CN106413581A - Modular powered surgical instrument with detachable shaft assemblies - Google Patents

Modular powered surgical instrument with detachable shaft assemblies Download PDF

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Publication number
CN106413581A
CN106413581A CN201580027607.1A CN201580027607A CN106413581A CN 106413581 A CN106413581 A CN 106413581A CN 201580027607 A CN201580027607 A CN 201580027607A CN 106413581 A CN106413581 A CN 106413581A
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CN
China
Prior art keywords
assembly
housing
position
shaft assembly
surgical instrument
Prior art date
Application number
CN201580027607.1A
Other languages
Chinese (zh)
Inventor
R·L·莱姆巴赫
M·D·奥弗迈耶
S·R·亚当斯
Original Assignee
伊西康内外科有限责任公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US14/226,075 priority Critical patent/US9743929B2/en
Application filed by 伊西康内外科有限责任公司 filed Critical 伊西康内外科有限责任公司
Priority to PCT/US2015/019822 priority patent/WO2015148117A1/en
Publication of CN106413581A publication Critical patent/CN106413581A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/04Heat
    • A61L2/06Hot gas
    • A61L2/07Steam
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/08Radiation
    • A61L2/081Gamma radiation
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/08Radiation
    • A61L2/082X-rays
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/08Radiation
    • A61L2/087Particle radiation, e.g. electron-beam, alpha or beta radiation
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/20Gaseous substances, e.g. vapours
    • A61L2/206Ethylene oxide
    • HELECTRICITY
    • H01BASIC ELECTRIC ELEMENTS
    • H01MPROCESSES OR MEANS, e.g. BATTERIES, FOR THE DIRECT CONVERSION OF CHEMICAL ENERGY INTO ELECTRICAL ENERGY
    • H01M10/00Secondary cells; Manufacture thereof
    • H01M10/42Methods or arrangements for servicing or maintenance of secondary cells or secondary half-cells
    • H01M10/425Structural combination with electronic components, e.g. electronic circuits integrated to the outside of the casing
    • HELECTRICITY
    • H01BASIC ELECTRIC ELEMENTS
    • H01RELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
    • H01R35/00Flexible or turnable line connectors, i.e. the rotation angle being limited
    • H01R35/02Flexible line connectors without frictional contact members
    • H01R35/025Flexible line connectors without frictional contact members having a flexible conductor wound around a rotation axis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • AHUMAN NECESSITIES
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    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A61B2017/00123Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation and automatic shutdown
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00212Electrical control of surgical instruments using remote controls
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00225Systems for controlling multiple different instruments, e.g. microsurgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10Apparatus features
    • A61L2202/14Means for controlling sterilisation processes, data processing, presentation and storage means, e.g. sensors, controllers, programs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20Targets to be treated
    • A61L2202/24Medical instruments, e.g. endoscopes, catheters, sharps
    • HELECTRICITY
    • H01BASIC ELECTRIC ELEMENTS
    • H01MPROCESSES OR MEANS, e.g. BATTERIES, FOR THE DIRECT CONVERSION OF CHEMICAL ENERGY INTO ELECTRICAL ENERGY
    • H01M2220/00Batteries for particular applications
    • H01M2220/30Batteries in portable systems, e.g. mobile phone, laptop

Abstract

An interchangeable shaft assembly for a surgical instrument that includes first and second drive systems. The interchangeable shaft assembly is configured for removable attachment to a housing of the surgical instrument. Various embodiments include a latch system that enables the interchangeable shaft assembly to be detached from the housing when the first drive system is unactuated but prevents the interchangeable shaft assembly from being detached from the housing when the first drive system is in an actuated position.

Description

具有可拆卸轴组件的模块化加电外科器械 Modular instrument having a detachable power shaft assembly

背景技术 Background technique

[0001] 本发明涉及外科器械,并且在各种情况下,涉及被设计成用于缝合和切割组织的外科缝合和切割器械及其钉仓。 [0001] The present invention relates to surgical instruments, and in each case, to be designed for surgical stapling and cutting tissue stapling and cutting instrument and a staple cartridge.

附图说明 BRIEF DESCRIPTION

[0002] 通过结合附图来参考本发明实施方案的以下说明,本发明的特征和优点以及其获取方法将会变得更加明显,并可更好地理解发明本身,其中: [0002] by reference to the following description of embodiments of the present invention in conjunction with the accompanying drawings, features and advantages of the present invention and its acquisition method will become more apparent and the invention itself better understood, in which:

[0003] 图1为外科器械的透视图,该外科器械具有可操作地联接到其的可互换轴组件; [0003] FIG. 1 is a perspective view of a surgical instrument, the surgical instrument having a shaft operatively coupled to the interchangeable component thereof;

[0004] 图2为图1的可互换轴组件和外科器械的分解组件视图; Interchangeable shaft assembly and an exploded assembly view of the surgical instrument [0004] Figure 2 is Figure 1;

[0005] 图3为示出图1和图2的可互换轴组件和外科器械的多个部分的另一个分解组件视图; [0005] FIG. 3 is a diagram illustrating another part of the plurality of interchangeable shaft assembly of FIGS. 1 and 2, a surgical instrument and an exploded view of the assembly;

[0006] 图4为图1至图3的外科器械的一部分的分解组件视图; [0006] FIG. 4 is an exploded assembly view of a portion of the surgical instrument of Figures 1 to 3;

[0007] 图5为图4的外科器械的一部分的横截面侧视图,其中击发触发器处于完全致动位置; [0007] FIG. 5 is a surgical instrument of FIG. 4 a cross-sectional side view of a portion, wherein the firing trigger is in a fully actuated position;

[0008] 图6为图5的外科器械的一部分的另一个横截面视图,其中击发触发器处于未致动位置; Another portion of [0008] FIG. 6 is a view of the surgical instrument 5 is cross-sectional view, wherein the firing trigger in an unactuated position;

[0009] 图7为可互换轴组件的一种形式的分解组件视图; [0009] FIG. 7 is one form of interchangeable shaft assembly exploded view of the assembly;

[0010] 图8为图7的可互换轴组件的多个部分的另一个分解组件视图; [0010] FIG. 8 is an exploded assembly view of another portion of the plurality of interchangeable shaft assembly of FIG 7;

[0011] 图9为图7和图8的可互换轴组件的多个部分的另一个分解组件视图; [0011] FIG. 9 is an exploded assembly view of another portion of the plurality of interchangeable shaft assembly of FIGS. 7 and 8;

[0012] 图10为图7至图9的可互换轴组件的一部分的横截面视图; [0012] FIG. 10 is a cross-sectional view of a portion of the interchangeable shaft assembly of FIGS. 7 to 9;

[0013] 图11为图7至图10的轴组件的一部分的透视图,其中为清楚起见,已省去切换筒; [00M]图12为其上安装有切换筒的图11所示可互换轴组件部分的另一个透视图; A perspective view of a shaft assembly [0013] FIG. 11 is a diagram of a portion of 7 to 10, wherein for clarity, has been omitted switching cylinder; [00M] for FIG. 12 is mounted on the cylinder have switched interoperable shown in FIG. 11 another portion of the transducer assembly perspective view of the shaft;

[0015] 图13为可操作地联接到图1的外科器械的一部分的图11所示可互换轴组件的一部分的透视图,图中示出外科器械的闭合触发器处于未致动位置; [0015] FIG. 13 is operatively coupled to a perspective view of a portion of a portion of the surgical instrument shown in FIG. 1 the interchangeable shaft assembly 11, the surgical instrument shown in FIG closure trigger in an unactuated position;

[0016] 图14为图13的可互换轴组件和外科器械的右侧正视图; Interchangeable shaft assembly and the right side of the surgical instrument [0016] FIG. 14 is a front view of FIG 13;

[0017] 图15为图13和图14的可互换轴组件和外科器械的左侧正视图; [0017] FIG 15 FIG 13 is a left side elevational view and FIG. 14 of the interchangeable shaft assembly and surgical instrument;

[0018] 图16为可操作地联接到图1的外科器械的一部分的图11所示可互换轴组件的一部分的透视图,图中示出外科器械的闭合触发器处于致动位置,并且其击发触发器处于未致动位置; [0018] FIG. 16 is operatively coupled to a perspective view of a portion of a portion of the surgical instrument shown in FIG. 1 the interchangeable shaft assembly 11, the surgical instrument shown in FIG closure trigger in an actuated position, and the firing trigger is in its unactuated position;

[0019] 图17为图16的可互换轴组件和外科器械的右侧正视图; Right [0019] FIG. 17 is an interchangeable shaft assembly 16 and a front view of a surgical instrument;

[0020] 图18为图16和图17的可互换轴组件和外科器械的左侧正视图; [0020] FIG 18 FIG 16 is a left side elevational view and FIG. 17 interchangeable shaft assembly and surgical instrument;

[0021] 图18A为可操作地联接到图1的外科器械的一部分的图11所示可互换轴组件的右侧正视图,图中示出外科器械的闭合触发器处于致动位置,并且其击发触发器也处于致动位置; [0021] FIG. 18A is operatively coupled to the right portion of the surgical instrument of FIG. 1 FIG interchangeable shaft assembly 11 shown in a front view of a surgical instrument shown in FIG closure trigger in an actuated position, and which is also the firing trigger in an actuated position;

[0022] 图19为可互换轴组件的示出电联接器构造的一部分的透视图; [0022] FIG. 19 is interchangeable shaft assembly perspective view showing a portion of the electrical coupling configuration;

[0023] 图20为图19的可互换轴组件和电联接器的多个部分的分解组件视图; [0023] FIG 20 FIG 19 is an exploded assembly view of a plurality of portions of the interchangeable shaft assembly and the electrical coupling;

[0024] 图21为电路迹线组件的透视图; [0024] FIG. 21 is a perspective view of a circuit assembly trace;

[0025] 图22为图21的电路迹线组件的一部分的平面图; [0025] FIG. 22 is a plan view of a portion of the circuit traces of the assembly of Figure 21;

[0026] 图23为另一个可互换轴组件的示出另一个电联接器构造的一部分的透视图; [0026] FIG. 23 is another interchangeable shaft assembly illustrating a perspective view of a portion of another configuration of the electrical connector;

[0027]图24为图23的可互换轴组件和电联接器的多个部分的分解组件视图; [0027] FIG 24 FIG 23 is an exploded assembly view of a plurality of portions of the interchangeable shaft assembly and the electrical coupling;

[0028]图25为图23和图24的电联接器的滑环组件分解视图; [0028] FIG. 23 and FIG. 25 is an electrical connector 24 of FIG exploded view of the slip ring assembly;

[0029] 图26为另一个可互换轴组件的示出另一个电联接器构造的一部分的透视图; [0029] FIG. 26 is another interchangeable shaft assembly illustrating a perspective view of a portion of another configuration of the electrical connector;

[0030]图27为图26的可互换轴组件和电联接器的多个部分的分解组件视图; [0030] FIG 27 FIG 26 is an exploded assembly view of a plurality of portions of the interchangeable shaft assembly and the electrical coupling;

[0031]图28为图26和图27的电联接器的滑环组件的一部分的前透视图; Front perspective view of a portion of [0031] FIG 26 and FIG 28 FIG 27 is electrically coupled to slip ring assembly;

[0032]图29为图28的滑环组件部分的分解组件视图; [0032] FIG 29 FIG 28 is an exploded assembly view of the slip ring assembly portion;

[0033] 图30为图28和图29的滑环组件部分的后透视图; [0033] FIG. 30 is a rear perspective view of the slip ring assembly portion of FIG. 28 and 29;

[0034]图31为包括功率组件、柄部组件和可互换轴组件的外科器械的透视图; [0034] FIG. 31 is a perspective view of the power assembly, the handle assembly of the interchangeable shaft assembly and surgical instrument;

[0035]图32为图31的外科器械的透视图,其中可互换轴组件与柄部组件分开; [0035] FIG. 32 is a perspective view of the surgical instrument of FIG. 31, wherein the interchangeable shaft assembly and separate the handle assembly;

[0036]图33为图31的外科器械的电路图; [0036] The surgical instrument of FIG. 33 is a circuit diagram of FIG. 31;

[0037]图34为与图31的外科器械一起使用的可互换轴组件的框图; [0037] FIG. 34 is interchangeable shaft assembly for use with a surgical instrument 31 is a block diagram of FIG;

[0038]图35为图31的外科器械中与柄部组件分开的功率组件的透视图; [0038] FIG. 35 is a perspective view of the surgical instrument of FIG. 31 with the handle assembly separated from the power module;

[0039]图36为图31的外科器械的框图,其中示出柄部组件与功率组件之间、以及柄部组件与可互换轴组件之间的接口; [0039] FIG. 36 is a block diagram of the surgical instrument of FIG. 31, showing the interface between the handle portion between the assembly and the power assembly and the handle assembly with interchangeable shaft assembly;

[0040]图37为图31的外科器械的功率管理模块; [0040] FIG. 37 is a power management module of the surgical instrument of FIG 31;

[0041]图38为包括功率组件和与该功率组件组装在一起的可互换工作组件的外科器械的透视图; [0041] FIG. 38 is a perspective view of a surgical instrument comprising a power module and the interchangeable working assembly is assembled together with the power module;

[0042]图39为图38的外科器械的框图,其中示出可互换工作组件与功率组件之间的接P; [0042] FIG. 39 is a block diagram of the surgical instrument of FIG. 38, where P is shown connected between the power module and the interchangeable working assembly;

[0043]图40为示出图38的外科器械的模块的框图; [0043] FIG. 40 is a block diagram illustrating the module of FIG. 38, a surgical instrument;

[0044]图41为包括功率组件和与该功率组件组装在一起的可互换工作组件的外科器械的透视图; [0044] FIG. 41 is a perspective view of a surgical instrument comprising a power module and the interchangeable working assembly is assembled together with the power module;

[0045]图42为图41的外科器械的示例性功率组件的电路图; A circuit diagram of an exemplary power module [0045] FIG. 42 is a view of the surgical instrument 41;

[0046]图43为图41的外科器械的示例性功率组件的电路图; A circuit diagram of an exemplary power module [0046] FIG. 43 is a view of the surgical instrument 41;

[0047]图44为图41的外科器械的示例性可互换工作组件的电路图; [0047] 44 is an exemplary interchangeable working assembly 41 of the surgical instrument of FIG circuit diagram;

[0048]图45为图41的外科器械的示例性可互换工作组件的电路图; [0048] FIG. 45 is a circuit diagram of the surgical instrument of FIG. 41 exemplary interchangeable working assembly;

[0049]图46为示出图41的外科器械的示例性模块的框图; [0049] FIG. 46 is a block diagram illustrating an exemplary module of FIG. 41 surgical instrument;

[0050]图47A为电压监测机构检测到的由图41的外科器械的可互换工作组件的工作组件控制器产生的示例性通信信号的图示; [0050] 47A illustrates an exemplary communication signal generated by the controller interchangeable working assembly work of the surgical instrument assembly of FIG. 41 is a voltage detected by the monitoring means in FIG;

[0051]图47B为电流监测机构检测到的由图41的外科器械的可互换工作组件的工作组件控制器产生的示例性通信信号的图示; [0051] 47B illustrates an exemplary communication signal generated by the controller assembly work of the interchangeable working assembly 41 of the surgical instrument of FIG detected current monitoring means to FIG;

[0052]图47C为图41的可互换工作组件的马达响应于图47A的工作组件控制器所产生的通信信号而发生的有效马达位移的图示; [0052] FIG 47C in response to a communication signal to the working components of the controller of FIG. 47A generated by the motor is interchangeable working assembly 41 are illustrated in FIG effective displacement of the motor occurs;

[0053]图48为包括柄部组件和轴组件的外科器械的透视图,其中轴组件包括端部执行器; [0053] FIG. 48 is a perspective view of a handle assembly and a shaft assembly of the surgical instrument, wherein the shaft assembly includes an end effector;

[0054]图49为图48的外科器械的柄部组件的透视图; [0054] 49 is a perspective view of the handle assembly of the surgical instrument of FIG. 48. FIG;

[0055] 图50为图48的外科器械的柄部组件的分解图; [0055] FIG. 50 is an exploded view of the handle assembly of the surgical instrument of FIG 48;

[0056] 图51为图48的外科器械的应急反馈系统的不意图; [0056] FIG. 51 is a feedback system emergency surgical instrument of FIG. 48 is not intended;

[0057] 图52为与图51的应急反馈系统一起使用的模块的框图; [0057] FIG. 52 is a module for use with a feedback system with emergency block diagram of Figure 51;

[0058] 图53为与图51的应急反馈系统一起使用的模块的框图; [0058] FIG. 53 is a block diagram of modules used with the feedback system of Figure 51, the emergency;

[0059] 图54示出了功率组件的一个实例,该功率组件包括被构造成能够生成电池组的使用循环计数的使用循环电路; [0059] FIG. 54 shows an example of the power module, the power module includes a battery configured to be able to generate a set of cycle count using a loop circuit;

[0060] 图55示出了包括电阻器-电容器定时器的使用循环电路的一个实例; [0060] FIG. 55 shows comprising a resistor - capacitor example of a timer circuit using a loop;

[0061] 图56示出了包括计时器和可再充电电池的使用循环电路的一个实例; [0061] FIG. 56 shows an example of a loop circuit includes a timer and the use of the rechargeable battery;

[0062] 图57示出了被构造成能够同时为功率组件消毒并对其充电的组合式消毒充电系统的一个实例; [0062] FIG. 57 shows one example is configured to be capable of simultaneously disinfecting and sterilizing the charging system of the power module of the modular charge it;

[0063]图58示出了被构造成能够为功率组件消毒并对其充电的组合式消毒充电系统的一个实例,该功率组件具有在其中一体形成的电池充电器; [0063] FIG. 58 illustrates an example of the power module can be sterilized and its charge modular disinfection system is configured to charge the power in the battery charger assembly having integrally formed therein;

[0064]图59为用于当轴组件未联接到外科器械柄部的电连接器时使电连接器掉电的系统的示意图; [0064] FIG. 59 for the shaft assembly when the electrical connector is not coupled to the surgical instrument handle the electrical connector is a schematic diagram of a system down;

[0065]图60为示出一种用于调节根据本公开各种实施方案的击发元件的速度的方法的流程图; [0065] FIG. 60 is a flowchart illustrating a method for adjusting the speed of the firing element according to various embodiments of the present disclosure;

[0066]图61为示出一种用于调节根据本公开各种实施方案的击发元件的速度的方法的流程图; [0066] FIG. 61 is a flowchart illustrating a method for adjusting the speed of the firing element according to various embodiments of the present disclosure;

[0067]图62为根据本公开各种实施方案的端部执行器和紧固件仓的局部透视图; [0067] FIG. 62 is a partial perspective view of the end of the fastener cartridge and the various embodiments of the present disclosure according to the embodiment;

[0068]图63为根据本公开各种实施方案的端部执行器和紧固件仓的局部透视图; [0068] FIG. 63 is a partial perspective view of the end of the fastener cartridge and the various embodiments of the present disclosure according to the embodiment;

[0069]图64为根据本公开各种实施方案的端部执行器和紧固件仓的横截面正视图; [0069] FIG. 64 is a cross-sectional elevational view of an end effector of various embodiments of the present disclosure and the fastener cartridge;

[0070]图65为根据本公开各种实施方案的端部执行器和紧固件仓的横截面正视图; [0070] FIG. 65 is a cross-sectional elevational view of an end effector of various embodiments of the present disclosure and the fastener cartridge;

[0071]图66为根据本公开各种实施方案的端部执行器(其中多个部分被移除)和紧固件仓的局部透视图; [0071] FIG. 66 is a partial perspective view of an end effector of various embodiments of the present disclosure (wherein a plurality of portions removed) and in view of the fastener cartridge;

[0072]图67为根据本公开各种实施方案的端部执行器(其中多个部分被移除)和紧固件仓的局部透视图; [0072] FIG. 67 is a partial perspective view of an end effector of various embodiments of the present disclosure (wherein a plurality of portions removed) and fastener cartridge in accordance with;

[0073]图68㈧为示出根据本公开各种实施方案的集成电路的示意图; [0073] FIG 68㈧ a schematic diagram showing an integrated circuit in accordance with various embodiments of the present disclosure;

[0074]图68⑶为示出根据本公开各种实施方案的磁阻电路的示意图;并且[0075]图68 (C)为列出根据本公开各种实施方案的磁阻传感器的各种规格的表。 [0074] FIG 68⑶ circuit reluctance is a schematic diagram of various embodiments of the present disclosure shows; and [0075] FIG. 68 (C) are listed in a variety of magnetoresistive sensor according to various embodiments of the present disclosure table.

具体实施方式 Detailed ways

[0076] 本申请的申请人拥有2013年3月1日提交的下列专利申请,这些专利申请各自全文以引用方式并入本文: [0076] The present applicant has the following patent applications March 1, 2013 submitted to the full text of each of these patent applications are incorporated herein by reference:

[0077] -名称为"Articulatable Surgical Instruments With Conductive Pathways For Signal Communication"的美国专利申请序列号13/782,295; [0077] - entitled "Articulatable Surgical Instruments With Conductive Pathways For Signal Communication" U.S. Patent Application Serial No. 13 / 782,295;

[0078] -名称为"ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS" 的美国专利申请序列号13/782,323; [0078] - the name "ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,323;

[0079] -名称为"THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS" 的美国专利申请序列号13/782,338; [0079] - the name "THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,338;

[0080] -名称为"ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT"的美国专利申请序列号13/782,499; [0080] - the name "ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT" U.S. Patent Application Serial No. 13 / 782,499;

[0081] -名称为"Multiple Processor Motor Control for ModulAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/782,460; [0081] - the name of "Multiple Processor Motor Control for ModulAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,460;

[0082] -名称为"JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL Instruments" 的美国专利申请序列号13/782,358; [0082] - the name "JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL Instruments" U.S. Patent Application Serial No. 13 / 782,358;

[0083] -名称为"SENSOR STRAIGHTENED END EFFECTOR DURING Removal THROUGH TROCAR"的美国专利申请序列号13/782,481; [0083] - the name "SENSOR STRAIGHTENED END EFFECTOR DURING Removal THROUGH TROCAR" U.S. Patent Application Serial No. 13 / 782,481;

[0084] -名称为"Control Methods for Surgical Instruments with Removable Implement Portions"的美国专利申请序列号13/782,518; [0084] - entitled "Control Methods for Surgical Instruments with Removable Implement Portions" U.S. Patent Application Serial No. 13 / 782,518;

[0085] -名称为"ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM"的美国专利申请序列号13/782,375;以及 [0085] - the name "ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM" U.S. Patent Application Serial No. 13 / 782,375; and

[0086] -名称为"Surgical Instrument Soft Stop"的美国专利申请序列号13/782,536, 这些申请均据此全文以引用方式并入。 [0086] - entitled "Surgical Instrument Soft Stop" U.S. Patent Application Serial No. 13 / 782,536, which applications are hereby incorporated by reference.

[0087] 本申请的申请人还拥有提交于2013年3月14日的以下专利申请,并且其中每一个各自全文以引用的方式并入本文: [0087] The present applicant also has the following patent applications filed on March 14, 2013, and wherein each respective entirety is incorporated herein by reference:

[0088] -名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" 的美国专利申请序列号13/803,097; [0088] - the name "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" U.S. Patent Application Serial No. 13 / 803,097;

[0089] -名称为"CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,193; [0089] - the name "CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,193;

[0090] -名称为"INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,053; [0090] - the name "INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,053;

[0091] -名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086; [0091] - the name "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" U.S. Patent Application Serial No. 13 / 803,086;

[0092] -名称为"SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,210; [0092] - the name "SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,210;

[0093] -名称为"MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT" 的美国专利申请序列号13/803,148; [0093] - entitled "MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,148;

[0094] -名称为"DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,066; [0094] - entitled "DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,066;

[0095] -名称为"ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,117; [0095] - the name "ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,117;

[0096] -名称为"DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,130;以及 [0096] - the name "DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,130; and

[0097] -名称为"METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,159。 [0097] - entitled "METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,159.

[0098] 本申请的申请人还拥有下列专利申请,这些专利申请与本申请同日提交,各自全文以引用方式并入本文: [0098] The applicant of the present application also has the following patent application, which patent applications filed on the same date as the present application, are incorporated by reference in their entirety herein:

[0099] 名称为"SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM"(代理人案卷号END7386USNP/130458)的美国专利申请序列号_; [0099] entitled "SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM" (Attorney Docket No. END7386USNP / 130458) U.S. Patent Application Serial No. _;

[0100] 名称为"POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS"(代理人案卷号END7387USNP/130459)的美国专利申请序列号_; [0100] entitled "POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS" (Attorney Docket No. END7387USNP / 130459) U.S. Patent Application Serial No. _;

[0101] 名称为"STERILIZATION VERIFICATION CIRCUIT"(代理人案卷号END7388USNP/ 130460)的美国专利申请序列号_; [0101] entitled "STERILIZATION VERIFICATION CIRCUIT" (Attorney Docket No. END7388USNP / 130460) U.S. Patent Application Serial No. _;

[0102] 名称为"VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT" (代理人案卷号END7389USNP/130461)的美国专利申请序列号_; [0102] entitled "VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT" (Attorney Docket No. END7389USNP / 130461) U.S. Patent Application Serial No. _;

[0103] 名称为"POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AM) WAKE UP CONTROL"(代理人案卷号END7390USNP/130462)的美国专利申请序列号_; [0103] entitled "POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AM) WAKE UP CONTROL" (Attorney Docket No. END7390USNP / 130462) U.S. Patent Application Serial No. _;

[0104] 名称为"FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS"(代理人案卷号END7392USNP/1 30464)的美国专利申请序列号_; [0104] entitled "FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS" (Attorney Docket No. END7392USNP / 1 30464) U.S. Patent Application Serial No. _;

[0105] 名称为"SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION"(代理人案卷号END7393USNP/130465)的美国专利申请序列号_; [0105] entitled "SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION" (Attorney Docket No. END7393USNP / 130465) U.S. Patent Application Serial No. _;

[0106] 名称为"SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR" (代理人案卷号END7394USNP/130466)的美国专利申请序列号_; [0106] entitled "SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR" (Attorney Docket No. END7394USNP / 130466) U.S. Patent Application Serial No. _;

[0107] 名称为"SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS"(代理人案卷号END7395USNP/130467)的美国专利申请序列号_; [0107] entitled "SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS" (Attorney Docket No. END7395USNP / 130467) U.S. Patent Application Serial No. _;

[0108] 名称为"INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS"(代理人案卷号END7396USNP/130468)的美国专利申请序列号_; [0108] entitled "INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS" (Attorney Docket No. END7396USNP / 130468) U.S. Patent Application Serial No. _;

[0109] 名称为"MODULAR SURGICAL INSTRUMENT SYSTEM"(代理人案卷号END7397USNP/ 130469)的美国专利申请序列号_; [0109] entitled "MODULAR SURGICAL INSTRUMENT SYSTEM" (Attorney Docket No. END7397USNP / 130469) U.S. Patent Application Serial No. _;

[0110] 名称为"SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT"(代理人案卷号END7399USNP/130471)的美国专利申请序列号_; [0110] entitled "SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT" (Attorney Docket No. END7399USNP / 130471) U.S. Patent Application Serial No. _;

[0111] 名称为"POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION"(代理人案卷号END7400USNP/130472)的美国专利申请序列号_; [0111] entitled "POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION" (Attorney Docket No. END7400USNP / 130472) U.S. Patent Application Serial No. _;

[0112] 名称为"SURGICAL STAPLING INSTRUMENT SYSTEM"(代理人案卷号END7401USNP/ 130473)的美国专利申请序列号_;以及 [0112] entitled "SURGICAL STAPLING INSTRUMENT SYSTEM" (Attorney Docket No. END7401USNP / 130473) U.S. Patent Application Serial No. _; and

[0113] 名称为"SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT"(代理人案卷号END7402USNP/130474)的美国专利申请序列号_。 [0113] entitled "SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT" (Attorney Docket No. END7402USNP / 130474) U.S. Patent Application Serial No. _.

[0114] 现在将描述某些示例性实施方案,以从整体上理解本文所公开的装置和方法的结构、功能、制造和用途的原理。 [0114] Certain exemplary embodiments will now be described embodiment, to be understood that the apparatus and methods disclosed herein from the overall structure, function, manufacture, and use of the principle. 这些实施方案的一个或多个示例已在附图中示出。 One or more examples of these embodiments are illustrated in the accompanying drawings. 本领域普通技术人员应当理解,本文具体描述并用附图示出的装置与方法均为非限制性的示例性实施方案。 One of ordinary skill in the art should be understood as specifically described and illustrated apparatus and method of the accompanying drawings are non-limiting exemplary embodiment with exemplary embodiments. 结合一个示例性实施方案进行图解说明或描述的特征可与其他实施方案的特征进行组合。 In connection with one exemplary embodiment illustrated or described features may be combined with features of other embodiments. 这些修改和变型旨在涵盖于本发明的范围之内。 Such modifications and variations are intended to be included within the scope of the present invention.

[0115] 本说明书通篇提及的"各种实施方案"、"一些实施方案"或"一个实施方案"等,意味着结合该实施方案描述的具体特征、结构或特性包括在至少一个实施方案中。 A particular feature, structure, or characteristic [0115] "various embodiments" Reference throughout this specification to "some embodiments" or "an embodiment," etc., means that in connection with the embodiments described herein include at least one embodiment in. 因此,本说明书通篇出现的短语"在各种实施方案中"、"在一些实施方案中"或"在一个实施方案中" 等,并不一定都指同一个实施方案。 Thus, throughout this specification appearances of the phrases "in various embodiments," "in some embodiments" or "in one embodiment", etc., are not necessarily all referring to the same embodiment. 此外,在一个或多个实施方案中,具体特征、结构或特性可按任何合适的方式组合。 Further, in one or more embodiments, the particular features, structures, or characteristics may be in any suitable combination. 因此,在无限制的情形下,结合一个实施方案示出或描述的具体特征、结构或特性可全部或部分地与一个或多个其他实施方案的特征、结构或特性组合。 Thus, in the case of unrestricted, in connection with one particular feature of the embodiment illustrated or described embodiments, structures, or characteristics may all be characterized with one or more other embodiments, structure, or characteristic in combination or in part. 这些修改和变型旨在涵盖于本发明的范围之内。 Such modifications and variations are intended to be included within the scope of the present invention.

