drive shaft 7014, second Disk 7024 can be only when motor drive shaft 7014 rotates in one direction (for example, driving firing member in one direction in motor 7010 And/or when rotating loading unit in one direction) rotation.It is fired for example, the second disk 7024 can only for example bounce back in motor 7010 Component or while rotating clockwise loading unit, rotate.Such selectively engage of second disk 7024 can influence to be generated by surgical instruments Touch feedback.It in other words, can be anti-to generate different and/or larger tactiles based on selectively engaging for the second disk 7024 Feedback.For example, only rotated in wherein the second disk 7024 in motor 7010 with bounce back firing member when the embodiment that rotates in, compared to During the propulsion of firing member, the touch feedback of bigger can be generated during retraction.During retraction, the second disk 7024 can also have Help the generation of touch feedback, this can lead to the higher or larger summation of feedback force.In such embodiments, by the first disk 7022nd, the larger touch feedback that the second disk 7024 generates can indicate that firing member passes through motor 7010 and returned to surgeon Contracting.In various embodiments, according to described above, only the first disk 7022 can be revolved when motor drive shaft 7014 rotates in one direction Turn, and two disks 7022,7024 are rotatable when motor drive shaft 7014 rotates in mutually opposite directions.As a result, when motor drive shaft 7014 When being rotated along different directions, disk 7022,7024 can generate different feedbacks.

Referring now to Figure 169, in certain embodiments, motor 7010 can drive the motor drive shaft of engageable gear assembly 7120 7014.In various embodiments, the key 7016 on key, such as motor drive shaft 7014, engageable gear assembly 7120.Similar to gear Component 7020, gear assembly 7120 may include multiple disks, for example, the first disk 7122 and the second disk 7124.First disk 7122 and Two disks 7124 can be configured to rotate or take turns together with motor drive shaft 7014 when being selectively engaged with motor drive shaft 7014 by key Turn.For example, the first disk 7122 may include groove (not shown).In addition, the first key (not shown) extended from motor drive shaft 7014 can Engage the groove of the first disk 7122 so that the first disk 7122 rotates together with motor drive shaft 7014.In certain embodiments, it is using Period, the first key can cannot be detached from from the groove of the first disk 7122.Second disk 7124 may include such as inner periphery 7130, similar In the inner periphery 7030 of the second disk 7024.Inner periphery 7130 may include multiple flat surfaces 7132 and multiple arcs surface 7134. As described in herein in relation to Figure 168, key 7016 can be selectively engaged and be detached from according to the direction of rotation of motor drive shaft 7014 The inner periphery 7130 of two disks 7124.For example, when motor drive shaft 7014 is rotated in a first direction, 7016 engageable second disk of key 7124, the second disk 7124 is thus caused to be rotated together with motor drive shaft 7014.In addition, when motor drive shaft 7014 rotates in a second direction When, key 7016 can remain disengaged from the second disk so that key 7016 can be rotated relative to the second disk 7024 in inner circumference 7130.

In various embodiments, the first disk 7122 may include at least one pick 7126, and the second disk 7124 can also wrap Include at least one pick 7128.When disk 7122,7124 rotates, pick 7126,7128 can hit audio feedback generator 7140 Element.For example, pick 7126,7128 can hit the clicker 7142,7144 of audio feedback generator 7140.In various embodiments In, the pick 7126 of the first disk 7122 can hit and bend the first clicker 7142 when the first disk 7122 rotates, and when the The pick 7128 of the second disk 7124 can hit and bend the second clicker 7144 when two disks 7124 rotate.Clicker 7142,7144 Shock and flexure can lead to clicker 7142,7144 resonance and generate audible signal.In other words, first and second disks 7122 Rotation can generate audible feedback.In addition, the rotary speed of rotating disk 7122,7124 and/or from the first disk 7122 and the second disk The quantity and construction of the pick of 7124 extensions can influence the frequency of audible signal.In such embodiments, it the speed of motor and hits The corresponding percussion speed of hair element and/or the joint motions speed of loading unit can for example be transmitted to surgeon.

Referring primarily to Figure 170 and Figure 171, in various embodiments, the geometry of pick 7126,7128 can be influenced by sound The audible signal that frequency feedback generator 7140 generates.For example, pick 7126,7128 can respectively include non-attenuation surface 7150 and decline Subtract surface 7152.Non- attenuation surface 7152 may include such as flat surfaces and surface 7152 of decaying may include such as arc table Face.In various embodiments, wherein the non-attenuation surface 7150 of pick 7126 when rotated be located at pick 7126 attenuation meter In the case of before face 7152 (Figure 170), the resonance of clicker 7142 can be decayed by the rear end of pick 7126 surface 7152 decay and/ Or stop.For example, the arched geometry on attenuation surface 7152 can contact the clicker 7126 of flexure, to prevent and/or limit sound The vibration of piece 7126 or resonance.On the contrary, the attenuation surface 7152 of pick 7126 is when rotated positioned at pick 7126 wherein In the case of before non-attenuation surface 7150 (Figure 171), the resonance of clicker 7142 can not be by the non-attenuation surface of pick 7126 7150 attenuation.For example, the flat geometry on non-attenuation surface 7150 can be avoided and/or be limited with bending connecing for clicker 7126 It touches so that the resonance of clicker 7126 is allowed to and/or is not so limited.In other words, disk 7122,1724 and related pick 7126th, 7128 direction of rotation can influence the audio feedback generated by surgical instruments.It therefore, can be in surgical instruments during use Its mode of operation is notified to the operator of surgical instruments, and surgeon need not be made to shift sight from surgical site.For example, sound Frequency signal can be attenuated when firing member bounces back and can not be attenuated when firing member promotes.In other embodiments, Audio signal can be attenuated when firing member promotes and can not be attenuated when firing member bounces back.In addition, in some realities It applies in example, for example, the audible signal of attenuation can be corresponding with the joint motions of loading unit in one direction and unbated Audible signal can be corresponding along the joint motions in another direction with loading unit.In various embodiments, at least one audio Feedback generator can be used alone and/or can be used with reference at least one haptic feedback system.In addition, in some embodiments In, at least one haptic feedback system can be used alone and/or can be used with reference at least one audible feedback generator.Audio Different modes of operation can be sent to surgeon and/or can will be for example in relation to same operation shape by feedback and touch feedback The duplex feedback of state is supplied to surgeon.

In various embodiments, surgical instruments can fire element approach and/or reach firing schedule end when and/or Loading unit generates feedback when approaching and/or reach the joint motions limit.In various embodiments, this feedback may differ from and/ Or during being additional to entire firing schedule and/or loading unit carry out joint motions when generated feedback.Therefore, surgical instruments Such as firing schedule can be notified to be nearly completed and/or completed to user and/or can notify loading unit to operator Close to the joint motions limit and/or the joint motions limit is reached.

Referring now to Figure 172, motor 7010 and motor drive shaft 7014 can be operatively engaged with gear assembly 7120, such as above It is described in more detail.In addition, the disk 7122 of gear assembly 7120,7124 accessible audible feedback generators 7240, the audio are anti- Feedback generator 7240 can be similar to such as audible feedback generator 7140.For example, the pick 7126,7128 on disk 7122,7124 Thus the clicker 7242,7244 of deflection audible feedback generator 7240 leads to clicker 7242,7244 resonance and generates the sense of hearing Feedback.In addition, audible feedback generator 7240 can move or translate relative to gear assembly 7120.As described in more detail below, Audible feedback generator 7240, which is selectively movable into, to be engaged with the clicker 7242,7244 on disk 7122,7124 and/or does not connect It closes selectively to generate audible signal.In other embodiments, motor, gear assembly and/or its disk are movable so that disk Pick, which is selectively moved into, to be engaged and/or does not engage selectively to generate sense of hearing letter with the clicker of audible feedback generator Number.

In various embodiments, when firing member moves during firing schedule, audible feedback generator 7240 can be It is translated in surgical instruments.For example, at firing schedule beginning, audible feedback generator 7240 can be with the pick of disk 7122,7124 7126th, 7128 misalignment.In addition, when firing member moves toward the far side and/or during close to firing schedule end, audible feedback Generator 7240 is moveable to and/or moves into be aligned with the pick of disk 7122,7,124 7126,7128.In such embodiments, Audible feedback generator 7240 generates audio feedback when can approach and/or reach firing schedule end in firing member.Referring to figure 173, it is generated for example, feedback generator can be in firing member in position range that is close and/or reaching firing schedule end It feeds back for example to send the position of firing member to surgeon.In such embodiments, surgical instruments can be by firing schedule End sends operator to.For example, referring again to Figure 172, when distal end of the firing member close to firing schedule, at least one A pick 7126,7128 can be aligned at least one clicker 7242,7244.At this point, surgical instruments can generate feedback will fire The position of component sends surgeon to.It, can when each pick 7126,7128 is aligned with one in clicker 7242,7242 Send larger and/or different feedback to surgeon.In addition, when firing member bounces back, at least one pick 7126, 7128 can again with clicker 7242,7244 misalignment so that send reduction and/or different feedbacks to surgeon.Cause This, when feedback generator moves across firing schedule, feedback generator can be based on the position of firing member come by the anti-of variation Feedback sends operator to.In addition, gear assembly 7120 may include it is movable into being engaged with audible feedback generator 7240 and/or not The additional disk and/or pick and/or audible feedback generator 7240 of engagement may include it is movable into engaged with pick and/ Or asynthetic additional clicker.In various embodiments, audible feedback generator can be by the alternative and/or extra order of firing member It puts and sends surgeon to.For example, audible feedback generator can along fire and/or retraction path length midpoint and/or Audio feedback is transmitted at incremented point.

Referring now to Figure 174 and Figure 175, it is possible to use movable feedback generator is by the joint motions of loading unit The limit sends surgeon to.For example, the audible feedback generator 7240 shown in Figure 172 for example can be with the joint of loading unit It moves and translates.For example, when loading unit is in non-joint motions configuration, audible feedback generator 7240 can with disk 7122, 7124 pick 7126,7128 misalignment.In addition, when loading unit carries out joint motions, audible feedback generator 7240 can It moves to and/or moves into and be aligned with the pick of disk 7122,7,124 7126,7128.In such embodiments, audible feedback occurs Device 7240 generates audio feedback when can approach and/or reach the joint motions limit in loading unit.For example, referring again to Figure 174 And Figure 175, feedback generator can be in position range that is close and/or reaching firing schedule end in firing member and generate instead It presents to send the position of firing member to surgeon.In such embodiments, surgical instruments can pass the joint motions limit Give operator.For example, referring again to Figure 172, when loading unit is close to its joint motions limit (for example, close to 45 degree) When, at least one pick 7126,7128 can be aligned at least one clicker 7242,7244.At this point, surgical instruments can generate feedback To send the position of firing member to surgeon.When loading unit is closer and/or reaches the joint motions limit, each Pick 7126,7128 can be aligned with one in clicker 7242,7244, and can transmit larger and/or different feedback To surgeon.In addition, when loading unit carries out joint motions to return to non-joint motions, neutral position, it is at least one Pick 7126,7128 can again with clicker 7242,7244 misalignment so that reduction and/or different feedbacks are sent to outer Section doctor.Therefore, when feedback generator moves across firing schedule, feedback generator can based on loading unit configuration come by The feedback of variation sends operator to.

In various embodiments, it may be advantageous to certain components of surgical instruments be protected to be contacted to prevent fluid.For example, make Surgical instruments can be damaged, and can limit and/or shorten the life cycle of surgical instruments with contacting unintentionally for body fluid with period.This Outside, it may be advantageous to certain components of surgical instruments be protected to be contacted to prevent the fluid of sterilization period.For example, with sterilizing and/or The contact unintentionally of cleaning fluid can damage surgical instruments, and can interfere with and/or limit the reusability of surgical instruments. In various embodiments, certain components of surgical instruments can be sealed and/or be protected to be contacted to prevent fluid.For example, in surgical instruments Electronic device salable protected in the epoxy to prevent fluid.Surgical instruments moving component (for example, motor and/ Or the part of gear assembly) can also be sealed and/or protected to prevent fluid contact.Such sealing can for example adapt to various movement portions The rotation of part.In addition, in various embodiments, such sealing may also be advantageous for hot transmission so that during surgery instrumentation The heat of generation is relatively efficiently dissipated.

Referring now to Figure 185 and Figure 186, in certain embodiments, motor 7510 and/or gear assembly 7520 can be sealed And/or protection is to prevent the fluid during use and/or during sterilization treatment.Motor 7510 can be similar to such as motor 100, and Gear assembly 7520 can be similar to such as gear assembly 170.In order to seal and protect motor 7510, motor case (such as rubber Casing) it can be positioned in the shell 12 (Fig. 1) of surgical instruments 10 (Fig. 1).The heat that such gum sleeve can limit motor 7510 passes It passs, and motor 7510 can be easy to overheat.In other embodiments, referring again to Figure 185 and Figure 186, motor case may include Such as it can be positioned on clam shell covering 7516 around motor 7510.In various embodiments, clam shell covering 7516 may include Such as articulating and/or at least two parts that are fastened togather.Clam shell covering 7516 allow motor 7510 and/or The rotation of motor drive shaft.In addition, in certain embodiments, clam shell covering 7516 can be conducive to the heat of the motor wherein kept 7510 It transmits.Similar to contact configuration 210 contact configuration 7512 (Figure 186) for example available for providing electric current to motor 7510.It touches Point construction 7512 may include such as anode ring contacts 7514a and cathode ring contacts 7514b (Figure 186), the anode annular Contact 7514a and cathode ring contacts 7514b be for example operably connected to by clam shell covering 7516 keep it is fixed just Pole contact 7518a and cathode contact 7518b (Figure 186).In addition, clam shell covering 7516 may include lip ring or washer 7519, the lip ring or washer 7519 can for example abut the periphery of motor 7510 and by motor 7510 and contact configurations 7512 are sealed in clam shell covering 7516.In certain embodiments, clam shell covering 7516 may include metal material, the gold The heat transmission of motor 7510 can be for example conducive to and can prevent overheat and/or the damage of motor 7410 by belonging to material.

Referring also to Figure 185 and Figure 186, gear assembly 7520 can also be sealed and/or be protected to use and/or sterilize the phase Between fluid.For example, washer 7522 can be positioned between the shell of motor 7510 and gear assembly 7520 so that 7510 He of motor Gear assembly 7520 forms fluid-tight sealing.In addition, the shell that sealing sleeve pipe 7530 can surround gear assembly 7520 carries out Positioning.Sealing sleeve pipe 7530 may include edge 7536, and the edge 7536 can abut clam shell covering 7516 and/or motor 7510 To provide fluid-tight sealing between them.Sealing sleeve pipe 7530 may also include the opening 7532 for output shaft 7524. For example, the output shaft 7524 of gear assembly 7520 can extend across opening 7532, and fin 7534 may extend into output shaft 7524 with provide it is fluid-tight sealing and meanwhile allow output shaft 7524 be open 7532 in rotation.In various embodiments, Sealing sleeve pipe 7530 and/or its edge 7536, washer and/or fin 7534 may include rubber and/or another suitable material For forming fluid-tight sealing.In various embodiments, mounting bracket or motor holder 7540 (are similar to retainer 190) gear assembly 7520 of sealing and motor 7510 can be for example maintained in the shell 12 (Fig. 1) of surgical instruments 10 (Fig. 1).

Figure 32-37 shows another surgical instruments 910, may include many of other surgical instruments disclosed herein Feature.In at least one form, surgical instruments 910 may include being generally designated the joint motions actuating mechanism for 860, the pass Section motion actuation mechanism can be substantially similar to Zemlok ' 763, Zemlok ' 344 and/or U.S. in addition to difference described below Articulation mechanism disclosed in state's patent 7,431,188.In other constructions, surgical instruments may include as described herein Other various forms of joint motions actuating mechanisms.As it can be seen that instrument 910 includes shell 12 such as in Figure 32, the shell 12 can Cylindrical mounting portion point 90 including being equipped with rotating parts 92 thereon.Rotating parts 92 and the nearside of elongated shaft assembly 16 End joins to be conducive to rotation of the elongated shaft assembly 16 relative to shell 12.Such construct allows surgeon to make elongated shaft group Part 16 and its loading unit 20 (or surgical end-effector of other forms) is connected to around longitudinal tool axis " LA-LA " Selectively rotate.Rotating parts 92 can be mounted in cylindrical portions 90 non-removablely or it is designed to and it It is optionally sequestered.

As disclosed herein, according to the type and/or construction of used surgical end-effector, it may be desirable to which electric current is carried It is supplied to end effector.For example, sensor, lamp, actuator that electricity is needed to start etc. can be used in end effector.However, In such construct, make surgical end-effector that can be severely limited around the ability of longitudinal tool axis " LA-LA " rotation, It can be wound because power to be transported to the conductor system of surgical end-effector or loading unit from electric power source by elongated shaft It is and seriously damaged --- especially in the case where elongated shaft has been rotated more than one turn.Various surgeries disclosed herein The conductor management system being generally designated as 930 can be used in instrument, and the conductor management system can avoid the above problem.

Referring again to Figure 32, surgical instruments 910 can provide power by electric power source 200.Electric power source can for example with The types in greater detail of Zemlok ' 763.For example, electric power source 200 may include rechargeable battery (for example, lead base, it is Ni-based, Lithium ion base etc.).It is also contemplated that electric power source 200 may include at least one disposable battery.In at least one construction In, for example, disposable battery can be about 9 volts to about 30 volts.Figure 32 is shown in which that electric power source 200 includes multiple battery units 202 example.The quantity of battery unit used may depend on the current load requirements of instrument 910.It is also contemplated that electric work Rate source may include the alternating current source that can be used in surgical kit.For example, it external power line that can be used will be exchanged with plug (not shown) Electricity is transported to various parts, conductor, sensing in surgical instruments shell and/or end effector from the outlet in surgical kit Device, switch, circuit etc..In other application, surgical instruments 910 can be from the system of robot for being for example attached or perhaps being connected with it System obtains power.

It is described leading furthermore, it can be seen that conductor management system 930 may include leading body component and line 932 such as in Figure 32 Body component and line 932 couple handing-over in other words with electric power source 200 for receiving from it power.Leading body component 932 It is connected to the spiral being supported in rotating parts 92, spool, and/or can coiled conductor component 934.In a kind of construction, for example, Spiral conductor component 934 can be formed by tape conductor 936 in other words including tape conductor 936, and the tape conductor 936 is with example Mode as illustrated in figures 36 and 37 is wound into spiral form.For example, spiral conductor component 934 can be by spiral-wound conductors system Into the spiral-wound conductors can have the attribute similar with screw winding spring (for example, torsionspring).In a kind of form In, for example, conductor 936 can be wound into continuous turn or circle as shown in figs. 36 and 37.In various constructions, conductor 936 can be rolled up Around one or more complete turns.For example, the conductor 936 shown in Figure 36 and 37 is configured to turn complete more than four.

In various forms, conductor 936 has first end 938, and the first end 938 can be for example fixed to shell 12 Cylindrical portions 90.In addition, conductor 936 also has the second end 940, the second end 940 is attached to rotating parts 92 It is supported by it advancing for rotating with it in other words.Therefore, when rotating parts 92 around cylindrical portions 90 along the When one rotatable direction rotates, spiral-wound conductors 936 are wound into compared with compact form.On the contrary, when rotating parts 92 are along the When two rotatable directions rotate, the tight ness rating of spiral-wound conductors 936 can reduce.Twelve Earthly Branches can be removed in rotating parts 92 wherein It supports in these configurations in cylindrical portions 90, the first end 938 of spiral-wound conductors 936 is removedly supported on cylindrical portion Divide in the slit in 90 or other installation cavitys 942.See, for example, Figure 36 and 37.In addition, leading body component 932 can pass through connection Device assembly 933 is removably coupled to spiral conductor component 934.Specifically, dismountable connector assembly 933 can be used for lead Conductor component 932 is connected to the first end 938 of spiral-wound conductors 936, to be conducive to rotating parts 92 from cylindrical portions 90 removal.It is not intended in other constructions removed from cylindrical portions in wherein rotatable portion 92, spiral-wound conductors 936 First end 938 can be attached to cylindrical portions 90 non-removablely and leading body component 932 can permanently attach (example Such as, weld) to the first end of spiral-wound conductors 936.

The second end 940 of spiral-wound conductors 936 can be by adhesive, mechanical holder, snap features etc. no It is removably attached to rotating parts 92.In alternative construction, the second ends 940 of spiral-wound conductors 936 can It is supported in the slit being provided in rotating parts 92 or other mounting characteristic structures with removing, to be conducive to from rotatable portion Divide 92 dismounting spiral-wound conductors 936.As it can be seen that asessory shaft conductor component 944 is attached to spiral cable such as in Figure 32 and Figure 33 The second end 940 of component 934.Asessory shaft conductor component 944 may be supported in rotating parts 92 and extend through hollow Elongated shaft assembly 16.For example, asessory shaft conductor component 944, which may pass through elongated shaft assembly 16, extends to its distal end, with it is attached It is connected to the handing-over such as its other conductors, sensor, power part, other described conductors, sensor, power part etc. and surgery end Portion's actuator, loading unit etc. are connected.Therefore, when clinician rotates rotating parts 92 relative to shell 12, spiral is led Body component 934, and more specifically, spiral-wound conductors 936 will be wound into slightly more close spiral, while be conducive to work( Rate is applied to surgical end-effector, loading unit etc. from power source 200.If clinician is relative to shell 12 along phase negative side To rotation rotating parts 92, then screw winding cable 936 will slightly solve winding, while still be conducive to power from power source 200 are applied to various parts, sensor on surgical end-effector, loading unit etc. etc..

Furthermore, it can be seen that conductor management system 930 may also include the rotation being generally designated as 950 such as in Figure 34 and Figure 35 Limit device assembly.In at least one constructs, for example, rotational limit stop component 950 includes limiter component 952, the limitation Device component 952 is movably attached to rotating parts 92 and is configured to be threadedly engaged on the cylinder 90 of shell 12 Threaded portion 99.Limiter 952 may include a pair of of relative bump 954, and the convex block 954 is formed on rotating parts 92 Longitudinal fin part 958 every side, as shown in figure 33.When rotating parts 92 rotate in the cylindrical portions 90 of shell 12 When, such construct allows limiter 952 to be moved axially in rotating parts 92.The opposed end 960 of limiter component 952 It is configured to be threadedly engaged the threaded portion 99 of cylinder 90.The nearside stop wall 962 to extend internally of rotating parts 92 It can axis for limiting the limiter 942 when rotating parts 92 are rotating on cylinder 90 with the distal side stop wall 964 that extends internally To the travel distance " TD " of traveling.

Figure 33 shows the limiter of the approximately mid way between nearside stop wall 952 and distal side stop wall 954 952.When at that position, rotating parts 92 will lead to limiter edge relative to the rotation of cylindrical portions 90 along the first direction The axial of distal direction " DD " is advanced, until limiter 952 contacts distal side stop wall 964, as shown in figure 34.Equally, it is rotatable Component 92 causes limiter 952 to be advanced along the axial direction of proximal direction " PD " relative to the rotation of cylindrical portions 90 in opposite direction, Until it contacts the nearside stop wall 962 of rotating parts 92.Thus limitation rotating parts 92 can surround cylindrical portion to this construction Divide 90 fully rotating numbers, to avoid the accidental damage of spiral conductor component 934.Face for example, limitation device assembly 950 is permissible Bed doctor makes elongated shaft assembly, and more specifically rotating parts 92 rotate at least one in either direction around cylindrical portions 90 It is a completely to turn but no more than such as three complete turn.However, revolution or more specifically, rotating parts 92 on cylinder 90 Rotatable amount of travel can be adjusted by adjusting the size of travel distance " TD ".

Figure 33 shows the limiter 952 in " neutrality " or " center " position, and wherein limiter is centrally positioned in distal side Between stop wall 954 and nearside stop wall 952.In at least one form, at elongated shaft assembly 16 and rotating parts 92 When corresponding neutral position, biasing member 980 can be used for limiter 952 being biased to neutral position.When clinician couple can When rotating part 92 applies rotary motion, elongated shaft assembly 16 will rotate in the above described manner.However, when to 92 He of rotating parts When the rotary motion that elongated shaft assembly 16 applies is interrupted, biasing member 980 will make limiter 952 return to neutral position.

For example, at least one surgical instruments may include shell, the shell may include rotating parts, the rotatable structure Part is supported on the installation section of shell, is rotated about for being enclosed on rotating range.Limit the elongated of longitudinal tool axis Shaft assembly is operably linked to rotating parts, advances for therewith surrounding longitudinal tool axis rotation.Surgery device Tool may also include electric power source and manage system including conductor.Conductor management system may include spool conductor assembly, the volume Axis conductor assembly may be supported in rotating parts and may include the first end conductor and the second end conductor, and described first leads Body end portion is fixed to the installation section of shell, and second end conductor is fixed to rotating parts for therewith revolving Turn to rotate in range.Conductor management system may also include leading body, and the leading body can support inside the shell and be configured to Power can be transferred to spool conductor assembly from electric power source.Spindle guide body can be connected to spool conductor assembly for by electric work Rate is transferred to the distal end of elongated shaft assembly.

Another surgical instruments example may include shell, and the shell may include rotating parts, the rotating parts It is supported on the installation section of shell.Surgical instruments may also include elongated shaft assembly, and the elongated shaft assembly limits longitudinal tool Axis and rotating parts are operably linked to, advanced for therewith surrounding longitudinal tool axis rotation.Surgery Instrument may also include electric power source and the dress for the conductor by extend through elongated shaft assembly from electric power source transimission power It puts.Surgical instruments may also include following device, and described device is used to surround rotating parts the rotation amount of travel of installation section It is restricted to following rotation travel range, the rotation travel range includes complete turning and not around at least one of installation section It is complete more than three to turn.

As described herein, end effector could attach to surgical instruments.In addition as described herein, surgical instruments may include hitting Driving device is sent out, the percussion driving device is configured to from the end effector percussion nail including nail bin.Turning now to Exemplary embodiment shown in Figure 94, for example, surgical instruments 9000 may include shank 9010, the shank 9010 include shell, Grip portion 9012, the motor of percussion actuator 9014 and positioning inside the shell.Surgical instruments 9000 may also include with percussion The axis 9040 of bar 9020, the trigger shaft 9020 can be promoted towards distal side by motor and/or proximally bounced back.In certain situations Under, end effector may include that the distal part that actuated articulation joints carry out joint motions relative to portions of proximal can be surrounded. In the case of other, end effector can not have actuated articulation joints.Surgical instruments, which may also include, to be configured to make end At least part of actuator carries out the joint motions driving device of joint motions.Referring again to the exemplary implementation shown in Figure 94 Example, for example, surgical instruments 9000 may include being configured to around the distal side of actuated articulation joints drive end effector Partial articulation actuator 9070.End effector (that is, end effector 9060) shown in Figure 94 is not by chance can The end effector of joint motions；However, being capable of the end effector of joint motions can be used together with surgical instruments 9000.Such as The end effector of the non-joint motions of fruit, such as end effector 9060, are used together, then joint motions with surgical instruments 9000 The operation of actuator 9070 can not influence the operation of end effector 9060.

Further described above, end effector may include the driving system of the drive system corresponding to surgical instruments System.For example, end effector 9060 may include firing member, the firing member can be assembled into surgery in end effector 9060 It is operatively engaged when on instrument with the trigger shaft of surgical instruments 9,000 9020.Similarly, end effector may include that joint is transported Dynamic driver, the articulation drive can be transported when end effector is assembled on surgical instruments with the joint of surgical instruments Lever is operatively engaged.In addition, end effector 9060 for example may include proximal connecting portion 9069, the nearside connecting portion Divide 9069 can be installed to the distal side of axis 9040 of surgical instruments 9000 when end effector 9060 is attached to surgical instruments 9000 Coupling part 9042.In all cases, before end effector can be used correctly, it may be desired to the company of end effector The correct assembling of socket part point, drive system and articulation system and surgical instruments.

Referring again to Figure 94, shank 9010 may include firing trigger 9014, and the firing trigger 9014 can be constructed Motor into can operate shank 9010 when being activated by the user of surgical instruments 9000.In all cases, shank 9010 may include being configured to the controller of the actuating of detection firing trigger 9014.In some cases, percussion is touched The actuating of hair device 9014 can be closed the circuit that signal communication is carried out with controller.In such cases, controller can be configured to Motor can then be operated to promote trigger shaft 9020 towards distal side and make the jaw 9062 of end effector 9060 towards jaw 9064 movements.In some cases, shank 9010 may include at least one sensor, and the sensor, which can detect, is applied to percussion The angle of power and/or firing trigger 9014 movement of trigger 9014.One or more sensors can carry out letter with controller Signal communication, wherein controller are configured to adjust motor based on one or more input signals from sensor Speed.Shank 9010 may include safety switch 9015, and the safety switch 9015 can need to will be responsive to come from controller to hit The input of trigger 9014 is sent out to be depressed before operating motor.In all cases, safety switch 9015 can with controller into Row signal communication, wherein controller can electronic locking motor use, until safety switch 9015 is depressed.Shank 9010 may be used also Including the actuator 9074 that bounces back, the retraction actuator 9074 can cause motor to operate in opposite direction at the time of activation, with retraction Percussion connects 9020 and jaw 9062 is allowed to be moved far from jaw 9064.In all cases, the actuating of retraction actuator 9074 The circuit that signal communication is carried out with controller can be closed.In some cases, safety switch 9015 can need ring in controller Inputs of the Ying Yu from retraction actuator 9074 is depressed along before its reverse phase reverse operation motor.

Before the use of surgical instruments 9000 and/or period, surgical instruments 9000 and/or surgical instruments 9000 it is certain System can fail, is invalid and/or defective.In some cases, such defect and/or solve its mode can be for surgery device The user of tool is not apparent, so as to which user is caused to fail.In addition, such uncertainty can increase solution defect Or the time needed for " mistake ".Surgical instruments 9000 improves the above situation.Referring again to Figure 94, surgical instruments 9000 Controller is configured to the mistake of detection surgical instruments 9000 and passes the mistake via one or more indicators Give the user of surgical instruments 9000.Surgical instruments 9000 may include one or more indicators, one or more of fingers Show that device may indicate that the property of mistake when being started by controller and in other words to pay attention to user defective in some aspects Surgical instruments 9000 system.For example, surgical instruments 9000 may include end effector indicator 9086, the end performs Device indicator 9086 is configured to for example indicate on the also unassembled axis 9040 to surgical instruments 9010 of end effector. In the case of various, surgical instruments 9000 may include sensor, and how the sensor is configured to detection end effector When have been assembled on axis 9040 and/or can accordingly to detect end effector when also unassembled on axis 9040.It passes Sensor can carry out signal communication with controller so that controller can receive the signal from sensor and find out end effector Whether have been assembled on axis 9040.If controller is found out, end effector is also unassembled on axis 9040, and controller can cause Dynamic end effector indicator 9086.In all cases, end effector indicator 9086 may include lamp, such as red light. Under some cases, end effector indicator 9086 may include light emitting diode, such as red light emitting diodes.In addition to or replace Described above, surgical instruments 9000 may include carrying out the sensor of signal communication with controller, and the controller can be configured to It can detect and be attached to the end effector of axis 9040 and previously when have been used.For example, sensors with auxiliary electrode is configured to At least some nails being stored in end effector are enough found out to have been fired and/or be configured to find out end effector Interior nail firing member had previously been pushed into.In this case, end effector indicator 9086 may be actuated in controller.Cause This, the startup of end effector indicator 9086 can be signaled to the user of surgical instruments 9000 to be performed in the presence of with end Some relevant wrong and such mistakes of device should or must solve before surgical instruments 9000 is operated.Reader is from figure 94 will be appreciated that end effector indicator 9086 is adjacent with the distal end of axis 9040, and can be determined in all cases On or near the distal connecting portion 9042 of axis 9040.In all cases, end effector indicator 9086 can quilt It is positioned on end effector 9060.Under any circumstance, when end effector indicator 9086 is lit, by institute above It states, the user of surgical instruments 9000 can rapidly find out to be had in the presence of mistake and mistake with end effector in some aspects It closes.Lighting for end effector indicator 9086 can indicate that end effector can not be fully assembled on axis 9040 simultaneously to user And/or person's end effector can need to be replaced.

In addition to or instead of end effector indicator 9086, surgical instruments may include one or more indicators.It is for example, outer Section's instrument 9000 may include firing trigger indicator 9081.Firing trigger indicator 9081 can be with the control of surgical instruments 9000 Device processed carries out signal communication so that when controller detect for example with the relevant mistake of percussion driving device of surgical instruments 9000 When, controller can start firing trigger indicator 9081.As shown in Figure 94, firing trigger indicator 9081, which can be positioned on, hits It sends out near trigger 9014.In this case, the user of surgical instruments 9000 is observing firing trigger indicator During 9081 actuating, it can be inferred that mistake relevant with percussion driving device has occurred and diagnostic error source can be started.One In the case of a little, for example, when the battery of surgical instruments 9000 is defective in some aspects, controller can start firing trigger Indicator 9081.For example, if the voltage of battery is less than required level, such as battery can not can in a desired manner operate horse Reach and firing trigger indicator 9081 may indicate that need replace battery.In all cases, when controller illuminating indicators When (such as end effector indicator 9086 and/or firing trigger indicator 9081), controller can currently cause surgery device One or more operating systems of tool 9000 cannot operate.For example, when end effector indicator 9086 and/or firing trigger When indicator 9081 is for example lit, controller is configured to that firing trigger 9014 is made operationally to take off with motor From so that the actuating of firing trigger 9014 does not operate motor.Firing trigger 9014 is de- with such operability of motor Surgical instruments should be checked from also wrong and user can have been undergone to the user of surgical instruments 9000 instruction surgical instruments 9000 indicator is to find out the property of the mistake.

Referring again to the exemplary embodiment of Figure 94, surgical instruments 9000 may include being located near retraction actuator 9074 Retraction actuator indicator 9085.Similarly as described above, retraction actuator indicator 9085 can carry out signal with controller Communication, wherein when the controller detects that for example with bounce back the relevant mistake of driving device, then controller can light retraction actuating Device indicator 9085.In all cases, if actuating bounce back actuator 9074 before non-depressed safety switch 9015, control Device processed can light retraction actuator indicator 9085.In such cases, retraction actuator indicator 9085 can be used as pressure peace The prompting device of full switch 9015.In some cases, surgical instruments 9000 may include being located in the peace near safety switch 9015 Full switch indicator 9082.In some cases, when user activates retraction actuator before safety switch 9015 is activated When 9074, the controller of surgical instruments 9000 can light safety switch indicator 9082.Safety switch indicator 9082 can be with control Device processed carries out signal communication, wherein when the controller detects that for example trigger system cannot be between percussion pattern and collapsed mode Switching, then controller can light safety switch indicator 9082.Surgical instruments 9000 may include being located in articulation actuator Articulation actuator indicator 9084 near 9070.Similarly as described above, articulation actuator indicator 9084 can With controller carry out signal communication, wherein when the controller detects that for example with the relevant mistake of joint motions driving device, then Controller can light articulation actuator indicator 9084.Surgical instruments 9000 may include being located in the axis near axis connection portion Indicator 9083, the axis connection portion are configured to axis 9040 being attached to shank 9010.Similarly as described above, axis refers to Show device 9083 can with controller carry out signal communication, wherein when the controller detects that for example with 9040 relevant mistake of axis, then Controller can light axis indicator 9083.