[0116] 本文所用术语"近侧"和"远侧"是相对于操纵外科器械的柄部部分的临床医生而言的。 [0116] As used herein, the terms "proximal" and "distal" are with reference to a clinician manipulating the handle portion of the surgical instrument. 术语"近侧"是指最靠近临床医生的部分,术语"远侧"则是指位于远离临床医生的位置的部分。 The term "proximal" refers to the portion closest to the clinician, the term "distal" means located away from the part of the clinician. 还应当理解,为简洁和清楚起见,本文可以结合附图使用空间术语诸如"竖直"、 "水平"、"上"和"下"。 It should also be appreciated that for brevity and clarity, the drawings herein can be used in conjunction with spatial terms such as "vertical", "horizontal", "upper" and "lower." 然而,外科器械在许多方向和位置中使用,并且这些术语并非限制性的和/或绝对的。 However, the surgical instruments are used in many orientations and positions, and these terms are not limiting and / or absolute.

[0117] 提供各种示例性装置和方法以执行腹腔镜式外科手术和微创外科手术。 [0117] Various exemplary to provide apparatus and methods for performing minimally invasive surgery and laparoscopic surgery. 然而,本领域的普通技术人员将容易理解,本文所公开的各种方法和装置可用于许多外科手术和应用中,包括例如与开放式外科手术相结合。 However, those of ordinary skill in the art will readily appreciate, various methods and devices disclosed herein can be used in many surgical procedures and applications, including, for example, in combination with open surgical procedures. 继续参阅本具体实施方式,本领域中的普通技术人员将进一步理解,本文所公开的各种器械可以任何方式插入体内,诸如通过自然腔道、通过形成于组织中的切口或穿刺孔等。 Continuing to refer to this specific embodiment, those skilled in the art will be further appreciated that the various instruments disclosed herein can be inserted into the body in any manner, such as through a natural orifice, through an incision formed in tissue or puncture hole. 器械的工作部分或端部执行器部分可被直接插入患者体内或可通过具有工作通道的进入装置插入,外科器械的端部执行器及细长轴可通过所述工作通道而推进。 Working portion or the end portion of the instrument can be inserted directly into the patient or can be inserted through an access device having a working channel, the end effector and elongate shaft of a surgical instrument can be advanced through the working channel.

[0118] 图1至图6示出了可再利用或不可再利用的马达驱动外科切割和紧固器械10。 [0118] Figures 1 to 6 depict a motor-reusable or non-reusable driven surgical cutting and fastening instrument 10. 在示出的实施方案中,器械10包括外壳12,该外壳包括被构造成能够被临床医生抓握、操纵和致动的柄部14。 In the illustrated embodiment, the instrument 10 includes a housing 12, the housing can be configured to include a clinician gripping, handling and actuation of the handle 14. 外壳12被构造用于可操作地附接到可互换轴组件200,该可互换轴组件上可操作地联接有外科端部执行器300,该外科端部执行器被构造成能够执行一种或多种手术任务或外科手术。 Housing 12 is configured for operable attachment to the interchangeable shaft assembly 200 operatively coupled with a surgical end effector 300 on the interchangeable shaft assembly, the surgical end effector is configured to be able to perform a or more surgical task or surgery. 继续参阅本具体实施方式,应当理解,本文公开的各种形式的可互换轴组件的各种独特且新颖的构造也可以有效地与机器人控制的外科系统结合使用。 Continuing to refer to this specific embodiment, it should be understood that a variety of unique and novel configuration of the interchangeable shaft assembly disclosed herein, various forms can also be used effectively in conjunction with robotically controlled surgical system. 因此,术语"外壳"也可涵盖机器人系统的容纳或以其他方式可操作地支撑至少一个驱动系统的外壳或类似部分,所述至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的可互换轴组件及其相应的等同物的至少一种控制动作。 Thus, the term "shell" may also encompass a robot system receiving or otherwise operably support at least part of a housing or the like of a drive system, at least one drive system is configured to be capable of generating and applying to actuate herein at least one control operation disclosed interchangeable shaft assembly and their respective equivalents. 术语"框架"可指手持式外科器械的一部分。 The term "frame" may refer to a portion of the handheld surgical instrument. 术语"框架"还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于可操作地控制外科器械的一部分。 The term "frame" may also mean part and / or robotic surgical instrument system may be used to control the robot operable to control a portion of the surgical instrument. 例如,本文所公开的可互换轴组件可与名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" 的美国专利申请序列号13/118,241 (现为美国专利申请公布US 2012/0298719)中公开的各种机器人系统、器械、部件和方法一起使用。 For example, the interchangeable shaft assembly disclosed herein may be entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication US 2012/0298719) disclosed in each of the species for use with robotic systems, devices, components and methods. 名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241(现为美国专利申请公布US 2012/0298719)全文以引用方式并入本文。 The name "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" US Patent Application Serial No. 13 / 118,241 (now US Patent Application Publication No. US 2012/0298719) is incorporated by reference herein.

[0119] 图1至图3中所示的外壳12结合包括端部执行器300的可互换轴组件200示出,所述端部执行器包括被构造成能够可操作地支撑其中的外科钉仓304的外科切割和紧固装置。 [0119] the housing shown in FIG 1 to 3 comprises an interchangeable shaft assembly 12 to the end effector 300 200 shows, the end effector comprises a surgical staple configured to be operably supported therein cartridge 304 surgical cutting and fastening device. 外壳12可被构造用于结合可互换轴组件使用,这些可互换轴组件包括能够支撑不同尺寸和类型的钉仓的端部执行器,并具有不同的轴长度、尺寸和类型等。 The housing 12 may be configured for use in conjunction with interchangeable shaft assembly, which includes a shaft assembly capable of supporting interchangeable different sizes and types of staple cartridge end, and having a different axial length, size and type. 此外,外壳12也可有效地与多种其他可互换轴组件一起使用,所述其他可互换轴组件包括被构造成能够将其他动作和能量形式(诸如,射频(RF)能量、超声能量和/或动作)施加到能够结合各种外科应用和外科手术使用的端部执行器构造的那些组件。 Further, the housing 12 can be effectively used with a variety of other interchangeable shaft assembly, said other interchangeable shaft assembly and other actions including the ability to be configured as a form of energy (such as radiofrequency (RF) energy, ultrasound energy and / or actions) can be applied to those components in connection with various surgical applications and the end effector of the surgical use configuration. 此外,端部执行器、轴组件、柄部、外科器械和/ 或外科器械系统可利用任何合适的一个或多个紧固件来紧固组织。 In addition, the end effector, a shaft assembly, a handle, a surgical instrument and / or surgical instrument system may utilize any one or more fasteners suitable to fasten tissue. 例如,包括多个可移除地存储在其中的紧固件的紧固件仓能够可移除地插入轴组件的端部执行器中和/或附接到轴组件的端部执行器。 For example, comprising a plurality of removably stored therein is inserted into the shaft fastener fastener cartridge assembly removably to the end effector and / or assembly attached to the shaft end.

[0120] 图1示出了可互换轴组件200可操作地联接到其的外科器械10。 [0120] FIG. 1 shows the interchangeable shaft assembly 200 operably coupled to the surgical instrument 10 therethrough. 图2和图3示出可互换轴组件200附接到外壳12或柄部14。 2 and 3 show an interchangeable shaft assembly 200 attached to the housing 12 or the handle 14. 如图4中可看到的那样,柄部14可包括一对可互连的柄部外壳段16和18,这对柄部外壳段可借助螺钉、按扣特征结构、粘合剂等互连。 4 can be seen, the handle 14 may include a pair of interconnectable housing section 16 and the handle 18, which may be by means of a screw to the handle housing segment, snap features, adhesive, etc. See FIG. . 在示出的构造中,柄部外壳段16和18配合形成可被临床医生抓握和操纵的手枪式握把部19。 In the configuration shown, the handle section 16 and the housing 18 cooperate to form the pistol grip portion 19 may be grasped and manipulated by the clinician. 如将在下文进一步详细地讨论,柄部14可操作地支撑其中的多个驱动系统,这些驱动系统被构造成能够生成各种控制动作并将这些控制动作施加到可操作地附接到其的可互换轴组件的对应部分。 As will be discussed in further detail below, the handle 14 is operatively supported therein a plurality of drive systems, the drive system is configured to be able to generate various control operation and the control operation is applied to operably attached thereto corresponding portions of the interchangeable shaft assembly.

[0121] 现在参见图4,柄部14还可包括可操作地支撑多个驱动系统的框架20。 [0121] Referring now to FIG. 4, the handle 14 may further comprise a frame operably supports a plurality of the drive system 20. 例如,框架20能够可操作地支撑通常标示为30的"第一"或闭合驱动系统,该"第一"或闭合驱动系统可用于将闭合和打开动作施加到可操作地附接或联接到其的可互换轴组件200。 E.g., to operably support frame 20, generally designated "first" or closure drive system 30, the "first" or closed system may be used to drive the closure and opening motions to operably attached or coupled thereto interchangeable shaft assembly 200. 在至少一种形式中,闭合驱动系统30可包括被框架20枢转地支撑的闭合触发器32形式的致动器。 In at least one form, the closure 30 may include a drive system supported by the frame 20 of the closure trigger 32 is pivotally form of an actuator. 更具体地,如图4所示,闭合触发器32经由销33枢转地联接到外壳14。 More specifically, as shown in FIG. 4, the closure trigger 32 via a pin 33 is pivotally coupled to the housing 14. 这种构造使闭合触发器32 能够被临床医生操纵,使得临床医生抓握柄部14的手枪式握把部19时,闭合触发器32可被其轻易地从起始或"未致动"位置枢转到"致动"位置,并且更具体地,枢转到完全压缩或完全致动的位置。 This configuration allows the closure trigger 32 can be manipulated clinicians, so that when the clinician grips the pistol grip portion 14 of the handle portion 19, the closure trigger 32 which can be readily from a starting or "unactuated" position pivoted "actuated" position, and more particularly, to a fully compressed position, or pivoted fully actuated. 闭合触发器32可被弹簧或其他偏置结构(未示出)偏置到未致动位置。 The closure trigger 32 may be a spring or other biasing structure (not shown) biased to the unactuated position. 在各种形式中,闭合驱动系统30还包括可枢转地联接到闭合触发器32的闭合连杆组件34。 In various forms, the closure drive system 30 also includes a closure linkage assembly is pivotally coupled to the closure trigger 32. 如图4 中可看到的那样,闭合连杆组件34可包括由销35枢转地联接到闭合触发器32的第一闭合连接件36和第二闭合连接件38。 4 can be seen, the closure 34 may include a linkage assembly coupled by a pin 35 pivotally attached to the closure trigger 32 is connected to the first closure 36 and second closure element 38 is connected. 第二闭合连接件38在本文中也可称为"附接构件",并且包括横向附接销37。 The second closure member 38 is connected to herein may also be referred to as "attachment member", and comprises a transverse pin 37 attached.

[0122] 仍参见图4,可观察到,第一闭合连接件36可在其上具有锁定壁或锁定端39,该锁定壁或锁定端被构造成能够与枢转地联接到框架20的闭合释放组件60配合。 [0122] Referring still to Figure 4, can be observed, connected to the first closure member 36 may have a locking wall or locking end 39 thereon, the locking wall or locking end configured to be coupled to the closure to pivot the frame 20 60 with the release assembly. 在至少一种形式中,闭合释放组件60可包括释放按钮组件62,该释放按钮组件具有在其上形成的朝远侧突起的锁定爪64。 In at least one form, the closure release assembly 60 may include a release button assembly 62, the release button assembly having a distally projecting locking pawl formed 64. 释放按钮组件62可被释放弹簧(未示出)沿逆时针方向枢转。 The release button 62 may be released spring assembly (not shown) is pivoted counterclockwise. 临床医生将闭合触发器32从其未致动位置朝向柄部14的手枪式握把部19按压时,第一闭合连接件36向上枢转至某个点,锁定爪64落入该点,与第一闭合连接件36上的锁定壁39保持接合,从而阻止闭合触发器32返回未致动位置。 Clinician when the closure trigger 32 from its unactuated position toward the pistol grip handle portion 19 of the press 14, the first closure member 36 is pivotally connected up to a point wherein the locking pawl 64 drops into the a first closure member connected to the locking wall 36 39 remains engaged to prevent the closure trigger 32 returns unactuated position. 参见图18。 See Figure 18. 因此,闭合释放组件60有助于将闭合触发器32 锁定在完全致动位置。 Thus, the closure release assembly 60 helps the closure trigger 32 is locked in the fully actuated position. 若临床医生期望将闭合触发器32解锁以允许其被偏置到未致动位置,只需枢转闭合释放按钮组件62,使锁定爪64运动,从而与第一闭合连接件36上的锁定壁39脱离接合。 If the clinician desires to unlock the closure trigger 32 to allow it to be biased to the unactuated position, only the pivoting closure release button assembly 62, movement of the locking pawl 64, thereby closing the first connecting member 36 on the locking wall 39 disengaged. 在锁定爪64已运动而与第一闭合连接件36脱离接合之后,闭合触发器32可枢转返回未致动位置。 After the locking pawl 64 has been moved out of engagement with the closure of the first connecting member 36, the closure trigger 32 is pivotally returned unactuated position. 也可采用其他闭合触发器锁定布置和释放布置。 It can be other arrangement and release of the closure trigger locking arrangement.

[0123] 除上述之外,图13至图15示出了处于未致动位置的闭合触发器32,该未致动位置与轴组件200的打开或未夹紧构型相关联,轴组件200处于该打开或未夹紧构型时,组织可定位在轴组件的钳口之间。 [0123] In addition to the above, FIGS. 13 to 15 shown in FIG. 32, the configuration of the associated shaft assembly 200 with the position of the movable shaft assembly 200 to open the clamp is in the closed or unactuated trigger unactuated position when in the open or clamped configuration, tissue may be positioned between the jaws of the shaft assembly. 图16至图18示出了处于致动位置的闭合触发器32,该致动位置与轴组件200的闭合或夹持构型相关联,轴组件200处于该闭合或夹持构型时,组织被夹持在轴组件的钳口之间。 Figure 16 to 18 illustrate the closure trigger 32 in the actuated position, the closed or clamped configuration associated with the position of the actuator shaft assembly of the shaft assembly 200 or 200 is in the closed gripping configuration, tissue It is clamped between the jaws of the shaft assembly. 读者在将图14与图17比较之后将会知道,闭合触发器32从其未致动位置(图14)向其致动位置(图17)运动的过程中,闭合释放按钮62在第一位置(图14)与第二位置(图17)之间枢转。 FIG readers 14 and 17 after comparing will appreciate, the process 32 from the unactuated position (FIG. 14) to its actuated position (FIG. 17) movement of the closure trigger, the closure release button 62 in the first position (FIG. 14) between the second position (FIG. 17) and the pivot. 闭合释放按钮62的旋转可称为向上旋转,但闭合释放按钮62的至少一部分朝向电路板100旋转。 100 rotation of the rotary closure release button 62 is rotated upward can be referred to, but the closure release button 62 toward at least a portion of the circuit board. 参见图4,闭合释放按钮62可包括从其延伸的臂61和安装到臂61的磁性元件63 (诸如永磁体)。 4, the closure release button 62 may include an arm 61 extending therefrom and attached to the arm 61 of the magnetic member 63 (such as a permanent magnet). 闭合释放按钮62从其第一位置旋转到其第二位置的过程中,磁性元件63可朝向电路板100运动。 Closure release button 62 from its first position to its second position during the magnetic element 63 may be moving toward the circuit board 100. 电路板100可包括被构造成能够检测磁性元件63的运动的至少一个传感器。 Circuit board 100 may be configured to include a magnetic element 63 is capable of detecting the motion of at least one sensor. 在至少一个实施方案中,例如,霍尔效应传感器65可安装到电路板100的底部表面。 In at least one embodiment, for example, a Hall-effect sensor 65 may be mounted to the bottom surface of the circuit board 100. 霍尔效应传感器65可被构造成能够检测由磁性元件63的运动引起、在霍尔效应传感器65周围出现的磁场变化。 Hall-effect sensor 65 may be configured to be detected caused by the movement of the magnetic element 63, the magnetic field changes occurring around the Hall effect sensor 65. 霍尔效应传感器65可(例如)与微控制器7004 (图59)进行信号通信,该微控制器可确定闭合释放按钮62是处于其第一位置、其第二位置,还是/或者第一位置与第二位置之间的任何位置,所述第一位置与闭合触发器32的未致动位置和端部执行器的打开构型相关联,所述第二位置与闭合触发器32的致动位置和端部执行器的闭合构型相关联。 Hall-effect sensor 65 may be (e.g.) to the microcontroller 7004 (FIG. 59) in signal communication, the microcontroller may determine a closure release button 62 is in its first position, its second position, or / or a first position and any position between the second position, the first position with the closure trigger 32 in an unactuated position and an end effector associated with the open configuration, the second position and actuation of the closure trigger 32 closed configuration position and the end effector is associated.

[0124] 在至少一种形式中,柄部14和框架20可以可操作地支撑在本文中被称为击发驱动系统80的另一个驱动系统,该驱动系统被构造成能够将击发动作施加到附接到其的可互换轴组件的对应部分。 [0124] In at least one form, the handle portion 14 and the frame 20 may be operably supported in the other drive system 80 is referred to herein as firing drive system, the drive system is configured to be attached to the firing motion applied to the corresponding portions of the interchangeable shaft assembly thereof. 击发驱动系统80在本文中也可称作"第二驱动系统"。 Firing drive system 80 may also be referred to herein as a "second drive system." 击发驱动系统80 可以采用位于柄部14的手枪式握把部19中的电动马达82。 Firing drive system 80 may employ an electric located in the pistol grip portion 19 of the handle portion 14 of the motor 82. 在各种形式中,马达82可为例如具有大约25,000RPM的最大转速的直流有刷驱动马达。 In various forms, the motor 82 may have, for example, a DC brushed driving motor having a maximum rotation of approximately 25,000RPM. 在其他布置中,马达可包括无刷马达、无线马达、同步马达、步进马达或任何其他合适的电动马达。 In other arrangements, the motor may include a brushless motor, a cordless motor, a synchronous motor, stepper motor, or any other suitable electric motor. 马达82可由功率源90供电, 在一种形式中,该功率源可包括可移除电源组92。 The motor 82 powered by a power supply 90, in one form, the power source may comprise a removable power pack 92. 如图4中可看到的那样,例如,电源组92可包括近侧外壳部分94,该近侧外壳部分被构造用于附接到远侧外壳部分96。 4 can be seen, for example, the power pack 92 may include a proximal housing portion 94, the proximal housing portion being configured for attachment to the distal housing portion 96. 近侧外壳部分94和远侧外壳部分96被构造成能够可操作地支撑其中的多个电池98。 The proximal housing portion 94 and a distal housing portion 96 is configured to operably support a plurality of cells 98 therein. 电池98各自可包括(例如)锂离子("LI")电池或其他合适的电池。 Each cell 98 may include (e.g.) a lithium ion ( "LI") batteries or other suitable batteries. 远侧外壳部分96被构造用于以可移除方式可操作地附接到同样可操作地联接到马达82的控制电路板组件100。 The distal housing portion 96 is configured to be removably operably attached to the same motor 82 is operatively coupled to the control circuit board assembly 100. 可使用可串联连接的多个电池98作为外科器械10的功率源。 Using a plurality of serially connected battery 98 as the power source 10 of the surgical instrument. 此外,功率源90可以是可更换的和/或可再充电的。 Furthermore, the power source 90 may be replaceable and / or rechargeable.

[0125] 如上文相对于其他各种形式所概述,电动马达82可包括与齿轮减速器组件84可操作地交接的可旋转轴(未示出),该齿轮减速器组件与一组或一齿条的驱动齿122啮合接合地安装在可纵向运动的驱动构件120上。 [0125] As outlined above with respect to other forms, the electric motor 82 may include a gear reducer assembly 84 is operable to transfer a rotatable shaft (not shown), the gear reducer assembly with a set of teeth or a Article in meshing engagement with drive teeth 122 mounted on the longitudinally movable drive member 120. 在使用中,功率源90所提供的电压极性可沿顺时针方向操作电动马达82,其中由电池施加给电动马达的电压极性可被反转,以便沿逆时针方向操作电动马达82。 In use, the voltage polarity of the power source 90 may be provided by the electric motor 82 in the clockwise direction of the operation, in which the polarity of the applied voltage from the battery to the electric motor may be reversed, so that operation of the electric motor 82 in the counterclockwise direction. 当电动马达82沿一个方向旋转时,驱动构件120将沿远侧方向"DD"被轴向地驱动。 When the rotation of the electric motor 82 in one direction, the drive member 120 "DD" is driven axially in the distal direction. 当马达82被沿相反的旋转方向驱动时,驱动构件120将沿近侧方向"PD"被轴向地驱动。 When the motor 82 is driven in the opposite rotational direction, the drive member 120 "PD" is driven axially in the proximal direction. 柄部14可包括开关,该开关可被构造成能够使功率源90施加给电动马达82的极性反转。 The handle 14 may include a switch which may be configured to enable power source 90 is applied to the electric motor 82 of the polarity inversion. 与本文所述的其他形式一样,柄部14还可包括传感器,该传感器被构造成能够检测驱动构件120的位置和/或驱动构件120正在运动的方向。 As with other forms described herein, the stem portion 14 may further include a sensor, the sensor is configured to be able to detect the driving position and / or direction of the driving member 120 of the member 120 is moving.

[0126] 马达82的致动可由被枢转地支撑在柄部14上的击发触发器130控制。 130 controls the [0126] actuation of the motor 82 may be pivotally supported on the handle portion 14 of the firing trigger. 击发触发器130可在未致动位置和致动位置之间枢转。 Firing trigger 130 can be pivoted between an unactuated position and an actuated position. 击发触发器130可被弹簧132或其他偏置构造偏置到未致动位置,使得临床医生释放击发触发器130时,击发触发器可被弹簧132或偏置构造枢转到或以其他方式返回未致动位置。 When the firing trigger 130 may be a spring or other biasing structure 132 is biased to the unactuated position, so that the clinician releases the firing trigger 130, firing trigger 132 can be pivoted or spring configured to bias or otherwise return unactuated position. 在至少一种形式中,击发触发器130可定位在闭合触发器32的"外侧",如上文所讨论。 In at least one form, the firing trigger 130 may be positioned in the closure trigger 32 is "outside", as discussed above. 在至少一种形式中,击发触发器安全按钮134可由销35 枢转地安装到闭合触发器32。 In at least one form, the firing trigger pin 35 by the safety button 134 is pivotally mounted to the closure trigger 32. 安全按钮134可定位在击发触发器130和闭合触发器32之间, 并具有从其突起的枢转臂136。 The safety button 134 may be positioned between the closure trigger 130 and firing trigger 32, and having a pivot arm 136 projecting therefrom. 参见图4。 See Figure 4. 闭合触发器32处于未致动位置时,安全按钮134被容纳在柄部14中,此时临床医生可能无法轻易触及该按钮,也无法将该按钮在防止对击发触发器130致动的安全位置与击发触发器130可被击发的击发位置之间运动。 Moving the closure trigger 32 is in the unactuated position, the safety button 134 can not be accommodated in the safe position the handle 14, the clinician can not easily touch the button, the button in the firing trigger 130 to prevent actuation motion between the firing trigger 130 may be fired and a fired position. 临床医生按压闭合触发器32时,安全按钮134和击发触发器130向下枢转,随后可被临床医生操纵。 Clinician depresses the closure trigger 32, the safety button 134 and the firing trigger 130 is pivoted downwardly, the clinician may then be manipulated.

[0127] 如上文所讨论,柄部14可包括闭合触发器32和击发触发器130。 [0127] As discussed above, the handle portion 14 may include a closure trigger 32 and firing trigger 130. 参见图14至图18A, 击发触发器130能够可枢转地安装到闭合触发器32。 Referring to FIGS. 14 to Figs. 18A, the firing trigger 130 can be pivotably mounted to the closure trigger 32. 闭合触发器32可包括从其延伸的臂31, 并且击发触发器130可围绕枢轴销33可枢转地安装到臂31。 The closure trigger 32 may include an arm 31 extending therefrom, and the firing trigger 130 can pivot pin 33 pivotally mounted to the arm 31 around. 如上文所概述,闭合触发器32从其未致动位置(图14)向其致动位置(图17)运动的过程中,击发触发器130可向下下降。 As outlined above, the process 32 from the unactuated position (FIG. 14) to its actuated position (FIG. 17) moving the closure trigger, the firing trigger 130 can be lowered down. 在安全按钮134已运动到其击发位置之后,主要参见图18A,可按压击发触发器130,操作外科器械击发系统的马达。 After the safety button 134 is moved to its fired position, referring primarily to Figs. 18A, may press the firing trigger 130, firing the surgical instrument operation of the motor system. 在各种情况下,柄部14可包括跟踪系统(诸如系统800),该跟踪系统被构造成能够确定闭合触发器32的位置和/或击发触发器130的位置。 In each case, the handle 14 may include a tracking system (such as system 800), the tracking system is configured to be able to determine the closed position of the trigger 32 and / or 130 of the firing trigger. 主要参照图14、图17和图18A,跟踪系统800可包括磁性元件(诸如永磁体802),该磁性元件安装到从击发触发器130延伸的臂801。 Referring mainly to FIG. 14, FIGS. 17 and Figs. 18A, the tracking system 800 may comprise a magnetic element (such as a permanent magnet 802), the magnetic element is mounted to an arm 801 extending from firing trigger 130. 跟踪系统800可包括一个或多个传感器,诸如第一霍尔效应传感器803和第二霍尔效应传感器804,这些传感器可被构造成能够跟踪磁体802的位置。 Tracking system 800 may include one or more sensors, such as a first Hall effect sensor 803 and second Hall effect sensor 804, the sensors may be configured to be able to track the position of the magnet 802. 读者在将图14 与图17比较之后将会知道,闭合触发器32从其未致动位置向其致动位置运动的过程中,磁体802可在邻近第一霍尔效应传感器803的第一位置与邻近第二霍尔效应传感器804的第二位置之间运动。 FIG readers 14 and 17 after comparing will appreciate, the process 32 from its unactuated position to its actuated position of the closure trigger, the magnet 802 may be a first position adjacent the first Hall effect sensor 803 movement between the second position adjacent the second Hall effect sensor 804 and. 读者在将图17与图18A比较之后将进一步知道,击发触发器130从未击发位置(图17)向击发位置(图18A)运动的过程中,磁体802可相对于第二霍尔效应传感器804运动。 The reader will further know that after the comparison of FIG. 18A FIG. 17, the firing trigger 130 unfired position (FIG. 17) to a fired position (FIG. 18A) during movement of the magnet 802 relative to the second Hall effect sensor 804 motion. 传感器803和804可跟踪磁体802的运动,而且可与电路板100上的微控制器进行信号通信。 Sensors 803 and 804 may track the motion of the magnet 802, and may be in signal communication with the microcontroller 100 on the circuit board. 微控制器可利用来自第一传感器803和/或第二传感器804的数据,确定磁体802沿预定义路径的位置,并且可基于该位置确定闭合触发器32是处于其未致动位置、其致动位置,还是这两个位置之间的位置。 The microcontroller 803 may utilize the position data of the first sensor and / or from the second sensor 804, the magnet 802 is determined along a predefined path, and may be determined based on the position of the closure trigger 32 is in its unactuated position, which actuator actuated position, or a position between these two positions. 相似地,微控制器可利用来自第一传感器803和/或第二传感器804的数据,确定磁体802沿预定义路径的位置,并且可基于该位置确定击发触发器130是处于其未击发位置、其完全击发位置,还是这两个位置之间的位置。 Similarly, the microcontroller 803 may utilize the position data of the first sensor and / or from the second sensor 804, the magnet 802 is determined along a predefined path, and may be determined based on the position of the firing trigger 130 is in its unfired position, its fully fired position, or the position between these two positions.

[0128] 如上所述,在至少一种形式中,可纵向运动的驱动构件120具有在其上形成的一齿条的齿122,用于与齿轮减速器组件84的对应驱动齿轮86啮合接合。 [0128] As described above, in at least one form, the longitudinal movement of the drive member 120 having a rack of teeth 122 formed thereon, a gear reducer assembly 84 with a corresponding drive gear 86 is in meshing engagement. 至少一种形式还包括可手动致动的"应急"组件140,该组件被构造成能够允许临床医生在马达82变得失能的情况下手动地缩回可纵向运动的驱动构件120。 Further comprising at least one form of a manually actuated "emergency" assembly 140, the assembly is configured to allow the clinician to become disabled in the case of longitudinal movement of retraction of the drive member 120 in the motor 82 manually. 应急组件140可包括杠杆或应急柄部组件142,该杜杆或应急柄部组件被构造成能够被手动地枢转为与冋样设置在驱动构件120中的齿124 棘轮接合。 Emergency assembly 140 may include a lever or emergency handle assembly 142, the DU or emergency lever handle assembly is configured to be in the driving member 120 of the ratchet 124 pivot into engagement with the manually set Jiong like teeth. 因此,临床医生可使用应急柄部组件142手动地缩回驱动构件120,而使驱动构件120沿近侧方向"PD"做棘轮运动。 Accordingly, the clinician may use the emergency handle assembly 142 manually retract the drive member 120, 120 of the drive member in the proximal direction "PD" do click motion. 美国专利申请公布US 2010/0089970公开了应急构造,以及还可与本文公开的各种器械一起使用的其他部件、构造和系统。 U.S. Patent Application Publication US 2010/0089970 discloses an emergency configuration, and other components, configurations, and systems may also be used with various instruments disclosed herein. 名称为"POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM"的美国专利申请序列号12/249,117 (现为美国专利申请公布2010/0089970)据此全文以引用方式并入本文。 The name "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM", US Patent Application Serial No. 12 / 249,117 (now US Patent Application Publication 2010/0089970) hereby incorporated by reference herein.

[0129] 现在转到图1和图7,可互换轴组件200包括外科端部执行器300,该外科端部执行器包括被构造成能够可操作地支撑其中的钉仓304的细长通道302。 [0129] Turning now to FIGS. 1 and 7, interchangeable shaft assembly 200 includes a surgical end effector 300, which includes a surgical end effector is configured to operably support a staple cartridge channel 304 of the elongated 302. 端部执行器300还可包括砧座306,该砧座相对于细长通道302可枢转地支撑。 End effector 300 further includes an anvil 306, the anvil with respect to the elongated channel 302 may be pivotably supported. 可互换轴组件200还可包括关节运动接头270和关节运动锁350 (图8),该关节运动锁可被构造成能够可释放地将端部执行器300 相对于轴轴线SA-SA保持在期望的位置。 Interchangeable shaft assembly 200 may also include an articulation joint 270 and articulation lock 350 (FIG. 8), the articulation lock may be configured to be releasably end effector 300 relative to the shaft axis SA-SA remain in the desired position. 有关端部执行器300、关节运动接头270和关节运动锁3 50的构造和操作的细节,在2013年3月14日提交的名称为"ART ICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" 的美国专利申请序列号13/803,086中示出。 For the end effector 300, articulation joint articulation lock construction details 270 and 350 and operation, in the name of March 14, 2013 entitled "ART ICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" U.S. Patent Application Serial No. 13 / 803,086 is shown. 提交于2013年3月14 日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086的完整公开内容据此以引用方式并入本文。 Name filed March 14, 2013 for "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" US Patent Application Serial Number complete disclosure of 13 / 803,086 is hereby incorporated by reference herein. 如图7和图8中可看到的那样,可互换轴组件200还可包括由喷嘴部分202和203 组成的近侧外壳或喷嘴201。 As shown in FIGS. 7 and 8 can be seen, the interchangeable shaft assembly 200 may also include a proximal housing or nozzle 201 by a nozzle portion 202 and 203 thereof. 可互换轴组件200还可包括闭合管260,该闭合管可用于关闭和/或打开端部执行器300的砧座306。 Interchangeable shaft assembly 200 may further include a closure tube 260, the closure tube may be used to close and / or open end of the anvil 306 300. 现在主要参见图8和图9,轴组件200可包括脊210,该脊可被构造成能够可固定地支撑关节运动锁350的轴框架部分212。 Referring now primarily to Figures 8 and 9, shaft assembly 200 can include ridges 210, the ridges may be configured to be fixedly supported articulation locking shaft portion 212 of the frame 350. 参见图8。 See Figure 8. 脊210可被构造成能够:第一,可滑动地支撑其中的击发构件220;第二,可滑动地支撑围绕脊210延伸的闭合管260。 The ridges 210 may be configured to be capable of: first, to slidably support a firing member 220; second, slidably supported closure tube 260 extending around the ridge 210. 脊210还可被构造成能够可滑动地支撑近侧关节运动驱动器230。 Ridge 210 may also be configured to slidably support a proximal articulation driver 230. 关节运动驱动器230具有远侧端部231,该远侧端部被构造成能够可操作地接合关节运动锁350。 Articulation driver 230 has a distal end portion 231, the distal end portion is configured to be operably engaged with articulation lock 350. 关节运动锁350与关节运动框架352交接,该关节运动框架能够可操作地接合端部执行器框架(未示出)上的驱动销(未示出)。 Articulation lock 350 and the articulation transfer frame 352, the articulation of the end effector frame can be operably engaged with the frame (not shown) on the drive pin (not shown). 如上所述,有关关节运动锁350和关节运动框架的操作的更多细节可见于美国专利申请序列号13/803,086。 As described above, for more details about the operation of the articulation lock 350 and the articulation of the frame can be found in U.S. Patent Application Serial No. 13 / 803,086. 在各种情况下,脊210可包括可旋转地支撑在底座240中的近侧端部211。 In each case, the ridges 210 may include a proximal end portion rotatably supported in the base 240 of 211. 在一种构造中,例如,脊210的近侧端部211具有在其上形成的螺纹214,以便通过螺纹附接到被构造成能够被支撑在底座240内的脊轴承216。 In one configuration, for example, proximal end 210 of the ridge 211 has a thread 214 formed thereon, so as to be configured to be supported within the base 240 of the bearing 216 by a threaded attachment ridge. 参见图7。 See Figure 7. 这种构造有利于将脊210可旋转地附接到底座240,使得脊210可以相对于底座240有选择地围绕轴轴线SA-SA旋转。 This configuration can facilitate the ridges 210 is rotatably attached to the base 240, such that the ridges 240 relative to the base 210 may be selectively rotated about the axis SA-SA.

[0130] 主要参见图7,可互换轴组件200包括闭合梭动件250,该闭合梭动件以可相对于底座240轴向运动的方式可滑动地支撑在该底座内。 7, the interchangeable shaft assembly [0130] Referring primarily to FIG shuttle 200 includes a closure member 250, the closure member so as to be movable shuttle with respect to the axial movement of the base 240 is slidably supported within the base. 如图3和图7中可看到的那样,闭合梭动件250包括被构造用于附接到附接销37的一对朝近侧突起的钩252,所述附接销附接到第二闭合连接件38,如将在下文进一步详细地讨论。 As shown in FIG. 3 and 7 can be seen, the closure member 250 comprises a shuttle configured for attachment to one pair of pin attachment proximally projections 252 hook 37, the pin is attached to the first attachment two closure link 38, as will be discussed in further detail below. 闭合管260的近侧端部261联接到闭合梭动件250,以便相对闭合梭动件旋转。 Closure tube 260 proximal end 261 is coupled to the closure shuttle member 250, the movable member so that the relative rotation of the closure shuttle. 例如,将U形连接器263插入闭合管260的近侧端部261中的环形狭槽262,使其保留在闭合梭动件250的竖直狭槽253内。 For example, the U-shaped connector 263 is inserted into annular slot closure tube 260 proximal end 262 of the 261, so that the movable member to retain the closure shuttle 250 within the vertical slot 253. 参见图7。 See Figure 7. 这种构造有助于将闭合管260附接到闭合梭动件250,以便与闭合梭动件一起轴向行进,同时使闭合管260能够围绕轴轴线SA-SA相对于闭合梭动件250旋转。 This configuration helps the closure tube 260 is attached to the closure shuttle 250 to travel axially along the closure shuttle member, while the closure tube 260 can be rotated about the axis SA-SA closure shuttle member 250 rotates with respect to . 闭合弹簧268轴颈连接在闭合管260上,有助于沿近侧方向"PD"偏置闭合管260,在轴组件可操作地联接到柄部14的情况下,该闭合弹簧可有助于将闭合触发器枢转到未致动位置。 A closing spring 268 is journaled on the closure tube 260 to help in the proximal direction "PD" biased closure tube 260, the shaft assembly is operably coupled to the handle case 14, which may contribute to the closing spring the closure trigger pivot to the unactuated position.

[0131] 在至少一种形式中,可互换轴组件200还可包括关节运动接头270。 [0131] In at least one form, the interchangeable shaft assembly 200 may also include an articulation joint 270. 然而,其他可互换轴组件可能无法进行关节运动。 However, other interchangeable shaft assembly may not be articulated. 如图7中可看到的那样,例如,关节运动接头270包括双枢轴闭合套管组件271。 In FIG. 7 can be seen, for example, articulation joint 270 comprises a double pivot closure sleeve assembly 271. 根据各种形式,双枢轴闭合套管组件271包括具有朝远侧突出的上柄脚273和下柄脚274的端部执行器闭合套管组件272。 According to various forms, the double pivot closure sleeve assembly 271 includes a distally projecting tang 273 and the tang 274 of the end effector closure sleeve assembly 272. 端部执行器闭合套管组件272包括马蹄形孔275和插片276,用于按2013年3月14日提交的名称为11^1〇]1^^481^31]1^1〇八1^ INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086(该专利申请以引用方式并入本文)中所述的各种方式接合砧座306上的开口插片。如本文进一步详细地描述,在砧座306打开的情况下,马蹄形孔275和插片276与砧座上的插片接合。上部双枢轴连接件277包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合闭合管260上的朝近侧突出的上柄脚273中的上部远侧销孔以及朝远侧突出的上柄脚264中的上部近侧销孔。下部双枢轴连接件278包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合朝近侧突出的下柄脚274中的下部远侧销孔以及朝远侧突出的下柄脚265中的下部近侧销孔。还可参见图8。 An end effector closure sleeve assembly 272 includes a horseshoe aperture 275 and tab 276, the name used by the March 14, 2013 filed 11 ^ 1〇] 1 481 ^ 31 ^ ^] ^ 1 1 ^ eight 1〇 INSTRUMENT COMPRISING AN ARTICULATION LOCK "U.S. Patent application serial No. 13 / 803,086 (which patent application is incorporated herein by reference) in the various engaging the opening tab 306 on the anvil. as described in further detail herein, in the case of the anvil 306 is opened, a horseshoe aperture 275 and tab 276 engages with the anvil tab upper double pivot link 277 includes upwardly projecting distal and proximal pivot pins pivot pin, the pivot an upper proximal pin hole upper distal pin hole 273 on the shaft pin tangs engage on closure tube 260 proximally and projecting distally of the projecting tang 264. a lower double pivot link 278 It includes upwardly projecting distal and proximal pivot pins pivot pin, the pivot pins which engage respectively a lower distal pin hole in the lower proximally projecting tang 274 and a lower distally projecting tang 265 a lower proximal pin hole. see also FIG. 8.

[0132] 在使用中,闭合管260朝远侧(方向"DD")平移,以便(例如)响应于闭合触发器32的致动而闭合砧座306。 [0132] In use, closure tube 260 distally (in the direction "DD") translated to (e.g.) in response to actuation of the closure trigger 32, the anvil 306 is closed. 通过朝远侧平移闭合管260,因而平移轴闭合套管组件272,致使轴闭合套管组件按前述参考文献美国专利申请序列号13/803,086中所述的方式冲击砧座360上的近侧表面,由此闭合砧座306。 By distally translating the closure tube 260, thereby translating shaft closure sleeve assembly 272, causing the shaft closure sleeve assembly according to the foregoing references U.S. Patent Application in the manner Serial No. 13 / 803,086 impact on the near anvil 360 side surface, thereby closing anvil 306. 还如该参考文献所详述,通过朝近侧平移闭合管260和轴闭合套管组件272,致使插片276和马蹄形孔275接触并推压砧座插片以将砧座306抬起,由此打开砧座306。 As further detailed in references, by proximally translating the shaft 260 and closure tube closure sleeve assembly 272, causing the contact tab 276 and the horseshoe aperture 275 and pressed against the anvil tab 306 to lift the anvil by this opens the anvil 306. 在砧座打开位置,轴闭合管260移至其近侧位置。 In the open position of the anvil, the closure tube shaft 260 is moved to its proximal position.

[0133] 如上所述,外科器械10还可包括其类型和构造在美国专利申请序列号13/803,086 中进一步详细描述的关节运动锁350,该关节运动锁可被构造成能够操作用于有选择地将端部执行器300锁定在适当的位置。 [0133] As described above, the surgical instrument 10 may further include an articulation lock type and construction described in further detail in U.S. Patent Application Serial No. 13 / 803,086 in 350, the articulation lock may be configured to be operable for selectively to the end effector 300 is locked in place. 在关节运动锁350处于其解锁状态时,这种构造使端部执行器300能够相对于轴闭合管260旋转或做关节运动。 When articulation lock 350 is in its unlocked state, such a construction that the end effector 300 relative to the rotational axis of closure tube 260 or the articulation do. 在这种解锁状态下,端部执行器300 可抵靠例如患者体内手术部位周围的软组织和/或骨定位和推挤,以使端部执行器300相对于闭合管260做关节运动。 In this unlocked state, the end effector 300 abut against the surrounding soft tissue, for example, a surgical site in a patient and / or bone positioning and pushing, so that the end effector 260 to be articulated closure tube 300 phase. 端部执行器300也可在关节运动驱动器230作用下,相对于闭合管260做关节运动。 The end effector 300 may also be in the action of the articulation driver 230, closure tube 260 with respect to the articulation do.

[0134] 同样如上所述,可互换轴组件200还包括击发构件220,该击发构件被支撑以便在轴脊210内轴向行进。 [0134] As also mentioned above, the interchangeable shaft assembly 200 further includes a firing member 220, the firing member is supported to the ridges 210 travels axially within the shaft. 击发构件220包括被构造用于附接到远侧切割部分或刀杆280的中间击发轴部分222。 The firing member 220 is configured for attachment comprises a distal cutting portion or shank 280 of the intermediate shaft portion 222 of the firing. 击发构件220在本文中也可称作"第二轴"和/或"第二轴组件"。 Firing member 220 may also be referred to herein as a "second axis" and / or "second shaft assembly." 如图8和图9 中可看到的那样,中间击发轴部分222可在其远侧端部中包括纵向狭槽223,该纵向狭槽可被构造成能够接收远侧刀杆280的近侧端部282上的插片284。 8 and 9 can be seen, the intermediate firing shaft portion 222 may include longitudinal slots 223, the longitudinal slot may be configured to be able to receive a distal shank 280 of the proximal portion at its distal end the end tabs 282,284. 纵向狭槽223和近侧端部282 的尺寸和构造被设计成能够允许这两者之间的相对运动,并且这两者可包括滑动接头286。 And a longitudinal slot 223 sized and configured proximal end 282 is designed to allow relative movement between the two, and both may comprise a slip joint 286. 滑动接头286可允许击发驱动装置220的中间击发轴部分222运动,而在不运动或至少基本上不运动刀杆280的情况下,使端部执行器300做关节运动。 The sliding joint 286 may allow movement of the firing drive 222 the intermediate portion 220 of the firing axis and at least substantially without moving or non-moving arbor 280, the end effector 300 is articulated to do. 一旦端部执行器300已被适当地取向,中间击发轴部分222就可朝远侧推进,直到纵向狭槽223的近侧侧壁接触到插片284, 以便推进刀杆280并击发定位在通道302内的钉仓。 Once end effector 300 has been properly oriented, the intermediate firing shaft portion 222 can be advanced distally until proximal sidewall longitudinal slot 223 contacts the tab 284, in order to advance knife bar 280 positioned in the passage and firing 302 within the staple cartridge. 如图8和图9中可进一步看到的那样,轴脊210在其中具有细长的开口或窗口213,以利于把中间击发轴部分222组装进轴框架210以及插入该轴框架中。 8 and 9 may further be seen, the shaft 210 having the ridge elongated opening or window 213, to facilitate the assembly of the intermediate firing shaft portion 222 is inserted into the shaft frame 210 and the shaft frame. 一旦中间击发轴部分222已被插入轴框架中,顶部框架段215就可与轴框架212接合,从而封闭其中的中间击发轴部分222与刀杆280。 Once the intermediate firing shaft portion 222 has been inserted into the shaft frame, the top frame section 215 can be engaged with the shaft frame 212, thereby closing the portion where the intermediate firing shaft 222 and shank 280. 有关击发构件220的操作的进一步描述可见于美国专利申请序列号13/803,086。 For further description of the operation of the firing member 220 is found in U.S. Patent Application Serial No. 13 / 803,086.

[0135] 除上述之外,轴组件200可包括离合器组件400,该离合器组件可被构造成能够有选择地和可释放地将关节运动驱动器230联接到击发构件220。 [0135] In addition to the above, shaft assembly 200 can include a clutch assembly 400, the clutch assembly may be configured to be selectively and releasably articulation driver 230 is coupled to the firing member 220. 在一种形式中,离合器组件400包括围绕击发构件220定位的锁衬圈或套管402,其中锁套管402可在接合位置与脱离位置之间旋转,在所述接合位置,锁套管402将关节运动驱动器360联接到击发构件220,在所述脱离位置,关节运动驱动器360没有可操作地联接到击发构件200。 In one form, the clutch assembly 400 comprises a firing member 220 is positioned around the locking sleeve or collar 402, wherein the locking sleeve 402 may be engaged and disengaged positions between the rotation, in the engaged position, the lock sleeve 402 the articulation driver 360 is coupled to the firing member 220, in the disengaged position, the articulation driver 360 is not operatively coupled to the firing member 200. 锁套管402处于其接合位置时,击发构件220的远侧运动可使关节运动驱动器360朝远侧运动,相应地,击发构件220的近侧运动可使关节运动驱动器230朝近侧运动。 When the locking sleeve 402 is in its engaged position, the distal movement of the firing member 220 may cause the articulation driver 360 distally and, correspondingly, proximal movement of firing member 220 can articulation driver 230 proximally. 锁套管402处于其脱离位置时,击发构件220的运动不会传递到关节运动驱动器230,因此,击发构件220可独立于关节运动驱动器230运动。 When the locking sleeve 402 is in its disengaged position, movement of the firing member 220 is not transmitted to the articulation driver 230, therefore, the firing member 220 may be independent of movement of the articulation driver 230. 在各种情况下,要是击发构件220没有使关节运动驱动器230在近侧方向或远侧方向上运动,则关节运动驱动器230可被关节运动锁350保持就位。 In various circumstances, if the firing member 220 so that no movement of the articulation driver 230 in the proximal direction or distal direction, the articulation driver 230 articulation lock 350 may be held in place.

[0136] 主要参见图9,锁套管402可包括圆柱形或至少基本上圆柱形的主体,该主体包括限定于其中、被构造成能够接收击发构件220的纵向孔403。 [0136] Referring primarily to FIG. 9, the lock sleeve 402 may comprise a cylindrical body, or at least substantially cylindrical, the body defining therein comprising, a firing is configured to be able to receive the longitudinal bore 403 of member 220. 锁套管402可包括面向内的锁突起404和面向外的锁定构件406,这两者沿直径相对。 Lock the sleeve 402 may include a lock protrusion for locking the inner member 406 and outer face 404, both of which are diametrically opposed. 锁突起404可被构造成能够与击发构件220选择性地接合。 Lock projection 404 can be configured to be selectively engageable with the firing member 220. 更具体地,锁套管402处于其接合位置时,锁突起404被定位在击发构件220中限定的驱动凹口224内,使得远侧推力和/或近侧拉力可从击发构件220传递到锁套管402。 More specifically, the locking sleeve 402 is in its engaged position, the lock projection 404 is positioned within the firing member 220 defined in the drive notch 224, so that the thrust of the distal and / or proximal pulling force may be transmitted from the firing member 220 to the lock the sleeve 402. 锁套管402处于其接合位置时,第二锁定构件406被接收在关节运动驱动器230中限定的驱动凹口232内,使得施加到锁套管402的远侧推力和/或近侧拉力可传递到关节运动驱动器230。 When the locking sleeve 402 is in its engaged position, the second locking member 406 is received within the defined articulation driver 230 drive notch 232, so that the lock sleeve distal thrust to 402 and / or proximal pulling force may be transmitted 230 to the articulation driver. 实际上,锁套管402处于其接合位置时,击发构件220、锁套管402和关节运动驱动器230将一起运动。 In fact, the lock sleeve 402 is in its engaged position, the firing member 220, locking sleeve 402 and the articulation driver 230 will move together. 另一方面,锁套管402处于其脱离位置时,锁突起404可以不定位在击发构件220的驱动凹口224内,因此,远侧推力和/或近侧拉力可以不从击发构件220传递到锁套管402。 On the other hand, when the locking sleeve 402 is in its disengaged position, the locking projection 404 may not be positioned within the firing member 220 of the drive notch 224, so that the distal thrust and / or proximal pulling force may not be transmitted from the firing member 220 to lock the sleeve 402. 相应地,远侧推力和/或近侧拉力可以不传递到关节运动驱动器230。 Accordingly, the thrust of the distal and / or proximal pulling force may not be transmitted to the articulation driver 230. 在这种情况下,击发构件220可相对于锁套管402和近侧关节运动驱动器230朝近侧和/或朝远侧滑动。 In this case, the firing member 220 relative to the lock sleeve 402 and proximal articulation driver 230 proximally and / or distally slide.

[0137] 如图8至图12中可看到的那样,轴组件200还包括可旋转地接收在闭合管260上的切换筒500。 [0137] As shown above, the shaft assembly can be seen in FIG. 8 to 12 further comprising 200 rotatably received in the barrel switch closure tube 260,500. 切换筒500包括中空轴段502,该中空轴段具有在其上形成的轴凸台504,用于将向外突起的致动销410接收在其中。 The switching cylinder 500 comprises a hollow shaft segment 502, the hollow shaft has a shaft section on which is formed a boss 504 for actuating an outwardly projecting pin 410 received therein. 在各种情况下,致动销410延伸穿过狭槽267进入设置在锁套管402中的纵向狭槽408,以便在锁套管402与关节运动驱动器230接合的情况下,利于该锁套管做轴向运动。 In each case, the actuating pin 410 extends through the slot 267 into the lock case is provided in the sleeve 402 in the longitudinal slot 408 to lock the sleeve 230 in engagement with the articulation driver 402 of the lock sleeve facilitates axial movement. 旋转扭转弹簧420被构造成能够如图10所示接合切换筒500上的凸台504以及喷嘴外壳203的一部分,以将偏置力施加到切换筒500上。 Rotation torsion spring 420 is configured to be engaged as shown in Figure 10 is switched on the cylindrical boss 504 and a nozzle portion 500 of the housing 203 to apply a biasing force to the switching cylinder 500. 参见图5和图6,切换筒500 还可包括其中限定的至少部分周边的开口506,这些开口可被构造成能够接收从喷嘴半部202,203延伸的周边安装架204,205,并允许切换筒500与近侧喷嘴201之间相对旋转而不是相对平移。 Referring to FIGS. 5 and 6, the switching cylinder 500 may also include at least a portion of the periphery of an opening 506 defined therein, the openings may be configured to be able to receive nozzles 204 and 205 from the peripheral mounting frame halves 202 and 203 extend, and allow the switch cylinder 500 and the relative rotation between the proximal nozzle 201, but not translation. 如这些图中可看到的那样,安装架204和205还延伸穿过将要坐置在轴脊210的凹陷部211中的闭合管260内的开口266。 As can be seen in these figures, the mounting bracket 204 and 205 also extend through to be seated within a recess 211 in the ridge 210 of the shaft portion 260 of the opening closure tube 266. 然而,喷嘴201旋转到某个点(在该点处,安装架204, 205到达它们各自的狭槽506在切换筒500中的末端)将导致切换筒500围绕轴轴线SA-SA旋转。 However, the nozzle is rotated to a point 201 (at which point, the mounting bracket 204, 205 reach their respective slots 506 in the end 500 of the switching cylinders) would cause the switching cylinder 500 rotates about the shaft axis SA-SA. 切换筒500的旋转最终将引起致动销410旋转,并引起锁套管402在其接合位置与脱离位置之间旋转。 Final rotational cylinder 500 will cause the switch actuating pin 410 rotates and causes the locking sleeve 402 is rotated between its engaged and disengaged positions. 因此,喷嘴201本质上可用于按美国专利申请序列号13/803,086中进一步详细描述的各种方式,将关节运动驱动系统与击发驱动系统可操作地接合,以及使这两个系统脱离接合。 Thus, the nozzle 201 can be essentially used in various ways according to U.S. Patent Application Serial No. 13 / 803,086 are described in further detail, the articulation drive system operably engage firing drive system, and causing these two systems disengaged.

[0138] 也如图8至图12所示,轴组件200可包括滑环组件600,例如,该滑环组件可被构造成能够将电力传导至端部执行器300和/或从该端部执行器传导电力,并且/或者将信号传送至端部执行器300和/或从该端部执行器接收信号。 [0138] Also shown in FIG. 8 to FIG. 12, the shaft assembly 200 may include a slip ring assembly 600, e.g., the slip ring assembly can be configured to be capable of conducting power to the end effector and / or from the end portion 300 actuator conduct electricity, and / or transmits signals to and / or receive signals from the end portion of the end effector 300. 滑环组件600可包括近侧连接器凸缘604和远侧连接器凸缘601,该近侧连接器凸缘安装到从底座240延伸的底座凸缘242,该远侧连接器凸缘定位在轴外壳202,203中限定的狭槽内。 The slip ring assembly 600 may include a proximal flange 604 and a distal connector connection flange 601, the flange proximal connector 240 is mounted to the base flange extending from the base 242, which is positioned at the distal connecting flange 202, 203 defined in the shaft housing slot. 近侧连接器凸缘604可包括第一面, 远侧连接器凸缘601可包括第二面,其中第二面与第一面相邻定位,并能够相对于第一面运动。 Proximal connector flange 604 may include a first surface, a distal connector 601 may include a second flange surface, wherein the second surface is positioned adjacent to the first face, and movement relative to the first plane. 远侧连接器凸缘601可围绕轴轴线SA-SA相对于近侧连接器凸缘604旋转。 The distal flange 601 is connected with the proximal connector flange 604 to rotate about the axis SA-SA. 近侧连接器凸缘604可包括限定在其第一面中的多个同心或至少基本上同心的导体602。 Proximal connector 604 may include a flange defined at a first side of at least a plurality of concentric or substantially concentric conductor 602. 连接器607可安装在连接器凸缘601的近侧侧面上,并可具有多个触点(未示出),其中每个触点对应导体602之一并与其电接触。 The connector 607 may be mounted on the proximal side of the connector flange 601, may have a plurality of contacts (not shown), wherein each contact a corresponding one of the conductors 602 and electrical contact therewith. 这种构造在保持近侧连接器凸缘604与远侧连接器凸缘601之间电接触的同时,允许这两个凸缘之间相对旋转。 This configuration while maintaining electrical contact between the connector proximal flange 601 and a distal flange 604 of the connector, allowing relative rotation between the two flanges. 例如,近侧连接器凸缘604可包括电连接器606,该电连接器可使导体602与安装到轴底座240的轴电路板610进行信号通信。 For example, the proximal connector flange 604 may include an electrical connector 606, which allows the conductor electrical connector mounted to the shaft 602 and the shaft base 240 is a circuit board 610 in signal communication. 在至少一种情况下,包括多个导体的线束可在电连接器606与轴电路板610之间延伸。 In at least one case, comprising a plurality of conductors of the wiring harness can extend between the electrical connector 606 to the shaft 610 of the circuit board. 电连接器606可朝近侧延伸穿过底座安装凸缘242中限定的连接器开口243。 The electrical connector 606 may extend proximally through the base mounting flange 242 in the opening 243 defined in the connector. 参见图7。 See Figure 7. 提交于2013年3月13 日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,067全文以引用方式并入本文。 Name filed March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,067 is incorporated by reference herein. 提交于2013年3月13日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,025全文以引用方式并入本文。 Name filed March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,025 is incorporated by reference herein. 有关滑环组件600的更多细节可见于美国专利申请序列号13/803,086。 More details about the slip ring assembly 600 may be found in U.S. Patent Application Serial No. 13 / 803,086.

[0139] 如上文所讨论,轴组件200可包括可固定地安装到柄部14的近侧部分,以及可围绕纵向轴线旋转的远侧部分。 [0139] As discussed above, shaft assembly 200 can include a proximal portion fixedly mounted to the handle 14, and a distal portion rotates about the longitudinal axis. 如上文所讨论,可旋转的远侧轴部分可围绕滑环组件600相对于近侧部分旋转。 As discussed above, the distal shaft portion rotatable about the slip ring 600 can rotate with respect to proximal portion assembly. 滑环组件600的远侧连接器凸缘601可定位在可旋转的远侧轴部分内。 The slip ring assembly 600 connected to a distal flange 601 may be positioned within the distal portion of the rotatable shaft. 而且, 除上述之外,切换筒500也可定位在可旋转的远侧轴部分内。 Furthermore, in addition to the above, the switching cylinder 500 may be positioned within the distal portion of the rotatable shaft. 可旋转的远侧轴部分旋转时, 远侧连接器凸缘601和切换筒500可彼此同步地旋转。 When the distal rotary shaft portion rotatably, connected to a distal cylindrical flange 601 and a switch 500 may be rotated in synchronization with each other. 另外,切换筒500可相对于远侧连接器凸缘601在第一位置与第二位置之间旋转。 Further, with respect to the switching cylinder 500 may be connected to a distal flange 601 rotatable between a first position and a second position. 切换筒500处于其第一位置时,关节运动驱动系统能够可操作地与击发驱动系统脱离接合,因此,击发驱动系统的操作可以不使轴组件200 的端部执行器300做关节运动。 When the cartridge 500 is in its first switching position, the articulation drive with the firing system can be operatively disengaged from the drive system, therefore, the firing drive system may not be operating shaft assembly 200 of end effector 300 do articulation. 切换筒500处于其第二位置时,关节运动驱动系统能够可操作地与击发驱动系统接合,因此,击发驱动系统的操作可以使轴组件200的端部执行器300 做关节运动。 When the switching cylinder 500 is in its second position, articulation drive system operably engaged with the firing drive system, therefore, the firing drive system can operate the end effector shaft assembly 300, 200 do articulation. 切换筒500在其第一位置和其第二位置之间运动时,相对于远侧连接器凸缘601运动。 When the cylinder 500 is switched between its first position and its second position with respect to the connecting flange 601 distal movement. 在各种情况下,轴组件200可包括至少一个被构造成能够检测切换筒500的位置的传感器。 In various circumstances, the shaft assembly 200 may be configured to include at least one sensor capable of detecting the switching position of the cylinder 500. 现在转到图11和图12,远侧连接器凸缘601可包括例如霍尔效应传感器605,并且切换筒500可包括例如磁性元件,诸如永磁体505。 Turning now to FIGS. 11 and 12, connected to the distal flange 601 may comprise, for example, a Hall effect sensor 605, and the cartridge switch 500 may comprise, for example, a magnetic element, such as a permanent magnet 505. 霍尔效应传感器605可被构造成能够检测永磁体505的位置。 Hall effect sensor 605 may be configured to be able to detect the position of the permanent magnet 505. 切换筒500在其第一位置和其第二位置之间旋转时,永磁体505可相对霍尔效应传感器605运动。 When the switching cylinder 500 rotates between its first position and its second position, the permanent magnet 505 may be a Hall effect sensor 605 relative motion. 在各种情况下,霍尔效应传感器605可检测永磁体505运动时产生的磁场变化。 In each case, the Hall effect sensor 605 may detect change in magnetic field generated when the permanent magnet 505 moving. 霍尔效应传感器605可与例如轴电路板610和/或柄部电路板100进行信号通信。 Hall effect sensor 605 may be in signal communication with the circuit board 610 such as a shaft and / or the handle 100 of the circuit board. 轴电路板610和/或柄部电路板100上的微控制器可依据来自霍尔效应传感器605的信号,确定关节运动驱动系统是与击发驱动系统接合还是脱离接合。 Axis circuit board 610 and / or microcontroller on the circuit board 100 can handle according to the signal from the Hall effect sensors 605, to determine the articulation drive system is engaged with the firing drive system is disengaged.