Turning now to Figure 95, surgical instruments 9100 may include the shank 9110 with 9190 array of indicator, the instruction 9190 array of device can and it is operable with to the user of surgical instruments 9100 instruction may be present with surgical instruments 9100 and/or The relevant one or more mistakes of end effector being attached with it.9190 array of indicator can be done in any suitable manner Arrangement.In all cases, 9190 array of indicator can such as surgical instruments 9100 and/or the end effector being attached with it Shape or approximate shapes arrangement.In at least one, the outer surface of shank 9110 for example may include surgical instruments 9100 And/or it is attached to the diagram of the end effector of surgical instruments.9190 array of indicator can be held relative to surgical instruments and end The profile of row device proceeds as follows arrangement, the mode be configured to convey positive experience mistake, undergone mistake, And/or it can need to assess with the surgical instruments 9100 of solving error and/or a part for end effector.For example, the profile can It is divided in order to that end effector 9060 is shown, axis 9040, shank 9010, firing trigger 9014, safety switch 9015, reversely causes Dynamic device 9074, and/or articulation actuator 9070.In all cases, for example, end effector indicator 9192 can position Near the diagram of end effector 9060, axis indicator 9193 can be positioned near the diagram of axis 9040, and firing trigger refers to Show that device 9191 can be positioned near the diagram of firing trigger 9014, safety switch indicator 9195 can be positioned on safety switch Near 9015 diagram, reversed actuator indicator 9196 can be positioned near the diagram of reversed actuator 9074 and/or Articulation actuator indicator 9194 can be positioned near the diagram of articulation actuator 9070.In all cases, refer to Showing in device 9191,9192,9193,9194,9195, and/or 9196 each may include light emitting diode.In some cases, Each light emitting diode may include red light emitting diodes, and the red light emitting diodes can be lighted to indicate mistake by controller Presence.In all cases, controller is configured to lighting for pulsed light emission diode, this can reduce short user Recognize that indicator has been lit the required time.In some cases, each indicator may include that more than one face can be sent out The light emitting diode of color.In some cases, each such light emitting diode is configured to for example selectively emit Red and green.If it is not detected and surgical instruments 9100 and/or related with the relevant portion for the end effector that it is attached Mistake, then controller be configured to light light emitting diode or alternatively using green, if detect with outside Section's instrument 9100 and/or the relevant mistake of relevant portion with its end effector being attached, then controller be configured to Enough light emitting diode is lighted using red.

In some cases, following article is further described in more detail, such as when controller is lighted and the relevant finger of actuator When showing device, one or more of actuator of controller lockable surgical instruments of surgical instruments 9000, such as percussion triggering Device 9014, retraction actuator 9074, and/or articulation actuator 9070.For example, controller can refer to lighting firing trigger Firing trigger 9014 is locked when showing device 9081, retraction actuator can be locked when lighting retraction actuator indicator 9085 9074 and/or articulation actuator 9070 can be locked when lighting articulation actuator indicator 9084.Surgery device The shank 9010 of tool 9000 for example may include that firing trigger is locked, and the firing trigger lock is configured to selectively " locking " firing trigger 9014 and firing trigger 9014 is prevented to activated.Firing trigger lock can prevent firing trigger 9014 are fully activated the motor to operate surgical instruments.Such at least one, firing trigger 9014 can quilt It prevents to be closed firing trigger switch.In some cases, the controller of surgical instruments 9000 is in addition to actuating firing trigger lock Except also be able to make its electronic locking firing trigger 9014, that is, prevent to provide the power of battery to motor.In such situation Under, electronic locking and mechanical caging can be redundancy；However, mechanical caging can provide percussion to the user of surgical instruments 9000 The feedback that driving device has operationally been deactivated.As described above, the controller of surgical instruments 9000 can also for example pass through percussion Trigger indicator 9081 provides feedback.In this way, it can be provided to the user of surgical instruments 9000 and mistake has occurred Touch feedback and/or visual feedback.In some cases, touch feedback can prompt the user of surgical instruments 9000 to start Search for visual feedback.For example, user can attempt actuating firing trigger 9014, and firing trigger 9014 cannot activated When, user then can check the indicator lighted of the instrument.Under any circumstance, once mistake has been solved, controller Firing trigger 9014 can be unlocked by deactivating firing trigger lock.

Turning now to Figure 100, surgical instruments 9000 may include to lock the firing trigger lock of firing trigger 9014 9390.Firing trigger lock 9390 can be in the unlocked state shown in the lock-out state and Figure 102 shown in Figure 100,101 and 103 Between move.When on the unassembled axis 9040 to surgical instruments 9000 of end effector, firing trigger lock 9390 can bias Into its lock-out state.In this locked condition, firing trigger lock 9330 can prevent or at least substantially prevent firing trigger 9014 actuating.More specifically, firing trigger lock 9390 may include bracing strut 9391, pinion gear 9392 and shank stent 9393 and biasing member (such as spring), the biasing member be configured to bracing strut 9391 being biased to nearside position It puts and shank stent 9393 is biased to down position.The proximal position of bracing strut 9391 and shank stent 9393 to bottom It puts and is shown in Figure 101.Referring primarily to Figure 101, shank stent 9393 may include hole 9396 and firing trigger 9014 may include Protruding portion 9395, when shank stent is in its down position, protruding portion 9395 is not aligned the protruding portion 9395 with hole 9396. More specifically, firing trigger 9014 may include the rocker switch with fulcrum 9397, wherein when shank stent 9393 is in it During down position, the shake of firing trigger 9014 will lead at least one protruding portion 9395 extended from firing trigger 9014 It abuts shank stent 9393 and firing trigger 9014 is prevented to be fully actuated.

When end effector is attached to axis 9040, further described above, firing trigger lock 9390 can be It is moved between its locked configuration and its unlocked configuration.In the unlocked configuration of firing trigger lock 9390, referring primarily to Figure 102, Shank stent 9393 can be at its upward position.In the upward position of shank stent 9393, it is limited in shank stent 9393 Hole 9396 be aligned with the protruding portion 9395 extended from firing trigger 9014.In such cases, firing trigger can be shaken 9014 to activate firing trigger 9014.More specifically, protruding portion 9395 may pass through hole 9396, to allow firing trigger 9014 Around the shake of fulcrum 9397.Therefore, according to described above, shank stent 9393 is between its down position and upward position Movement locks and unlocks respectively firing trigger 9014.Various mechanisms can be used making shank stent 9393 in its down position and It is moved between its upward position.In at least one such embodiment, referring again to Figure 100, axis 9040 may include percussion locking Actuator 9399, the percussion locking actuator 9399 can pass through end effector when end effector is assembled on axis 9040 Proximally shift.Bracing strut 9391 can be mounted and/or can be extended proximally, and can from percussion locking actuator 9399 Including limiting tooth 9391a thereon.Tooth 9391a can be engaged with the tooth 9392a being defined in pinion gear 9392 so that when When percussion locking actuator 9399 and bracing strut 9391 proximally shift, pinion gear 9392, which can enclose, to be rotated about the axis.Accordingly, handle Portion's stent 9393 may include limiting bracket teeth 9393a thereon, and the bracket teeth 9393a is also engaged with pinion gear teeth 9392a Engagement, therefore, during present dynasty's proximate drive shaft stent 9391, shank stent 9393 can be driven from its down position to it to upper It puts, thus unlocks firing trigger 9014.In order to make shank stent 9393 that can move toward the far side axis branch back to its down position Frame 9391 so that pinion gear 9392 rotates in mutually opposite directions.In all cases, bracing strut 9391 can be because end effector be from axis 9040 dismantle and move toward the far side.

Turning now to Figure 96-97, shank 9010 for example may include trigger lock 9290.Trigger lock 9290 may include shell 9291st, locking pin 9292, retainer 9293 and biasing member 9294 can be disposed, the biasing member 9294 can make locking pin 9294 move between the non-deployed position shown in Figure 96 and Figure 98 and the deployed position shown in Figure 97 and Figure 99.In various situations Under, retainer 9293 can be made of the temperature-sensitive material being influenced by heat.In at least one such, temperature-sensitive material Such as it is configured between solid and fluid (for example, liquid, suspension, and/or gas) and/or for example in solid Change between material and semisolid material.When temperature-sensitive material changes between solid and liquid or changes at least partly When, 9293 releasable lock rationed marketing 9294 of retainer, to lock the firing trigger of shank 9010 and/or any other suitable is touched Send out device.In all cases, locking pin 9294 when being disposed can slide backward and/or otherwise engage percussion triggering Device.Shank can be any appropriate number of tactile selectively to lock such as including any appropriate number of trigger lock 9290 Send out device and/or button.Reader will be appreciated that trigger lock 9290 can be not reducible.In such cases, the triggering of actuating Device lock 9290 can permanently lock the firing trigger of such as shank, so that the instrument can be no longer used.The instrument The permanent locking of firing trigger and/or any other trigger can refer to the instrument can not be used again anyway, And in other cases, permanent locking can be not easy to reset and that the instrument can be needed to be sent to is for example qualified Whether technical staff or mechanism, the technical staff or mechanism can be evaluated the instrument and should be overhauled and be reused or the device Whether tool should be dropped.When the heat-sensitive material of retainer 9293 has been at least partially converted into fluid, technical staff can It is assumed that the instrument is exposed to the temperature of the transition temperature more than thermo-sensitive material.In all cases, for example, thermo-sensitive material turns Temperature can be the temperature that solid material for example dissolves, evaporates, and/or distils.Under any circumstance, retainer 9293 may be selected Heat-sensitive material and transition temperature so that the release of locking pin 9294 may indicate that surgical instruments has been exposed to more than specific Or the temperature of threshold temperature.In all cases, it if surgical instruments is exposed to excessively high temperature, can damage.It is for example, outer Section's instrument includes such as solid electronic device, and the solid electronic device can be damaged when being exposed to such excessive temperature.Herein In the case of class, the threshold temperature of instrument and the transition temperature of retainer 9293 can be equal or at least substantially equal, wherein therefore It can be assumed that, instrument is also not exposed to the temperature more than threshold temperature when trigger lock 9290 does not activate also, and accordingly, when Instrument has been exposed to the temperature more than threshold temperature when trigger lock 9290 has activated, and thus surgical instruments can damage or Person can at least need to assess whether it has damaged.

Further described above, when sterilizing to surgical instruments, surgical instruments can be exposed to more than threshold value The temperature of temperature and/or transition temperature.Many sterilization process are known, wherein several sterilization process are including sudden and violent by surgical instruments It is exposed to the step of heat.In addition to or replace trigger lock 3290, surgical instruments may include at least one temperature sensor, it is described at least One temperature sensor can assess the temperature that surgical instruments is subjected to.In all cases, temperature sensor can be with surgical instruments Controller carry out signal communication, so as to be configured to evaluation surgical instruments whether be exposed to more than threshold temperature Temperature.Such at least one, controller may include that the microprocessor from temperature sensor received signal can be assessed Device and algorithm.If the controller determine that having reached and/or being more than threshold temperature, then controller can permanently prevent the instrument It is operated.In other words, controller can apply electronic locking to surgical instruments.It is similarly as described above, the permanent lock of instrument Surely can refer to the instrument can not be used again anyway, and in other cases, permanent locking can be to be not easy In reset and the instrument can be needed to be sent to for example qualified technical staff or mechanism, the technical staff or mechanism Can be evaluated whether the instrument should be overhauled and be reused or whether the instrument should be dropped.Reader will be appreciated that, when When surgical instruments is sterilized, it may be desired to which power source operates the controller of surgical instruments and/or sensor.If surgical instruments Dry embodiment is included in removable battery or power source to being removed before surgery apparatus sterilizing, wherein in such cases, it can Individually sterilized and/or reprocessed to battery can be removed.Reader will be appreciated that, once power source can be removed from these elder generations Preceding instrument removal, controller and/or sensor can monitor the temperature of surgical instruments without enough power.Institute is public herein The embodiment for the surgical instruments opened may include battery or power source, and the battery or power source are when being reprocessed not from surgery Instrument removes.Such battery can be described as permanent battery, because it device and/or temperature can be passed in order to control when instrument is sterilized Sensor provides power.In all cases, the instrument including permanent battery may also include removable and/or rechargeable Battery.Under any circumstance, instrument can have enough power to detect and record the temperature that the instrument is subjected to.At least one In the case of kind, the controller of instrument may include memory chip, and the memory chip is configured to deposit temperature reading Storage is in such as temperature register.In all cases, controller can intermittently (that is, with appropriate sampling rate) record come from The reading of sensor.In some cases, controller is configured to so that when the temperature higher than specific temperature is recorded in it When spending reading (even below threshold temperature), controller can increase sampling rate.Accordingly, controller is configured to make It is proper its then when the temperature reading less than specific temperature is recorded, controller can reduce sampling rate, such as back at the beginning of it Beginning sampling rate.

Turning now to Figure 99 A, the algorithm for controller is shown.In some cases, this algorithm may include for example existing For the startup program of surgical instruments when surgical instruments has been subjected to using for the first time after sterilization treatment.Startup program can be in instrument Start after opening.When end effector is assembled on instrument, instrument can be opened automatically.In at least one such situation Under, the assembling of end effector and surgical instruments can be closed the switch that signal communication is carried out with controller.In addition to or instead of above Described, instrument can be opened when the button on such as shank and/or switch are depressed.Under any circumstance, controller then can Assessment is stored in the temperature reading in memory chip, as described above.For example, controller can be assessed in stored temperature reading Any one whether be equal to or more than threshold temperature.If the controller determine that the temperature reading all stored is less than threshold temperature, Then controller can continue its normal start-up procedure.If the controller determine that the temperature reading of one or more storages equals or exceeds Threshold temperature, then controller can continue alternative program.In at least one, controller can be for example by implementing electronic lock Fixed and/or mechanical caging is permanently disabled the instrument, as the application is described elsewhere.In some other cases, it controls Device allows instrument to be used, even if controller has determined that the temperature reading of one or more storages equals or exceeds threshold value temperature Degree.Controller the definitive result can be stored in its memory and/or by display (such as light emitting diode) to User's instruction has previously been more than threshold temperature and has continued thereafter with its normal start-up procedure.In all cases, controller can Using threshold temperature as bare maximum, that is, the single temperature reading equal to or higher than threshold temperature is enough to trigger alternative open Dynamic program permanently locks the instrument.In other cases, for example, controller be configured to assessment be equal to or Whether the temperature reading pattern higher than threshold temperature is enough to trigger alternative startup program or permanently locks the instrument, because Time and temperature can be whether instrument be involved the factor in the sterilization process the considerations of.

Turning now to Figure 104-109, surgical instruments (such as surgical instruments 9000) may include shank 9410, the shank 9410 include firing trigger locking system 9490.Shank 9410 is similar to shank 9110, and these aspects in many aspects It repeats no more for simplicity herein.Similarly as described above, firing trigger locking system 9490 is configured to Enough lockings and unlock firing trigger 9414.Otherwise similar to described above, firing trigger locking system 9490 can be in end Lock-out state (as shown in Figure 104-107) is biased to when on the unassembled axis 9040 to surgical instruments of actuator, and in end Actuator moves to unlocked state when being fully assembled on axis 9040 (as shown in Figure 108 and Figure 109).To carrying out above further Description, referring primarily to Figure 108 and Figure 109, when end effector is assembled on axis 9040, end effector can be pushed proximally Sensing member 9499.The distal end that sensing member 9499 may pass through axis 9040 from axis 9040 extends to its proximal end.Make In, when end effector is assembled on axis 9040, end effector can abut the distal end of sensing member 9499 and Sensing member 9499 is proximally pushed, as described above.As shown in Figure 108 and Figure 109, when proximally push sensing member 9499 When, sensing member 9499 can contact the swing arm 9486 of firing trigger locking system 9490 and swing arm 9486 made to revolve upwards Turn.Swing arm 9486 may include being pivotally mounted to the end of shank shell via pin 9487, and the pin 9487 is configured to Swing arm 9486 can allow for enclose to rotate about the axis.Swing arm 9486 may also include can be sensed component 9499 contact cam from Follower portion 9488.In use, sensing member 9499 can be such that swing arm 9486 is moved between down position and upward position, So that firing trigger locking system 9490 is made to move between locked and unlocked positions respectively.Firing trigger locking system System 9490 may also include the locking pin 9485 for being installed to swing arm 9486, and the locking pin 9485 is rotated up in swing arm 9486 When can be pulled upwardly, and can be correspondingly urged downwardly when swing arm 9486 is rotated down.Locking pin 9485 may include It is pivotally mounted to the upper end of swing arm 9486 and is extended through when locking pin 9485 is in its down position and be limited to percussion The lower end in the hole 9483 in trigger 9481.In all cases, hole 9483 can be limited to what is extended from firing trigger 9414 In arm 9482.When locking pin 9485 is located in hole 9483, firing trigger 9414 can not be pivoted around its fulcrum 9484, and And therefore firing trigger 9414 can not be actuated by the user.When locking pin 9485 is in its upward position, locking pin 9485 It not can be positioned in hole 9483, and therefore firing trigger 9414 can be actuated by the user.When end effector is from axis 9040 During dismounting, sensing member 9499 can move to its distal position from its proximal position.In other words, if there is no being attached to axis 9040 end effector, then biasing member (such as spring 9489) can be by 9486 biased downward of swing arm, and therefore will hit Hair trigger locking system 9490 is biased to its lock-out state.In addition, when end effector it is unassembled on axis 9040 when, spring Bias force can be applied to sensing member 9499 by arm 9482 and push sensing member 9499 towards distal side by 9489.

Further described above, the operation of sensing member 9499 and firing trigger locking system 9490 can be used for It communicates with the user of surgical instruments.For example, when end effector it is unassembled on axis 9040 when, sensing member 9499 is by towards remote Side biases and firing trigger 9414 will be locked, if wherein user attempts actuating firing trigger 9414, user Mistake is may be present into the trigger system for rapidly recognizing surgical instruments.In this example, user will rapidly recognize to hold Portion's actuator is needed to be assembled on axis 9040 to use surgical instruments.In all cases, if end effector (although It is attached to axis 9040) it has been used, then firing trigger can be locked.Such at least one, end effector can Including firing member, the firing member is when end effector is assembled on axis 9040 if its nearest side position is located in Sensing member can proximally be pushed；If however, this firing member at least portion when end effector is assembled on axis 9040 Ground is divided to promote, then sensing member can not be pushed proximally and therefore firing trigger can keep locking.Equally, such percussion Trigger locking can convey percussion driving device to user, and there are problems；That is, in this case, end effector is made With.If there is no such tactile lock, then user will undergo situations below, and wherein they can press actuator but surgery Instrument is not responding to the actuator pressed, so as to lead to obscuring for user.

As described above, the end effector not fired previously, which is assembled on axis 9040, can proximally push sensing member, To unlock firing trigger.In all cases, sensing member and firing trigger locking system be configured to so that Firing trigger is not unlocked, until end effector is fully assembled on axis 9040.If end effector only partially group It is attached on 9040, then sensing member can not shifted sufficiently to unlock firing trigger.Equally, such firing trigger locking Percussion driving device can be conveyed to user, and there are problems；That is, in this case, end effector is not fully assembled to axis also On 9040.

As described herein, end effector can be assembled on surgical instruments, and the surgical instruments may include being adapted to Enough identify the controller of end effector.In some cases, when controller is activated, controller is configured to comment The mark of valency end effector.In some cases, turning now to Figure 176, when battery is inserted into shank, controller can be opened It is dynamic.In addition to or replace it is described above, when controller is activated, controller be configured to evaluation surgical instruments shape State.For example, controller be configured to the position of enclosed member of evaluation closed system, trigger system firing member The position of the articulation member of position, and/or articulation system.In some cases, surgical instruments may include absolutely fixed Level sensor is to detect the position of firing member.Sensors with auxiliary electrode be disclosed in submit on March 14th, 2013 it is entitled The U.S. Patent Application Serial of ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE In 13/803,097, the complete disclosure of the patent application is herein incorporated by reference.In some cases, surgical instruments It may include end of travel register.Such end of travel register may include mechanical switch, counter and/or trigger；And/or Electronic switch, counter and/or the trigger including being stored in the data in nonvolatile memory.In such embodiments, Controller can estimate whether previous firing schedule has been completed.Such embodiment can be beneficial in several cases.For example, control Device can unexpectedly disconnect in surgical procedures and lose power, and when controller is restarted in other words, and controller is not Can estimate the instrument whether be for the first time initialization or the instrument whether be in previous firing schedule middle part.End of travel is deposited Device can help to controller and distinguish both of these case.In addition, not by the power loss of instrument or interruption cause to lose or resets End of travel register allows whether controller estimation surgical instruments has lost power during firing schedule.If controller Determine that previous firing schedule does not complete also, then controller is configured to：First, allow to provide power to motor to complete Firing schedule and/or, two, allow to provide power to motor so that firing member, enclosed member and/or joint motions Component retracts to its starting or unactuated position.In all cases, controller can provide continuation to the user of surgical instruments Firing schedule makes the mechanical system of instrument and/or electronic system return to its initial or unactuated position option.Such In embodiment, surgical instruments can not make these systems automatically return to its initial or unactuated position.Under any circumstance, one Denier surgical instruments be in its starting or unactuated state, the end effector previously fired can from surgical instruments dismantle and/ Or the end effector not fired can be assembled on surgical instruments.In all cases, as described herein, surgical instruments can Then identification or the end effector that at least trial identification does not fire.

Turning now to Figure 177, the controller of surgical instruments can perform the deagnostic test of instrument and/or battery.For example, controlling When device processed starts, surgical instruments can assess the temperature for the threshold temperature whether surgical instruments has been exposed to more than surgical instruments, such as It is described herein.In addition, for example, surgical instruments can assess available power, voltage, and/or the electric current of battery, equally such as this paper institutes It states.If instrument cannot can not provide power to motor, object by one or more of these diagnostic tests, controller Reason ground locking instrument and/or the such failure of user's instruction to surgical instruments.In such cases, instrument can be by this Class failure record is in its memory so that test data can help to technical staff and assess instrument later.Assuming that instrument passes through These diagnostic tests, then similarly as described above, instrument also can record and pass through the relevant test data of diagnostic test.Any In the case of, whether instrument then can continue to assess instrument in starting or unactuated state and the mark for evaluating end effector Know.As described herein, the program for identifying end effector is disclosed.There is disclosed herein held for evaluating " intelligence " end Whether row device or " stupid " end effector are attached to the program of surgical instruments.In all cases, " intelligence " end effector Can be following end effector, at least part of parameter and/or operation sequence can be supplied to surgery by the end effector Instrument is using the part as identification process." intelligence " end effector can be to try to identify that surgical instruments uses end effector Mode end effector.In some cases, " stupid " end effector is does not identify that it will be with surgery in any way The mode that instrument is used together.It is summarized in Figure 178 according to exemplary operation program above.

As described herein, battery can be used for providing power to surgical instruments.In all cases, surgical instruments and/or electricity Pond is configured to whether evaluation battery can be supplied to surgical instruments to perform one or more functions by enough power. In some cases, surgical instruments and/or battery are configured to indicate that battery has foot to the user of surgical instruments Enough power is to perform one or more functions.Figure 179 shows the circuit for the voltage for being configured to instruction battery.It is such Circuit may be present in surgical instruments and/or battery.Under either case in both cases, circuit may include may indicate that can be by Multiple indicators of electricity, voltage, and/or power that battery provides.For example, circuit may include three indicators, described three Indicator includes：Be configured to instruction battery include at least the first indicator of first voltage, be configured to indicate Battery includes at least the second indicator of second voltage and is configured to the third that instruction battery includes at least tertiary voltage Indicator.As shown in Figure 179, circuit 12100 may include the first indicator circuit 12110 arranged in a manner of being connected in parallel to each other, Second indicator circuit 12120 and third indicator circuit 12130.When switching 12101 closure, the potential from battery can It is applied to indicator circuit 12110,12120 and 12130 both ends.First indicator circuit 12110 may include Zener diode 12111st, light emitting diode 12112 and resistor R1 12113.Similarly, the second indicator circuit 12120 may include Zener two Pole pipe 12121, light emitting diode 12122 and resistor R2 12123, and third indicator circuit 12130 may include Zener Diode 12131, light emitting diode 12132 and resistor R3 12133.Zener diode 12111,12121 and 12131 can Respectively there is different breakdown voltages.For example, the first Zener diode 12111 can have such as 11.5V breakdown voltage, second Zener diode 12121 can have the breakdown voltage of such as 10V, and third Zener diode 12131 can be with such as 8V's Breakdown voltage.In such embodiments, if the voltage of battery is greater than or equal to 11.5V, LED 12112,12122 and 12132 will be lit.Lighting for whole LED can indicate battery with Full Charge Capacity and/or with extremely to the user of surgical instruments Lack enough electricity to perform any function needed for surgical instruments.If the voltage of battery is greater than or equal to 10V, but is less than 11.5V, then LED 12112 and 12122 will be lit；However, LED 12132 will not be lit.LED's 12112 and 12122 It lights and not lighting for LED 12132 can indicate that battery has less than Full Charge Capacity but at least enough to the user of surgical instruments Electricity is to perform any function needed for surgical instruments.If the voltage of battery is greater than or equal to 8V, but is less than 10V, then LED 12112 will be lit；However, LED 12122 and 12132 will not be lit.Lighting for LED12112 and 12122 Hes of LED 12132 do not light can indicate battery to the user of surgical instruments just close to the terminal of its electricity and can have or can not have There are enough electricity to perform certain functions needed for surgical instruments.This display of LED may indicate that battery can be replaced It changes.If the voltage of battery, which will be less than any of 8V, LED 12112,12122 and 12132, to be lit.LED this Kind display may indicate that battery cannot be used for securely performing any function of surgical instruments.Although circuit 12100 uses three fingers Show device circuit 12110,12120 and 12130, but circuit may include more than three indicator circuit, the more than three indicator Circuit includes the Zener diode with different breakdown voltages.Such embodiment can such as the voltage that battery is provided it is finer Grade instruction.It is contemplated that the other embodiment using only two indicator circuits.

In all cases, battery may include circuit, and the circuit is configured to instruction battery and is electrically charged and/or has There are enough electricity so that it can be used together with surgical instruments.In some cases, surgical instruments may include circuit, the electricity The battery that road is configured to indicate to be attached to surgical instruments is electrically charged and/or with enough electricity so that it can be with surgery Instrument is used together.Under either case in both cases, turning now to Figure 180, circuit 12200 may include microprocessor 12201, the microprocessor 12201 includes one or more gate poles with cell communication, and the battery can be such as 9V batteries. Circuit 12200 may also include capacitor 12202, such as 10 microfarad capacitors, and the capacitor 12202 can be from including diode 12203 and resistor 12204 circuit receive power.Circuit 12200 may also include in the discharge path of capacitor 12202 LED 12205 and resistor 12206.Such circuit can lead to 12205 intermittent pulsation of LED, and precondition is that battery can incite somebody to action Enough power is provided to circuit 12200.In such cases, user can recognize that the LED 12205 of pulsation and will be appreciated by Battery has at least some power (even if without enough power) that will be used together with surgical instruments.If user is not It is pulsation to recognize LED 12205, then user may be assumed that battery lacks enough power to be used.

In all cases, it is as described herein and referring to Figure 28 4, it battery and/or is configured to together with battery The surgical instruments used may include diagnostic circuit, the diagnostic circuit can assess the available power of battery, voltage, and/or Electric current.Turning now to Figure 184, Battery Diagnostic circuit 12300 is disclosed.Such circuit be configured to assessment with surgery Instrument be used together before, be just used together with surgical instruments during, and/or the electricity after being used together with surgical instruments Pond.In all cases, battery can be used more than once, and in all cases, and battery can be rechargeable or can not It recharges.The use of battery and the information obtained during the diagnostic assessment of battery can be stored in battery and/or surgery device In memory chip in tool.Figure 183 shows information table 12400, and the representative of described information table 12400 is recordable in storage core The type of the information of on piece.For example, recordable access times.For using every time, for example, recordable battery is charged or is recharged Maximum voltage and/or maximum current.For using every time, for example, the recordable current capacity being subjected to during use, being made with mA Electric current, with the Ah electric currents used, and/or minimum voltage.For using every time, for example, the time of recordable battery charging, The temperature of the temperature of battery when time that battery uses, charging, and/or battery when using.These are only storable letter Some examples of breath.In all cases, this type of information can be used to assess such as battery in surgical instruments and/or technical staff The applicability that prior performance and/or battery are used further.

In all cases, it may include circuit turning now to Figure 182, battery and with the surgical instruments that battery is used together, The circuit is switched off battery for once dropping below minimum charge level in the electricity of battery.In some cases, lithium Ion battery cell can have hot accident if the use under minimum charge level, and prevent battery in the minimum electricity The cut-out circuit used under level can prevent such hot accident from occurring.

In all cases, turning now to Figure 181, surgical instruments may include controller, and the controller is adapted to It enough performs instrument and/or is assembled into the deagnostic test of its battery.For example, controller may include clock and memory chip, institute Memory chip is stated to be configured to assess and record instrument and/or when battery has been used.In some cases, if Instrument and/or battery have the long time away from its last time usage time, then controller be configured to disable the instrument and/ Or battery.In some cases, instrument and/or battery may include one or more sensors, one or more of sensors Sensor be configured to assessment instrument and/or battery various states, such as temperature, humidity, and/or instrument and/or Battery is exposed to the time of the temperature and/or humidity.Controller is configured to whether assessment sensor correctly operates, And if it is not, then controller can disable the instrument and/or battery.Controller be also configured to can to assess instrument and/ Or the used number of battery, and if used over specific quantity, then disable the instrument and/or battery.Controller may be used also The assessment available power of battery is configured to, as described herein, and if available power is insufficient, disables the instrument And/or battery.

As described herein, surgical instruments may include the various sensings for acquiring feedback and/or other instrument status informations Device.In addition, surgical instruments may include to feed back and/or instrument status information is supplied to the organoleptic indicator of user. In some cases, endoscope can be used in combination with surgical instruments, and additional feedback and/or instrument status information, which are supplied to, to be made User.As described herein, for example, endoscope and surgical instruments can carry out signal communication with display, the display can be shown The feedback of sensor from endoscope and/or from surgical instruments.Referring now to Figure 75-93, endoscope 5018 (Figure 93) can Signal communication is carried out with display 5002 (Figure 75).In certain embodiments, display 5002 may include such as head-up display (HUD) and/or video-frequency monitor.In addition, display 5002 can be such as plasma screen, LCD screen or electroluminescence screen Curtain.In various embodiments, display 5002 may include the first information layer 5010 of such as video feed.Video feed Can be the image feedback for example observed by endoscope 5018 (Figure 93) in operative site, and can show for example by endoscope 5018 At least part of the surgical instruments 5020 of observation.

In various embodiments, display 5002 may include touch screen 5004.Referring primarily to Figure 75, user can be with touch Screen 5004 interacts to interact with display 5002 and surgical instruments 5020.For example, touch screen 5004 can be with display 5002 communicate, and the input of touch screen 5004 can adjust and/or change the information being shown on display 5002.Such In embodiment, user can communicate with display 5002, without the use of the additional input of display, such as keyboard and/or Computer mouse.In other words, it may be unnecessary to which additional input tool and/or component are shown in display to adjust and/or change Information on 5002.In addition, in various embodiments, touch screen 5004 can be easy to be cleaned and/or be sterilized.For example, it touches Screen 5004 may include flat surfaces, and the flat surfaces can be easy to the wiped clean in surgical kit and/or operating room.Except this it Outside or alternatively, touch screen 5004 can directly and/or indirectly communicate with surgical instruments 5020 so that touch screen 5004 it is defeated Enter and provide input to surgical instruments 5020.User can be such as surgeon, operator, and/or assistant.

In various embodiments, touch screen 5004 can be for example located at least part of display 5002, and can It removes ground and is fixed to display 5002.For example, touch screen 5004 can be compatible with multiple displays, and can releasedly be attached With at least one display of disengaging.In addition, in certain embodiments, touch screen 5004 can be stand alone display, can be independently of Display 5002 operates.For example, dismountable LCD screen may include touch screen 5004, and dismountable LCD screen can fold It is added at least part of display 5002.In other embodiments, touch screen 5004 can be integrated into display 5002.It touches It touches screen 5004 and such as resistive technologies, capacitance technology, supersonic beam technology, and/or near-field imaging technique can be used.

Referring primarily to Figure 93, in various embodiments, feedback controller 5016 can be with surgical instruments 5020, endoscope 5018, and/or display 5002 carry out signal communication.In certain embodiments, feedback controller 5016 and endoscope 5018 it Between wiredly and/or wirelessly connection 5017 can provide the video feed from endoscope 5018 to feedback controller 5016.This Outside, between feedback controller 5016 and the microcontroller of surgical instruments 5020 and/or surgical instruments 5020 wiredly and/or wirelessly Connection 5019 can provide the feedback data for being measured and/or being detected by surgical instruments 5020 to feedback controller 5016.It is for example, each The description of kind sensor is in this article and complete disclosure is incorporated by reference 263 Hes of the Zemlock ' being incorporated herein In Zemlock ' 344, and various sensors can detect feedback and/or instrument status information.In addition, 5016 He of feedback controller Wiredly and/or wirelessly connection 5015 between display 5002 by the feedback data from surgical instruments 5020 and/or can come from The video feed of endoscope 5018 is provided to display 5002.In at least one embodiment, video feed can be shown in display In first information layer 5010 on 5002, and feedback data can be shown in the second Information Level 5012 on display 5004. It is located in the embodiment on display 5002 including dismountable LCD display of touch screen 5004, feedback controller Wiredly and/or wirelessly connection between 5016 and dismountable LCD display can for example provide feedback data dismountable LCD display and/or feedback data can be provided from LCD display to feedback controller 5010.

Referring primarily to Figure 76, display 5002 can play first information layer 5010, and the first information layer 5010 may include Such as the video feed from endoscope 5018 (Figure 93).In all cases, video feed 5010 may include acting on tissue T Surgical instruments 5020 diagram.In various embodiments, surgical instruments 5020 can be similar to such as surgical instruments 10 (Fig. 1), And it is connected to the disposable loading unit (DLU) of surgical instruments and/or end effector 5022 can be similar to such as loading list 20 (Fig. 2) of member.The DLU 5022 of surgical instruments 5020 can carry out joint motions relative to tissue T, and tissue T is grasped and/or pressed from both sides It holds between a pair of of jaw, suture tissue T and/or cuts tissue T using cutting element, as described herein.It in addition, can Surgical site and/or neighbouring 5018 observable DLU 5002 of endoscope are located in, and can be by video feed and/or record It is transferred to feedback controller 5016 (Figure 93).In various embodiments, regarding in the first information layer 5010 on display 5002 Frequency feedback can provide the live visual feedback of operative site for the operator of surgical instruments 5020.

Referring primarily to Figure 77, display 5002 can show the second Information Level 5012.In addition, user may be selected, move, It adjusts, minimize in terms of size, extension, changing, and/or otherwise regulate and control the second Information Level 5012.For example, user can By interacting to the second Information Level 5012 of regulation and control with touch screen 5004.As described herein, the second Information Level 5012 may include Feedback data from surgical instruments 5020 and/or the control for controlling surgical instruments 5020.In various embodiments, second Information Level 5012 may include control panel 5030, and touch screen 5004 can be used for selecting and/or using control panel 5030 Feature structure.Control panel 5030 can be folded by touch screen 5004, adjust size, movement, and/or otherwise be adjusted Control.For example, user can be minimized or folding control panel 5030 by selecting minimized/maximized icon 5032, and It can maximize by reselection minimized/maximized icon 5032 or control panel 5030 is unfolded.In addition, user can be such as By in whole display 5002 " drag and drop " control panel 5030 come control panel 5030 mobile on display 5002.Separately Outside, user can adjust 5030 phase of control panel by multiple contact points on " amplification " and/or " diminution " touch screen 5004 For the size of display 5002.Those of ordinary skill in the art will be appreciated that, the various of such as touch screen 5004 can be used Conventional and/or visual contact is changed and/or regulates and controls its second Information Level 5012 and/or control panel 5030.