[0140] 再次参见图3和图7,底座240包括在其上形成的至少一个、优选两个渐缩的附接部分244,这种附接部分能够被接收在对应的燕尾形狭槽702内,所述燕尾形狭槽在框架20的远侧附接凸缘部分700内形成。 [0140] Referring again to FIGS. 3 and 7, the base 240 formed thereon comprising at least one, preferably two tapered attachment portion 244, the attachment portion can be received within a corresponding dovetail slot 702 the dovetail-shaped slot in the frame 20 of the distal attachment flange portion 700 is formed inside. 每个燕尾形狭槽702都可以是渐缩的,换句话讲,都可以略成V形,从而以坐置方式将附接部分244接收在其中。 Each dovetail slot 702 may be tapered, in other words, may be slightly V-shaped so as to be seated manner attachment portion 244 received therein. 如图3和图7中可进一步看到的那样,轴附接耳226在中间击发轴222的近侧端部上形成。 3 and 7 may be further seen, the shaft attachment lug 226 is formed on the intermediate firing shaft 222 of the proximal end. 如将在下文进一步详细地讨论,可互换轴组件200联接到柄部14时,轴附接耳226被接收在纵向驱动构件120的远侧端部125中形成的击发轴附接支架126内。 As will be discussed in further detail below, the interchangeable shaft assembly 200 is coupled to the handle 14, the shaft attachment lug 226 within firing shaft attachment bracket is formed to be received in the distal end 125 of the longitudinal drive member 120 126 . 参见图3和图6。 Referring to FIGS. 3 and 6.

[0141] 各种轴组件实施方案采用闩锁系统710以将轴组件200可移除地联接到外壳12,更具体地,联接到框架20。 [0141] The shaft assembly of various embodiments employ latching system assembly 710 to the shaft 200 is removably coupled to the housing 12, more specifically, coupled to the frame 20. 如图7中可看到的那样,例如,在至少一种形式中,闩锁系统710包括可运动地联接到底座240的锁定构件或锁辄712。 In FIG. 7 can be seen, for example, at least one form, the latching system 710 includes a base in the end movably coupled to the locking member or the locking noir 712,240. 在示出的实施方案中,例如,锁辄712为U 形,有两个隔开并向下延伸的支脚714。 In the illustrated embodiment, for example, U-shaped lock 712 Noir, there are two spaced apart legs 714 extending downwardly. 每个支脚714都有在其上形成的枢轴耳716,这些枢轴耳能够被接收在底座240中形成的对应孔245中。 Each pivot ear 714 has a leg 716 formed thereon, which correspond to the pivot lugs can be received in the hole formed in the chassis 240 245. 这种构造有利于将锁辄712枢转附接到底座240。 This configuration facilitates Noir lock 712 is pivotally attached to the base 240. 锁辄712可包括两个朝近侧突起的锁耳714,这两个锁耳被构造用于与框架20的远侧附接凸缘700中对应的锁定棘爪或凹槽704可释放地接合。 Noir lock 712 may include two locking lugs 714 protruding proximally, the two lugs are configured for locking the lock pawl or the distal recess 20 of the frame 700 corresponding attachment flange 704 may be releasably engaged . 参见图3。 See Figure 3. 在各种形式中,锁辄712被弹簧或偏置构件(未示出)沿近侧方向偏置。 In various forms, the lock 712 is Noir spring or biasing member (not shown) biased in the proximal direction. 锁辄712的致动可通过闩锁按钮722实现, 该闩锁按钮可滑动地安装在安装于底座240的R锁致动器组件720上。 712 Noir lock 722 can be achieved by actuating the latch button, the latch button slidably mounted on the actuator assembly 720 mounted to the base 240 of the R lock. R锁按钮722可相对于锁辄712沿近侧方向偏置。 R lock button 722 relative to the lock 712 in a proximal direction offset Noir. 如将在下文进一步详细地讨论,锁辄712可通过沿远侧方向偏置闩锁按钮而运动到解锁位置,这也引起锁辄712枢转,不再与框架20的远侧附接凸缘700 保持接合。 As will be discussed in further detail below, the lock may Noir 712 biased to the unlocked position by the latch button in a distal direction, which also causes Noir lock 712 pivots the frame 20 is no longer distal attachment flange 700 remains engaged. 锁辄712与框架20的远侧附接凸缘700 "保持接合"时,锁耳716保持坐置在远侧附接凸缘700中对应的锁定棘爪或凹槽704内。 When the lock 712 and the distal frame 20 Noir the attachment flange 700 "remain engaged", lock tab 716 remains seated at the distal attachment flange 700 corresponding locking detent or recess 704.

[0142] 在采用包括能够切割和紧固组织的本文所述类型的端部执行器以及其他类型的端部执行器的可互换轴组件的情况下,可能有利的是防止可互换轴组件在端部执行器致动的过程中不经意地从外壳脱离。 [0142] In the case of tissue cutting and fastening comprises capable of the type described herein and the other end portion of the end effector of the type of the interchangeable shaft assembly, it may be advantageous to prevent the interchangeable shaft assembly inadvertently disengaged from the housing during actuation of the end effector of. 例如,在使用中临床医生可致动闭合触发器32,以抓紧目标组织并操纵其到达理想的位置。 For example, in use, the clinician may actuate the closure trigger 32, to grasp and manipulate the target tissue reaches its ideal position. 一旦目标组织以期望取向定位在端部执行器300内,临床医生就可完全致动闭合触发器32,以关闭砧座306并将目标组织夹持在合适位置供切割与缝合。 Once the target tissue to a desired orientation positioned within the end effector 300, the clinician can fully actuated closure trigger 32, to close the anvil 306 and the clamping of the target tissue for cutting and stapling in place. 在这种情况下,第一驱动系统30已被完全致动。 In this case, the first driving system 30 has been fully actuated. 在目标组织已被夹持在端部执行器300 中之后,可能有利的是防止轴组件200不经意地从外壳12脱离。 In the target tissue has been clamped in the end effector 300 after, it may be advantageous to prevent the shaft assembly 200 is inadvertently disengaged from the housing 12. 闩锁系统710的一种形式被构造成能够防止这种不经意的脱离。 One form of the latch system 710 is configured to be able to prevent such inadvertent disengagement.

[0143] 如图7中可最清楚地看到的那样,锁辄712包括至少一个且优选地两个锁钩718,这些锁钩能够接触闭合梭动件250上形成的对应锁耳部分256。 [0143] As shown in FIG. 7 may be most clearly seen, Noir lock 712 includes at least one and preferably two locking hooks 718, which can contact the latch hooks corresponding to the closing latch ear portion 250 formed on the shuttle 256. 参见图13至图15,在闭合梭动件250处于未致动位置(也就是第一驱动系统30未致动并且砧座306打开)的情况下,锁辄712可沿远侧方向枢转,以将可互换轴组件200从外壳12解锁。 Referring to FIGS. 13 to 15, the closure shuttle 250 is in the unactuated position (i.e., a first drive system 30 is not actuated and to open the anvil 306), the lock 712 may be transferred along the distal Noir pivoted, interchangeable shaft assembly 200 to unlock from the housing 12. 处于该位置时,锁钩718不接触闭合梭动件250上的锁耳部分256。 When in this position, the latch hook 718 does not contact the closing jog portion on the locking lugs 250 256. 但是,在闭合梭动件250运动到致动位置(即,第一驱动系统30被致动并且砧座306处于闭合位置)时,阻止锁辄712枢转到解锁位置。 However, the closure shuttle 250 is moved to the actuated position (i.e., a first drive system 30 is actuated and the anvil 306 in a closed position) to prevent the lock 712 to pivot to the unlocked position Noir. 参见图16-18。 See Figure 16-18. 换句话讲,如果临床医生试图将锁辄712枢转到解锁位置,或者例如,锁辄712不经意地以原本可能引起其朝远侧枢转的方式受到碰撞或发生接触,则锁辄712上的锁钩718将接触闭合梭动件250上的锁耳256,防止锁辄712运动到解锁位置。 In other words, if the clinician attempts to lock Noir 712 to pivot to the unlocked position, or, for example, inadvertently lock Noir 712 that might otherwise cause it to distally pivotally collision or contact occurs, then lock the 712 Noir shackle 718 will contact the latch member on the closure shuttle 250 of ear 256, 712 to prevent the lock to the unlocked position Noir.

[0144] 现在将参照图3描述可互换轴组件200与柄部14附接的操作。 [0144] FIG. 3 will now be described with interchangeable shaft 14 attached to the handle assembly 200 and the operation reference. 要开始联接过程,临床医生可将可互换轴组件200的底座240定位在框架20的远侧附接凸缘700上方或附近,使得底座240上形成的渐缩附接部分244与框架20中的燕尾形狭槽702对齐。 To start the coupling process, the clinician may be interchangeable shaft assembly 200 of the base 240 is positioned above or near the attachment flanges 700 in the distal frame 20, so that the tapered attachment portion 244 of the frame 240 is formed in the base 20 dovetail slots 702 are aligned. 然后临床医生可沿垂直于轴轴线SA-SA的安装轴线IA运动轴组件200,以安置附接部分244,使其与对应的燕尾形接收狭槽702"可操作地接合"。 The clinician may then 200, 244 to the attachment portion is disposed along the axis of the mounting shaft assembly IA movement axis perpendicular to the axis SA-SA, and reacted with a corresponding dovetail slot 702 receives "operably engaged." 这样做时,中间击发轴222上的轴附接耳226也坐置在可纵向运动的驱动构件120的支架126中,并且第二闭合连接件38上销37的部分将坐置在闭合辄250内的对应钩252中。 In doing so, the intermediate shaft 222 on the firing shaft attachment lug 226 is also seated in the holder 126 of the longitudinally movable drive member 120, and a second closure portion of the pin 37 of the connecting member 38 will be seated in a closed 250 Noir corresponding to the hooks 252 of the inner. 如本文所用,在两个部件的背景下的术语"可操作地接合"是指所述两个部件彼此充分地接合,使得一旦向其施加致动动作,所述部件便可以执行其预期活动、功能和/或程序。 As used herein, the term in the context of two components "operably joined" means that the two members are joined to each other sufficiently, so that upon application of an actuation motion, the member can perform their intended action, functions and / or procedures.

[0145] 如上文所讨论,可互换轴组件200的至少五个系统能够可操作地与柄部14的至少五个对应系统联接。 [0145] As discussed above, the interchangeable shaft assembly 200 can be at least five system operably connected to the handle 14 corresponds to at least five coupling system. 第一系统可包括将轴组件200的框架或脊与柄部14的框架20联接并/或对齐的框架系统。 The first system may comprise a frame or spine assembly 200 with the handle shaft 14 coupled to frame 20 and / or alignment of the frame system. 第二系统可包括闭合驱动系统30,该闭合驱动系统可将柄部14的闭合触发器32与轴组件200的闭合管260和砧座306可操作地连接。 The second system may include a closure drive system 30, the closure system may drive the closure trigger 32 of the handle 14 and the shaft 200 of the closure tube assembly 260 and anvil 306 is operatively connected. 如上文所概述,轴组件200的闭合管附接辄250可与第二闭合连接件38上的销37接合。 As outlined above, closure tube shaft assembly 200 is attached Noir 250 may be connected with the second closure member 38 engaging the pin 37. 第三系统可包括击发驱动系统80,该击发驱动系统可将柄部14的击发触发器130与轴组件200的中间击发轴222可操作地连接。 The third system 80 may include a firing drive system, the drive system may be an intermediate firing the firing trigger 14 in the handle 130 and shaft assembly 200 of the shaft 222 is operatively connected to firing. 如上文所概述,轴附接耳226可与纵向驱动构件120的支架126可操作地连接。 As outlined above, the shaft attachment lug 226 may be operably connected to the bracket 126 longitudinal drive member 120. 第四系统可包括电气系统,该电气系统能够:发送轴组件(诸如轴组件200)已与柄部14可操作地接合的信号到柄部14中的控制器(诸如微控制器);并且/或者,在轴组件200与柄部14之间传导电力和/或通信信号。 The fourth system may comprise an electrical system, the electrical system capable of: transmitting shaft assembly (such as the shaft assembly 200) is operably engaged with the signal 14 of the handle 14 in the handle portion of the controller (such as a microcontroller) to; and / Alternatively, conductive power and / or communication signals between the shaft 200 and the handle assembly 14. 例如,轴组件200可包括可操作地安装到轴电路板610的电连接器4010。 For example, the shaft assembly 200 may include a shaft operably mounted to the circuit board 610 is electrically connected to 4010. 电连接器4010被构造用于与柄部控制板100上的对应电连接器4000配合接合。 The electrical connector 4010 is configured for mating engagement with a corresponding electrical connector 100 on the handle panel 4000. 有关电路系统和控制系统的更多细节可见于美国专利申请序列号13/803,086,该专利申请的完整公开内容此前以引用方式并入本文。 More details about the circuitry and control systems can be found in U.S. Patent Application Serial No. 13 / 803,086, the complete disclosure of which patent application previously incorporated by reference herein. 第五系统可由用于可释放地将轴组件200锁定到柄部14上的闩锁系统组成。 The fifth system can be used to releasably lock shaft 200 to the latching system assembly 14 on the handle components.

[0146] 再次参见图2和图3,柄部14可包括电连接器4000,该电连接器包括多个电触点。 [0146] Referring again to FIGS. 2 and 3, the handle 14 may include an electrical connector 4000, the electrical connector includes a plurality of electrical contacts. 现在转到图59,电连接器4000可包括例如第一触点4001a、第二触点4001b、第三触点4001c、第四触点4001d、第五触点4001e和第六触点4001f。 Turning now to FIG. 59, the electrical connector 4000 may comprise, for example, a first contact 4001a, 4001b second contact, the third contact 4001 c, the fourth contact 4001d, 4001e fifth contact and a sixth contact 4001f. 尽管所示的实施方案利用了六个触点,但设想了可利用多于六个触点或少于六个触点的其他实施方案。 Although the illustrated embodiment utilizes six contacts, it is contemplated that other embodiments may utilize more than six or less than six contacts contacts. 如图59所示,第一触点400 Ia 可与晶体管4008电连通,触点4001b至4001e可与微控制器7004电连通,并且第六触点4001f 可与地面电连通。 As shown in FIG. 59, a first contact 400 Ia transistor 4008 may be in electrical communication with the contact 4001b to 4001e may be in electrical communication with the microcontroller 7004, and the sixth contact 4001f may be communication with a ground. 在某些情况下,电触点4001b至4001e中的一个或多个可与微控制器7004 的一个或多个输出通道电连通,并且在柄部1042处于加电状态时可通电,或具有施加到其的电压电位。 In some cases, the electrical contacts of one or more 4001b to 4001e may be in communication with one or more output channels of the microcontroller 7004, and may be energized when the handle 1042 is powered on, or having applied to a voltage potential thereto. 在一些情况下,电触点4001b至4001e中的一个或多个可与微控制器7004的一个或多个输入通道电连通,并且微控制器7004可被构造成在柄部14处于加电状态时,能够检测电压电位何时被施加到此类电触点。 In some cases, the electrical contacts 4001b to 4001e of one or more of the microcontroller 7004 in communication with one or more electrical input channels, and microcontroller 7004 can be configured in the handle 14 is in a state power , it is possible to detect when a voltage potential is applied to such electrical contacts. 在轴组件(诸如轴组件200)组装到柄部14的情况下,电触点4001a至4001f可能不会彼此连通。 The shaft assembly (such as the shaft assembly 200) is assembled to the case where the handle portion 14 of the lower electrical contacts 4001a to 4001f may not communicate with each other. 然而,在轴组件未组装到柄部14的情况下,电连接器4000的电触点4001a至4001f可能暴露,而且在一些情况下,触点4001a至4001f中的一个或多个可能意外地彼此电连通。 However, the shaft assembly is not assembled to the case where the handle 14, the electrical contacts of the electrical connector 4000 4001a to 4001f may be exposed, and in some cases, one of the contacts 4001a to 4001f may accidentally or more of each other in electrical communication. 例如,触点4001a至4001f中的一个或多个接触到导电材料时,可能出现此类情况。 For example, the contacts 4001a to 4001f to contact one or more conductive material, such situations may occur. 一旦出现此类情况,例如,微控制器7004可能接收到错误的输入并且/或者轴组件200可能接收到错误的输出。 Once this happens, e.g., the microcontroller 7004 can receive an input error and / or the shaft assembly 200 may receive an error output. 为解决这个问题,在各种情况下,柄部14可在轴组件诸如轴组件200未附接到柄部14时不加电。 To solve this problem, in each case, the handle 14 may be such as shaft assembly 200 is not attached to the handle portion 14 without an electrical shaft assembly. 在其他情况下,柄部1042在轴组件(诸如轴组件200)未附接到其时可以加电。 In other cases, the handle shaft assembly 1042 (such as a shaft assembly 200) when power is not attached to it may be. 在这种情况下,例如,微控制器7004可被构造成在轴组件附接到柄部14之前,能够忽视施加到与微控制器7004电连通的触点(即,触点4001b至4001e)的输入或电压电位。 In this case, for example, the microcontroller 7004 may be configured prior to assembly of the shaft attached to the handle portion 14, is applied to a negligible electrical communication with the microcontroller 7004 contacts (i.e., contacts 4001b to b - 4001 e) input voltage or potential. 虽然在这种情况下微控制器7004可被供电以操作柄部14的其他功能,但柄部14可处于掉电状态。 Although in this case the microcontroller 7004 may be powered to operate other functions of the handle 14, the handle 14 may be in a powered down state. 在某种程度上,如果施加到电触点4001b至4001e的电压电位可以不影响对柄部14的操作,则电连接器4000可处于掉电状态。 To some extent, 4001b to 4001e if the voltage potential applied to the electrical contact may not affect the operation of the handle 14, the electrical connector 4000 may be in a powered down state. 读者将认识到,即使触点4001b至4001e可处于掉电状态,但未与微控制器7004电连通的电触点4001a和4001f可处于、也可不处于掉电状态。 The reader will recognize that even the contact 4001b to 4001e may be in a power-down state, but electrical contacts microcontroller 7004, 4001a and 4001f communication may be in, or not in power-down state. 例如,无论柄部14是处于加电状态还是掉电状态,第六触电4001f 都可保持与地面电连通。 For example, regardless of the handle 14 is in the powered state or power-down state, can be held 4001f sixth contact in electrical communication with the ground. 此外,晶体管4008和/或晶体管的任何其他合适的构造(诸如晶体管4010)和/或开关可被构造成无论柄部14是处于加电状态还是掉电状态,都能够控制从柄部14内的功率源4004(诸如电池90)到第一电触点4001a的功率供应。 In addition, and / or any other suitable configuration (such as transistors 4010) transistor, a transistor 4008 and / or may be configured to switch whether the handle 14 is in the powered state or power-down state, can be controlled from within the handle portion 14 of the power source 4004 (such as a battery 90) to a first electrical contact of the power supply 4001a. 在各种情况下,例如, 轴组件200可被构造成能够在轴组件200与柄部14接合的情况下,改变晶体管4008的状态。 In various circumstances, e.g., shaft assembly 200 can be configured to be engaged in the case 14 and the handle shaft assembly 200, to change the state of the transistor 4008. 在某些情况下,除下述之外,霍尔效应传感器4002可被构造成能够转换晶体管4010的状态, 因此可转换晶体管4008的状态,最终将来自功率源4004的功率供应给第一触点4001a。 In some cases, in addition to the following, the Hall effect sensor 4002 may be configured to be able to switch the state of the transistor 4010, thereby converting the state of the transistor 4008, the final power from a power source 4004 is supplied to a first contact 4001a. 这样,在轴组件未安装到柄部14的情况下,联接到连接器4000的功率电路和信号电路都可被掉电,而且,在轴组件安装到柄部14的情况下,这两者都可被加电。 Thus, when the shaft assembly is not mounted to the handle portion 14, a power connector coupled to the circuit and a signal circuit 4000 may be powered down, and, in the case where the axle assembly is mounted to handle 14, both of It can be powered up.

[0147] 在各种情况下,再次参见图59,柄部14可包括例如霍尔效应传感器4002,该霍尔效应传感器可被构造成在轴组件联接到柄部14的情况下,能够检测位于轴组件(诸如轴组件200)上的可检测元件,诸如磁性元件4007 (图3)。 [0147] In each case, referring again to FIG. 59, the handle 14 may comprise, for example, a Hall effect sensor 4002, the Hall effect sensor can be configured within the shaft assembly coupled to the case where the handle 14 can be detected is located a shaft assembly (such as the shaft assembly 200) may be detected on the element, such as a magnetic element 4007 (FIG. 3). 霍尔效应传感器4002可由诸如电池之类的功率源4006供电,该功率源实际上可放大霍尔效应传感器4002的检测信号,并经由图59所示的电路与微控制器7004的输入通道通信。 Hall effect sensor 4002 may be powered by the battery power source 4006 or the like, the power source may actually be amplified as a detection signal of the Hall effect sensor 4002, and the input circuit and the microcontroller communication channel 7004 shown in FIG. 59 via. 一旦微控制器7004接收到指示轴组件已至少部分地联接到柄部14,因而电触点4001a至4001f不再暴露的输入,微控制器7004就可进入其正常的或加电的工作状态。 Once the microcontroller 7004 receives an indication at least in part has a shaft assembly coupled to the handle 14, and thus the electrical contacts 4001a to 4001f are no longer exposed to the input, the microcontroller 7004 can enter its normal operating state or powered. 在此类工作状态中,微控制器7004将对从轴组件传输至一个或多个触点4001b-4001e的信号进行评估,和/或通过处于其正常使用状态的一个或多个触点4001b-4001e将信号传输至轴组件。 In such an operating state, the microcontroller 7004 will be transmitted from the component to a shaft or a plurality of signal contacts 4001b-4001e assess, and / or in its normal use state by the one or more contacts 4001b- 4001e transmits a signal to the shaft assembly. 在各种情况下,可能必须先使轴组件1200完全坐置,霍尔效应传感器4002才可检测到磁性元件4007。 In various circumstances, it may be necessary to the shaft assembly 1200 to be fully seated, the Hall effect sensor detects the magnetic element 4002 before 4007. 例如,虽然可利用霍尔效应传感器4002来检测轴组件200是否存在,但也可利用传感器和/或开关的任何合适的系统来检测轴组件是否已组装到柄部14。 For example, although the Hall effect sensor 4002 may be utilized to detect the presence or absence of the shaft assembly 200, but also by a sensor and / or any suitable system to detect whether the switch assembly has been assembled to the handle shaft portion 14. 这样,除上述之外,在轴组件未安装到柄部14的情况下,联接到连接器4000的功率电路和信号电路都可被掉电,而且,在轴组件安装到柄部14的情况下,这两者都可被加电。 Thus, in addition to the above, the shaft assembly is not mounted to the handle case 14, a connector coupled to a power circuit and a signal circuit 4000 may be powered down, and, in the case where the handle assembly is mounted to the shaft portion 14 of the lower , both of which can be powered up.

[0148] 在各种实施方案中,例如,可采用任何数量的磁感测元件来检测轴组件是否已组装到柄部14。 [0148] In various embodiments, for example, any number of magnetic sensing element to detect whether the shaft assembly 14 is assembled to the handle portion. 例如,用于磁场感测的技术包括探测线圈、磁通门、光栗、核旋、超导量子干涉仪(SQUID)、霍尔效应、各向异性磁电阻、巨磁电阻、磁性隧道结、巨磁阻抗、磁致伸缩/压电复合材料、磁敏二极管、磁敏晶体管、光纤、磁光,以及基于微机电系统的磁传感器等。 For example, techniques for detecting magnetic field sensing coil comprises, fluxgate Li, nuclear spin, superconducting quantum interference device (SQUID-), Hall effect, anisotropic magnetoresistance, giant magnetoresistance, a magnetic tunnel junction, GMI, magnetostrictive / piezoelectric composites, magnetotransistor transistors, optical, magneto-optical, and magnetic sensors based on MEMS.

[0149] 参见图59,微控制器7004通常可包括微处理器("处理器")和可操作地联接到该处理器的一个或多个存储器单元。 [0149] Referring to Figure 59, microcontroller 7004 may generally include a microprocessor ( "processor") and operably coupled to the processor or a plurality of memory cells. 处理器通过执行存储器中存储的指令码,可控制外科器械的各种部件,诸如马达、各种驱动系统和/或用户显示器。 A processor by executing instruction code stored in the memory, may control the various components of the surgical instrument, such as a motor, various driving systems and / or user display. 微控制器7004可使用集成的和/或分立的硬件元件、软件元件和/或这些元件的组合来实现。 The microcontroller 7004 may use an integrated and / or discrete hardware elements, software elements, and / or combinations of these elements is achieved. 集成硬件元件的示例可包括处理器、微处理器、微控制器、集成电路、专用集成电路(ASIC)、可编程逻辑器件(PLD)、数字信号处理器(DSP)、现场可编程门阵列(FPGA)、逻辑门、寄存器、半导体器件、芯片、微芯片、芯片组、微控制器、片上系统(SoC)和/或封装系统(SIP)。 Examples of integrated hardware elements may include processors, microprocessors, microcontrollers, integrated circuits, application specific integrated circuit (ASIC), programmable logic devices (PLD), digital signal processors (DSP), field programmable gate arrays ( the FPGA), the system logic gates, registers, semiconductor device, chips, microchips, chip sets, microcontroller chip (SoC), and / or packaging system (SIP). 分立硬件元件的示例可包括电路和/或电路元件,诸如逻辑门、场效应晶体管、双极型晶体管、电阻器、电容器、电感器和/或继电器。 Example discrete hardware elements may include circuitry and / or circuit elements such as logic gates, field effect transistors, bipolar transistors, resistors, capacitors, inductors, and / or relays. 在某些情况下,例如,微控制器7004可包括混合电路,该混合电路在一个或多个基板上包括分立的和集成的电路元件或部件。 In some cases, e.g., the microcontroller 7004 may comprise a mixing circuit, the hybrid circuit comprising discrete and integrated circuit elements or components on one or more substrates.

[0150] 参见图59,微控制器7004可例如是可购自Texas Instruments的LM 4F230H5QR。 [0150] Referring to Figure 59, microcontroller 7004 may be commercially available from, for example, a Texas Instruments LM 4F230H5QR. 在某些情况下,Texas Instruments出品的LM 4F230H5QR为ARM CortexHMF处理器芯,其包括:256KB单循环闪存存储器或其他非易失性存储器(最多至40MHZ)的片上存储器、用于改善性能使其超过40MHz的预取缓冲器、32KB单循环串行随机访问存储器(SRAM)、装载有StellaiisWare®软件的内部只读存储器(ROM)、2KB电可擦编程只读存储器(EEPROM)、一个或多个脉宽调制(PWM)模块、一种或多种正交编码器输入(QEI)模拟、具有12个模拟输入通道的一个或多个12位模数转换器(ADC),以及易得的其他特征结构。 In some cases, Texas Instruments LM 4F230H5QR produced as ARM CortexHMF core processor, comprising: a 256KB Robin on-chip memory, or other non-volatile flash memory storage (up to 40MHZ) for improving the performance beyond that the prefetch buffer 40MHz, 32KB Robin serial random access memory (SRAM), loaded with software StellaiisWare® internal read only memory (ROM), 2KB electrically erasable programmable read-only memory (EEPROM), one or more pulse width modulation (PWM) module, the one or more quadrature encoder inputs (QEI) analog, with a 12 or a plurality of analog input channels of 12-bit ADC (the ADC), and other features readily available . 可以很方便地换用其他微控制器,来与本公开联合使用。 You can easily switch to other microcontrollers to be used in combination with the present disclosure. 因此,本公开不应限于这一上下文。 Accordingly, the present disclosure should not be limited in this context.