Referring also to Figure 77, control panel 5030 may include multiple menus, classification, and/or classification.For example, control panel 5030 may include instrument back menu 5036, display menu 5060, and/or instrument controller menu 5070.User can be used Control panel 5030 come select menu and/or switch touch screen 5004 mode of operation.For example, when user selects control panel During 5030 instrument controller menu 5070, instruction and/or control can be transmitted to (the figure of instrument controller 5016 by touch screen 5004 And/or microcontroller 93).In such embodiments, as described herein, touch screen 5004 can operate under instrument state of a control. In addition, when selecting to show menu 5060 from control panel 5030, user can change and the second Information Level 5012 and/or display 5002 relevant setting of device.In such embodiments, touch screen 5004 can work in the case where setting modification state.In addition to this or separately Selection of land, when instrument back menu 5036 is chosen, user can change the feedback data included in the second Information Level 5012. In such embodiments, touch screen 5004 can operate under feedback regulation state.In various embodiments, control panel 5030 can Including additional and/or less menu, classification, and/or classification.In addition, for example can control be changed according to the preference of user Various menus, classification, and/or the classification of panel 5030 processed.Menu, classification, and/or classification can be shown by word and/or symbol In the second Information Level 5012.In various embodiments, the classification under each menu 5036,5060,5070 optionally shows In the second Information Level 5012.For example, the classification under each menu 5036,5060,5070 can be only in corresponding overlying menu 5036th, it is just selectively shown in the second Information Level 5012 when 5060,5070 are selected by the user.In other embodiments, make User for example manually can minimize and/or maximize corresponding to each menu 5036,5060, and/or 5070 classification and/or Subcategory.

Referring also to Figure 77, instrument back menu 5036 may include multiple feedback classifications, and during can relate to surgical operation The feedback data for being measured by surgical instruments 5020 (Figure 93) and/or being detected.As described herein, surgical instruments 5020 it is detectable and/ Or measure for example movable jaw the thickness for opening the position between orientation and closed orientation, clamped tissue, clamped group Chucking power, the joint motions of DLU 5022, and/or the position, speed, and/or the power that fire element knitted.In addition, and surgery The feedback of sensing can be provided display 5002 by the feedback controller 5016 (Figure 93) that instrument 5020 carries out signal communication, described Display 5002 can include feedback in the second Information Level 5012.As described herein, such as user can be based on to touch screen 5004 selection, setting, and/or the form that input to change the feedback data being shown in the second Information Level 5012.

In various embodiments, the display menu 5060 of control panel 5030 can relate to multiple classifications, for example, unit system 5062 and/or data pattern 5064.In certain embodiments, unit system classification 5062 may be selected in unit system in user Between (for example, between the usual unit of metric unit and the U.S.) switch.In addition, user's alternative such as data pattern classification 5064, in the graphical presentation type (Figure 82-83) of the digital representation type (Figure 79-81) of feedback data and/or feedback data Between switch.The digital representation of feedback data can be shown as such as numerical value and/or percentage.In addition, the figure table of feedback data Such as function of time (Figure 82) and/or distance function (Figure 83) can be shown as by showing.As described herein, user can be from control panel 5030 selection instrument controller menus 5070, to input the instruction for surgical instruments 5020 (Figure 93), described instruction can be via Such as instrument controller 5016 (Figure 93) and/or microcontroller perform.

Referring now to Figure 78, the second Information Level 5012 can cover at least one of the first information layer 5010 on display 5002 Part.In addition, touch screen 5004 allows user relative to regarding in first information layer 5010 below on display 5002 Frequency feeds back to regulate and control the second Information Level 5012.For example, the operable touch screen 5004 of user, to select, regulate and control, form again Change, adjusted in terms of size, and/or otherwise change the information being shown in the second Information Level 5012.In certain implementations In example, touch screen 5004 can be used in user, with relative to the surgery in the first information layer 5010 being shown on display 5002 Instrument 5020 regulates and controls the second Information Level 5012.The menu of user's alternative such as its control panel 5030, classification and/or class Not, and the second Information Level 5012 and/or control panel 5030 are adjustable to the selection for reflecting user.In various embodiments In, user can be from the feature structure corresponding to specific features structure or the surgical instruments being shown in first information layer 5,010 5020 Instrument back classification 5036 select classification.It can be relative to the spy of surgical instruments 5020 corresponding to the feedback of classification selected by user Determine feature structure mobile, a certain position on self poisoning, and/or " buckle " to display 5002.For example, selected feedback can It is moved adjacent to and/or covers the position of the special characteristic structure for the surgical instruments 5020 being shown in first information layer 5010.

Referring to Figure 79 and Figure 80, if user for example selects knife progress classification 5040 from instrument back menu 5036, Sensing data relevant with knife progress and/or information can be for example relative to the knives of DLU 5022 being shown in first information layer 5010 To move and/or " buckle " is to a certain position in the second Information Level 5012.In addition, in user from instrument back menu 5036 After selecting desired classification, control panel 5030 is foldable and/or minimizes.Feedback data 5052 relevant with knife progress can Be shown on display 5002 near the detection knife of the DLU 5022 shown in first information layer 5010, and for example when knife translation and/ Or when moving across DLU 5022, it can go in knife close to the first position of the section start of firing schedule (Figure 79) and knife close to percussion It is moved between the second position (Figure 80) of the distal end of journey.For example, as knife translation distance Xmm, it is relevant with knife progress Data 5052 can be positioned in first position (Figure 79), and as knife translation distance Ymm, with the relevant data of knife progress 5052 can be positioned in the second position (Figure 80).In such embodiments, operator can pass through the feedback on viewing screen 5002 Data 5052 track the knife progress during firing schedule.For example, when the knife of DLU 5022 is for example by end effector jaw 5024 and/or tissue T blocking and when cannot observe, changing value and/or feedback data that operator can be based on feedback data 5052 5052 relative to the shift position of the DLU 5022 shown in following first information layer 5010 come track and/or approximation DLU 5020 in Knife position.In addition, the diagram of digital representation and knife progress that display 5002 can combine knife progress represents and/or symbol It represents.For example, symbol 5054 (such as arrow) can for example be moved relative to the DLU 5022 shown in following first information layer 5010 And/or extension, to show the knife progress across DLU 5022.Referring also to Figure 79 and Figure 80, when knife is for example from close to firing schedule When the position of the position of the section start of (Figure 79) towards the distal end of remote laterally closer firing schedule (Figure 80) promotes, symbol 5054 Can for example it extend towards distal side.

In various embodiments, user can select the one or more of feedback data different from instrument back menu 5036 Classification, and the different classifications of feedback data can be displayed in the second Information Level 5012 on display 5002.In such implementation Example in, when user from instrument back menu 5036 select feedback data different classifications when, the digital representation of feedback data and/ Or symbolic indication can be moved to the appropriate position on display 5002 relative to the DLU 5022 shown in following first information layer 5010 It puts.For example, if user selects jaw position classification 5038 from instrument back menu 5036, opened with movable jaw The relevant feedback data in position between position and clip position for example can be displayed in the second Information Level 5012, and move Position near the movable jaw 5024 of surgical instruments 5020 on to display 5002.In addition, if selection knife speed class Mesh 5042 then can be displayed in the second Information Level 5012 with the feedback data of knife velocity correlation 5058 (Figure 82), and move The position near the knife in DLU 5022 on to display 5002, be similarly to numerical data 5052 described above and/or Symbol 5054.For example, if user selects tissue thickness's classification 5044, with the relevant feedback coefficient of tissue thickness detected According to can be displayed in the second Information Level 5012, and can be moved into the position near the measurement tissue T on display 5002.This Outside, at least one embodiment, the second Information Level 5012 may include to show the scale and/or mark of detected tissue thickness Ruler.User for example can move scale relative to tissue T below first information layer 5010 Suo Shi via touch screen 5004, this It can be conducive to user and understand that tissue thickness changes.For example, if user selects end effector classification 5046, Then feedback data 5252 (Figure 84-88) relevant with the joint motions of DLU 5022 can be displayed in the second Information Level 5012, and And it can be moved into the position of the actuated articulation joints 5026 (Figure 84 and 85) of DLU 5022 on display 5002 nearby.For example, If user selects percussion force classification 5048, can be shown with being applied to the relevant feedback data of structural percussion force by knife In the second Information Level 5012, and it can be positioned near the knife of the DLU 5022 on display 5002.In addition, for example, hitting During issuing journey, with the relevant feedback data of percussion force that is applied by knife can with knife relative to DLU 5022 move and second It is moved in Information Level 5012.In addition, if selection chucking power classification 5050, then with the relevant feedback coefficient of chucking power in tissue T It can be shown in the second Information Level 5012 according to 5158 (Figure 83), and DLU 5022 that can be below shown in first information layer 5010 is attached It is near mobile.In such embodiments, it is for example, during feedback data relevant with chucking power 5158 can show clamping and/or entire Change in firing schedule along the clamp pressure of the length of DLU 5022 and/or width.

In various embodiments, the feedback shown in the second Information Level 5012 can be with the surgery device in first information layer 5010 The character pair structure of tool 5020 and move.For example, when DLU 5022 is manipulated around operative site, DLU 5022 can enclose It is moved around display 5002.In such embodiments, with DLU 5022 relevant feedback (such as jaw position data and/or pass Section exercise data) it can for example be moved together with DLU 5022.The movement of relevant feedback can ensure that feedback is maintained at regarding for operator Yezhong, the character pair knot without the surgical instruments 5020 shown in operator from the first information layer 5010 on display 5002 Structure shifts sight.In addition, the movement of relevant feedback can ensure that the feedback does not stop that operator wishes to observe on display 5002 First information layer 5010 shown in surgical instruments 5020 feature structure.

In certain embodiments, multiple feedback classifications may be selected to be observed on display 5002 simultaneously in user.In addition, Selected feedback can be automatically arranged on display 5002, and related data is included according to nonoverlapping arrangement In second Information Level 5012.In other words, for example, the feedback being shown in the second Information Level 5012 can not be with being shown in the second letter Cease other feedback overlappings in layer 5012；However, such feedback can be with the first information layer 5010 that is shown on display 5002 Video feed overlapping.In various embodiments, when feedback data relative to following first information layer 5010 shown in surgery Instrument 5020 move and/or " buckle " to screen on a certain position when, user can be by by feedback data " drag and drop " to Other positions in two Information Levels 5012 replace default location.

Referring now to Figure 81, the symbolic indication 5056 of knife progress (for example, the cross of knife and/or knife-edge edge, target center, and/or Figure represents) it can be moved into position in the second Information Level 5012 Chong Die with the cutter position shown in first information layer 5010. In some embodiments in addition when knife when invisible on display 5002 (if for example, knife in advance be blocked), the symbol of knife Represent 5056 test positions for moving and/or following the knife in the DLU 5022 on screen 5002.For example, it goes in percussion Near the section start of journey, symbolic indication 5056 can relative to DLU 5022 be in first position, and in firing schedule end Near, symbolic indication 5056 is moved to the second position relative to DLU 5022.

In various embodiments, the feedback that user selects via touch screen 5004 " can be buckled " onto display 5002 Turning, edge, and/or other precalculated positions.For example, referring also to Figure 81, numerical data 5052 relevant with knife progress is removable To the turning of display 5002.In addition to this or alternatively, user can interact with touch screen 5004, by numerical data 5052 are moved to the different location on touch screen 5004.Position based on surgical instruments 5020 below in first information layer 5010 It puts, numerical data 5052 can be moved to a certain position in the second Information Level 5012 by user so that the correspondence of DLU 5022 And/or special characteristic structure is not stopped and/or is hindered by numerical data 5052.In addition to this or alternatively, user can be by number Digital data 5052 is moved to the position near the character pair structure of DLU 5022 so that user can be easy to observe correspondence simultaneously 5022 feature structures of DLU and numerical data 5052.

Referring to Figure 84 and Figure 85, the symbolic indication 5254 (Figure 85) of the feedback data from feedback controller 5016 (Figure 93) It may include in the second Information Level 5012.For example, the joint motions of DLU 5022 symbolic indication 5254 (for example, subtended angle and/or To arc) can be shown in the second Information Level 5012, and can be moved on display 5002 with it is outer shown in first information layer 5010 The actuated articulation joints 5026 of section's instrument 5020 it is close and/or overlapping position.It for example, can be by non-joint motions to arc Extend between the axis A of DLU 5022 (Figure 84) restrictions and the axis A ' limited by the DLU 5022 (Figure 85) of joint motions. In some embodiments or even when actuated articulation joints 5026 are invisible on the screen, the symbolic indication of articulation angle 5254 are found in the second Information Level 5012.If for example, 5026 no-fix of actuated articulation joints in the visual field of endoscope and/ Or be obstructed or stop, then the symbolic indication 5254 of articulation angle can provide the visible instruction of joint motions to user. In various embodiments, symbolic indication 5252 can adjust and/or change with the movement and/or joint motions of DLU 5022. For example, symbolic indication 5254 can be arrow arc or line, the initial position and/or non-pass that the arrow arc or line can be from DLU 5022 The articulated position (Figure 85) (as detected by instrument 5020) for saving movement position (Figure 84) towards DLU 5022 extends.This Outside, in various embodiments, symbolic indication 5254 can be relative to the DLU 5022 " buckle " shown in first information layer to a certain position It puts so that symbolic indication 5254 is overlapped and/or is aligned with DLU 5022.For example, referring primarily to Figure 85, the symbol of articulation angle Number represent 5254 can be moved into it is at actuated articulation joints 5026 shown in the first information floor 5010 on display 5002 and/or attached Closely, and can by the axis A that the DLU 5022 for being in initial and/or non-articulated position is limited with carrying out as DLU 5022 Extend between the axis A ' limited during joint motions by DLU 5022.

In addition, it in various embodiments, can be displayed in the relevant numerical data 5252 of joint motions of DLU 5022 aobvious Show in the second Information Level 5012 on device 5002.In addition, data 5252 can change with the joint motions of DLU 5022.Example Such as, the second Information Level 5012 (Figure 84) can show X ° of joint motions before DLU 5022 carries out joint motions, and can be (Figure 85) shows Y ° of joint motions after the progress joint motions of DLU 5022.In various embodiments, with the pass of DLU 5022 Section moves relevant feedback data 5252 and can for example be connect in the joint motions of the surgical instruments 5020 shown in first information layer 5010 At first 5026 and/or nearby it is shown in the second Information Level 5012.User can be for example relative to being shown in first information layer Video feed in 5010 is adjusted to move, in terms of size using touch screen 5004, minimizes, and/or otherwise adjust Control is shown in the joint motions data 5252 in the second Information Level 5012.In addition to this or alternatively, user can be with touch screen 5004 interact, different location symbolic indication 5254 and/or numerical data 5252 being moved on touch screen 5004.Base Numerical data 5252 can be moved to the second letter by the position of surgical instruments 5020 below in first information layer 5010, user Cease a certain position in layer 5012 so that the special characteristic structure of DLU 5022 is not stopped and/or hindered by numerical data 5252. In addition to this or alternatively, numerical data 5252 can be moved to the position near the character pair structure of DLU 5022 by user It puts so that user can be easy to observe corresponding 5022 feature structures of DLU and numerical data 5252 simultaneously.

Referring now to Figure 82, can figure for example be selected from the display menu 5060 of control panel 5030 by touch screen 5004 It represents.In such embodiments, feed back 5058 figure expression can be displayed in the second Information Level 5012 on display 5002. User may be selected figure represent observe from surgical instruments 5020 and/or its controller relative to time and/or space Measurement data and/or sensing data.For example, user can it is expected to observe the speed of the percussion element in entire firing schedule, And therefore knife speed classification 5042 (Figure 78) can be selected from instrument back menu 5036 (Figure 78).In such embodiments, knife The figure of speed represents that 5058 can persistently obtain data point and be grown for example during firing schedule.In various embodiments, When firing schedule is completed, figure represents that 5058 can show " soft " the startup period 5057 of knife and/or " soft " stop period 5059. In addition, figure represents that 5058 can be positioned on display 5002 so that along the certain bits of the length of end effector jaw 5024 Put specific position of the speed corresponding to the length along the end effector jaw 5022 shown in first information layer 5010 of the knife at place. For example, figure represent 5058 can begin at the section starts of the cutter track diameter across DLU 5022 shown in first information layer 5010 with/ Near or, and may terminate at the cutter track diameter across DLU 5022 for example shown in first information layer 5010 end and/or Near.In addition, as described herein, figure represents 5058 appropriate locations that " can be buckled " onto screen, and user can basis It needs to represent 5058 using touch screen 5004 to move and/or adjust figure in terms of size.In certain embodiments, percussion speed The digital representation of degree can represent that 5058 are shown in together in the second Information Level 5012 with figure.

Referring now to Figure 83, in various embodiments, user can it is expected to observe the length along end effector jaw 5024 The chucking power being applied in tissue T of degree and/width, and therefore, can select to clamp from instrument back menu 5036 (Figure 78) Power classification 5050 (Figure 78).In such embodiments, the figure of chucking power represents that 5158 can be shown in the second Information Level 5012. In some embodiments, figure represents that 5158 can be arranged in the second Information Level relative to the clamping tissue shown in first information layer 5010 In 5012.For example, figure represent 5158 can begin at the proximal end of the jaw 5024 shown in first information layer 5010 and/or Near, and can for example terminate at the distal end of the jaw 5024 shown in first information layer 5010 and/or near.In addition, As described herein, figure represents 5158 appropriate locations that " can be buckled " onto screen, and user can for example utilize touch screen 5004 represent 5158 to move and/or figure is adjusted in terms of size.In certain embodiments, figure expression can be during use It is varied from changing to react the clamp pressure during such as firing schedule.

Referring to Figure 86-88, in various embodiments, user can interact with touch screen 5004, with via instrument control Device 5016 and/or microcontroller processed will control and/or instruction input is to surgical instruments 5020.For example, user can input with Lower control, the control is related to making DLU 5022 to carry out joint motions, end effector jaw 5024 is made to clamp, promote and/or Bounce back cutting element, and/or from DLU 5022 project follow closely.In various embodiments, user can be via touch screen 5004 from control Panel 5030 processed selects instrument controller class mesh 5070 to start instrument state of a control so that user can be via touch screen 5004 Control surgical instruments 5020.When touch screen 5004 is actuated to for instrument control, user can carry out with touch screen 5004 It interacts to control surgical instruments 5020.For example, user can carry out with the control button in the second Information Level 5012 and/or icon It interacts and/or can be interacted with corresponding to the position of following surgical instruments 5020 on touch screen 5004, will for example refer to Order is input to surgical instruments 5020.

For example, with reference to Figure 86, user can interact with touch screen 5004, to indicate that such as DLU's 5002 is desired Joint motion direction and degree.In certain embodiments, user can be on touch screen 5004 at DLU 5022 and/neighbouring court The expectation articulated position dragging contact point of end effector 5002.Referring to Figure 86, user can be traced from first information layer It is expected the line of articulated position or arc 5352 at DLU 5022 shown in 5010 and/or nearby to DLU 5022.For example, arc 5352 can from and/or it is approximate from the axis A limited by DLU 5022 extensions, and arc 5352 may extend by the phase of DLU 5022 The axis A ' that articulated position is hoped to limit.In addition, arc 5352 can for example extend along the direction indicated by arrow 5354.Certain In embodiment, when user inputs desired joint motions via touch screen 5004, arc 5352 can be not present in the second information In layer 5010.In various embodiments, desired articulation angle can be transmitted to instrument controller 5016 by touch screen 5004 (Figure 93) and/or microcontroller, this can realize DLU 5022 to the joint motions for it is expected articulation angle.Referring now to figure 88, instrument controller 5016 (Figure 93) and/or microcontroller can for example based on user via the input of touch screen 5004 come real Existing DLU 5022 arrives the joint motions of axis A '.

Referring primarily to Figure 87, in various embodiments, user can in first information layer 5012 control button, signal Figure, and/or icon interact, to input instructions into surgical instruments 5020.For example, first information layer 5012 may include symbol Or icon 5356, and user moves and/or regulates and controls icon 5356, to realize the joint motions of DLU 5022.Various In embodiment, icon 5356 may include the schematic diagram of such as DLU 5022.In addition, icon 5356 can be dragged to joint by user Movement is orientated and/or is rotationally oriented, to realize the joint motions of DLU 5022.In various embodiments, line and/or arc 5358 can Indicate direction and/or the degree of the desired joint motions of user.For example, arc 5358 can take from the non-joint motions of icon 5356 To the joint motions orientation for extending to icon 5356 '.The icon 5356 ' of joint motions may correspond to the expectation of such as DLU 5022 Joint motions.Referring now to Figure 88, instrument controller 5016 and/or microcontroller can be for example based on users via touch screen 5004 input come realize DLU 5022 arrive axis A ' joint motions.For example, 5022 articulatings of DLU are to by arc 5358 The subtended angle of restriction, the arc 5358 is between the non-joint motions icon 5356 shown in Figure 87 and joint motions icon 5356 '.

Referring primarily to Figure 89 and Figure 90, in various embodiments, user can interact with touch screen 5004, will be with Jaw 5024 is closed relevant instruction input to surgical instruments 5020.In certain embodiments, user can be in touch screen 5004 On at movable jaw 5024 and/or nearby towards the closed orientation dragging contact point of movable jaw 5024, to start jaw 5024 closure.For example, user can trace at the movable jaw 5024 shown in first information layer 5010 and/or nearby to The line of the expectation closed orientation of movable jaw 5024 or arc 5362 (Figure 89).In various embodiments, touch screen 5004 can incite somebody to action Closed action is transmitted to instrument controller 5016 and/or microcontroller, this can realize the closure of movable jaw 5024.Certain In embodiment, by user trace arc 5362 on touch screen 5004 can from or it is approximate from being limited by movable jaw 5024 Axis A extends, and arc 5362 may extend into the axis A ' (Figure 90) that orientation definition is clamped by the expectation of movable jaw 5024. In addition, arc 5362 can for example extend along the direction indicated by arrow 5364.Referring now to Figure 90, instrument controller 5016 and/or Microcontroller can realize movable the closing to axis A ' of jaw 5024 for example based on user via the input of touch screen 5004 It closes.

Referring now to Figure 91 and Figure 92, in various embodiments, user can press with the control in first information layer 5012 Button and/or icon interact, to input instructions into surgical instruments 5020.For example, first information layer 5012 may include controlling Interface 5072, the control interface 5072 may include that for example button 5074,5075,5076,5077,5078 is defeated for that will instruct Enter to instrument controller 5016 and/or microcontroller.For inputting instructions into instrument controller 5016 (Figure 93) and/or micro-control The button of device processed can relate to for example to make DLU 5022 carry out joint motions, make jaw 5024 be closed and/or clamp, fire and/or Bounce back cutting element, and/or from DLU 5022 project follow closely.User can interact with touch screen 5004, with from control interface 5072 select buttons.Referring primarily to Figure 91, control interface 5072 may include for example stopping/bouncing back button 5474, pause button 5475th, start button 5476, acceleration button 5477, and/or retard button 5478.User can such as contact start button 5476 With start firing schedule and/or promote percussion element, contact pause button 5475 with suspend firing schedule and/or contact stop/ Retraction button 5474 fires element to stop firing schedule and retraction.In addition, user can interact with control interface 5072, To adjust the speed of the percussion element in entire firing schedule.For example, user, which can contact, accelerates button 5477 to increase percussion The speed of element, and user can contact retard button 5478 to reduce the speed of percussion element.User can for example hit It issues " soft " startup stage of journey later and/or period increases the speed of percussion element and/or can for example be fired in arrival " soft " stop stage of the firing schedule of end of travel reduces the speed of percussion element.In other embodiments, control interface 5072 may include such as button and/or control, for changing the joint motions of the closure of jaw 5024 and/or DLU 5022. In various embodiments, when from control panel 5030 select instrument 5070 menu of controller when and/or when user is with its other party When formula selects instrument state of a control, control interface 5072 " can be buckled " to a certain position in the second Information Level 5012.User Can for example control interface 5072 be moved, adjusts and/or regulate and control relative to first information layer 5010 and/or display 5002.

In various embodiments, referring to Figure 92, the second Information Level 5012 may include such as progress bar 5480, the progress bar 5480 may indicate that the position of the percussion element in DLU 5022.Progress bar 5480 can be in proximal end 5482 and distal end 5488 Between extend, and the nearest side position and the farthest position of the percussion element during firing schedule can be limited.In various implementations In example, the position of percussion element can be for example indicated along progress bar 5480.In certain embodiments, control can be used in user Control in interface 5072 adjusts firing schedule.For example, user can interact with control interface 5072, be based on along into Spend item 5480 percussion element indicating positions come start and/or terminate " soft " startup stage of firing schedule and/or it is " soft " stop The dynamic stage.In addition, progress bar 5480 may include measurement markers and/or beacon 5484,5486, the measurement markers and/or beacon 5484th, 5486 " soft " startups that can be set on such as progress bar 5480 and/or " soft " stop stage can start and/or terminate Position.Beacon 5484,5486 can provide visual cues during firing schedule to user, with for example using accelerating button 5077 are started and/or terminate " soft " the startup period and/or started using retard button 5078 and/or terminate " soft " stop Stage.In various embodiments, the position of beacon 5484,5486 can be preset by user.

Referring also to Figure 92, in various embodiments, instrument controller 5016 and/or microcontroller can be based on beacon 5484, 5486 automatically realize the velocity variations of percussion element along the position of progress bar 5480.In addition, user can be with touch screen 5004 interact, and change with mobile and/or regulation and control progress bar 5480 and thus " soft " startup and/or " soft " of firing schedule The stop stage.For example, " soft " startup and/or " soft " stop stage can be set at proximal end 5482 and distal end 5488 it Between the pre-position along progress bar 5480.In certain embodiments, user can interact with touch screen 5004, to move Beacon 5484,5486 is moved and/or adjusted along the position of 5480 length of progress bar.For example, user can be by dragging and release is led Beacon 5484,5486 is arranged between multiple positions on progress bar 5480 by mark 5484,5486, to extend and/or shorten " soft " startup of firing schedule and/or " soft " stop stage.In certain embodiments, user can be handed over touch screen 5004 Mutually, with the position of distal end 5488 that is mobile and/or adjusting progress bar 5480, so as to extend and/or shorten firing schedule.Example Such as, user for example can proximally drag distal end 5488 to shorten firing schedule and/or can drag distal side towards distal side End 5488 is to extend firing schedule.In various embodiments, instrument controller 5016 and/or microcontroller can be for example based on leading Mark 5484,5486 and/or distal end 5488 adjust the speed of percussion element and/or hit along the location revision of progress bar 5480 Send out stroke length.

In various embodiments, surgical instruments 10 may include at least one deactivation mechanisms.As described in more detail herein, it is such Deactivation mechanisms can prevent end user from modifying surgical instruments unilaterally.For example, with reference to Figure 134, power source 2500 is shown.Power source 2500 can be used for providing power to surgical instruments (for example, surgical instruments 10 (referring to Fig. 1)), and be similar in many aspects Other power sources (for example, power source 200 (referring to Fig. 1)) and Zemlok ' 763 is in greater detail that this document describes elsewhere Other kinds of power source, the full patent texts have been herein incorporated by reference.In order to protect power source 2500 with tamper-resistant, work( Rate source 2500 is configured to become unable to operate or inactivate in the case where it is modified unilaterally.For example, power source 2500 can Such as become to inactivate by stopping receiving, store, and/or transmitting energy.Prevention distort can ensure that power source 2500 with it is outer Section's instrument 10 is used together the correct operation of period.

Referring to Figure 134 and Figure 135, power source 2500 may include external shell 2502, and the external shell 2502 can be encapsulated The various parts of power source 2500, such as battery pack 2510.Housing 2502 may include first shell 2504 and separably couple To the second shell 2506 of first shell 2504, as shown in Figure 135.In some cases, housing 2504 and housing 2056 can be by Thermoplastic material (for example, makrolon) formation.Alternatively, the other materials with appropriate characteristics can be used.In addition, housing 2504 and housing 2506 can by one or more tightening technologies (for example, adhesive, welding, interlocking structure, and/or screw) into Row is coupled to each other.In one example, housing 2504 and housing 2506 can be secured together via snap-fit engagement. In another example, housing 2504 and housing 2506 can be secured together by fastening member 2508, as shown in Figure 135.

Referring to Figure 135-137, power source 2500 may include deactivation mechanisms 2512, and the deactivation mechanisms 2512 can be in power source So that power source 2500 is from operating in the case that 2500 are damaged.For example, if housing 2502 were modified unilaterally, deactivation mechanisms 2512 may be such that power source 2500 cannot operate.As shown in Figure 135-137, deactivation mechanisms 2512 may include circuit 2514, described Circuit 2514 may include can breaking part 2516 (referring to Figure 136).In some examples, can breaking part 2516 can be by can be easy to The conductive material of fracture is formed.As shown in Figure 136, circuit 2514 can be connected to battery pack 2510 and permissible electric current flows through, Precondition be can breaking part 2516 keep complete.As shown in Figure 137, disconnection can breaking part 2516 can interrupt circuit 2514, thus terminate the electric current flowing by it.Further described above, as shown in Figure 135, circuit 2514 can be determined Position into cause can breaking part 2516 can be broken when first shell 2504 and second shell 2506 are separated from each other, this may be such that In the case of inexertion reparation fracture circuit 2514, power source 2500 cannot be that surgical instruments 10 is received, stores, and/or provided Power.

Referring to Figure 135, power source 2500 may include one or more battery unit, this depends on the current loading of instrument 10 Demand.In various aspects, power source 2500 may include battery pack, such as battery pack 2510, but the battery pack may include that This multiple battery unit being connected in series with.Power source 2500 can be interchangeable.In some aspects, may include can for power source 2500 Storage battery (for example, lead base, Ni-based, lithium ion base etc.).Battery unit can be such as 3 volts of lithium cells, such as CR 123A battery units, but in other embodiments, different types of battery unit can be used (including with different voltages level And/or the battery unit of different chemical product).User can disconnect and remove from surgical instruments 10 power source 2500 that exhausts and The power source 2500 to have charged is connected in its position.The power source 2500 exhausted then can be charged and be recycled.May be used also It is contemplated that power source 2500 may include at least one disposable battery.In all fields, disposable battery can be about 9 volts to about 30 volts.User can disconnect and remove the disposable power source 2500 exhausted, and connect new disposable power source 2500 with Power is provided to surgical instruments 10.

As described above, power source 2500 may include rechargeable battery cells and can may be removably disposed in for example outer (referring to Fig. 1) in the handle portions 14 of shell 12.In such cases, power source 2500 can be charged using charger seat, institute State charger seat and may include the power source for charging to power source 2500.If power source 2500 is modified unilaterally, as described above, if Deactivation mechanisms (for example, deactivation mechanisms 2512) can be used to be recharged power source 2500 to be prevented to be electrically charged device seat.It is for example, electric Road 2514 can be connected to battery pack 2510 and can be connected to charger seat, charger seat to be allowed to carry out battery pack 2510 It recharges.As described above, when first shell 2504 is separated with second shell 2506, it can breaking part 2516 (referring to Figure 135) It can disconnect, thus interrupt the electric current for flowing through circuit 2514, this can prevent charger seat from recharging battery pack 2510.This can Be conducive to prevent end user modify power source 2500 unilaterally because modify unilaterally power source 2500 can prevent its from go recharge for With reference to the follow-up use of surgical instruments 10.

Referring now to Figure 138-141, power source 2500 may include data storage cell, for example, memory 2552, the number The data for including the information in relation to power source 2500 can be stored according to storage unit, for example, total available power, access times, and/or Performance.In addition, memory 2552 can be stored with the data for closing surgical instruments 10, the data include related surgical instruments 10 outside The various information (for example, various sensor readings, percussion number, storehouse number for using) of operation in section's surgical procedure and/or have Close the information for the treatment of patient.Memory 2552 may include any device for storing software, and described device includes but not limited to ROM (read-only memory), RAM (random access memory), PROM (programming ROM), EEPROM (electric erasable PROM) and/ Or other computer-readable mediums.

Further described above, referring again to Figure 138-141, power source 2500 may include data access entrance, For example, I/O interfaces 2550, to access the data being stored in memory 2552.For example, I/O interfaces 2550 allow to be stored in Data in the memory 2552 of power source 2500 are downloaded to external computer device for assessing and analyzing.In certain feelings Under condition, I/O interfaces 2550 can be wireline interface and be operably linked to deactivation mechanisms 2512, and the deactivation mechanisms 2512 can Including can fracturable connection, it is described can fracturable connection can be cut off to prevent through the data transmissions of I/O interfaces 2550.It is similar In deactivation mechanisms 2512 can breaking part 2516, deactivation mechanisms 2554 can fracturable connection can be positioned so that and make it can be in shell (for example, when first shell 2504 and second shell 2506 are separated from each other) is cut off when body 2502 is broken.

Further described above, as shown in Figure 139-141, I/O interfaces 2550 may include connector 2555, described Connector 2555 is configured to receive is correspondingly connected with device 2556 for example to allow data from external computer device It is transmitted between memory 2552 and computer installation.In addition, connector 2554 can be by covering (for example, pivoting covering 2559) it protects, the pivot covering 2559 is configured in latched position (referring to Figure 139) (wherein connector 2554 be unexposed) (wherein connector 2554, which is exposed to receive, is correspondingly connected with device with unlocked position (referring to Figure 140) 2556) it is moved between.In one example, it screw 2558 that can be used will pivot covering 2559 and be fixed to housing 2502.This public affairs It opens it is contemplated that for restorably covering other devices of connector 2556.Further described above, show certain In example, connector 2554 and 2556 may include key and lock engagement, and wherein connector 2554 and 2556 may include for example unique Complimentary geometries, thus prevent connector 2554 receive other connectors, be stored in storage to prevent or at least to limit The unauthorized access of data in device 2552.In some examples, connector 2554 can be positioned in housing 2502, such as Figure 141 It is shown, the unauthorized access of the data in memory 2552 is stored in further limitation.It in such cases, can be by separating The first shell 2504 and second shell 2506 of housing 2502 accesses connector 2554.However, as described in more detail above, stop It can prevent power source 2500 from operating when housing 2502 ruptures with mechanism 2512, this can further prevent to attempt to expose connection Device 2554 is stored in the data in memory 2552 with access.

Referring to Figure 142, power source 2500 may include to manage the processor 2560 for the data being stored in memory 2552. In order to protect such data to prevent unauthorized access, processor 2560 can be connected to rupture sensing mechanism 2562.For example, processor 2560 can be connected to circuit 2514 and be configured to detection can breaking part 2516 fracture.In one example, Destroying sensing mechanism 2562 may include the one or more sensors for the rupture being configured in detection housing 2502.It is in office In the case of what, when detecting rupture, processor 2560 can be programmed to for example prevent to depositing by deletion or encryption data The data being stored in memory 2552 carry out unauthorized access.

Referring to Figure 143-145, surgical instruments 2600 is shown.Surgical instruments 2600 is similar to surgical instruments in many aspects 10 (referring to Fig. 1) and/or surgical instruments 2100 (referring to Figure 146).For example, surgical instruments 2600 may include casing assembly 2602, The casing assembly 2602 is similar to the casing assembly 2102 of surgical instruments 2100 and/or the shell 12 of surgical instruments 10.In addition, Surgical instruments 2600 may include power source 2500 ', and the power source 2500 ' is available for providing power to surgical instruments 2600 simultaneously And be similar in many aspects other power sources (for example, power source 2500 (referring to Figure 134)) for describing elsewhere of this document and The power sources other kinds of in greater detail of Zemlok ' 763, the full patent texts have been herein incorporated by reference.In addition, such as Shown in Figure 143, power source 2500 ' may include charge level indicator 2660, and the charge level indicator 2660 can be constructed Into the feedback that the charge level in relation to power source 2500 ' can be provided to user.Feedback can have such as sound and/or light shape Formula.Power source 2500 ' may include one or more light emitting diodes (LED).Processor 2560 can be for example programmed to control LED, so as to provide the feedback of the charge level in relation to power source 2500 ' to user, the charge level can be for example, by electricity Gauge measures.