[0151] 如上文所讨论,柄部14和/或轴组件200可包括下述系统和结构:这些系统和结构被构造成在轴组件200未组装到或未完全组装到柄部14时,能够防止柄部电连接器4000的触点和/或轴电连接器4010的触点发生短路,或至少降低柄部电连接器4000的触点和/或轴电连接器4010的触点发生短路的可能性。 [0151] As discussed above, 14 and / or the handle shaft assembly 200 may include the systems and structures: These structures and systems are configured to shaft assembly 200 in an unassembled or fully assembled to the handle 14, can be preventing the stem portion of the electrical connector contacts and / or electrical connectors 4000 of the shaft 4010 contacts the short circuit, or at least to reduce the electrical connector shank portion 4000 contacts and / or the shaft of the electrical connector contacts 4010 of the short-circuit possibility. 参见图3,柄部电连接器4000可至少部分地陷入柄部框架20中限定的腔体4009内。 Referring to Figure 3, the handle portion of the electrical connector 4000 may be at least partially into the handle frame 20 in a cavity defined within 4009. 电连接器4000的六个触点4001a至4001f可完全陷入腔体4009内。 The electrical connector six contacts 4001a to 4001f 4000 may be completely into the inner cavity 4009. 这种构造可降低物体意外地接触触点4001a至4001f中的一个或多个触点的可能性。 This configuration can reduce the possibility of accidentally object 4001a to 4001f or a plurality of contacts contacting contacts. 相似地,轴电连接器4010可定位在轴底座240中限定的凹陷部内,这可降低物体意外地接触轴电连接器4010的触点4011 a至4011 f中的一个或多个触点的可能性。 Similarly, within the recess, the shaft of the electrical connector 4010 may be positioned on the axis defined in the base 240, which may reduce the possibility of accidental contact with the object axis of the electrical connector 4010 to the contacts 4011 A 4011 f or a plurality of contacts sex. 参照图3所示的具体实施方案,轴触点4011a至4011f可包括凸触点。 DETAILED reference to the embodiment shown in FIG. 3, the shaft contacts 4011a to 4011f may include a male contacts. 在至少一个实施方案中,例如,每个轴触点401 Ia至401 If可包括从其延伸的柔性突出部,该柔性突出部可被构造成能够接合对应的柄部触点4001a至4001f。 In at least one embodiment, for example, each shaft 401 Ia to 401 If the contact may include a flexible projection extending therefrom, the flexible protruding portion may be configured to engage a corresponding portion of the handle contacts 4001a to 4001f. 柄部触点4001a至4001f可包括凹触点。 Handle contacts 4001a to 4001f may include a recessed contact. 在至少一个实施方案中, 每个柄部触点4001a至4001f可包括例如平坦表面,轴凸触点4001a至4001f可抵靠该平坦表面擦过或滑过,从而维持这两种触点之间的导电接合。 In at least one embodiment, each handle contacts 4001a to 4001f may comprise, for example, between a flat surface, the shaft 4001a to 4001f male contacts or grazed abut against the flat surface of the slides, so as to maintain the two contacts the conductive bonding. 在各种情况下,将轴组件200组装到柄部14的方向可平行于、或至少基本上平行于柄部触点4001a至4001f,使得在将轴组件200 组装到柄部14时,轴触点4011a至4011f抵靠柄部触点4001a至4001f滑动。 In each case, the shaft assembly 200 is assembled to the direction of the handle portion 14 may be parallel to, or at least substantially parallel to the handle portion to contact 4001 f, 4001a, such that when the shaft assembly 200 is assembled to the handle portion 14, a shaft contact 4011a to 4011f point against the shank slidably contacts 4001a to 4001f. 在各种替代实施方案中,柄部触点4001a至4001f可包括凸触点,轴触点4011a至4011f可包括凹触点。 In various alternative embodiments, the handle portion may include contacts 4001a to 4001f male contacts, contacts the shaft 4011a to 4011f may include a recessed contact. 在某些替代实施方案中,柄部触点4001a至4001f和轴触点4011a至4011f可具有任何合适的触点布置方式。 In certain alternative embodiments, the handle portion contacts 4001a to 4001f to 4011f and 4011a contacts the shaft may have any suitable contact arrangement.

[0152] 在各种情况下,柄部14可包括被构造成能够至少部分地覆盖柄部电连接器4000的连接器防护件和/或被构造成能够至少部分地覆盖轴电连接器4010的连接器防护件。 [0152] In each case, the handle 14 may be configured to include at least partially cover the handle portion of the electrical connector shield connector 4000 and / or can be configured to at least partially cover the shaft of the electrical connector 4010 The connector shield. 在轴组件未组装到、或只部分地组装到柄部的情况下,连接器防护件可防止物体意外地接触电连接器的触点,或至少降低物体意外地接触电连接器的触点的可能性。 In the case where the assembly is not assembled to the shaft, or only partially assembled to the handle portion, the connector body guard prevents accidental contact with the electrical contacts of the connector, or at least reducing accidental contact object contacts of the electrical connector possibility. 连接器防护件可以是可运动的。 The connector shield member may be movable. 例如,连接器防护件可在防护位置与非防护位置之间运动,在防护位置处,该连接器防护件至少部分地保护连接器,在非防护位置处,该连接器防护件不保护连接器,或只为连接器提供较少保护。 For example, the connector may be between the protective shield position and the non-protective position, at the protective position, the connector shield at least partially protect the connector, at a non-shield position, the shield connector does not protect the connector or less only to protect the connector. 在至少一个实施方案中,将轴组件组装到柄部时,连接器防护件的位置可被移动。 In at least one embodiment, the shaft assembly is assembled to the handle portion, the position of the connector shield may be moved. 例如,如果柄部包括柄部连接器防护件,则在将轴组件组装到柄部时,轴组件可接触柄部连接器防护件并移动其位置。 For example, if the handle includes a shank portion of the connector shield member, then when the shaft assembly is assembled to the handle, the handle shaft assembly may contact the connector shield and move it. 相似地,如果轴组件包括轴连接器防护件,则在将轴组件组装到柄部时,柄部可接触轴连接器防护件并移动其位置。 Similarly, if shaft assembly comprising a connector shield member, when the shaft assembly is assembled to the handle, the handle may contact the shield member and the connector shaft moves its position. 在各种情况下,例如,连接器防护件可包括门。 In various circumstances, for example, the connector may include a door shield. 在至少一种情况下,该门可具有倾斜表面,在门与柄部或轴接触时,该倾斜表面可有利于门沿确定方向移动位置。 In at least one case, the door may have inclined surfaces, when in contact with the door handle or shaft, the inclined surface may facilitate in determining the direction the door position. 在各种情况下,例如,连接器防护件可被平移和/或旋转。 In various circumstances, e.g., a connector shield can be translated and / or rotated. 在某些情况下,连接器防护件可包括覆盖电连接器触点的至少一层膜。 In some cases, the connector may include a shield member covering at least one electrical connector contacts the membrane. 在将轴组件组装到柄部时,这层膜可能破裂。 When the shaft assembly is assembled to the handle portion, this membrane may be broken. 在至少一种情况下,连接器的凸触点可先刺透这层膜,再与设置在这层膜下方的对应触点接合。 In at least one case, the connector may be male contacts which pierce the first interlayer film, and then engaged with corresponding contacts disposed beneath this layer of the film.

[0153] 如上所述,外科器械可包括能够有选择地为电连接器(诸如电连接器4000)的触点加电或启用这些触点的系统。 [0153] As described above, a surgical instrument can include a selectively applied electrical contacts of the electrical connector (such as an electrical connector 4000) these contacts or systems enabled. 在各种情况下,触点可在未启用状态与启用状态之间转换。 In each case, the contact state between the conversion may not be enabled and enabled. 在某些情况下,触点可在监测状态、停用状态与启用状态之间转换。 In some cases, the contact may monitor the state transition between an inactive state and an enabled state. 举例来说,在轴组件尚未组装到柄部14的情况下,微控制器7004例如可监测触点4001a至4001f,确定触点4001a至4001f中的一个或多个触点是否可能已经短路。 For example, in the case, the shaft assembly is not assembled to the handle portion 14, for example, the microcontroller 7004 to 4001 f, monitoring contact 4001a, 4001a of a contact is determined to 4001 f, or may have a plurality of contacts are shorted. 微控制器7004可被构造成能够将低电压电位施加到触点4001a至4001f中的每个触点,并能够评估每个触点处是否只存在最小电阻。 Microcontroller 7004 may be configured to be capable of a low voltage potential is applied to the contacts in each contact 4001a to 4001f, and each able to assess whether there is contact only at the minimum resistance. 这种工作状态可包括受监测状态。 Such monitored operating state may include a state. 如果在某个触点处检测到的电阻很高,或超过了阈值电阻,则微控制器7004可停用该触点、一个以上触点,或者全部触点。 If the detected resistance is high to a certain contact points, or more than the threshold resistance, the microcontroller 7004 may disable the contact, more contacts, or all the contacts. 这种工作状态可包括停用状态。 Such work may include disabled state. 如上文所讨论,如果轴组件组装到柄部14,并被微控制器7004检测到,则微控制器7004可提高施加到触点4001a至4001f的电压电位。 As discussed above, if the shaft assembly is assembled to the handle portion 14, and is detected by the microcontroller 7004, the microcontroller 7004 may be applied to improve the contact of a voltage potential 4001a to 4001f. 这种工作状态可包括启用状态。 This may include working status enabled.

[0154] 本文所公开的各种轴组件可采用传感器和需要与外壳内的控制器电连通的各种其他部件。 [0154] axis of the various components disclosed herein may be employed as sensors and various other components need electrical communication with the controller within the housing. 这些轴组件通常被构造成能够相对于外壳旋转,因此必须在两个或更多个可相对彼此旋转的部件之间设置有利于这种电连通的连接件。 The shaft assembly is generally configured to be rotating relative to the housing, it must be provided to facilitate such an electrical connector in communication between two or more members rotatable relative to one another. 采用本文所公开类型的端部执行器时,连接器构造在本质上必须相对坚固,同时还必须略微紧凑,以便装配到轴组件的连接器部分中。 When using the type disclosed herein, the end effector, the connector is configured to be relatively robust in nature, also must be slightly compact to fit into the connector portion of the shaft assembly.

[0155] 图19至图22示出了可与例如可互换轴组件1200或需要在相对彼此旋转的部件之间设置电连接件的多种其他应用一同使用的一种形式的电联接器或滑环连接器1600。 [0155] Figures 19 through 22 illustrate a form of, for example, may be interchangeable shaft assembly 1200, or to set the electrical connection between relatively rotating members to each other variety of other applications use with electrical coupling or slip ring connector 1600. 轴组件1200可与本文所述的轴组件200类似,其包括闭合管或外轴1260和近侧喷嘴1201(为清楚起见,已省去喷嘴1201的上半部)。 The shaft assembly 1200 may be similar to shaft assembly 200 as described herein, or comprising the closure tube 1260 and the outer shaft proximal of the nozzle 1201 (for clarity, the upper half of the nozzles have been omitted 1201). 在示出的示例中,外轴1260被安装在轴脊1210上,使得外管1260可能可以有选择地在其上轴向运动。 In the example shown, the outer shaft 1260 is mounted on the shaft spine 1210 such that the outer tube 1260 may be selectively moved axially thereon. 轴脊1210和外管1260的近侧端部都可以可旋转地联接到底座1240,而围绕轴轴线SA-SA相对于底座旋转。 The proximal end of the shaft 1210 and the outer tube ridges 1260 may be rotatably coupled to the seat 1240 in the end, about the shaft with respect to the base rotating axis SA-SA. 如上文所讨论,近侧喷嘴1201可包括安装架或安装耳1204(图20),该安装架或安装耳从喷嘴部分向内突起,并延伸穿过外管1260中的对应开口1266,从而坐置在轴脊1210的对应凹陷部1211内。 As discussed above, the proximal nozzle 1201 may include a mounting lug or mounting bracket 1204 (FIG. 20), the mounting bracket or mounting ears projecting inwardly from the nozzle portion, and extends through a corresponding opening in the outer tube 1260 in 1266 to sit placed within the shaft 1210 corresponding to the ridge portion 1211 of the recess. 因此,如果临床医生想要围绕轴轴线SA-SA相对于底座1240旋转外轴1260和脊轴1210,以及推定已联接到这两者上的端部执行器(未示出),则只需如图19中的箭头"R"表示的那样旋转喷嘴1201。 Thus, if the clinician desires to SA-SA about the shaft axis relative to the base 1240 and the rotation of the outer shaft 1260 ridge axis 1210, and has been estimated coupled to the end effector on which both (not shown), just as as rotation of the nozzle in FIG. 19 by arrow "R" denotes 1201.

[0156] 如果例如在端部执行器处,或者在轴组件内或轴组件上的多个位置处采用传感器,则导体(诸如线材和/或迹线(未示出))可被接收或安装在外管1260内,甚至可沿外管1260的路径从传感器布置到安装在喷嘴1201内的远侧电部件1800。 [0156] If at the end, or at multiple locations on or shaft assembly using the sensor assembly within the shaft, for example, the conductor (such as wires and / or traces (not shown)) may be received or mounted path within the outer tube 1260, or even along the outer tube 1260 is disposed distal from the sensor to an electrical component 1800 is mounted within the nozzle 1201. 因此,远侧电部件1800 可与喷嘴1201 -起围绕轴轴线SA-SA旋转。 Therefore, the electrical component 1800 may distal nozzle 1201-- from rotation about the shaft axis SA-SA. 在图20所示的实施方案中,电部件1800包括连接器、电池等,其中包括彼此侧向移位的触点1802,1804,1806和1808。 In the embodiment shown in FIG. 20, the electrical component 1800 includes a connector, such as a battery, including a contact laterally displaced from each other 1802,1804,1806 and 1808.

[0157] 滑环连接器1600还包括安装构件1610,该安装构件包括限定环形安装表面1613的圆柱形主体部分1612。 [0157] the slip ring connector 1600 further comprises a mounting member 1610, the mounting member comprises a cylindrical body defining an annular mounting portion 1612 of the surface 1613. 远侧凸缘1614可在圆柱形主体部分1612的至少一个端部上形成。 Distal flange 1614 may be formed on at least one end of the cylindrical body portion 1612. 安装构件1610的主体部分1612的尺寸被设计成能够不可旋转地安装在底座1240的安装毂1241上。 The size of the body portion 1612 of the mounting member 1610 is designed to be non-rotatably mounted on the mounting base 1240 of the hub 1241. 在示出的实施方案中,一个远侧凸缘1614设置在主体部分1612的一个端部上。 In the illustrated embodiment, a distal flange 1614 provided on one end of the body portion 1612. 第二凸缘1243在底座1240上形成,使得在主体部分1612固定地(不可旋转地)安装到其上之后, 第二凸缘1243邻接主体部分1612的近侧端部。 The second flange 1243 formed on the base 1240, so that after it is mounted to the proximal end of the second body portion 1612 abuts flange 1243 of the main body portion 1612 is fixedly (non-rotatably).

[0158] 滑环连接器1600还采用了独特且新颖的环形电路迹线组件1620,该环形电路迹线组件以被接收在第一凸缘1614与第二凸缘1243之间的方式,卷绕在主体部分1612的环形安装表面1613周围。 [0158] the slip ring connector 1600 also uses a unique and novel component loop circuit traces 1620, the trace loop circuit assembly to be received between the first flange and the second flange 1614 1243 manner, wound the body portion 1612 of the annular mounting surface around 1613. 现在参见图21和图22,电路迹线组件1620可包括带粘合剂背衬的柔性基板1622,该柔性基板可卷绕在主体部分1612的外围(也就是环形安装表面1613)周围。 Referring now to FIGS. 21 and 22, the circuit traces assembly 1620 may include a flexible substrate 1622 with an adhesive backing, the flexible substrate can be wound in a peripheral body portion 1612 (i.e., an annular mounting surface 1613) around. 柔性基板1622在被卷绕到主体部分1612周围之前可为"T形",该形状具有第一环形部分1624和引线部分1626。 In the flexible substrate 1622 is wound around the body portion may be before 1612 "T-shaped", the annular shape having a first portion 1624 and the lead portion 1626. 如图19至图21中也可看到的那样,电路迹线组件1620还可包括电路迹线1630,1640,1650,1660,这些电路迹线可包括例如导电镀金迹线。 As shown in FIG. 19 to FIG. 21 may be seen, the circuit traces assembly 1620 may further include a circuit trace 1630,1640,1650,1660, which may comprise, for example, circuit traces plated conductive traces. 但也可使用其他导电材料。 However, other conductive materials may also be used. 每根导电电路迹线都包括"环形部分",和从该环形部分横向或垂直延伸的另一部分即"引线部分",基板卷绕在主体部分1612周围时,环形部分将形成迹线的环形部。 Each conductive circuit trace comprises a "ring portion", and the other portion extending from the annular portion of the lateral or vertical or "lead section", the substrate 1612 wound around the body portion, the annular portion forming an annular portion of the traces . 更具体地, 参见图22,第一导电电路迹线1630具有第一环形部分1632和第一引线部分1634。 More specifically, referring to FIG. 22, a first conductive circuit traces 1630 and 1632 having a first annular portion 1634 of the first lead portion. 第二导电电路迹线1640具有第二环形部分1642,和从第二环形部分横向或垂直延伸的第二引线部分1644。 A second conductive circuit traces 1640 having a second annular portion 1642, portion 1644 and the second lead extending from the second lateral or vertical annular portion. 第三导电电路迹线1650具有第三环形部分1652,和从第三环形部分横向或垂直延伸的第三引线部分1654。 1650 third conductive circuit trace has a third annular portion 1652, and the third annular portion 1654 of the third lead portion extending laterally or vertically. 第四导电电路迹线具有第四环形部分1662,和从第四环形部分横向或垂直延伸的第四引线部分1664。 Fourth conductive circuit traces having a fourth annular portions 1662, 1664 and the fourth lead portion extending from the annular portion of the fourth lateral or vertical. 当基板处于平面取向时(也就是说,在被卷绕到安装构件1610的环形主体部分1612上之前),可采用传统的制造技术将导电电路迹线1630,1640, 1650,1660施加到柔性基板1622。 When the substrate is in the plane orientation (i.e., before the ring is wound around the body portion 1612 to the mounting member 1610), using conventional techniques for producing a conductive circuit traces 1630, 1640, 1650,1660 applied to the flexible substrate 1622. 如图22中可看到的那样,环形部分1632,1642,1652,1662 彼此侧向移位。 As shown in FIG. 22, the annular portion 1632,1642,1652,1662 laterally displaced from one another can be seen. 同样,引线部分1634,1644,1654,1664也彼此侧向移位。 Likewise, lead portions 1634,1644,1654,1664 also laterally displaced from each other.

[0159] 将电路迹线组件1620卷绕到环形安装表面1613周围,并通过粘合剂、双面胶等将其附接到环形安装表面时,基板的包含环形部分1632,1642,1652,1664在内的部分的端部对接在一起,使得环形部分1632,1642,1652,1664形成分立的分别围绕轴轴线SA-SA延伸的连续环形导电路径1636,1646,1656,1666。 When [0159] the circuit trace assembly 1620 is wound around the annular mounting surface 1613, and an adhesive, double-sided tape or the like attached to the annular mounting surface, the substrate comprising an annular portion 1632,1642,1652,1664 the inner end portion of the butted together, such that the annular portion 1632,1642,1652,1664 formed around each discrete continuous annular shaft axis SA-SA conductive path extending 1636,1646,1656,1666. 因此,导电路径1636,1646,1656,1666沿轴轴线SA-SA彼此侧向或轴向移位。 Thus, the electrically conductive path along the axis 1636,1646,1656,1666 SA-SA laterally or axially displaced from each other. 引线部分1626可延伸穿过凸缘1243中的狭槽1245,并电联接到电路板(参见例如,图7中的电路板610)或其他合适的电部件。 Lead portion 1626 can extend through the slot 1245 of the flange 1243, and is electrically coupled to a circuit board (see, e.g., circuit board 610 in FIG. 7) or other suitable electrical components.

[0160] 在所示实施方案中,例如,电部件1800被安装在喷嘴1261内,以围绕安装构件1610 旋转,使得:触点1802始终与第一环形导电路径1636电接触,触点1804始终与第二环形导电路径1646电接触,触点1806始终与第三环形导电路径1656电接触,触点1808始终与第四导电路径1666电接触。 [0160] In the illustrated embodiment, for example, electrical component 1800 is mounted in the nozzle 1261 to about 1610 rotatably mounted member, such that: a first contact 1802 is always in contact with the annular electrical conductive paths 1636, contacts 1804 and always a second electrical contact with annular conductive paths 1646, contacts 1806 are always in contact with the third annular electrically conductive paths 1656, contacts 1808 are always in contact with the fourth electrically conductive path 1666. 然而应当理解,在安装构件1610被支撑以围绕轴轴线SA-SA旋转,而且电部件1800相对于该安装构件被固定安装的应用中,使用滑环连接器1600也可获得各种优势。 However, it should be understood that in mounting the application member 1610 is supported for rotation about the shaft axis SA-SA, 1800 with respect to the electrical component and the mounting member is fixedly mounted, a slip ring connector 1600 can be obtained various advantages. 还应当理解,滑环连接器1600可有效地结合多种不同的部件和外科领域之外的应用使用,其中有利的是在相对彼此旋转的部件之间提供电连接件。 It should also be appreciated that the slip ring connector 1600 may be effectively used in combination other than the application of a variety of different components and surgical field, which is advantageous to provide an electrical connection between relatively rotating members to each other.

[0161] 滑环连接器1600包括径向滑环,该径向滑环在轴旋转之后,提供将信号和功率传递到任何径向位置以及从任何径向位置传递信号和功率的导电接触装置。 [0161] The connector 1600 comprises a slip ring radially slip ring, the slip ring in the radial axis after providing transmit signals and power to any radial position and the electrically conductive contact means transmitting signals and power from any radial position. 在电部件包括电池触点的应用中,电池触点的位置可相对于安装构件设置,以便最小化这些部件之间累积的任何公差。 Application of the electrical component comprises a battery contact, the battery contact position relative to the mounting member may be provided, in order to minimize any accumulation of tolerances between these components of the. 联接器构造可代表能以最低制造成本组装的低成本联接构造。 Coupler configured at low cost coupling assembly is configured at the lowest manufacturing cost may represent. 镀金迹线也可最小化腐蚀的可能性。 It may also be gold plated traces to minimize the possibility of corrosion. 独特且新颖的触点布置方式在保持与对应的环形导电路径电接触的同时,有利于围绕轴轴线SA-SA完全地顺时针和逆时针旋转。 Unique and novel arrangement of the contacts while maintaining contact with the electrically conductive paths corresponding to the annular conducive about the shaft axis SA-SA fully clockwise and counterclockwise rotation.

[0162] 图23至图25示出了可与例如可互换轴组件1200'或需要在相对彼此旋转的部件之间设置电连接件的多种其他应用一同使用的一种形式的电联接器或滑环连接器1600'。 [0162] FIGS. 23 to 25 illustrate a form of, for example, may be interchangeable shaft assembly 1200 'or require electrical connection is provided between the relatively rotating member to one another using a variety of other applications with electrical coupling connector or slip ring 1600 '. 轴组件1200'可与本文所述的轴组件1200类似,其包括闭合管或外轴1260和近侧喷嘴1201 (为清楚起见,已省去喷嘴1201的上半部)。 The shaft assembly 1200 'may be similar to the shaft assembly 1200 described herein, or comprising the closure tube 1260 and the outer shaft proximal of the nozzle 1201 (for clarity, has been omitted in the upper half of the nozzle 1201). 在示出的示例中,外轴1260被安装在轴脊1210上,使得外管1260可能可以有选择地在其上轴向运动。 In the example shown, the outer shaft 1260 is mounted on the shaft spine 1210 such that the outer tube 1260 may be selectively moved axially thereon. 轴脊1210和外管1260的近侧端部都可以可旋转地联接到底座1240',而围绕轴轴线SA-SA相对于底座旋转。 The proximal end of the shaft 1210 and the outer tube ridges 1260 may be rotatably coupled to the seat in the end 1240 ', about the shaft with respect to the axis of rotation of the base SA-SA. 如上文所讨论,近侧喷嘴1201可包括安装架或安装耳,该安装架或安装耳从喷嘴部分向内突起,并延伸穿过外管1260中的对应开口1266,从而坐置在轴脊1210的对应凹陷部1211内。 As discussed above, the proximal nozzle 1201 may include a mounting bracket or mounting ears, the mounting bracket or mounting ears projecting inwardly from the nozzle portion, and extends through a corresponding opening in the outer tube 1260 in 1266, so that the shaft is seated in a ridge 1210 corresponding to the recess portion 1211. 因此,如果临床医生想要围绕轴轴线SA-SA相对于底座1240'旋转外轴1260和脊轴1210,以及推定已联接到这两者上的端部执行器(未示出),则只需如图23中的箭头"R"表示的那样旋转喷嘴1201。 Thus, if the clinician desires to SA-SA about the shaft axis relative to the base 1240 'axis of rotation of the outer shaft 1260 and the ridges 1210, and has been estimated that coupled to an end effector on both (not shown), just as rotation of the nozzle by the arrows in Figure 23 "R" indicates 1201.

[0163] 如果例如在端部执行器处,或者在轴组件内或轴组件上的多个位置处采用传感器,则导体(诸如线材和/或迹线(未示出))可被接收或安装在外管1260内,甚至可沿外管1260的路径从传感器布置到安装在喷嘴1201内的远侧电部件1800'。 [0163] If at the end, or at multiple locations on or shaft assembly using the sensor assembly within the shaft, for example, the conductor (such as wires and / or traces (not shown)) may be received or mounted path within the outer tube 1260, or even along the outer tube 1260 is disposed distal from the sensor to an electrical component 1800 is mounted within the nozzle 1201 '. 因此,远侧电部件1800'可与喷嘴1201和附接到其的线材/迹线一起旋转。 Thus, the electrical distal member 1800 'may be rotated together with the nozzle 1201 and attached thereto wire / trace. 在图23所示的实施方案中,电部件1800包括连接器、电池等,其中包括彼此侧向移位的触点1802',1804',1806',1808'。 In the embodiment shown in FIG. 23, the electrical component 1800 includes a connector, such as a battery, which comprises a laterally displaced from each other contacts 1802 ', 1804', 1806 ', 1808'.

[0164] 滑环连接器1600'还包括由多个层合在一起的导电环制成的层合滑环组件1610'。 [0164] the slip ring connector 1600 'further includes a conductive layer bonded together by a plurality of layers laminated ring made of a slip ring assembly 1610'. 更具体地,参照图25,一种形式的滑环组件1610'可包括形成滑环组件1610'的远侧端部的第一不导电凸缘1670。 More specifically, referring to FIG. 25, one form of a slip ring assembly 1610 'may include forming a slip ring assembly 1610' of the first non-conductive flange 1670 of the distal end portion. 凸缘1670可由例如耐高热材料制成。 Flange 1670 may be, for example, heat-resistant material. 第一导电环1680紧邻第一凸缘1670定位。 The first conductive ring 1680 is positioned proximate the first flange 1670. 第一导电环1680可包括第一铜环1681,该第一铜环在其上具有第一镀金层1682。 The first loop 1680 may include a first conductive copper ring 1681, the first copper ring 1682 having a first gold plating layer thereon. 第二不导电环1672与第一导电环1680相邻。 The second non-conductive ring 1672 and 1680 adjacent to the first conductive ring. 第二导电环1684与第二不导电环1672相邻。 The second conductive ring 1684 and 1672 adjacent to the second non-conductive ring. 第二导电环1684可包括第二铜环1685,该第二铜环在其上具有第二镀金层1686。 The second conductive ring 1684 may include a second copper ring 1685, the second gold plating layer having a second copper ring 1686 thereon. 第三不导电环1674与第二导电环1684相邻。 The third non-conductive ring 1674 and the second conductive ring 1684 adjacent. 第三导电环1688与第三不导电环1674相邻。 The third conductive loop 1688 adjacent to the third non-conductive ring 1674. 第三导电环1688可包括第三铜环1689,该第三铜环在其上具有第三镀金层1690。 Third ring 1688 may include a third conductive copper ring 1689, the third copper ring 1690 having a third gold plating layer thereon. 第四不导电环1676与第三导电环1688相邻。 The fourth non-conductive ring 1676 adjacent to the third conductive loop 1688. 第四导电环1692与第四不导电环1676相邻。 The fourth conductive rings 1692 and 1676 adjacent to the fourth non-conductive ring. 第四导电环1692与第四不导电环1676相邻。 The fourth conductive rings 1692 and 1676 adjacent to the fourth non-conductive ring. 第五不导电环1678与第四导电环1692相邻,并形成安装构件1610'的近侧端部。 A fifth non-conductive ring 1678 and the fourth conductive ring 1692 adjacent the proximal end and forming a mounting member 1610 & apos ;. 不导电环1670,1672,1674,1676,1678可由相同的材料制成。 Non-conductive ring made from the same material 1670,1672,1674,1676,1678. 第一导电环1680形成第一环形导电通路1700。 A first annular conductive ring 1680 forming a first conductive path 1700. 第二导电环1682形成第二环形导电通路1702,该第二环形导电通路与第一环形导电通路1700侧向或轴向隔开。 A second electrically conductive annular ring 1682 forming a second conductive via 1702, the second annular conductive path with the first annular conductive path 1700 laterally or axially spaced. 第三导电环1688形成第三环形导电通路1704,该第三环形导电通路与第二环形导电通路1702侧向或轴向隔开。 The third conductive annular ring 1688 forming a third conductive path 1704, spaced apart from the third annular passageway conductive path 1702 and the second conductive annular lateral or axial direction. 第四导电环1692形成第四环形导电通路1706,该第四环形导电通路与第三环形导电通路1704侧向或轴向隔开。 A fourth conductive annular ring 1692 forming a fourth conductive path 1706, spaced apart from the fourth annular passage and the third conductive annular conductive path 1704 laterally or axially. 滑环组件1610'包括一体模制成型的耐高温不导电材料,其中模制有用于电磁成型(EMF-电磁成型)铜环的通道。 The slip ring assembly 1610 'includes an integrally molded refractory non-conductive material, which is molded with a passage for electromagnetic forming (molding emf-dependent field electromagnetic) copper rings.

[0165] 如图24中可看到的那样,滑环连接器1600'还包括不导电的横向安装构件1720,该横向安装构件能够插入每个环1670,1680,1672,1684,1674,1688,1676,1692和1678中轴向对齐的凹口1710中。 [0165] 24 can be seen as shown, slip ring connector 1600 'further comprises a non-conductive transversely mounted member 1720, the mounting member can be inserted into each lateral ring 1670,1680,1672,1684,1674,1688, 1676,1692 and 1678 are aligned in an axial recess 1710. 横向安装构件1720在其上具有第一电路迹线1722,在将横向安装构件1672安装到凹口1710内时,该第一电路迹线能够与第一环形导电通路1700电接触。 Having a first transverse mounting member 1720 on which the circuit traces 1722, when the transverse mounting member 1672 mounted to the recess 1710, the first circuit traces can come into contact with the first annular electrically conductive path 1700. 同样地, 第二电路迹线1724被印刷在横向安装构件1720上,并且被构造用于与第二环形导电通路1702电接触。 Likewise, the second printed circuit traces 1724 are mounted in the transverse member 1720 and is configured for contacting a second annular electrically conductive path 1702. 第三电路迹线1726被印刷在横向安装构件1720上,并且被构造用于与第三环形导电通路1704电接触。 The third printed circuit traces 1726 are mounted in the transverse member 1720 and is configured to contact with the third annular passageway 1704 is electrically conductive. 第四电路迹线1728被印刷在横向安装构件1720上,并且被构造用于与第四环形导电通路1706电接触。 1728 is a fourth printed circuit traces in the transverse mounting member 1720, and is configured for contact with the fourth annular conductive via 1706 electrically.