As shown in Figure 143-145, power source 2500 ' may include the first LED 2662 and the 2nd LED 2664.Processor 2560 can be connected to LED 2662 and 2664 and can be programmed to receiving the letter that power source is completely charged from voltameter Number when light both LED 2662 and 2664.In addition, processor 2560 can be programmed to receiving power source consumption from voltameter Both LED 2662 and LED 2664 are closed during most signal.In addition, processor 2560 can be programmed to receive from voltameter The first LED is only lighted when there is the signal of enough electricity of the only once complete operation for surgical instruments 2600 to power source 2662 without lighting the 2nd LED 2664.The disclosure is contemplated that the charge level for prompting user's power source 2500 ' Other devices.

In certain embodiments, for example, the various parts of surgical instruments 10 can be reusable and various parts Can be interchangeable.In addition, surgical instruments 10 can at least partly be assembled, dismantled, and/or be re-assemblied.For example, surgery device Tool 10 can be dismantled and can for example be re-assemblied with reusable component and replacement component at least partly.Separately Outside, surgical instruments 10 can be dismantled at least partly during surgery, for cleaning, sterilizing, and/or reprocess.With Afterwards, surgical instruments 10 can for example be re-assemblied.As described in more detail herein, the various feature structures of surgical instruments 10, component and/ Or system can be conducive to its disassembly and assembly.For example, referring now to Figure 146-148, surgical instruments 2100 is shown.Surgical instruments 2100 are similar to surgical instruments 10 in many aspects (referring to Fig. 1).For example, surgical instruments 2100 may include being similar to surgical instruments The casing assembly 2102 of 10 shell 12.In addition, casing assembly 2102 may include several detachable parts 2103, it is described detachable Component 2103 can be detachably fixed to housing main body 2104, such as work package 2106.Other portions of casing assembly 2102 Part can be detachably fixed to housing main body 2104.For example, casing assembly 2102 may include interchangeable power source 2108, institute The handle portions 2110 of housing main body 2104 can be detachably fixed to by stating interchangeable power source 2108.Power source 2108 exists Many aspects are similar to other power sources that this document describes elsewhere, for example, power source 200 (referring to Fig. 1).

Referring again to Figure 147, some or all of casing assembly 2102 or its component can be reusable.It changes Word says that some or all of casing assembly 2102 or its component can be used in multiple surgical operations, the surgical operation Between can need that casing assembly 2102 is cleaned, sterilized, and/or reprocessed.It can be restored by simple and repeatable mode Ground dismantle casing assembly 2102 or remove some or all of its component (for example, work package 2106) ability can simplify it is outer The step of cleaning of shell component 2012, disinfection, and/or reprocessing and/or cost can be reduced.

Referring to Figure 147, casing assembly 2102 can be disassembled after surgical operation, and the casing assembly 2102 dismantled Component (for example, housing main body 2104, work package 2106 and/or power source 2110) can individually or jointly other component into Row cleaning, disinfection, and/or reprocessing, this depends on the characteristic and inner body of each component.In some examples, shell master Body 2104 can be disposable.In other words, casing assembly 2102 can be disassembled and housing main body after surgical operation 2104 can be replaced by new housing main body 2104.However, remainder can be cleaned, sterilized, and/or be reprocessed, then it is attached To new housing main body 2104.Reader will be appreciated that, the other component of casing assembly 2102 is alternatively disposable and can be by new Like replace.

Referring again to Figure 146-148, housing main body 2104 be configured to allow casing assembly 2102 with it is simple, Predictable and repeatable mode carries out assembly and disassembly.For example, housing main body 2104 may include the first cover portion point 2112 (referring to Figure 147) and 2114 (referring to Figure 146) of the second cover portion point that the first cover portion point 2112 can be releasably attached to.One In a example, cover portion point 2112 and 2114 may include that snap-fit engages.Cover portion point 2112 and 2114 may be adapted to paired with each other Engagement.In one example, cover portion point 2112 may include multiple female members 2116 (referring to Figure 147), the multiple female member 2116 cylindrical in shape and can be configured to when cover portion points 2112 and cover portion point 2114 fit together be buckled Cooperation juncture receiving is arranged on the correspondence male member (not shown) in cover portion point 2114.

Further described above, work package 2106 can be nested in the first cover portion point 2112.Such as Figure 147 institutes Show, the second cover portion point 2114 can be removed the work package 2106 being nested in exposure in the first cover portion point 2112, to allow User removes work package 2106 from housing main body 2104.As shown in Figure 147, work package 2106 may include motor 2118, The motor 2118 can generate spinning movement to act on end effector (for example, storehouse/anvil of loading unit shown in Fig. 2 20 Seating portion).Motor 2118 is similar to other motors that this document describes elsewhere in many aspects, for example, motor 100 (referring to Fig. 1).In addition, work package 2106 may also include transmission assembly 2120, the transmission assembly 2120 can be operably linked to Motor 2118 and it is similar to other transmission assemblies for describing elsewhere in this document in many aspects, for example, gear assembly 170 (referring to Fig. 5).In addition, work package 2106 may also include firing member component 2122, the firing member component 2122 can incite somebody to action The spinning movement generated by motor 2118 is converted into be transferred to the axial action of end effector by trigger shaft 2124.Percussion Component assembly 2122 is similar to other drive components that this document describes elsewhere in many aspects, for example, firing member component 82。

Referring to Figure 147 and Figure 148, the first cover portion point 2112 may include being designed and separate to receive work package 2106 Multiple compartments.For example, as shown in Figure 147, cover portion point 2112 may include being spaced with accommodate the motor nesting of motor 2118 every Room 2126.In some examples, motor nesting compartment 2126 may be designed to be adapted to motor 2118 in a manner of specific arrangements, to ensure Accurate assembling.In addition, motor nesting compartment 2126 may include assembling instruction, the assembling instruction can for example be molded onto motor On the wall of nested compartment 2126, to ensure correctly to assemble.For example, the side wall of motor nesting compartment 2126 is configured to Closely receive motor 2118.In addition, side at least can be asymmetricly constructed in some respects with along only one direction (that is, correct orientation) receives motor 2118.

Similarly, as shown in Figure 147, cover portion point 2112 may include transmission assembly nesting compartment 2128, the transmission assembly Nested compartment 2128 can be spaced to accommodate transmission assembly 2120.In addition, in some examples, transmission assembly nesting compartment 2128 It is designed to the adapted transmission component 2120 in a manner of specific arrangements, to ensure accurately to assemble.For example, transmission assembly nesting compartment 2128 side wall is configured to closely receive transmission assembly 2120.In addition, side can be at least in certain aspects It is asymmetricly constructed to receive transmission assembly 2120 along only one direction (that is, correct orientation).In addition, transmission assembly is nested Compartment 2128 may include assembling instruction, and the assembling instruction can be for example molded onto on the wall of transmission assembly nesting compartment 2128, To ensure correctly to assemble.Similarly, as shown in Figure 147, cover portion point 2112 may include firing member nesting compartment 2130, described Firing member nesting compartment 2130 can be spaced to accommodate firing member component 2122.In addition, in some examples, firing member Component nesting compartment 2130 is designed to be adapted to firing member component 2122 in a manner of specific arrangements, to ensure accurately to assemble. For example, the side wall of firing member component nesting compartment 2130 is configured to closely receive firing member component 2122. In addition, side can be received at least asymmetricly being constructed in certain aspects along only one direction (that is, correct orientation) Firing member component 2122.In addition, firing member component nesting compartment 2130 may include assembling instruction, the assembling instruction can example It is such as molded onto on the wall of firing member component nesting compartment 2130, to ensure correctly to assemble.Reader will be appreciated that, working group The other component of part 2106 can also provide in the receiving compartment of the unique design in cover portion point 2112.Reader will further know that, The electric contact of work package 2106 can be also embedded in the compartment of cover portion point 2112, so that when correct assembling, it can be in working group Between the other component of part 2106, the other component (for example, power source 2108) of casing assembly 2102 and/or surgical instruments 2100 Establish electrical connection.

Further described above, work package 2106 can be detachably coupled to trigger shaft 2124, such as Figure 147 Shown, this permissible user removes and reconnects to surgical instruments 2100 using work package 206 as individual unit, To simplify the disassembly and reassembly of work package 2106.In one example, as shown in Figure 147, firing member component 2122 It may include hollow tubular distal part 2132, the hollow tubular distal part 2132 may include distal openings, and the distal side is opened Mouth for example can be received and be releasably locked to the portions of proximal 2134 of trigger shaft 2124 with snap-fit engagement.

Referring again to Figure 147 and Figure 148, the other component of casing assembly 2102 can be similar to the side of work package 2106 Formula is nested in the special compartment in cover portion point 2112.For example, cover portion point 2112 may include power source nesting compartment 2136, it is described Power source nesting compartment 2136 can be spaced to accommodate power source 2108.In addition, in some examples, power source nesting compartment 2136 are designed to the adaptive power source 2108 in a manner of specific arrangements, to ensure accurately to assemble.For example, power source nesting every The side wall of room 2136 is configured to closely receive power source 2108.In addition, side can at least carry out in some respects It asymmetricly constructs to receive power source 2108 along only one direction (that is, correct orientation).In addition, power source nesting compartment 2136 It may include assembling instruction, the assembling instruction can be for example molded onto on the wall of power source nesting compartment 2136, correct to ensure Assembling.

Further described above, as shown in Figure 147 and Figure 148, certain user's input mechanisms are (for example, percussion Button 2138 and/or closure switch 2140) it can also be dismantled from housing main body 2104, the housing main body 2104 may include being spaced It is opened with accommodating the firing button nesting compartment 2142 of firing button 2138 and/or being spaced with the closure for accommodating closure switch 2140 Close nested compartment 2144.In addition, in some examples, firing button nesting compartment 2142 is designed in a manner of specific arrangements Firing button 2138 is adapted to, to ensure accurately to assemble.For example, the side wall of firing button nesting compartment 2142 is configured to It is enough closely to receive firing button 2138.In addition, side at least can asymmetricly constructed with along only in certain aspects One direction (that is, correct orientation) receives firing button 2138.Similarly, closure switch nesting compartment 2144 be designed to Specific arrangements mode is adapted to closure switch 2140, to ensure accurately to assemble.For example, the side wall of closure switch nesting compartment 2144 It is configured to closely receive closure switch 2140.In addition, side can at least carry out in certain aspects it is asymmetric Ground constructs to receive closure switch 2140 along only one direction (that is, correct orientation).In addition, firing button nesting compartment 2142 And/or closure switch nesting compartment 2144 may include assembling instruction, it is embedding that the assembling instruction can for example be molded onto firing button On the wall for covering compartment 2142 and/or closure switch nesting compartment 2144, to ensure correctly to assemble.

Referring again to 147 and Figure 148, in addition to nested compartment, cover portion point 2112 may include fixed mechanism, by shell group Some or all of part 2102 detachable part 2103 is fixed in its respective compartment, so that it is guaranteed that detachable part 2103 is protected It holds and is nested in its respective compartment.Such fixed mechanism may include fixing component, the fixing component can unlocked configuration (referring to It Figure 148) is moved between locked configuration (referring to Figure 147), the detachable part 2103 of casing assembly 2102 is locked to it Respective compartment in cover portion point 2112.Reader will be appreciated that, can be used single or multiple fixing components will be one or more Detachable part 2103 is fixed to cover portion point 2112.In addition, fixed mechanism may also include security feature structure, the security feature Structure can prevent fixing component from moving to locked configuration in the case of incorrect assembling, to ensure the removable of casing assembly 2102 Unload the correct assembling of component 2103.As shown in the exemplary embodiment in Figure 147, work package 2106 can pass through several fixed structures Part (for example, motor fixing component 2148, transmission assembly fixing component 2150, and/or firing member component fixing component 2152) Fixed to cover portion point 2112.In some examples, as shown in Figure 147, it can be used power source fixing component 2154, firing button solid Component 2156 and closure switch fixing component 2158 are determined to distinguish constant power source 2108, firing button 2138 and closure switch 2140。

Fixing component can be clamped to by moving to locked configuration (referring to Figure 147) (referring to Figure 148) from unlocked configuration On detachable part 2103.For example, motor fixing component 2148 can be by moving to locking structure (referring to Figure 148) from unlocked configuration Type (referring to Figure 147) is clamped on motor 2118.In some examples, some or all of detachable part 2103 can wrap Track is included, the track is configured to receive fixing component when fixing component moves to locked configuration from unlocked configuration. Track can be oriented so that the respective compartment that they only can be correctly nested in detachable part 2103 in cover portion point 2112 It is aligned to receive the fixing component of movement when interior.For example, if motor 2118 is not nested in motor nesting compartment correctly In 2126, then motor fixing component 2148 can not be properly aligned with its track, and thus when motor fixing component 2148 from When unlocked configuration moves to locked configuration, motor fixing component 2148 injection and can not can for example abut against motor 2118 outer wall.In some examples, motor fixing component 2148 can be oriented so that if when motor fixing component 2148 It is not in user during locked configuration and attempts assembling cover portion point 2112 and 2114, then it can prevent the first cover portion point 2112 and second 2114 cooperation engagement of cover portion point.Whether the assembling parts that the construction can prompt user to reexamine casing assembly 2102 are correct Assembling.

Similar to motor fixing component 2148, transmission assembly fixing component 2150 may be received in special on transmission assembly 2120 With in track, and transmission assembly fixing component 2150 can be positioned so that it is made only correctly to be nested in biography in transmission assembly 2120 Ability its corresponding rail alignment when in defeated component nesting compartment 2128.In addition, firing member component fixing component 2152 can connect It is contained in the dedicated track on such as firing member component 2122, and firing member component fixing component 2152 can be positioned so that So that it is just corresponding to its only when firing member component 2122 is correctly nested in firing member component nesting compartment 2130 Rail alignment.Otherwise similar to motor fixing component 2148, transmission assembly fixing component 2150 and/or firing member component are consolidated Determine component 2152 to can be oriented so that if when transmission assembly fixing component 2150 and/or firing member component fixing component 2152, which are not in user during locked configuration, attempts assembling cover portion point 2112 and 2114, then either of which person can prevent first Cover portion point 2112 is engaged with 2114 cooperation of the second cover portion point.As described above, some in detachable part 2103 can be disassembled, it can Cover component 2112 is re-attached to, and can be fixed by multiple fixing components together as component.For example, work package 2106 can pass through motor fixing component 2148, transmission assembly fixing component 2150 and/or firing member component fixing component 2152 Fixed to cover portion point 2112, as shown in Figure 147.Such construct can provide the Insurance riders degree correctly assembled, because of work package The incorrect assembling of any one of 2106 components can prevent its corresponding fixing component from reaching locked configuration, in this way if made User attempts assembling cover portion points 2112 and 2114 when at least one of fixing component is not up to locked configuration, then can prevent the One cover portion point 2112 is engaged with 2114 cooperation of the second cover portion point.

Referring again to Figure 147 and Figure 148, some or all of fixing component can be pivotably attached to the first cover portion Divide 2112 and locked configuration can be moved to (referring to figure (referring to Figure 148) from unlocked configuration relative to the first cover portion point 2112 147), vice versa.In some examples, the second cover portion point 2114 may include the fixing component (not shown) of protrusion, when outside During the assembling of shell component 2102, when cover portion point 2112 and 2114 is aligned to for coordinating engagement, the fixation structure of the protrusion Part can be received in the correspondence receiver member (not shown) in the detachable part 2103 being nested in the first cover portion point 2112. The fixing component of protrusion ensures that detachable part 2103 is remained fixed in the first cover portion point 2112.In addition, if user exists The fixing component of protrusion receiver member not corresponding for example due to the not correct assembling of detachable part 2103 is correctly right Punctual to attempt assembling cover portion point 2112 and 2114, then the fixing component of protrusion can prevent 2112 and second cover portion point of the first cover portion point 2114 cooperation engagements, this can prompt the assembling of detachable part 2103 that user reexamines casing assembly 2102 to carry out Correct assembling.Reader will be appreciated that the position of the fixing component of protrusion and its corresponding receiver member can be reversed, so that prominent The fixing component risen can receive structure from 2103 protrusion of detachable part and the correspondence that may be received in the second cover portion point 2114 In part.Under any circumstance, the fixing component of protrusion receiver member corresponding with its can for example be connect each other with snap-fit It closes releasedly to be attached.The disclosure is contemplated that other engaging mechanisms.

Further described above, some or all of detachable part 2103 may include cam face, it is described Cam face is configured to move to locking (referring to Figure 148) from unlocked configuration in the fixing component of the first cover portion point 2112 These fixing components are received during configuration (referring to Figure 147).Cam face may be provided in dismountable component 2103 some or Corresponding fixing component is allowed to pressure is applied to detachable part 2103 on whole outer surfaces and under locked configuration On.For example, motor 2118 may include the cam face along its track.When motor fixing component 2148 from unlocked configuration (referring to figure 148) when moving to locked configuration (referring to Figure 147), motor fixing component 2148 can advance along the cam face on motor 2118, So as to which incremental pressure is applied on motor 2118 by permissible motor fixing component 2148, wherein for example having under locked configuration There is maximum pressure.The pressure for being applied to motor 2118 can help to motor being fixed in motor nesting compartment 2126.