[0166] 在图23至图25所示的构造中,滑环组件1610'被构造成能够被固定地(不可旋转地)接收在底座1240'上的安装毂1241'上。 [0166] In the configuration shown in FIG. 23 to FIG. 25, the slip ring assembly 1610 'is configured to be fixedly (non-rotatably) received within the base 1240' is mounted on the hub 1241 'on. 横向安装构件1720被接收在安装毂1241'中形成的沟槽1243'内,该沟槽充当横向安装构件1720的键槽,并有助于防止滑环组件1610'相对于安装毂1241'旋转。 Transverse mounting member 1720 is received 'a groove formed in the 1243' 1241 mounted within the hub, which acts as a keyway groove transverse mounting member 1720, and help to prevent the slip ring assembly 1610 'with respect to the mounting hub 1241' rotation.

[0167] 在所示实施方案中,例如,电部件1800'被安装在喷嘴1201内,以围绕滑环组件1610'旋转,由此使得:触点1802'始终与第一环形导电路径1700电接触,触点1804'始终与第二环形导电路径1702电接触,触点1806'始终与第三环形导电路径1704电接触,并且触点1808'始终与第四导电路径1706电接触。 [0167] In the illustrated embodiment, for example, electrical component 1800 'is mounted in the nozzle 1201, so as to surround the slip ring assembly 1610' is rotated thereby such that: the contacts 1802 'is always in contact with the first annular electrically conductive path 1700 , contact 1804 'is always in contact with the second annular electrical conductive paths 1702, contacts 1806' is always in contact with the third annular electrically conductive paths 1704, contacts 1808 and 'always in contact with a fourth electrically conductive path 1706. 然而应当理解,在滑环组件1610'被支撑以围绕轴轴线SA-SA旋转,并且电部件1800'相对于该滑环组件被固定安装的应用中,使用滑环连接器1600'也可获得各种优势。 However, it should be understood that in the slip ring assembly 1610 'is supported about a rotation shaft axis SA-SA, and the electrical component 1800' with respect to the application of the slip ring assembly is fixedly mounted, a slip ring connector 1600 'can be obtained for each kind of advantage. 还应当理解,滑环连接器1600'可有效地结合多种不同的部件和外科领域之外的应用使用,其中有利的是在相对彼此旋转的部件之间提供电连接件。 It should also be appreciated that the slip ring connector 1600 'may be effectively used in combination other than the application of a variety of different components and surgical field, which is advantageous to provide an electrical connection between relatively rotating members to each other.

[0168] 滑环连接器1600'包括径向滑环,该径向滑环在轴旋转之后,提供将信号和功率传递到任何径向位置以及从任何径向位置传递信号和功率的导电接触装置。 [0168] the slip ring connector 1600 'includes a radial slip ring, the slip ring in the radial axis after the rotation, and provides the signal to the power transfer any radial position and the signal and power transmission from any radial position of the electrically conductive contact means . 在电部件包括电池触点的应用中,电池触点的位置可相对于安装构件设置,以便最小化这些部件之间累积的任何公差。 Application of the electrical component comprises a battery contact, the battery contact position relative to the mounting member may be provided, in order to minimize any accumulation of tolerances between these components of the. 滑环连接器1600'代表能以最低制造成本组装的低成本联接构造。 Slip ring connector 1600 'represents a coupling configured at low cost at the lowest manufacturing cost of assembly. 镀金迹线也可最小化腐蚀的可能性。 It may also be gold plated traces to minimize the possibility of corrosion. 独特且新颖的触点布置方式在保持与对应的环形导电路径电接触的同时,有利于围绕轴轴线完全地顺时针和逆时针旋转。 Unique and novel arrangement of the contacts while maintaining contact with the electrically conductive paths corresponding to the annular conducive fully clockwise about the shaft axis and counterclockwise rotation.

[0169] 图26至图30示出了可与例如可互换轴组件1200"或需要在相对彼此旋转的部件之间设置电连接件的多种其他应用一同使用的另一种形式的电联接器或滑环连接器1600"。 [0169] FIGS. 26 to 30 shows, for example, may be electrically coupled to the interchangeable shaft assembly 1200 "needs to be set or another form of a variety of other applications used together with the electrical connections between the relatively rotating member to one another connector or slip ring 1600. " 除下文示出的差异之外,轴组件1200"可与本文所述的轴组件1200和/或1200'类似。轴组件1200"可包括闭合管或外轴1260和近侧喷嘴1201 (为清楚起见,已省去喷嘴1201的上半部)。 In addition to the differences shown below outside shaft assembly 1200 'may be' similar to the components described herein shaft 1200 and / or 1200. The shaft assembly 1200 "may include a closure tube or proximal outer shaft 1260 and the nozzle 1201 (for clarity , 1201 has been omitted in the upper half of the nozzle). 在示出的示例中,外轴1260被安装在轴脊1210上,使得外管1260可能可以有选择地在其上轴向运动。 In the example shown, the outer shaft 1260 is mounted on the shaft spine 1210 such that the outer tube 1260 may be selectively moved axially thereon. 轴脊1210和外管1260的近侧端部都可以可旋转地联接到底座1240",已用于围绕轴轴线SA-SA相对于底座旋转。如上文所讨论,近侧喷嘴1201可包括安装架或安装耳,该安装架或安装耳从喷嘴部分向内突起,并延伸穿过外管1260中的对应开口1266,从而坐置在轴脊1210的对应凹陷部1211内。因此,如果临床医生想要围绕轴轴线SA-SA相对于底座1240"旋转外轴1260和脊轴1210,以及推定已联接到这两者上的端部执行器(未示出),则只需旋转喷嘴1201。 The proximal end of the shaft 1210 and the outer tube ridges 1260 may be rotatably coupled to the seat in the end 1240 ", has been used SA-SA about the shaft axis of rotation relative to the base. As discussed above, the proximal nozzle 1201 may include a mounting bracket or mounting ears, the mounting bracket or mounting ears projecting inwardly from the nozzle portion, and extends through a corresponding opening in the outer tube 1260. 1266, thereby seated within the shaft 1210 corresponding to the ridge portion 1211 of the recess. Thus, if the clinician wants to SA-SA about the shaft axis relative to the base 1240 "axis of rotation of the outer shaft 1260 and the ridges 1210, and has been estimated that coupled to an end effector on both (not shown), the rotation of the nozzle 1201 only.

[0170] 如果例如在端部执行器处,或者在轴组件内或轴组件上的多个位置处采用传感器,则导体(诸如线材和/或迹线(未示出))可被接收或安装在外管1260内,甚至可沿外管1260的路径从传感器布置到安装在喷嘴1201内的远侧电部件1800"'。在示出的实施方案中,例如,电部件1800"被安装在喷嘴1201内,使得其基本上与轴轴线SA-SA对齐。 [0170] If at the end, or at multiple locations on or shaft assembly using the sensor assembly within the shaft, for example, the conductor (such as wires and / or traces (not shown)) may be received or mounted path within the outer tube 1260, or even along the outer tube 1260 is disposed distal from the sensor to an electrical component mounted within the nozzle 1201 1800 " '. in the illustrated embodiment, for example, electrical component 1800" is attached to the nozzle 1201 inside, such that it is substantially aligned with the axis SA-SA. 远侧电部件1800"可与喷嘴1201和附接到其的线材/迹线一起围绕轴轴线SA-SA旋转。电部件1800"可包括连接器、电池等,其中包括四个彼此侧向移位的触点1802",1804",1806",1808"。 Electrical distal member 1800 'may be attached to a wire which is attached to the nozzle 1201 and / traces together about the axis SA-SA rotating electric member 1800' may include a connector, such as a battery, which includes four laterally displaced from each other contact 1802 "1804" 1806 "1808."

[0171] 滑环连接器1600"还包括滑环组件1610",该滑环组件包括由不导电材料制成、并具有从中穿过的中心安装孔1902的基部环1900。 [0171] the slip ring connector 1600 "further includes a slip ring assembly 1610", which is made of a slip ring assembly comprising a non-conductive material, and a base having a central mounting hole therethrough ring 1902 1900. 安装孔1902具有平坦表面1904,并且被构造用于不旋转地附接到被支撑在底座1240"的远侧端部处的安装凸缘组件1930。基部环1900的远侧侧面1905具有附接或层合到其的一系列同心导电环1906,1908,1910,1912。环1906,1908,1910,1912可采用任何合适的方法附接到基部环1900。 Mounting hole 1902 has a flat surface 1904, and is configured for mounting flange assembly attached non-rotatably supported on the base 1240 "at the distal end of the distal side 1930 of the base 1900 of the ring 1905 having attached or laminating a series of concentric conductive rings 1906,1908,1910,1912 thereof. any suitable ring 1906,1908,1910,1912 method 1900 attached to the base ring.

[0172] 基部环1900还可包括延伸穿过其中的电路迹线,该电路迹线联接到导电环1906, 1908,1910,1912中的每个。 [0172] 1900 may also include a base ring extending therethrough circuit traces, the circuit traces coupled to the conductive rings 1906, 1908,1910,1912 each. 现在参见图28至图30,第一电路迹线1922延伸穿过基部环1900 中的第一孔1920,并联接到第一导电环1906。 Referring now to FIGS. 28 to 30, a first circuit trace 1922 extends through the first aperture 1920 of the base ring 1900, 1906 and coupled to a first conductive ring. 第一电路迹线1922终止在基部环1900的近侧侧面1907上的第一近侧触点部分1924中。 A first circuit trace 1922 terminates proximal the first contact portion 1924 of the base ring on the proximal side 1900 of 1907. 参见图30。 See Figure 30. 相似地,第二电路迹线1928延伸穿过基部环1900中的第二孔1926,并联接到第二导电环1908。 Similarly, the second circuit trace extending through the second hole of the base ring 1928 1900 1926, 1908 parallel to the second conductive ring. 第二电路迹线1928终止在基部环1900的近侧侧面1907上的第二近侧触点1930处。 The second circuit traces terminate at base 1928 of the second proximal ring 1930 contacts the proximal side of 19,071,900. 第三电路迹线1934延伸穿过基部环中的第三孔1932,并附接到第三导电环1910。 The third circuit traces 1934 extending through the third aperture of the base ring 1932, ring 1910 and attached to the third conductive. 第三电路迹线1934终止在基部环的近侧侧面1907上的第三近侧触点1936处。 The third circuit traces terminate at a proximal side surface 1934 of the base 1907 of the ring 1936 contacts the proximal third. 第四电路迹线1940延伸穿过基部环1900中待附接到第四导电环1912的第四孔1938。 A fourth circuit traces 1940 extending through the base ring 1900 to be attached to the fourth hole of the fourth conductive ring 1912 1938. 第四电路迹线1940终止在基部环1900的近侧侧面1907上的第四近侧触点1942处。 Fourth circuit trace 1940 terminates proximal fourth contact 1942 of the base 1900 on the side surface of the proximal ring 1907.

[0173] 现在参见图27,基部环1900被构造成能够借助安装凸缘1950不可旋转地支撑在喷嘴1201内,所述安装凸缘不可旋转地联接到底座1240"的安装毂部分1241"。 [0173] Referring now to FIG. 27, the base 1900 is configured to be ring by means of a mounting flange 1950 is non-rotatably supported within the nozzle 1201, the installation "mounting hub portion 1241 of the" non-rotatably coupled in the end flange seat 1240. 安装毂部分1241"可与用于支撑例如上文所述类型的横向安装构件的平坦表面1243" 一起形成,该横向安装构件包括可联接到例如以本文所述以及美国专利申请序列号13/803,086中所述的各种方式和构造支撑在底座上的电路板或其他对应电部件的多根(优选四根)引线。 Mounting hub portion 1241 'may be, for example, a flat surface for supporting a transverse mounting member 1243 of the type described above, "together with the transverse mounting member includes, for example, may be coupled to herein and in the U.S. Patent Application Serial No. 13 / 803,086 described in various ways and configurations supported on the base circuit board or other electrical component corresponding to a plurality of (preferably four) wires. 为清楚起见,图26和图27中已省去横向支撑构件。 For clarity, in FIG. 26 and FIG. 27 have been left lateral support member. 然而,如图26和图27中可看到的那样,安装凸缘1950在其中具有凹口1952,该凹口能够接合安装毂部分1241"上的平坦表面1243"的一部分。 Part of the "flat surface 1243," however, as shown in FIGS. 26 and 27 can be seen, the mounting flange 1950 having a recess 1952 therein, the recess capable of engaging the hub mounting portion 1241. 如图27中可看到的那样,安装凸缘1950还可包括凸缘毂部分1954,该凸缘毂部分包括有助于将基部环1900固定地附接到安装凸缘1950的一系列弹簧插片1956。 27 can be seen, the mounting flange 1950 may further include a flange 1954 of the hub portion, the hub portion includes a flange helps the base ring 1900 is fixedly attached to a mounting flange of a series of springs interposed 1950 piece 1956. 应当理解,闭合管1260和脊1210延伸穿过凸缘毂1954,并可与喷嘴1201-起相对于该凸缘毂旋转。 It should be appreciated that the closure tube 1260 and ridges 1210 extending through the flange of the hub 1954, and 1201 with the nozzle from rotating relative to the hub flange.

[0174] 在示出的实施方案中,例如,电部件1800"被安装在喷嘴1201内,以用于围绕滑环组件1610"旋转,由此使得(例如)甚至在喷嘴1201相对于底座1240"旋转时,部件1800"中的触点1802"始终与环1906电接触,触点1804"始终与环1908接触,触点1806"仍与环1910接触,并且触点1808"始终与环1912接触。 [0174] In the illustrated embodiment, for example, electrical component 1800 "1201 is mounted in the nozzle, the slip ring assembly for use around 1610" is rotated thereby such that (e.g.) or even relative to the base 1201 of the nozzle 1240 " when rotating, "contact 1802" 1800 parts always in contact with rings 1906, contacts 1804 "is always in contact with the ring 1908 contacts 1806" 1910 is still in contact with the ring, and the contacts 1808 "1912 is always in contact with the ring. 然而应当理解,在滑环组件1610"被支撑以围绕轴轴线SA-SA旋转,并且电部件1800"相对于该滑环组件被固定安装的应用中,使用滑环连接器1600"也可获得各种优势。还应当理解,滑环连接器1600"可有效地结合多种不同的部件和外科领域之外的应用使用,其中有利的是在相对彼此旋转的部件之间提供电连接件。 However, it should be understood that in the slip ring assembly 1610 "is supported for rotation about the shaft axis SA-SA, and the electrical component 1800" with respect to the application of the slip ring assembly is fixedly mounted, a slip ring connector 1600 "can be obtained for each Dominant. It should also be appreciated that the slip ring connector 1600 "may be effectively used in combination other than the application of a variety of different components and surgical field, which is advantageous to provide an electrical connection between relatively rotating members to each other.

[0175] 滑环连接器1600"包括径向滑环,该径向滑环在轴旋转之后,提供将信号和功率传递到任何径向位置以及从任何径向位置传递信号和功率的导电接触装置。在电部件包括电池触点的应用中,电池触点的位置可相对于安装构件设置,以便最小化这些部件之间累积的任何公差。滑环连接器1600"代表能以最低制造成本组装的低成本紧凑联接构造。 [0175] 1600 slip ring connector "comprises a radial slip ring, the slip ring in the radial axis after the rotation, there is provided a conductive contact signal and power transfer means to transfer any radial position and the signal and power from any radial position in the electrical contact member comprising a battery application, the position of the battery contacts may be disposed relative to the mounting member, in order to minimize any accumulation of tolerances between these components of the slip ring connector 1600 "represents that can be assembled at the lowest manufacturing cost coupling a low-cost compact configuration. 独特且新颖的触点布置方式在保持与对应的环形导电环电接触的同时,有利于围绕轴轴线完全地顺时针和逆时针旋转。 Unique and novel arrangement of the contacts while maintaining contact with the corresponding annular conductive ring electrically conducive fully clockwise about the shaft axis and counterclockwise rotation.

[0176] 图31至图36大体示出了马达驱动的外科紧固和切割器械2000。 [0176] FIG. FIGS. 31 to 36 generally illustrate a motor-driven surgical cutting and fastening instrument 2000. 如图31和图32所示,外科器械2000可包括柄部组件2002、轴组件2004和功率组件2006 (或"功率源"或"功率组")。 Shown in FIGS. 31 and 32, a surgical instrument 2000 may include a handle assembly 2002, assembly 2004 and the power shaft assembly 2006 (or "power source" or "power group"). 轴组件2004可包括端部执行器2008,该端部执行器在某些情况下可被构造成能够充当直线切割器,用来夹紧、切断并/或缝合组织,但在其他情况下,可采用不同类型的端部执行器,诸如用于其他类型的外科器械的端部执行器,例如抓紧器、切割器、缝合器、施夹器、 进入装置、药物/基因治疗装置、超声装置、射频装置和/或激光装置。 The shaft assembly 2004 may comprise an end effector 2008, end effector which in some cases may be configured capable of serving as an endocutter for clamping, cutting and / or stapling tissue, but in other cases, different types of end effector, such as end effectors for other types of surgical instruments, such as graspers, cutters, staplers, clip applier, access device, drug / gene therapy devices, ultrasound devices, radio frequency means and / or laser devices. 若干种射频装置可见于1995年4月4日公布的名称为"ELECTR0SURGICALHEM0STATICDEVICE"的美国专利5,403, 312,和2008年2月14 日提交的名称为"SURGICAL FASTENING AND CUTTING INSTRUMENT HAVING RF ELECTRODES"的美国专利申请序列号12/031,573。1995年4月4日公布的名称为"ELECTROSURGICAL HEMOSTATIC DEVICE" 的美国专利5,403,312,和2008年2月14 日提交的名称为"SURGICAL FASTENING AND CUTTING INSTRUMENT HAVING RF ELECTRODES" 的美国专利申请序列号12/031,573的完整公开内容全文以引用方式并入本文。 Several radio frequency device visible name in 1995, April 4 announcement of "ELECTR0SURGICALHEM0STATICDEVICE" US Patent No. 5,403, 312, and the name of the 2008 February 14 entitled "SURGICAL FASTENING AND CUTTING INSTRUMENT HAVING RF ELECTRODES" US Pat. application serial No. 12 / 031,573. name 1995 April 4 announcement of "ELECTROSURGICAL HEMOSTATIC DEVICE" US Patent No. 5,403,312, and the name of the February 14, 2008 entitled "SURGICAL FASTENING aND CUTTING INSTRUMENT HAVING RF ELECTRODES "U.S. Patent application serial No. complete disclosure of 12 / 031,573 is incorporated herein by reference in entirety.

[0177] 主要参见图32和图33,柄部组件2002可与多个可互换轴组件(例如,轴组件2004) 一起使用。 Used with [0177] Referring primarily to FIGS. 32 and 33, the handle assembly 2002 may be a plurality of interchangeable shaft assembly (e.g., shaft assembly 2004). 这类可互换轴组件可包括外科端部执行器,例如端部执行器2008,该端部执行器可被构造成能够执行一种或多种外科任务或外科手术。 Such interchangeable shaft assembly may include a surgical end effector, the end effector 2008, for example, the end effector can be configured to be able to perform one or more tasks surgical or surgical. 合适的可互换轴组件的示例公开于2013年3月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866。 U.S. Provisional Patent examples of suitable interchangeable shaft assembly disclosed in March 14, 2013 entitled "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" Application Serial No. 61 / 782,866. 提交于2013年3月14日的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列61/782,866的完整公开内容据此全文以引用方式并入本文。 US Provisional Patent filed on March 14, 2013 as "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" complete disclosure of application Ser. 61 / 782,866 are hereby incorporated by reference herein.

[0178] 主要参见图32,柄部组件2002可包括外壳2010,该外壳由可被构造成能够由临床医生抓握、操纵和致动的柄部2012组成。 [0178] Referring primarily to FIG. 32, the handle assembly 2002 may include a housing 2010, can be grasped by the housing can be configured by the clinician, and manipulation of the actuation handle 2012 composition. 然而,应当理解,本文公开的各种形式的可互换轴组件的各种独特且新颖的构造也可有效地与机器人控制的外科系统结合使用。 However, it should be understood that a variety of unique and novel configuration of the interchangeable shaft assembly disclosed herein, the various forms may also be used effectively in combination with robotically controlled surgical system. 因此,术语"外壳"也可涵盖机器人系统的容纳或以其他方式可操作地支撑至少一个驱动系统的外壳或类似部分,所述至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的可互换轴组件及其相应的等同物的至少一种控制动作。 Thus, the term "shell" may also encompass a robot system receiving or otherwise operably support at least part of a housing or the like of a drive system, at least one drive system is configured to be capable of generating and applying to actuate herein at least one control operation disclosed interchangeable shaft assembly and their respective equivalents. 例如,本文所公开的可互换轴组件可与名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布2012/0298719) 中公开的各种机器人系统、器械、部件和方法一起使用。 For example, the interchangeable shaft assembly disclosed herein may be the name "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication 2012/0298719) disclosed in used with a variety of robotic systems, devices, components and methods. 名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布2012/0298719)全文以引用方式并入本文。 The name "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" US Patent Application Serial No. 13 / 118,241 (now US Patent Application Publication 2012/0298719) is incorporated by reference herein.

[0179] 再次参见图32,柄部组件2002可在其中可操作地支撑多个驱动系统,所述多个驱动系统可被构造成能够生成各种控制动作并将这些控制动作施加到可操作地附接到其的可互换轴组件的对应部分。 [0179] Referring again to FIG. 32, the handle assembly 2002 may be operably supported therein a plurality of drive systems, a plurality of drive system may be configured to be able to generate various control actions and apply these actions to operatively control attached to the corresponding portions of the interchangeable shaft assembly thereof. 例如,柄部组件2002能够可操作地支撑第一驱动系统(或称闭合驱动系统),该第一驱动系统可用于将闭合动作和打开动作施加到可操作地附接或联接到柄部组件2002的轴组件2004。 For example, the handle assembly 2002 to operably support a first driving system (or closure drive system), the first drive system can be used to open and closing motion is applied to the operation operably attached or coupled to the handle assembly 2002 the shaft assembly 2004. 在至少一种形式中,柄部组件2002可以可操作地支撑击发驱动系统,该击发驱动系统可被构造成能够将击发动作施加到附接到其的可互换轴组件的对应部分。 In at least one form, the handle assembly 2002 may be operably supports a firing drive system, the firing drive system may be configured to be capable of firing motion is applied to the corresponding portion attached to the interchangeable shaft assembly thereof.

[0180] 主要参见图33,柄部组件2002可包括马达2014,该马达可由马达驱动器2015控制, 并可由外科器械2000的击发系统使用。 [0180] Referring primarily to FIG. 33, the handle assembly 2002 may include a motor 2014, the motor is controlled by a motor driver 2015, and may be used by the surgical instrument 2000 in the firing system. 在各种形式中,马达2014可为例如具有大约25, 000RPM的最大转速的直流有刷驱动马达。 In various forms, the motor 2014 may have, for example, a DC brushed driving motor having a maximum rotation of approximately 25, 000RPM FIG. 在其他构造中,马达2014可包括无刷马达、无绳马达、同步马达、步进马达或任何其他合适的电动马达。 In other configurations, the motor 2014 may include a brushless motor, a cordless motor, a synchronous motor, stepper motor, or any other suitable electric motor. 在某些情况下,马达驱动器2015可包括例如H桥FET 2019,如图33所示。 In some cases, the motor drive 2015 may comprise, for example, an H-bridge FET 2019, shown in Figure 33. 马达2014可由功率组件2006 (图35)供电,功率组件2006 能够可释放地安装到柄部组件2002,并且被构造成能够控制供应给外科器械2000的功率。 The motor 2014 may be a power module 2006 (FIG. 35) power supply, a power assembly 2006 may be releasably mounted to the handle assembly 2002, and is configured to be able to control the power supplied to the surgical instrument 2000. 功率组件2006可包括电池2007 (图36),该电池可包括串联连接的、可用作功率源为外科器械2000提供动力的多个电池单元。 Power assembly 2006 may include a battery 2007 (FIG. 36), which includes a series connected cells may be used as a power source for the powered surgical instrument 2000 of a plurality of battery cells. 在这种构型中,功率组件2006可被称为电池组。 In this configuration, the power assembly 2006 may be referred to as a battery pack. 在某些情况下,功率组件2006的电池单元可以是可更换的和/或可再充电的。 In some cases, the power module battery cells 2006 may be replaceable and / or rechargeable. 在至少一个示例中,电池单元可以是能够可分离地联接到功率组件2006的锂离子电池。 In at least one example, the battery cells can be can be detachably coupled to the power module 2006 is a lithium ion battery.

[0181] 适合与外科器械2000-起使用的驱动系统和闭合系统的示例公开于2013年3月14 日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866,该专利的完整公开内容全文以引用方式并入本文。 U.S. Provisional Patent [0181] The name for the drive system and the surgical instrument exemplary closure system is disclosed for use in 2000- from March 14, 2013 entitled "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" Application Serial No. 61 / 782,866, complete disclosure of which is incorporated by reference herein. 例如,电动马达2014可包括与齿轮减速器组件可操作地交接的可旋转轴(未示出),该齿轮减速器组件与一组或一齿条的驱动齿啮合接合地安装在能够纵向运动的驱动构件上。 For example, the electric motor 2014 may include a rotatable shaft operatively transfer gear reducer assembly (not shown), the gear reducer assembly with a rack or a set of drive teeth meshing engagement can be mounted in the longitudinal movement driving member. 在使用中,电池2007 (图36)所提供的电压极性可操作电动马达2014驱动能够纵向运动的驱动构件,以使端部执行器2008 生效。 In use, the battery 2007 (FIG. 36) the polarity of the voltage provided by the electric motor operable to drive the drive member 2014 is capable of longitudinal movement, to move the end effector 2008 into effect. 例如,马达2014可被构造成能够驱动能够纵向运动的驱动构件,使其推进击发机构将钉从与端部执行器2008组装在一起的钉仓击发到由端部执行器2008捕集的组织中,并且/ 或者例如推进切割构件2011 (图34)切割由端部执行器2008捕集的组织。 For example, the motor 2014 can be configured to be able to drive the drive member to move longitudinally of the firing mechanism so as to advance firing staples from the staple cartridge assembly and an end effector 2008 to the tissue together by the end effector 2008 in the trap and / or cutting member 2011, for example, advance (FIG. 34) for cutting tissue by the end effector 2008 trapped.

[0182] 在某些情况下,外科器械2000可包括闭锁机构,用于防止用户联接不相容的柄部组件和功率组件。 [0182] In some cases, a surgical instrument 2000 may include a locking mechanism for preventing the user incompatible coupling the handle assembly and power assembly. 例如,如图35所示,功率组件2006可包括配合元件2011。 For example, as shown in FIG power components 352,006 may include a mating element 2011. 在某些情况下,配合元件2011可为从功率组件2006延伸出的插片。 In some cases, mating element 2011 may be a tab extending from the power module 2006. 在某些情况下,柄部组件2002可包括用于与配合元件2011进行配合接合的对应配合元件(未示出)。 In some cases corresponding to the handle assembly 2002 may include a mating element 2011 for mating with the mating engagement elements (not shown). 这种构造可用于防止用户联接不相容的柄部组件和功率组件。 This configuration may be used to prevent a user from coupling incompatible handle assembly and power assembly.

[0183] 读者将认识到,不同的可互换轴组件可能具有不同的功率需求。 [0183] The reader will be appreciated, the different interchangeable shaft assembly may have different power requirements. 推进切割构件穿过端部执行器和/或击发钉的所需功率可取决于例如,切割构件行进的距离、所用的钉仓和/或受处理的组织类型。 Advancing the cutting member through the end effector and / or firing the staples may be required power depends on the distance traveled by the cutting member, with the staple cartridge and / or the type of tissue being treated, for example. 也就是说,功率组件2006可被构造成能够满足各种可互换轴组件的功率需求。 That is, the power assembly 2006 may be configured to meet the needs of various interchangeable power shaft assembly. 例如,如图34所示,轴组件2004的切割构件2011可被构造成能够沿端部执行器2008行进距离Dl。 For example, shown in Figure 34, the shaft assembly 2011 of cutting member 2004 may be configured to be able to travel a distance Dl 2008 along the end effector. 在另一方面,另一可互换轴组件2004'可包括切割构件2011',该切割构件可被构造成能够沿可互换轴组件2004'的端部执行器2008'行进一段不同于距离Dl的距离D2。 In another aspect, another interchangeable shaft assembly 2004 'may include a cutting member 2011', the cutting member can be configured to be along the interchangeable shaft assembly 2004 'of end effector 2008' is different from the period of the travel distance Dl the distance D2. 功率组件2006可被构造成能够提供第一功率输出,当可互换轴组件2004联接到柄部组件2002时,该第一功率输出足以为马达2014供电以使切割构件2011推进距离Dl;并可被构造成能够例如提供不同于第一功率输出的第二功率输出,当可互换轴组件2004'联接到柄部组件2002时,该第二功率输出足以为马达2014供电以使切割构件2011'推进距离D2。 Power assembly 2006 may be configured to provide a first power output, when the interchangeable shaft assembly 2004 is coupled to the handle assembly 2002, the first power output sufficient to provide power to the motor 2014 so that the cutting member advancing distance Dl 2011; and for example, can be configured to provide a second power output different from the first power output when the interchangeable shaft assembly 2004 'is coupled to the handle assembly 2002, the second power output of the motor 2014 is sufficient to power the cutting member 2011' advancing distance D2. 如图33所示,并如下文所详述,功率组件2006可包括功率管理控制器2016(图36),该功率管理控制器可被构造成能够调节功率组件2006的功率输出,以便当可互换轴组件2004联接到柄部组件2002时,输送第一功率输出为马达2014供电,从而将切割构件2011推进距离Dl,并且以便例如当可互换轴组件2004'联接到柄部组件2002时,输送第二功率输出为马达2014供电, 从而将切割构件2011'推进距离D2。 As shown in FIG 33 and described in detail herein below, the power assembly 2006 may include a power management controller 2016 (FIG. 36), the power management controller may be configured to be able to adjust the power output of the assembly 2006, so as interoperable when the transducer shaft assembly 2004 is coupled to the handle assembly 2002, a first conveying motor 2014 for the power supply output, thereby advancing distance Dl cutting member 2011, for example, and when the interchangeable shaft assembly 2004 'is coupled to the handle assembly 2002, delivering a second power supply output to the motor 2014, so that the cutting member 2011 'advancing distance D2. 这种调节在避免将超出联接到柄部组件2002的可互换轴组件需求的过高功率传输到马达2014这方面可以是有利的。 Such adjustment will exceed avoiding excessive power coupled to the interchangeable shaft assembly needs the handle assembly 2002 of the motor 2014 is transmitted to this aspect may be advantageous.

[0184] 再次参见图32至图36,柄部组件2002可以可释放地联接或附接到可互换轴组件(例如,轴组件2004)。 [0184] Referring again to FIGS. 32 to 36, the handle assembly 2002 may be releasably coupled or attached interchangeable shaft assembly (e.g., shaft assembly 2004). 在某些情况下,柄部组件2002可以可释放地联接或附接到功率组件2006。 In some cases, the handle assembly 2002 may be releasably attached or coupled to the power module 2006. 各种联接装置可用于可释放地将柄部组件2002联接到轴组件2004并且/或者联接到功率组件2006。 Various coupling means may be used to releasably secure the handle assembly 2002 is coupled to the shaft assembly 2004 and / or 2006 is coupled to the power module. 示例性的联接机构在2013年3月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866中有所描述。 US Provisional Patent exemplary coupling mechanism in the name of March 14, 2013 entitled "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" Application Serial No. 61 / 782,866 are described. 例如,轴组件2004可包括轴附接模块2018 (图32),该轴附接模块还可包括闩锁致动器组件,该闩锁致动器组件可被构造成能够与可枢转地联接到轴附接模块2018以选择性地相对其枢转行进的锁辄相配合,其中锁辄可包括朝近侧突起的锁耳,这些锁耳被构造成用于与形成在柄部组件2002的柄部组件附接模块2020中的对应锁定棘爪或凹槽可释放地接合。 For example, the shaft assembly 2004 may include a shaft attachment module 2018 (FIG. 32), the shaft attachment module may further include a latch actuator assembly, the actuator latch assembly may be configured to be pivotally coupled to attachment module 2018 to the shaft to selectively pivot relative to its travel Noir cooperating lock, wherein the lock includes a lock may Noir proximally protruding lugs, these lugs being configured to lock formed in the handle assembly 2002 handle assembly attachment module 2020 corresponding to a locking detent or recess to releasably engage.

[0185] 现在主要参见图33至图36,轴组件2004可包括轴组件控制器2022,该轴组件控制器在轴组件2004与功率组件2006联接到柄部组件2002时,可通过接口2024与功率管理控制器2016通信。 [0185] Referring primarily now to FIGS. 33 to 36, the shaft assembly 2004 may include a control shaft assembly 2022, the shaft assembly in the shaft assembly 2004 and the controller assembly 2006 is coupled to the power handle assembly 2002, and 2024 via an interface power 2016 communication management controller. 例如,接口2024可包括第一接口部分2025和第二接口部分2027,其中第一接口部分可包括一个或多个用于与对应的轴组件电连接器2028实现联接接合的电连接器2026, 第二接口部分可包括一个或多个用于与对应的功率组件电连接器2032实现联接接合的电连接器2030,从而在轴组件2004与功率组件2006联接到柄部组件2002时,允许轴组件控制器2022和功率管理控制器2016之间进行电通信。 For example, the interface 2024 may include a first interface part 2025 and the second interface part 2027, wherein the first interface portion may include one or more of the corresponding shaft assembly for an electrical connector 2028 coupled to electrical connector 2026 engaging the first two interface portion may include one or more corresponding power module for an electrical connector 2032 coupled to electrical connector 2030 is engaged to the handle assembly coupled to the shaft assembly 2002 in the power assembly 2006 and 2004, allowing the shaft assembly to control electrical communication between 2016 and 2022, a power management controller. 可通过接口2024传输一个或多个通信信号,以将附接的可互换轴组件2004的一个或多个功率要求传送到功率管理控制器2016。 Can transmit one or more communication signal interface 2024, an interchangeable shaft assembly 2004 attached to one or more power required to transmit the power management controller 2016. 作为响应,功率管理控制器可依据附接轴组件2004的功率要求,调节功率组件2006的电池2007的功率输出,如下文更详细地描述。 In response, the power management controller may be based on power requirements attachment shaft assembly 2004, 2007 adjust the power output of the battery power module 2006, as described in more detail below. 在某些情况下,一个或多个电连接器2026,2028, 2030和/或2032可包括开关,这些开关可在柄部组件2002机械联接接合到轴组件2004和/或功率组件2006,以允许轴组件控制器2022与功率管理控制器2016之间进行电通信之后被启动。 In some cases, one or more electrical connectors 2026, 2028, 2030 and / or 2032 may include a switch, these switches may be joined to the shaft assembly 2004 and / or 2006 at the power module 2002 is mechanically coupled to the handle assembly, to allow the controller shaft assembly 2022 and the power management controller is started after the electrical communication between 2016.

[0186] 在某些情况下,例如,接口2024将一个或多个通信信号路由通过位于柄部组件2002内的主控制器2017 (图33),由此可利于在功率管理控制器2016与轴组件控制器2022之间传输这类通信信号。 [0186] In some cases, for example, the interface 2024, one or more communication signals are routed through the handle assembly is located within the main controller 20022017 (FIG. 33), whereby the power management controller 2016 facilitates the shaft such a communication signal transmitted between components of the controller 2022. 在其他情况下,当轴组件2004和功率组件2006联接到柄部组件2002 时,接口2024可利于引导功率管理控制器2016与轴组件控制器2022之间的通信线穿过柄部组件2002。 In other cases, when the shaft assembly 2004 and the power assembly 2006 is coupled to the handle assembly 2002, the interface 2024 may facilitate power management controller 2016 and the guide shaft assembly controller 2022 through the communication line between the handle assembly 2002.

[0187] 在一种情况下,主微控制器2017可以是任一种单核或多核处理器,诸如已知的商品名为ARM Cortex,购自Texas Instruments的那些。 [0187] In one case, the main microcontroller 2017 may be any of a single or multiple core processors, such as known under the trade name ARM Cortex, those available from the Texas Instruments. 在一种情况下,外科器械2000可包括功率管理控制器2016,例如包括两个基于微控制器的系列(诸如TMS570和RM4x)的安全微控制器平台(已知其商品名为Hercules ARM Cortex R4,同样购自Texas Instruments)。 In one case, the surgical instrument 2000 may include a power management controller 2016, for example comprising two series named Hercules ARM Cortex based microcontroller (such as the TMS570 and RM4x) secure microcontroller platforms (known under the trade R4 also available from Texas Instruments). 然而,可不受限制地采用微控制器和安全处理器的其他合适的替代物。 However, unrestricted use other suitable alternative security processor and the microcontroller. 在一种情况下,安全处理器1004可明确地被配置用于IEC 61508和ISO 26262安全性关键应用及其他,以提供先进的集成安全特性,同时提供可扩展的性能、连接性与内存选项。 In one case, the security processor 1004 can be configured specifically for IEC 61508 and ISO 26262 and other safety-critical applications to provide advanced integrated security features, while providing scalable performance, connectivity and memory options.

[0188] 在某些情况下,微控制器2017可以是例如可购自Texas Instruments的LM 4F230H5QR。 [0188] In some cases, the microcontroller 2017 may be commercially available from, for example, a Texas Instruments LM 4F230H5QR. 在至少一个示例中,Texas Instruments出品的LM 4F230H5QR为ARM Cortex-M4F处理器芯,其包括:256KB单循环闪存存储器或其他非易失性存储器(最多至40MHZ)的片上存储器、用于改善性能使其超过40MHz的预取缓冲器、32KB单循环串行随机访问存储器(SRAM)、装载有StenaHsWare k软件的内部只读存储器(ROM)、2KB电可擦可编程只读存储器(EEPROM)、一个或多个脉宽调制(PffM)模块、一种或多种正交编码器输入(QEI)模拟、具有12个模拟输入通道的一个或多个12位模数转换器(ADC),以及对于产品数据手册来说易得的其他特征结构。 In at least one example, Texas Instruments LM 4F230H5QR produced as ARM Cortex-M4F processor core comprising: a 256KB Robin flash memory or other nonvolatile memory (up to 40MHZ) chip memory, so that for improving the performance of it exceeds the prefetch buffer 40MHz, 32KB Robin serial random access memory (SRAM), loaded with software StenaHsWare k internal read only memory (ROM), 2KB electrically erasable programmable read only memory (EEPROM), or a a plurality of pulse width modulation (PffM) module, the one or more quadrature encoder inputs (QEI) analog, with a 12 or a plurality of analog input channels of 12-bit ADC (the ADC), and product data for other features manual is readily available. 本公开不应限于这一上下文。 The present disclosure should not be limited in this context.

[0189] 现在主要参见图36和图37,功率组件2006可包括功率管理电路2034,该功率管理电路可包括功率管理控制器2016、功率调制器2038和电流感测电路2036。 [0189] Referring now primarily to FIGS. 36 and 37, the power assembly 2006 may include a power management circuit 2034, the power management circuit 2016 may include a power management controller, power modulator 2038 and current sensing circuit 2036. 功率管理电路2034可被构造成能够在轴组件2004与功率组件2006联接到柄部组件2002时,基于轴组件2004的功率要求调节电池2007的功率输出。 Power management circuit 2034 may be configured to be coupled to the handle assembly 2002 in the power shaft assembly 2004 and assembly 2006, the power shaft assembly 2004 based on the required power output of the battery 2007 is adjusted. 例如,功率管理控制器2016可被编程以控制功率调制器2038调节功率组件2006的功率输出,电流感测电路2036可用于监视功率组件2006 的功率输出,以便为功率管理控制器2016提供与电池2007的功率输出有关的反馈,使得功率管理控制器2016可调节功率组件2006的功率输出以维持理想的输出,如图37所示。 For example, the power management controller 2016 can be programmed to control the power modulator 2038 adjusts the power output of the power assembly 2006, current sense circuit 2036 may be used to monitor the output power of the power module 2006 to provide a power management controller 2016 and the battery 2007 the power output of the associated feedback, so that the power management controller 2016 may adjust the power output of the power assembly 2006 to maintain the desired output, shown in Figure 37.

[0190] 值得注意的是,功率管理控制器2016和/或轴组件控制器2022各自可包括一个或多个可存储多个软件模块的处理器和/或存储器单元。 [0190] Notably, the power management controller 2016 and / or shaft assembly controller 2022 may each comprise one or more software modules may store a plurality of processor and / or memory units. 尽管可采用举例说明的方式描述外科器械2000的某些模块和/或块,但可以理解,可使用数目更多或更少的模块和/或块。 Although the description may be employed by way of illustration of certain surgical instrument module 2000 and / or blocks, it will be appreciated, a greater or lesser number may be used in the modules and / or blocks. 另外,虽然各种情况可按照模块和/或块的形式描述以便于说明,但这些模块和/或块可通过一个或多个硬件部件和/或软件部件和/或硬件部件与软件部件的组合加以实施,所述硬件部件例如处理器、数字信号处理器(DSP)、可编程逻辑装置(PLD)、专用集成电路(ASIC)、电路、寄存器,所述软件部件例如程序、子例程、逻辑。 Further, although in each case may be described in the form of modules and / or blocks to facilitate description, but the combination of these modules and / or blocks may be through one or more hardware components and / or software components and / or hardware components and software components be implemented, the hardware component such as a processor, a digital signal processor (DSP), programmable logic devices (PLD), application specific integrated circuit (ASIC), a circuit, a register, said software components such programs, subroutines, logic .

[0191] 在某些情况下,外科器械2000可包括输出装置2042,该输出装置可包括一个或多个用于向用户提供感官反馈的装置。 [0191] In some cases, a surgical instrument 2000 may include an output device 2042, the output device may comprise one or more means for providing sensory feedback to the user. 此类装置可包括例如视觉反馈装置(例如,LCD显示屏、 LED指示器)、听觉反馈装置(例如,扬声器、蜂鸣器)或触觉反馈装置(例如,触觉致动器)。 Such means may comprise, for example, a visual feedback device (eg, LCD display, LED indicators), audio feedback device (e.g., a speaker, a buzzer) or a tactile feedback device (e.g., the haptic actuators). 在某些情况下,输出装置2042可包括显示器2043,该显示器可包括在柄部组件2002中,如图36 所示。 In some cases, the output device 2042 may include a display 2043, which may include a display 2002 in the handle assembly, shown in Figure 36. 轴组件控制器2022和/或功率管理控制器2016可通过输出装置2042向外科器械2000 的用户提供反馈。 The controller shaft assembly 2022 and / or 2042 power management controller 2016 may provide feedback to a user of the surgical instrument 2000 through the output device. 接口2024可被构造成能够将轴组件控制器2022和/或功率管理控制器2016连接到输出装置2042。 Interface 2024 can be configured to be able to control the shaft assembly 2022 and / or power management controller 2016 is connected to an output device 2042. 读者将会知道,作为替代,输出装置2042可与功率组件2006集成。 Readers will appreciate that, alternatively, the output device 2042 may be integrated with the power module 2006. 在这类情况下,当轴组件2004联接到柄部组件2002时,输出装置2042与轴组件控制器2022之间的通信可通过接口2024实现。 In such cases, the handle assembly 2002, the communication between the output device 2022 and the shaft assembly 2042 is achieved by the interface controller 2024 when assembly 2004 is coupled to the shaft.

[0192] 参见图38和图39,它们示出了外科器械2050。 [0192] Referring to FIGS. 38 and 39, which illustrate a surgical instrument 2050. 外科器械2050在许多方面类似于外科紧固和切割器械2000 (图31)。 The surgical instrument 2050 similar to the surgical fastening and cutting instrument 2000 (FIG. 31) in many respects. 例如,外科器械2050可包括端部执行器2052,该端部执行器在许多方面类似于端部执行器2008。 For example, surgical instrument 2050 can comprise an end effector 2052, end effector which is similar in many respects to the end effector 2008. 例如,端部执行器2052可被构造成能够充当用于夹持、 切割和/或缝合组织的直线切割器。 For example, the end effector 2052 may be configured to operate as a clamping, cutting and / or stapling tissue endocutter.

[0193] 除上述内容之外,外科器械2050可包括可互换工作组件2054,该可互换工作组件可包括柄部组件2053和在柄部组件2053和端部执行器2052之间延伸的轴2055,如图38所示。 [0193] In addition to the above, surgical instrument 2050 can comprise interchangeable working assembly 2054, the interchangeable working assembly may include a handle assembly 2053 and the shaft 2053 between the handle assembly and an end effector extending 2052 2055, 38 as shown in FIG. 在某些情况下,外科器械2050可包括功率组件2056,该功率组件可与多个可互换工作组件(例如可互换工作组件2054) -起使用。 In some cases, a surgical instrument 2050 may include a power assembly 2056, the power module can work with a plurality of interchangeable components (e.g. interchangeable working assembly 2054) - used together. 这类可互换工作组件可包括外科端部执行器,例如端部执行器2052,该端部执行器可被构造成能够执行一种或多种外科任务或外科手术。 Such interchangeable working assembly may include a surgical end effector, the end effector 2052, for example, the end effector can be configured to be able to perform one or more tasks surgical or surgical. 在某些情况下,柄部组件2053和轴2055可整合成单个单元。 In some cases, the handle assembly 2053 and the shaft 2055 may be integrated into a single unit. 在其他情况下,柄部组件2053和轴2055可以彼此可分离地联接。 In other cases, the handle assembly 2053 and the shaft 2055 may be detachably coupled to each other.

[0194] 与外科器械2000相似,外科器械2050可以可操作地支撑多个驱动系统,当功率组件2056联接到可互换工作组件2054时,这些驱动系统可由功率组件2056供电。 [0194] Similar to the surgical instrument 2000, a surgical instrument 2050 may operably support a plurality of drive systems, the time when the power assembly 2054 is coupled to the interchangeable working assembly 2056, the drive system assembly 2056 may supply power. 例如,可互换工作组件2054可以可操作地支撑闭合驱动系统,该闭合驱动系统可用于将闭合动作和打开动作施加至端部执行器2052。 For example, interchangeable work support assembly 2054 may be operably closure drive system, the closure system may be used to drive the closing operation and the opening operation is applied to the end effector 2052. 在至少一种形式中,可互换工作组件2054可以可操作地支撑击发驱动系统,该击发驱动系统可被构造成能够将击发动作施加到端部执行器2052。 In at least one form, the interchangeable working assembly 2054 may be operably supports a firing drive system, the firing drive system may be configured to be capable of applying a firing motion to the end effector 2052. 适合与外科器械2050 -起使用的驱动系统的示例在2013年3月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866中有所描述, 该专利的完整公开内容全文以引用方式并入本文。 Suitable for use with a surgical instrument 2050-- from exemplary drive system for use in the name of March 14, 2013, filed described in Application Serial No. 61 / 782,866 as "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" U.S. Provisional Patent, the patent The complete disclosures are incorporated by reference herein.

[0195] 参见图39,外科器械2050的功率组件2056能够可分离地联接到可互换工作组件, 例如,可互换工作组件2054。 [0195] Referring to Figure 39, a surgical instrument 2050 2056 power module can be detachably coupled to the interchangeable working assembly, e.g., the interchangeable working assembly 2054. 各种联接装置可用于将功率组件2056可释放地联接到可互换工作组件2054。 Various coupling means may be used to power assembly 2056 may be releasably coupled to the interchangeable working assembly 2054. 示例性的联接机构在本文有所描述,并在2013年3月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866中有所描述,该专利的完整公开内容全文以引用方式并入本文。 Exemplary coupling mechanism described in this article, and in the name of March 14, 2013 entitled "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" US Provisional Patent Application Serial No. 61 / 782,866 described the complete patent disclosures are incorporated by reference herein.

[0196] 仍参见图39,功率组件2056可包括功率源2058,例如,可被构造成当联接到功率组件2056时,能够为可互换工作组件2054供电的电池。 [0196] Referring still to FIG 39, the power assembly 2056 may include a power source 2058, for example, can be configured to, when coupled to the power components 2056, 2054 can be interchangeable working assembly of the battery power supply. 在某些情况下,功率组件2056可包括存储器2060,该存储器可被构造成能够接收和存储关于电池2058和/或可互换工作组件2054 的信息,例如,电池2058荷电状态、使用电池2058进行的治疗周期的数目,和/或在电池2058 的使用周期内联接到功率组件2056的可互换工作组件的标识信息。 In some cases, the power assembly 2056 may include a memory 2060, the memory may be configured to store capable of receiving and / or information regarding the battery 2058 and 2054 on the interchangeable working assembly, e.g., the state of charge of the battery 2058, battery 2058 the number of treatment cycles carried out, and / or identification information 2056 is coupled to the power module interchangeable work assemblies over the life of the battery 2058. 除上述内容之外,可互换工作组件2054可包括控制器2062,该控制器可被构造成能够为存储器2060提供关于电池2058和/或可互换工作组件2054的信息。 In addition to the above, the interchangeable working assembly 2054 may include a controller 2062, the controller may be configured to provide information regarding the battery 2058 and / or interchangeable work assemblies 2054 a memory 2060.

[0197] 仍参见图39,功率组件2056可包括接口2064,该接口可被构造成能够有利于功率组件2056的存储器2060和联接到功率组件2056的可互换工作组件的控制器(例如,可互换工作组件2054的控制器2062)之间的电连通。 [0197] Referring still to FIG 39, the power assembly 2056 may include an interface 2064, the interface may be configured to be able to facilitate power module 2056 and a memory 2060 coupled to the controller 2056 of the interchangeable working assembly power module (for example, interchange electrical communication between the working components of the controller 20,622,054). 例如,接口2064可包括一个或多个连接器2066,这些连接器用于与对应的工作组件连接器2068联接接合,以便当可互换工作组件2054联接到功率组件2056时,允许控制器2062和存储器2060之间发生电连通。 For example, the interface 2064 may include one or more connectors 2066, these connectors with a corresponding work engaging assembly connector 2068 is coupled to the time when the interchangeable working assembly 2056 is coupled to the power assembly 2054, allows the controller 2062 and the memory electrical communication occurs between 2060. 在某些情况下,电连接器2066和/或2068中的一者或多者可包括开关,这些开关可在将可互换工作组件2054与功率组件2056联接接合之后启动,以实现控制器2062和存储器2060之间的电通信。 In some cases, the electrical connector 2066 and / or 2068 may comprise one or more switches that may be interchangeable working assembly 2054 is coupled with the power assembly 2056 engages after starting, the controller 2062 to implement and electrical communication between the memory 2060.

[0198] 仍参见图39,功率组件2056可包括荷电状态监控电路2070。 [0198] Referring still to FIG 39, the power assembly 2056 may include a state of charge monitoring circuit 2070. 在某些情况下,电荷状态监控电路2070可包括库仑计。 In some cases, the charge state monitoring circuit 2070 may include a coulomb counter. 当可互换工作组件2054联接到功率组件2056时,控制器2062可与荷电状态监控电路2070通信。 When the interchangeable working assembly 2054 is coupled to the power assembly 2056 when the controller 2062 with the communication circuit 2070 may monitor the state of charge. 荷电状态监控电路2070能够操作以提供对电池2058 的荷电状态的准确监控。 2070 the state of charge monitoring circuit is operable to provide accurate monitoring of the state of charge of the battery 2058.

[0199] 图40示出了与可互换工作组件的控制器(例如当联接到功率组件2056时,可互换工作组件2054的控制器2062) -起使用的示例性模块2072。 [0199] FIG. 40 shows a controller interchangeable work assemblies (e.g., when the coupling 2056 to the power module, the interchangeable working assembly 2054. Controller 2062) - exemplary modules used since 2072. 例如,控制器2062可包括一个或多个处理器,和/或可存储多个软件模块(例如模块2072)的存储器单元。 For example, the controller 2062 may include one or more processors, and / or may store a plurality of software modules (e.g., module 2072) of the memory cell. 尽管可采用举例说明的方式描述外科器械2050的某些模块和/或块,但可以理解,可使用数目更多或更少的模块和/或块。 Although the description may be employed by way of illustration of certain surgical instrument module 2050 and / or blocks, it will be appreciated, a greater or lesser number may be used in the modules and / or blocks. 另外,虽然各种情况可按照模块和/或块的形式描述以便于说明,但这些模块和/或块可通过一个或多个硬件部件和/或软件部件和/或硬件部件与软件部件的组合加以实施,所述硬件部件例如处理器、05卩、卩〇))51(:、电路、寄存器,所述软件部件例如程序、子例程、逻辑。 Further, although in each case may be described in the form of modules and / or blocks to facilitate description, but the combination of these modules and / or blocks may be through one or more hardware components and / or software components and / or hardware components and software components be implemented, the hardware component such as a processor, 05 Jie, Jie square)) 51 (:, circuit, a register, said software components such programs, subroutines, logic.

[0200] 在任何情况下,在将可互换工作组件2054联接到功率组件2056之后,接口2064可有利于控制器2062和存储器2060和/或荷电状态监控电路2070之间产生通信,以使模块2072生效,如图40所示。 [0200] In any case, after the interchangeable working assembly 2054 is coupled to the power assembly 2056, the interface 2064 may facilitate communication between the controller 2062 and generates a memory and / or the state of charge monitoring circuit 20,702,060, so commencement module 2072, shown in Figure 40. 例如,可互换工作组件2054的控制器2062可利用荷电状态监控电路2070来测量电池2058的荷电状态。 For example, the interchangeable working assembly 2054. Controller 2062 may utilize a state of charge monitoring circuit 2070 to measure the state of charge of the battery 2058. 然后控制器2062可访问存储器2060,并确定电池2058先前的荷电状态值是否存储在存储器2060中。 The controller 2062 may access the memory 2060, 2058 and determines whether the battery state of charge value previously stored in the memory 2060. 当检测到先前值时,控制器2060可将实测值与先前存储值进行比较。 When the previous value is detected, the controller 2060 can be found with a previously stored value. 如果实测值与先前存储值不同,那么控制器2060可更新先前存储值。 If the measured value with the previously stored values ​​are different, the controller 2060 may update the previously stored value. 当未检测到先前值时,控制器2060可将实测值存储到存储器2060中。 When the previous value is not detected, the controller 2060 can be found stored in the memory 2060. 在某些情况下,控制器2060可向外科器械2050的用户提供关于电池2058的实测荷电状态的视觉反馈。 In some cases, the controller 2060 may provide information on the state of charge of the battery 2058 Found visual feedback to a user of the surgical instrument 2050. 例如,控制器2060可在LCD显示屏上显示电池2058荷电状态的实测值,在一些情况下,该LCD显示屏可与可互换工作组件2054整合在一起。 For example, the controller 2060 may display Found battery state of charge 2058 on the LCD display, in some cases, the LCD display with interchangeable working assembly 2054 together.

[0201] 除上述内容之外,当将这类其他控制器的可互换工作组件联接到功率组件2056 时,模块2072也可由其他控制器执行。 [0201] In addition to the foregoing, when this type of interchangeable working assembly is coupled to another controller when the power module 2056, module 2072 is also performed by other controllers. 例如,用户可使可互换工作组件2054与功率组件2056 断开连接。 For example, a user can work interchangeably with the power module assembly 2054 2056 disconnected. 然后用户可使包括另一控制器的另一可互换工作组件与功率组件2056连接。 The user then can further interchangeable working assembly and the power assembly includes another controller 2056 is connected. 当可互换工作组件2054联接到功率组件2056时,这种控制器可继而利用库仑计数电路2070测量电池2058的荷电状态,然后可访问存储器2060并确定电池2058先前的荷电状态值(例如, 由控制器2060输入的值)是否存储在存储器2060中。 When the interchangeable working assembly 2056 when coupled to the power assembly 2054, such a controller may then Coulomb counting circuit 2070 measure the state of charge of the battery 2058, a memory 2060 and then accessed previously 2058 determines that the battery state of charge value (e.g. , it is stored in the memory 2060 by the value input from the controller 2060). 当检测到先前值时,控制器可将实测值与先前存储值进行比较。 When the previous value is detected, the controller may be found previously stored value. 如果实测值与先前存储值不同,那么控制器可更新先前存储值。 If the measured value with the previously stored values ​​are different, the controller may update the previously stored value. [0202] 图41示出了外科器械2090,该外科器械在许多方面类似于外科器械2000 (图31) 和/或外科器械2050 (图38)。 [0202] FIG. 41 shows a surgical instrument 2090, is similar to the surgical instrument 2000 (FIG. 31) and / or surgical instrument surgical instrument 2050 (FIG. 38) in many respects. 例如,外科器械2090可包括端部执行器2092,该端部执行器在许多方面类似于端部执行器2008和/或端部执行器2052。 For example, surgical instrument 2090 can comprise an end effector 2092, end effector similar to the end effector 2008 and / or end effector 2052 in many respects. 例如,端部执行器2092可被构造成能够充当用于夹持、切割和/或缝合组织的直线切割器。 For example, the end effector 2092 may be configured to operate as a clamping, cutting and / or stapling tissue endocutter.

[0203] 除上述内容之外,外科器械2090可包括可互换工作组件2094,该可互换工作组件可包括柄部组件2093和可在柄部组件2093和端部执行器2092之间延伸的轴2095。 [0203] In addition to the above, surgical instrument 2090 can comprise interchangeable working assembly 2094, the interchangeable working assembly may include a handle assembly 2093 and may extend between the handle assembly and an end effector 2093 2092 axis 2095. 在某些情况下,外科器械2090可包括功率组件2096,该功率组件可与多个可互换工作组件(例如可互换工作组件2094) -起使用。 In some cases, a surgical instrument 2090 may include a power assembly 2096, the power module can work with a plurality of interchangeable components (e.g. interchangeable working assembly 2094) - used together. 这类可互换工作组件可包括外科端部执行器,例如端部执行器2092,该端部执行器可被构造成能够执行一种或多种外科任务或外科手术。 Such interchangeable working assembly may include a surgical end effector, the end effector 2092, for example, the end effector can be configured to be able to perform one or more tasks surgical or surgical. 在某些情况下, 柄部组件2093和轴2095可整合成单个单元。 In some cases, the handle assembly 2093 and the shaft 2095 may be integrated into a single unit. 在其他情况下,柄部组件2093和轴2095能够彼此可分离地联接。 In other cases, the handle assembly 2093 and the shaft 2095 can be detachably coupled to each other.