As described above, end effector may include that the firing member to suture and/or cut tissue can be promoted towards distal side.It is existing Referring to Figure 155, end effector 11260 may include the first jaw with anvil block 11262 and second with nail bin 11264 Jaw.End effector 11260 may also include：First, the shell and/or frame extended proximally from anvil block 11262 and nail bin 11264 Frame 11261；With two, the firing member 11266 that can be moved relative to shell 11261, anvil block 11262 and storehouse 11264.It holds end Row device 11260 may also include actuated articulation joints 11230, and the actuated articulation joints 11230 are configured to allow anvil block 11262 and storehouse 11264 pass through articulation drive 11268 carry out joint motions.In use, end effector 11260 can group It is attached on the axis 11240 of surgical instruments, such as causes：First, end effector shell 11261, which is connected to, is configured to support The shaft housing 11241 of end effector shell 11261；2nd, end effector firing member 11266, which is connected to, is configured to It promotes and the axis of retraction end effector firing member 11266 fires actuator 11246；And/or three, end effector joint fortune The axis that dynamic driver 11268 is connected to the end effector articulation drive 11268 that is configured to promote and bounce back closes Save motion actuator 11248.In use, firing member 11266 can be promoted towards distal side, so that anvil block 11262 is from wherein tissue can It is located in the open position among anvil block 11262 and storehouse 11264 and moves to wherein 11262 compression organization of anvil block against storehouse 11264 Closed position.In all cases, firing member 11266 may include being constructed when firing member 11266 is promoted towards distal side Into the first engagement member that can engage the first jaw and the second engagement member for being configured to engage the second jaw, so that Obtaining anvil block 11262 can be pivoted by engagement member nail bin tomorrow 11264.In order to reopen end effector and allow Anvil block 11262 returns to its open position, and firing member 11266 must fully be bounced back.In all cases, firing member 11266 may be stuck in at least partly position of percussion, and therefore anvil block 11262 can not be switched on again, so that surgery Instrument is difficult to remove from operative site.

Turning now to Figure 156-161, end effector (for example, end effector 11360) may include firing member, described Firing member allows the anvil block 11262 of end effector 11360 to be switched on again, even if the percussion of end effector 11360 Component is stuck in at least partly position of percussion.More specifically, end effector 11360 may include firing member 11366, institute It states firing member 11366 and includes removable part 11366a and 11366b, the removable part 11366a and 11366b is each It is configured to allow the relative motion between anvil block 11262 and storehouse 11264 in the case of kind.Referring primarily to Figure 157 and figure 158, when lock 11390 is in the lock state, removable part 11366a and 11366b can be kept together by lock 11390, As shown in Figure 158.Correspondingly, when lock 11390 is in the unlocked state, removable part 11366a and 11366b can be relative to those This movement.The removable part 11366a of firing member 11366 may include the first lateral part 11363a, the second lateral part The 11367a and cutting element part 11365a being located among lateral part 11363a and 11367a.In all cases, Lateral part 11363a and 11367a can sell (Figure 157 via the one or more for being defined in hole 11396a therein is extended through With 158 in be not shown) remain to cutting element part 11365a.The removable part 11366b of firing member 11366 can be wrapped It includes the first lateral part 11363b, the second lateral part 11367b and is located among lateral part 11363b and 11367b Cutting element part 11365b.In all cases, lateral part 11363b and 11367b can via with from the bottom that it extends At least one holding member (being not shown in Figure 157 and 158) that foot 11396 engages remains to cutting element part 11365b. Reader will be appreciated that aforementioned retaining pin keeps together the various parts of removable part 11363a, while aforementioned holding structure Part keeps together the various parts of removable part 11363b.Reader will further know that, and lock 11390 is in its locking bit Removable part 11363a and 11363b are kept together when putting.In all cases, referring primarily to Figure 158, lock 11390 can It is adapted to including the first locking component 11397a and the second locking component 11397b, the first locking component 11397a The first lock part 11361a of the first cutting element part 11365a is enough engaged, the second locking component 11397b is constructed Into the second lock part 11361b that can engage the second cutting element part 11365b.First lock part 11361a and second Lock part 11361b is configured to cutting element part 11365a and 11365b collaboratively and releasedly protects It holds together.In all cases, lock part 11397a, 11397b can keep cutting element part 11365a and 11365b Together so that the corresponding cutting surfaces 11395a and 11395b of cutting element part 11365a and 11365b formed it is continuous, Or at least substantially continuous cutting surfaces.Referring again to Figure 158, locking 11390 lock part 11397a, 11397b can divide Do not engage and keep the key 11361a and 11361b of cutting element part 11365a and 11365b collaboratively.In various situations Under, lock part 11397a, 11397b can limit recess 11398 between them, and recess 11398 is configured to locking 11390 receive key 11361a and 11361b when being in its latched position.When lock 11390 is proximally pulled, lock part 11397a and 11397b can be detached from key 11361a and 11361b.At this point, lock 11390 can no longer by cutting element part 11365a and 11365b keeps together.In this case, therefore, removable part 11366a and 11366b can be movable with respect to each other. For example, removable part 11366a can together be moved, and accordingly when jaw 11262 is reopened with jaw 11262, it can Separate section 11366b can keep together with storehouse 11264.According to described above, when firing member 11366 is stuck in for example, at least When in the position of part percussion, lock 11390 can be proximally pulled to unlock removable part 11366a and 11366b.

As described above, lock 11390 can be pulled proximally, with unlock the removable part 11366a of firing member 11366 and 11366b.Turning now to Figure 159, it can proximally be pulled by locking level 11391 and/or push lock 11390 towards distal side.Locking level 11391 can be positioned in end effector 11360 and may include proximal end 11392 and distal end 11393.Locking level 11391 distal end 11393 can be engaged with lock 11390.More specifically, at least one embodiment, distal end 11393 It may include the protrusion from its extension, the protrusion can be slidably located in the elongated slot 11399 being defined in lock 11390 It is interior.In order to proximally pull lock 11390, locking level 11391 can be proximally pulled, until protrusion contact elongated slot 11399 Proximal end 11394, the wherein action of locking level 11391 can be passed to lock 11390.Accordingly, protrusion is configured to The distal end 11395 of elongated slot 11399 is enough contacted, to push lock 11390 towards distal side.Reader will be appreciated that, join again See Figure 156, firing member 11366 may include being defined in one or more of longitudinal slits 11369, one or more of Longitudinal slit 11369 is configured to that locking level is allowed to protrude through its extension and engages lock 11390, as described above.

Further described above, referring primarily to Figure 156 and Figure 160, the proximal end 11392 of locking level 11391 It may include the attachment part for being configured to be engaged by the locking actuator 11348 of the axis 11340 of surgical instruments.Referring primarily to Figure 160, locking actuator 11348 may include having jagged distal end 11349, and the recess is for example configured to connect Receive the proximal end 11392 of locking level 11391.Locking actuator 11348 may also include proximal end 11347, the proximal end Portion 11347 can proximally be pulled by the user of surgical instruments and/or be pushed towards distal side, so that locking actuator 11348 It proximally and/or is moved toward the far side respectively with locking level 11391.In use, when end effector 11360 is assembled into axis When on 11340, the proximal end 11392 of locking level 11391 can be assembled in the distal end 11349 of locking actuator 11348.

As described above, motor can be used for the firing member that promotes and/or bounce back, to dispose the fastener from end effector And/or tissue of the cutting capture in end effector.In all cases, motor may include rotatable drive shaft, institute Translational motion can be converted into and be transferred to firing member by stating the rotation of rotatable drive shaft, for example, cutting element and/or Staple drivers.Such at least one, rotatable drive shaft may include threaded portion, the threaded portion and lining ring spiral shell Line engages, and the lining ring includes being defined in threaded hole therein, wherein in use, lining ring can suffer restraints and cannot rotate, So that the rotation of drive shaft promotes drive shaft and/or the drive shaft that proximally bounces back towards distal side, this depends on the side of drive shaft rotation To.In some cases, it is more than expectation or scheduled maximum, force or torsion that firing member, which can be stuck and/or in other words can be subjected to, The power or torque of square.Turning now to Figure 162-167, motor sub-assembly 12000 may include motor 12010, axis 12020 and slide from Clutch component 12030, wherein slide engaging and disengaging device assembly 12030, which can limit motor 12010, can be transferred to power or the torsion of axis 12020 Square.In all cases, referring primarily to Figure 162 and Figure 163, slide engaging and disengaging device assembly 12030 can be in the rotatable of motor 12010 Drive transfer of torque between output section 12012 and axis 12020.Referring now to Figure 165-167, in all cases, driving output Portion 12012 may include substantially circular exterior contour part 12011 and can be flat or at least substantially flat transition Surface 12014.The exterior contour of driving output section 12012, which may also include, is defined in circular contour part 12011 and flat surfaces First between 12014 drives shoulder 12016 and is defined in the opposite end of flat surfaces 12014 and circular contour part The second driving shoulder 12018 between 12011.

In addition as shown in Figure 165-167, slide engaging and disengaging component 12030 may include driving element 12034, the driving element 12034 are biased to engage with driving output section 12012 by biasing element 12036 or spring 12036.Driving element 12034 can It is positioned at least partially in the holding slit in the shell 12037 for being defined in slide engaging and disengaging component 12030 so that driving element 12034 can be limited on axis relative to the movement of shell 12037.Reader will be appreciated that, the shell of slide engaging and disengaging component 12037 may be mounted to axis 12020 so that shell 12037 and axis 12020 synchronous rotary together.Reader will further know that, and at least exist In some cases, the spinning movement for driving output section 12012 can be transferred to shell 12037 by driving element 12034.More specifically Ground, when output section 12012 is driven to be rotated along the first direction as indicated by arrow 12017 to promote firing member towards distal side, Driving output section 12012 can be rotated relative to driving element 12034, until the first driving shoulder 12016 and driving element 12034 Contact.Reader will be appreciated that the first driving shoulder 12016 can keep contacting with driving element 12034, and precondition is biasing structure The radial outward movement of driving element 12034 can be resisted or at least fully be resisted to part 12036.As long as driving element 12034 It is contacted with the first driving shoulder 12016, motor 12010 can make axis 12020 along the direction rotation that firing member is promoted towards distal side Turn.In all cases, sufficiently large torque can be applied to driving output section 12012 by motor 12010, so that driving element 12034 radially outward shift so that drive defeated portion go out 12012 first driving shoulder 12016 slip over driving element 12034, and so that output section 12012 is driven relative to driving element 12304, slip-clutch shell 12037 and axis 12020 rotations.In other words, when the torque for being applied to driving output section 12012 is more than scheduled or maximum torque, driving Element 12034 can fail and be operatively disengaged from motor 12010.When the torque for being applied to driving output section 12012 drops to During less than the scheduled or maximum torque, driving element 12034 can be re-engaged the first driving shoulder 12016, and therefore, Axis 12020 can be operationally re-engaged with motor 12010 so that the driving output section that axis 12020 passes through motor 12010 12012 are rotated.

Further described above, when driving output section 12012 is revolved along the second direction as indicated by arrow 12019 Turn with proximally bounce back firing member when, driving output section 12012 can be rotated relative to driving element 12034, until second drive Dynamic shoulder 12018 is contacted with driving element 12034.Reader will be appreciated that the second driving shoulder 12018 can be kept and driving element 12034 contacts, precondition are the radial directions that driving element 12034 can be resisted or at least fully be resisted to biasing member 12036 It moves out.As long as driving element 12034 with second driving shoulder 12018 contact, motor 12010 can make axis 12020 along Proximally the direction of retraction firing member rotates.In all cases, sufficiently large torque can be applied to driving by motor 12010 Output section 12012 so that driving element 12034 radially outward shifts so that drive defeated portion go out 12012 the second driving shoulder Portion 12018 slips over driving element 12034, and so that drives output section 12012 relative to driving element 12034, slides Clutch outer member 12037 and axis 12020 rotate.In other words, when the torque for being applied to driving output section 12012 is more than predetermined Or during maximum torque, driving element 12034 can fail and be operatively disengaged from motor 12010.When being applied to, driving is defeated When going out the torque in portion 12012 and dropping below the scheduled or maximum torque, driving element 12034 can be re-engaged the second drive Dynamic shoulder 12018, and therefore, axis 12020 can be operationally re-engaged with motor 12010 so that axis 12020 passes through motor 12010 driving output section 12012 is rotated.

In all cases, further described above, the first driving shoulder 12016 and second drives shoulder 12018 can have identical configuration.In some cases, the first driving shoulder 12016 can be limited and the by first curvature radius Two driving shoulders 12018 can be limited by second curvature radius.In some cases, first curvature radius can be with second curvature radius It is identical.In such cases, the maximum that motor 12010 can apply at along the first direction 12017 rotation driving output section 12012 Or sliding torque can drive the maximum that apply during output 12012 or slip with motor 12010 in a second direction 12019 rotations Moment of torsion is same or substantially the same.In some cases, first curvature radius may differ from second curvature radius.In such feelings Under condition, maximum or sliding torque that motor 12010 can apply at along the first direction 12017 rotation driving output section 12012 can It is different from the maximum or sliding torque that motor 12010 can apply in a second direction 12019 rotation driving output 12012. It is at least one it is such in the case of, first curvature radius can be more than second curvature radius, wherein therefore, along the first direction 12017 Maximum or sliding torque is smaller than 12019 maximum or sliding torque in a second direction.In other words, it is first compared to percussion is promoted Part, when retraction fires element, motor 12010 can apply axis 12020 larger torque.When it is expected bounce back percussion element so that The end effector of surgical instruments can be for example switched on again and from during tissue release, such situation can be advantageous.Extremely In the case of few a kind of, first curvature radius is smaller than second curvature radius, wherein therefore, along the first direction 12017 maximum or Sliding torque can be more than 12019 maximum or sliding torque in a second direction.In other words, element is fired compared to retraction, when When promoting percussion element, motor 12010 can apply axis 12020 larger torque.

Further described above, referring primarily to Figure 163 and Figure 164, biasing member 12036 can be by spring lining ring 12032 are elastically supported, and the spring lining ring 12032 is located in the circumferential passageway being defined in slip-clutch shell 12037 In 12031.In such cases, spring lining ring 12032 and biasing member 12036 can cooperate to apply radially inward bias force And/or resist the radial outward movement of driving element 12034.In all cases, spring lining ring 12032 may include annular Main body, the annular body include the first free end 12033 and the second free end 12034, and wherein annular body can be in above-mentioned diameter It is applied to outside power and flexibly extends and flexibly shunk when the radially outer power has stopped or reduced at that time. In this case, the first free end 12033 of spring lining ring 12032 can be moved relative to the second free end 12034.

Device disclosed in this invention can be designed to be processed after a single use or can be designed to be them It is nonexpondable.However, in either case, described device can be repaired, to make again after use at least once With.Repairing may include provision for disengagement, cleaning or replaces specific component and wherein arbitrary several steps for subsequently re-assemblying Combination.Specifically, described device is detachable, and selectively can replace or remove in any combination the arbitrary number of described device Purpose specific component or component.Cleaning and/or replace particular elements after, described device can re-assembly at the repair facility so as to Then use or re-assemblied immediately before surgery by surgical team.Those skilled in the art will know Road, the repairing again of device can utilize it is a variety of be used to dismantling, the technology for cleaning/replace and re-assembly.The purposes of these technologies And obtained prosthetic device again is within the scope of the present invention.

Preferably, invention as described herein is handled before surgery.First, new or used instrument is obtained, and according to It is cleaned.Then it can sterilize to instrument.In a kind of sterilization technology, instrument is placed on closure and the appearance of sealing In device, such as in plastics or TYVEK bag.Then the radiation area of the container can be penetrated by being placed in container and device, such as γ radiation, X- rays or high energy electron.Radiation makes the bacterium on kill instrument and in container.Then the instrument after sterilizing is stored in disinfection In container.The sealing container makes instrument keep sterile until opening the container in medical facilities.

Any patent incorporated herein by reference in its entirety or in part, announcement or other public materials only simultaneously The material entered not with described in the disclosure existing definition, statement or the conflicting range of other public materials in be incorporated herein.Together Sample and at the necessary level, the disclosure that the application is expressly recited instead of be incorporated herein in a manner of citation appoint What conflict material.It is any be herein incorporated by reference but with existing definition as described herein, statement or other public material phases Any material of conflict or part thereof, under the degree for only not generating conflict between the incorporated material and the existing public material It is incorporated herein.

Although the present invention has been described as having illustrative design, it is right in the spirit and scope of the disclosure also to be able to The present invention modifies.Therefore this application is intended to cover any modification, purposes or the modified versions using general principles. In addition, this application is intended to cover belong to known or used this different from the disclosure having in practical framework in fields of the present invention Class pattern.

Claims

1. a kind of end effector being used together with surgical instruments, the end effector include：

Distal end；

Proximal connecting portion, the proximal connecting portion are configured to the end effector being attached to the surgery device Tool；

First jaw；

Second jaw, second jaw can be moved relative to first jaw, wherein second jaw can beaten It is moved between open position, partial closed position and closed position；

At least one sensor, at least one sensor are configured to detect the position of second jaw；

It is characterized in that, the end effector further includes：

First indicator, first indicator are configured to indicate second jaw when in the open position It puts；

Second indicator, second indicator are configured to indicate when second jaw is closed in the part Position；With

Third indicator, the third indicator are configured to indicate second jaw when in the closure position It puts, wherein first indicator, second indicator and the third indicator are determined relative to the proximal connecting portion Position in distal side,

Controller, the controller are configured to control first indicator, second indicator and the third Indicator, wherein at least one sensor communicates with the controller signals.

2. end effector according to claim 1, wherein first indicator, second indicator and described Three indicators are arranged with the array of the movement of approximate second jaw.

3. end effector according to claim 2, wherein the array includes angled array.

4. end effector according to claim 1, the end effector further includes battery, and the battery is configured to Power can be provided to first indicator, second indicator and the third indicator.

5. end effector according to claim 1, wherein first indicator, second indicator and described Three indicators respectively include green LED and red light emitting diodes.

6. end effector according to claim 5, wherein first indicator, second indicator and described The green LED of one in three indicators is configured to be attached in the end effector described outer It is activated during section's instrument.

7. end effector according to claim 5, the end effector further includes nail bin and is removedly stored in Multiple nails in the nail bin, wherein one in first indicator, second indicator and the third indicator The green LED be configured to it is described nail also not from the nail bin fire in the case of in the end Actuator is lit when being attached to the surgical instruments.

8. end effector according to claim 7, wherein first indicator, second indicator and described The red light emitting diodes of at least one of three indicators are configured at least one nail from the nail bin It is lit in the case of percussion when the end effector is attached to the surgical instruments.

9. end effector according to claim 1, the end effector further includes multiple electric contacts, wherein described more A electric contact is configured to engage the surgery when the end effector is correctly assembled on the surgical instruments Electric contact on instrument.

10. a kind of surgical instrument system, the surgical instrument system includes：

Surgical instruments；

According to the end effector described in any one of claim 1-9.