[0204] 此外,外科器械2090的功率组件2096能够可分离地联接到可互换工作组件,例如, 可互换工作组件2094。 [0204] In addition, power module 2090 of the surgical instrument 2096 can be detachably coupled to the interchangeable working assembly, e.g., the interchangeable working assembly 2094. 各种联接装置可用于将功率组件2096可释放地联接到可互换工作组件2094。 Various coupling means may be used to power assembly 2096 may be releasably coupled to the interchangeable working assembly 2094. 与外科器械2050和/或外科器械2000相似,外科器械2090可以可操作地支撑一个或多个驱动系统,当功率组件2096联接到可互换工作组件2094时,这些驱动系统可由功率组件2096供电。 2050 with the surgical instrument and / or surgical instrument 2000 similar to the surgical instrument 2090 may be operable to support one or more drive systems, the time when the power assembly 2094 is coupled to the interchangeable working assembly 2096, the drive system assembly 2096 may supply power. 例如,可互换工作组件2094可以可操作地支撑闭合驱动系统,该闭合驱动系统可用于将闭合动作和/或打开动作施加至端部执行器2092。 For example, interchangeable work assemblies 2094 may be operably supported closure drive system, the closure system may be used to drive the closing motion and / or opening motions to the end effector 2092. 在至少一种形式中,可互换工作组件2094可以可操作地支撑击发驱动系统,该击发驱动系统可被构造成能够将击发动作施加到端部执行器2092。 In at least one form, the interchangeable working assembly 2094 may be operably supports a firing drive system, the firing drive system may be configured to be capable of applying a firing motion to the end effector 2092. 与外科器械2090-起使用的示例性驱动系统和联接机构在2013年3 月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866中更详细地描述,该专利的完整公开内容全文以引用方式并入本文。 And U.S. Provisional Patent exemplary surgical instrument 2090 from the drive system and the coupling mechanism used in the filed March 14, 2013 as "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" Application Serial No. 61 / 782,866 described in more detail, complete disclosure of which is incorporated by reference herein. [0205] 参见图41至图45,可互换工作组件2094可包括马达(例如,马达2014(图44))和马达驱动器(例如,马达驱动器2015(图44)),该马达驱动器可用于例如促动可互换工作组件2094的闭合驱动系统和/或击发驱动系统。 [0205] Referring to FIGS. 41 to 45, the interchangeable working assembly 2094 may include a motor (e.g., motor 2014 (FIG. 44)) and a motor driver (e.g., the motor driver 2015 (FIG. 44)), the motor drive may be used e.g. interchangeable work assemblies actuating the closure drive system 2094 and / or the firing drive system. 马达2014可由电池2098(图42)供电,该电池可位于功率组件2096中。 The motor 2014 may be a battery 2098 (FIG. 42), the battery has a power assembly 2096 may be located in. 如图42和图43所示,电池2098可包括多个串联的电池单元,这些电池单元可用作为马达2014供电的功率源。 As shown, the battery 2098 may include a plurality of battery cells connected in series, the battery cells can be used as a motor power source 42 and the power supply 432 014. 在某些情况下,功率组件2096的电池单元可以是可更换的和/或可再充电的。 In some cases, the power module battery cells 2096 may be replaceable and / or rechargeable. 例如,电池单元可以是能够可分离地联接至功率组件2096的锂离子电池。 For example, the cell may be capable of detachably coupled to the power assembly 2096 is a lithium ion battery. 在使用中,功率组件2096所提供的电压极性可操作马达2014驱动能够纵向运动的驱动构件,以使端部执行器2092生效。 In use, the polarity of the voltage provided by the power module 2096 is operable motor 2014 drives the drive member to move longitudinally so that the end effector 2092 into effect. 例如,马达2014可被构造成能够驱动能够纵向运动的驱动构件,以推进切割构件切割由端部执行器2092捕集的组织,并且/或者例如推进击发机构击发来自与端部执行器2092组装在一起的钉仓的钉。 For example, the motor 2014 can be configured to be able to drive the drive member to move longitudinally in order to advance cutting member cut by the end 2092 of the tissue collection, and / or advancement of the firing mechanism, for example, firing from 2092 with the end effector assembly of together with the staple cartridge. 这些钉可被击发进入例如由端部执行器2092捕集的组织中。 These staples can be fired, for example, by the 2092 into the tissue captured in end effector.

[0206] 现在参见图41至图45,可互换工作组件2094可包括工作组件控制器2102 (图44和图45),并且功率组件2096可包括功率组件控制器2100 (图42和图43)。 [0206] Referring now to FIGS. 41 to 45, the interchangeable working assembly 2094 may comprise a controller working assembly 2102 (FIG. 44 and FIG. 45), and the power assembly 2096 may include a power control assembly 2100 (FIGS. 42 and 43) . 工作组件控制器2102 可被构造成能够产生一个或多个信号,从而与功率组件控制器2100通信。 Job controller assembly 2102 may be configured to be able to generate one or more signals, so that communication and power components of the controller 2100. 在某些情况下,当功率组件2096联接到可互换工作组件2094时,工作组件控制器2102可通过调节从功率组件2096到可互换工作组件2094的功率传输,产生一个或多个信号,从而与功率组件控制器2100通信。 In some cases, when the power assembly 2096 is coupled to 2094 when the interchangeable working assembly, the working assembly 2102 may power the controller assembly to the interchangeable work assemblies 2096 2094 power transfer from the one or more signals generated by modulating, whereby the controller 2100 communicates with the power module.

[0207] 此外,功率组件控制器2100可被构造成能够响应于接收到由工作组件控制器2102 生成的一个或多个信号,而执行一项或多项功能。 [0207] Furthermore, the power control assembly 2100 may be configured in response to receiving one or more signals generated by the working components of the controller 2102, performs one or more functions. 例如,可互换工作组件2094可具有一种功率需求,并且工作组件控制器2102可被构造成能够产生指示功率组件控制器2100根据可互换工作组件2094的功率需求来选择电池2098的功率输出的信号;当功率组件2096联接到可互换工作组件2094时,可如上所述地通过调节从功率组件2096到可互换工作组件2094的功率传输来产生信号。 For example, the interchangeable working assembly 2094 may have one power requirements, and the assembly work of the controller 2102 can be configured to be able to produce an indication of the power module controller 2100 selects the power output of the battery assembly 2098 in accordance with power demand interchangeable work 2094 signal; 2094 when assembly 2096 is coupled to power when the interchangeable working assembly may be as described above to generate a signal to the interchangeable working assembly 2096 power transfer from the power module 2094 by adjusting. 响应于接收到信号,功率组件控制器2100可设定电池2098的功率输出, 以适应可互换工作组件2094的功率需求。 In response to receiving the signal, a power control component 2100 may set power output of the battery 2098 to accommodate the power requirements of the interchangeable working assembly 2094. 读者将认识到,可将不同的可互换工作组件与功率组件2096-起使用。 Readers will recognize that different interchangeable working components and power components since 2096- can be used. 不同的可互换工作组件可具有不同的功率需求,并在它们与功率组件2096联接接合期间可产生针对其功率需求的独特信号,以警示功率组件控制器2100根据上述功率需求来设定电池2098的功率输出。 Different interchangeable working assembly may have different power requirements, and during their engagement with the coupling of the power module 2096 may generate a unique signal for the power requirements, the power module to alert the controller 2100 based on the set power demand to the battery 2098 the power output.

[0208] 现在主要参见图42和图43,功率组件2096可包括功率调制器控制装置2106,该功率调制器控制装置可包括例如一个或多个场效应晶体管(FET)、达林顿阵列、可调式放大器和/或任何其他功率调制器。 [0208] Referring now primarily to FIGS. 42 and 43, the power assembly 2096 may include a power modulator control means 2106, the power modulator control means may include one or more field effect transistors (the FET), Darlington arrays, the modulation amplifier and / or any other power modulator. 当可互换工作组件2094联接到功率组件2096时,响应于由工作组件控制器2102产生的信号,功率组件控制器2100可致动功率调制器控制装置2106,从而根据可互换工作组件2094的功率需求来设定电池2098的功率输出。 When the interchangeable working assembly 2094 is coupled to the power assembly 2096 when, in response to a signal generated by the working components of the controller 2102, the power control assembly 2100 may actuate a power modulator control means 2106, whereby an interchangeable work assemblies 2094 setting the battery power demand of the power output 2098.

[0209] 仍主要参见图42和图43,当可互换工作组件2094联接到功率组件2096时,功率组件控制器2100可被构造成能够监测从功率组件2096到可互换工作组件2094的功率传输,以便检测由可互换工作组件2094的工作组件控制器2102产生的一个或多个信号。 [0209] Still referring to FIGS. 42 and 43 mainly, when the interchangeable working assembly 2094 is coupled to the power assembly 2096, the power control assembly 2100 may be configured to be able to monitor the power from the power assembly to the interchangeable work assemblies 2096 2094 transmission, to detect one or more signals from the interchangeable working assembly work assembly 2094 produced by the controller 2102. 如图42所示,例如,功率组件控制器2100可利用用于监测电池2098两端的电压的电压监测机构,来检测由工作组件控制器2102产生的一个或多个信号。 42, e.g., a power control assembly 2100 may utilize a voltage of voltage monitoring means for monitoring at both ends of the battery 2098 to detect one or more signals generated by a controller 2102 for assembly work. 在某些情况下,电压调节器可用于按比例调节电池2098的电压,以使得该电压可由功率组件控制器2100的模/数转换器(ADC)读出。 In some cases, a voltage regulator may be used to adjust the scale of the voltage of the battery 2098, so that the voltage can be read power controller module assembly 2100 / digital converter (ADC). 如图42所示,电压调节器可包括分压器2108,该分压器可生成与电池2098的电压成比例的基准电压或低电压信号,该信号可通过例如ADC测量并记录到功率组件控制器2100。 As shown, the voltage regulator 42 may comprise a voltage divider 2108, which generates a voltage divider can be proportional to the voltage of the battery 2098 or low voltage reference signal, the signal may be measured and recorded by a power module to control ADC e.g. 2100.

[0210] 在其他情况下,如图43所示,功率组件2096可例如包括电流监测机构,该电流监测机构用于监测传输到可互换工作组件2094的电流,从而检测由工作组件控制器2102产生的一个或多个信号。 [0210] In other cases, as shown, for example, the power assembly 2096 may include a current monitoring means, the current monitor means for monitoring the current transmission to the interchangeable working assembly 2094, so that assembly work is detected by the controller 432102 the one or more signals generated. 在某些情况下,功率组件2096可包括电流传感器2110,该电流传感器可用于监测传输到可互换工作组件2094的电流。 In some cases, the power assembly 2096 may include a current sensor 2110, the current sensor 2094 can be used to monitor the transmission of electric current to the interchangeable work assemblies. 所监测的电流可通过例如ADC记录到功率组件控制器2100。 Current may be monitored by the ADC for example, the power module controller 2100 to the recording. 在其他情况下,功率组件控制器2100可被构造成能够同时监测传输到可互换工作组件2094的电流和电池2098两端的对应电压,以便检测由工作组件控制器2102产生的一个或多个信号。 In other cases, power control component 2100 may be configured to be simultaneously a voltage corresponding to the current and the battery 2094 2098 to monitor the transmission across the interchangeable working assembly, in order to detect one or more signals generated by the working components of the controller 2102 . 读者将认识到,功率组件控制器2100可利用用于监测电流和/或电压的各种其他机构,来检测由工作组件控制器2102产生的一个或多个信号;本公开设想了所有这些机构。 Readers will recognize that the power controller assembly 2100 may utilize a variety of other mechanisms for monitoring the current and / or voltage, to detect one or more signals generated by the working components of the controller 2102; the present disclosure contemplates all of these bodies.

[0211] 如图44所示,工作组件控制器2102可被构造成能够通过使马达驱动器2015生效, 而产生用于与功率组件控制器2100通信的一个或多个信号,从而调节从电池2098传输到马达2014的电力。 [0211] shown in Figure 44, the controller 2102 may work assembly is configured to be driven by the motor 2015 into effect, generating one or more signals 2100 for communicating with the power control assembly to regulate the transmission from the battery 2098 power to the motor 2014. 因此,为马达2014供电的电池2098两端的电压和/或自电池2098消耗的电流可形成代表一个或多个信号的不连续的模式或波形。 Thus, the motor 2014 is a power supply 2098 across the battery voltage and / or current from the battery 2098 may form a discontinuous consumption pattern or waveform represents one or more signals. 如上所述,功率组件控制器2100可被构造成能够针对由工作组件控制器2102产生的一个或多个信号,来监测电池2098两端的电压和/或自电池2098消耗的电流。 As described above, the power control assembly 2100 may be configured to be a signal for one or more components of the controller 2102 generates the work, to monitor the voltage and / or current consumption of the battery cell 2098 from 2098 at both ends.

[0212] 当检测信号时,功率组件控制器2100可被构造成能够执行对应于所检测信号的一项或多项功能。 [0212] When the detection signal, the power control assembly 2100 may be configured to be able to perform a signal corresponding to the detected one or more functions. 在至少一个示例中,当检测到第一信号时,功率组件控制器2100可被构造成能够致动功率调制器控制装置2106,从而将电池2098的功率输出设定成具有第一占空比。 In at least one example, upon detection of the first signal, the power control assembly 2100 may be configured to actuate the power modulator control means 2106, whereby the power output of the battery 2098 is set to have a first duty cycle. 在至少一个示例中,当检测到第二信号时,功率组件控制器2100可被构造成能够致动功率调制器控制装置2106,从而将电池2098的功率输出设定成具有不同于第一占空比的第二占空比。 In at least one example, when the second signal is detected, power controller assembly 2100 may be configured to actuate the power modulator control means 2106, whereby the power output of the battery 2098 is set to be different from the first duty the second duty cycle ratio.

[0213] 在某些情况下,如图45所示,可互换工作组件2094可包括功率调制电路2012,该功率调制电路可包括一个或多个场效应晶体管(FET),这些场效应晶体管可由工作组件控制器2102控制,从而产生可由功率组件控制器2100识别的信号或波形。 [0213] In some cases, as shown, the interchangeable working assembly 2094 may include a power modulation circuit 2012, modulation circuit of the power may include one or more field effect transistors (the FET), the field effect transistor 45 may be the controller 2102 controls the working component, thereby generating a signal or waveform may be a power control assembly 2100 is identified. 例如,在某些情况下, 工作组件控制器2102可操作功率调制电路2012以放大电压,使其高于电池2098的电压,从而例如触发功率组件2096的新功率模式。 For example, in some cases, the controller 2102 is operable working assembly power modulation circuit 2012 to amplify a voltage to be higher than the voltage of the battery 2098, for example to trigger a new power mode of the power module 2096.

[0214] 现在主要参见图42和图43,功率组件2096可包括可在打开位置和闭合位置之间转换的开关2104。 [0214] Referring now primarily to FIGS. 42 and 43, the power assembly 2096 may include a switch 2104 can be switched between an open position and a closed position. 例如,当功率组件2096与可互换工作组件2094联接时,开关2104可从打开位置转换到闭合位置。 For example, when the power assembly 2096 is coupled with interchangeable working assembly 2094, a switch 2104 to switch from an open position to a closed position. 在某些情况下,在例如功率组件2096与可互换工作组件2094联接之后, 可手动地将开关2104从打开位置转换到闭合位置。 In some cases, for example, after the power module 2096 is coupled to the interchangeable work assemblies 2094, 2104 may be manually switched from the switch open position to the closed position. 当开关2104处于打开位置时,功率组件2096的部件可消耗足够低的电力或者不消耗电力,以保持电池2098的电量用于临床应用。 When the switch 2104 is in the open position, the power assembly member 2096 may be low enough power consumption or the power is not consumed to maintain battery power 2098 for clinical use. 开关2104可为机械机构、簧片机构、霍尔机构或任何其他合适的开关机构。 2104 may be a mechanical switch mechanism, spring means, mechanism, or any other suitable hall switch mechanism. 此外,在某些情况下,功率组件2096可包括任选的功率源2105,该功率源可被构造成能够在电池2098的使用期间,向功率组件2096的各种部件提供充足电力。 Further, in some cases, the power assembly 2096 may include an optional power source 2105, the power source may be configured to be capable during use of the battery 2098 to provide sufficient power to the various components of the power module 2096. 相似地,可互换工作组件2094也可包括任选的功率源2107,该功率源可被构造成能够向可互换工作组件2094的各种部件提供充足电力。 Similarly, the interchangeable working assembly 2094 may also include an optional power source 2107, the power source may be configured to provide sufficient power to the various components of the interchangeable working assembly 2094.

[0215] 在使用中,如图46所示,功率组件2096可联接到可互换工作组件2094。 [0215] In use, as shown in FIG power assembly 2096 may be coupled to the interchangeable working assembly 46 2094. 在某些情况下,如上所述,开关2104可转换到闭合构型,以使可互换工作组件2094电连接到功率组件2096。 In some cases, as described above, the switch 2104 can be converted to the closed configuration, so that the interchangeable working assembly 2094 is electrically connected to the power module 2096. 作为响应,可互换工作组件2094可加电,并可至少开始自电池2098消耗相对较低的电流。 In response, the interchangeable working assembly 2094 may be powered from the battery 2098 can be started at least a relatively low current consumption. 例如,可互换工作组件2094可消耗小于或等于1安培的电流,为可互换工作组件2094的各种部件供电。 For example, the interchangeable working assembly 2094 may consume less than or equal to one ampere, are interchangeable working assembly of the various components of the power supply 2094. 在某些情况下,当开关2014转换到闭合位置时,功率组件2096也可加电。 In some cases, when the switch 2014 to a closed position, the power assembly 2096 may be powered. 如上文所详述,作为响应,功率组件控制器2100可通过监测例如电池2098两端的电压和/或从电池2098到可互换工作组件2094的电流传输,而开始监测自可互换工作组件2094消耗的电流。 As detailed above, in response, a power control component 2100 may monitor 2098, for example, the battery voltage across and / or current transfer from the battery to the interchangeable work assemblies 2098 through 2094, and begins to monitor the work from the interchangeable component 2094 current consumption.

[0216] 为通过功率调制产生并传输通信信号到功率组件控制器2100,工作组件控制器2102可采用马达驱动器2015以例如功率峰值的模式或波形为马达2014脉冲供电。 [0216] The modulation by the power generating and transmitting a communication signal to the power components of the controller 2100, the controller 2102 may employ the working assembly 2015, for example a motor drive mode or a power waveform peak pulse power of the motor 2014. 在某些情况下,工作组件控制器2102可被构造成能够与马达驱动器2015通信,以通过快速切换马达2014绕组两端的电压极性来快速切换马达2014的运动方向,从而限制由功率峰值产生的有效电流传输到马达2014。 In some cases, the work assembly 2102 may be configured to the controller 2015 can communicate with the motor drive to the motor by rapidly switching the polarity of the voltage across winding 2014 to quickly switch the movement direction of the motor 2014, thereby limiting the peak power generated by effective current transmitted to the motor 2014. 因此,如图47C所示,响应于功率峰值,可降低由电力峰值产生的有效马达位移,以最大限度地降低联接到马达2014的外科器械2090的驱动系统的有效位移。 Thus, as shown in FIG 47C, in response to the peak power, the motor can be effectively reduced by the displacement of the peak power generated, to minimize the effective displacement of the drive system coupled to the surgical instrument 2090 of the motor 2014.

[0217] 除上述内容之外,工作组件控制器2102可通过采用马达驱动器2015从电池2098中以预先确定的包或组的峰值形式消耗电力,而与功率组件控制器2100通信,这些包或组可在预先确定的时间段内重复,从而形成可由功率组件控制器2100检测的起伏图。 [0217] In addition to the above, the controller assembly 2102 may be working from the battery 2098 in the form of packets or group of peaks previously determined by using the power consumption of the motor driver 2015, the controller 2100 communicates with the power module, these packages or groups It may be repeated at a predetermined period, thereby forming a power module may be undulating FIG detection controller 2100. 例如,如图47A和图47B所示,功率组件控制器2100可被构造成能够使用如上文所详述的电压和/或电流监测机构,来监测电池2100两端的电压的预先确定的电压起伏图(例如,电压起伏图2103 (图47A))和/或预先确定的电流起伏图(例如,电流图案2109 (图47B))。 For example, as shown in FIGS. 47A and 47B, the power control assembly 2100 may be configured to be capable of using the voltage and / or current monitoring mechanism detailed above, to monitor the voltage pattern of a predetermined voltage across the battery 2100 (e.g., voltage pattern 2103 (FIG. 47A)) and / or current fluctuation map (e.g., a current pattern 2109 (FIG. 47B)) determined in advance. 此外,当检测到起伏图时,功率组件控制器2100可被构造成能够执行一项或多项功能。 Further, when detecting the fluctuation FIG power controller assembly 2100 may be configured to be able to perform one or more functions. 读者将认识到,功率组件控制器2100和工作组件控制器2102之间通过调节功率传输而进行的通信,可降低在可互换工作组件2094和功率组件2096之间所需的连接线路的数目。 The reader will be appreciated, the communication between the controller 2100 and the power module assembly work performed by the controller 2102 to regulate power transfer, reduces the required number of interchangeable working assembly between 2094 and 2096 connected to the power line assembly.

[0218] 在某些情况下,功率组件2096可与多代的各种可互换工作组件一起使用,这些可互换工作组件可具有不同的功率需求。 [0218] In some cases, the power assembly 2096 may be used with multiple generations of various interchangeable work assemblies, these interchangeable work assemblies may have different power requirements. 不同的可互换工作组件中的一些可包括上述通信系统,而其他可互换工作组件则可能不具有这类通信系统。 Different interchangeable work of some of the components may comprise the communication system, other components may not be interchangeable work with such a communication system. 例如,功率组件2096可与不具有上述通信系统的第一代可互换工作组件一起使用。 For example, the power assembly 2096 may be used interchangeably with the first generation of assembly work does not have such a communication system. 或者,功率组件2096可与包括上述通信系统的第二代可互换工作组件(例如,可互换工作组件2094) -起使用。 Alternatively, the power assembly 2096 may be interchangeable with a second generation working components (e.g., the interchangeable working assembly 2094) the communication system comprising - from use.

[0219]除上述内容之外,第一代可互换工作组件可具有第一功率需求,并且第二代可互换工作组件可具有可不同于第一功率需求的第二功率需求。 [0219] In addition to the above, the first generation of the interchangeable working assembly may have a first power demand, and the second generation of the interchangeable working assembly may have a second power requirement may be different from the first power demand. 例如,第一功率需求可小于第二功率需求。 For example, the first power requirements may be less than the second power demand. 为适应第一代可互换工作组件的第一功率需求和第二代可互换工作组件的第二功率需求,功率组件2096可具有用于第一代可互换工作组件的第一功率模式,以及用于第二代可互换工作组件的第二功率模式。 In order to meet the second power demand, the power generation of the first components of the first power demand of the interchangeable working assembly and the second generation of interchangeable working assembly 2096 may have a first power mode for the first generation of interchangeable working assembly and a second power mode for a second generation of interchangeable working assembly. 在某些情况下,功率组件2096可被构造成能够在对应于第一代可互换工作组件的功率需求的默认第一功率模式下操作。 In some cases, the power assembly 2096 may be configured to be corresponding to the default mode of the first power generation of the power demand of the first interchangeable working assembly operation. 因此,当第一代可互换工作组件连接到功率组件2096时,功率组件2096的默认第一功率模式可适应第一代可互换工作组件的第一功率需求。 Thus, when the first generation of the interchangeable working assembly 2096 is connected to the power module when the power of the first power mode by default assembly 2096 may be adapted to the needs of the first generation of the first power interchangeable work assemblies. 但是,当第二代可互换工作组件(例如,可互换工作组件2094)连接到功率组件2096时,如上所述,可互换工作组件2094的工作组件控制器2102可与功率组件2096的功率组件控制器2100通信,以将功率组件2096切换至第二功率模式,从而适应可互换工作组件2094的第二功率需求。 However, when the second-generation 2096 interchangeable working components (e.g., the interchangeable working assembly 2094) is connected to the power module, as described above, the interchangeable working assembly work of the controller assembly 2094 may power module 2102 2096 communication power control assembly 2100 to the power assembly 2096 is switched to the second power mode, to accommodate the needs of the interchangeable working assembly 2094 of the second power. 读者将认识到,由于第一代可互换工作组件缺乏产生通信信号的能力,因此功率组件2096在连接至第一代可互换工作组件时,将保持在默认第一功率模式下。 Readers will recognize that, since the first generation of the interchangeable work assemblies lack the ability to produce a communication signal, thus the power assembly 2096 is connected to the first generation of the interchangeable working assembly, held in the first power mode by default.

[0220]如上所述,电池2098可以是可再充电的。 [0220] As described above, the battery 2098 may be rechargeable. 在某些情况下,可能有利的是在运输功率组件2096之前将电池2098电量耗尽。 In some cases, it may be advantageous before 2096 will transport power module battery power is exhausted 2098. 在准备运输功率组件2096的过程中,可启用专用排流电路来使电池2098电量耗尽。 In preparation for transport power module 2096, a dedicated drainage enable circuit 2098 to the battery power is exhausted. 在到达最终目的地之后,可对电池2098重新充电以用于外科手术。 After reaching the final destination, the rechargeable battery for a surgical 2098. 但是,在临床使用中,排流电路可能会持续消耗电池2098的能量。 However, in clinical use, the discharge current circuit may continue to consume energy of the battery 2098. 在某些情况下,如上文所详述,可互换工作组件控制器2102可被构造成能够通过调节从电池2098到马达2014的功率传输,而将排流电路停用信号传输到功率组件控制器2100。 In some cases, as detailed above, the interchangeable working assembly controller 2102 may be configured to be adjusted by motor from the battery 2098 to 2014 of the transmission power, and the drain circuit deactivation control signal to the power module 2100. 响应于排流电路停用信号, 功率组件控制器2100可例如被编程为停用排流电路,从而防止电池2098经由排流电路而被耗尽。 Drain circuit in response to a deactivation signal, the power control assembly 2100 may be programmed, for example, drain circuit is disabled, thereby preventing the battery draining circuit through 2098 is depleted. 读者将认识到,当功率组件2096联接到可互换工作组件2094时,工作组件控制器2102 可产生各种通信信号,以指示功率组件控制器2100执行各项功能。 The reader will be appreciated, when the power assembly 2096 is coupled to 2094 when the interchangeable working assembly, the working assembly 2102 can produce a variety of communication control signals to indicate the power module controller 2100 performs various functions.

[0221] 再次参见图42至图45,功率组件控制器2100和/或工作组件控制器2102可包括一个或多个可存储多个软件模块的处理器和/或存储器单元。 [0221] Referring again to FIGS. 42 to 45, the power control assembly 2100 and / or operating controller assembly 2102 may include one or more processors may store a plurality of software and / or memory unit modules. 尽管可采用举例说明的方式描述外科器械2050的某些模块和/或块,但可以理解,可使用数目更多或更少的模块和/或块。 Although the description may be employed by way of illustration of certain surgical instrument module 2050 and / or blocks, it will be appreciated, a greater or lesser number may be used in the modules and / or blocks. 另外,虽然各种情况可按照模块和/或块的形式描述以便于说明,但这些模块和/或块可通过一个或多个硬件部件和/或软件部件和/或硬件部件与软件部件的组合加以实施,所述硬件部件例如处理器、05卩、卩〇)^51(:、电路、寄存器,所述软件部件例如程序、子例程、逻辑。 Further, although in each case may be described in the form of modules and / or blocks to facilitate description, but the combination of these modules and / or blocks may be through one or more hardware components and / or software components and / or hardware components and software components be implemented, the hardware component such as a processor, 05 Jie, Jie square) ^ 51 (:, circuit, a register, said software components such programs, subroutines, logic.

[0222] 图48大体示出了马达驱动的外科器械2200。 [0222] FIG 48 shows generally a motor-driven surgical instrument 2200. 在某些情况下,外科器械2200可包括柄部组件2202、轴组件2204和功率组件2206 (或"功率源"或"功率组")。 In some cases, a surgical instrument 2200 may include a handle assembly 2202, assembly 2204 and the power shaft assembly 2206 (or "power source" or "power group"). 轴组件2204可包括端部执行器2208,该端部执行器在某些情况下可被构造成能够充当用于夹紧、切断和/或缝合组织的直线切割器,但在其他情况下,可以使用不同类型的端部执行器,例如用于抓紧器、切割器、缝合器、施夹钳、进入装置、药物/基因治疗装置、超声、RF和/或激光装置等其他类型外科装置的端部执行器。 The shaft assembly 2204 may comprise an end effector 2208, end effector which in some cases may be configured to operate as a clamping, cutting and / or stapling tissue endocutter, but in other cases, end using different types of end effectors, for example, graspers, cutters, staplers, clip appliers, access devices of other types of surgical devices, drug / gene therapy devices, ultrasound, RF and / or laser devices, etc. Actuator. 若干RF装置可在1 995年4月4日公布的名称为"ELECTROSURGICAL HEMOSTATIC DEVICE" 的美国专利5,403,312,和2008年2月14 日提交的名称为"SURGICAL FASTENING AND CUTTING INSTRUMENT HAVING RF ELECTRODES" 的美国专利申请序列号12/031,573中找到,这些专利的完整公开内容全文以引用方式并入本文。 Some RF devices can US Patent 5,403,312 for the "ELECTROSURGICAL HEMOSTATIC DEVICE" in the name of April 4, 1995 released, and the name of the February 14, 2008 entitled "SURGICAL FASTENING AND CUTTING INSTRUMENT HAVING RF ELECTRODES "found in US Patent application 12 / 031,573 serial number, complete disclosures of these patents are incorporated by reference herein.

[0223] 在某些情况下,例如,柄部组件2202能够可分离地联接到轴组件2204。 [0223] In some cases, e.g., the handle assembly 2202 can be detachably coupled to the shaft assembly 2204. 在此类情况下,柄部组件2202可与多个可互换轴组件一起使用,这些可互换轴组件可包括外科端部执行器(诸如端部执行器2208),该外科端部执行器可被构造成能够执行一种或多种手术任务或外科手术。 In such cases, the handle assembly 2202 may be used together with a plurality of interchangeable shaft assembly, which may include an interchangeable shaft assembly surgical end effector (such as an end effector 2208), the surgical end effector It may be configured to be able to perform one or more tasks or surgical procedures. 例如,一个或多个可互换轴组件可采用适于支撑不同尺寸和类型的钉仓的端部执行器,并具有不同的轴长度、尺寸和类型等。 For example, one or more interchangeable shaft assembly can be adapted to support different sizes and types of staple cartridge end, and having a different axial length, size and type. 合适的可互换轴组件的示例公开于2013年3月14日提交的名称为"CONTROL SYSTEM OF A SURGICAL INSTRUMENT"的美国临时专利申请序列号61/782,866中,该专利申请的完整公开内容据此全文以引用方式并入本文。 The complete disclosure of U.S. Provisional Patent examples of suitable interchangeable shaft assembly disclosed in March 14, 2013 entitled "CONTROL SYSTEM OF A SURGICAL INSTRUMENT" Application Serial No. 61 / 782,866, which patent application is hereby incorporated by reference herein.

[0224] 仍参见图48,柄部组件2202可包括外壳2210,该外壳由可被构造成能够由临床医生抓握、操纵和致动的柄部2212组成。 Handle 2212 [0224] Still referring to FIG. 48, the handle assembly 2202 may include a housing 2210, can be grasped by the housing can be configured by the clinician, manipulation and actuation components. 然而,应当理解,外壳2210的各种独特且新颖的构造也可有效地与机器人控制的外科系统结合使用。 However, it should be understood that a variety of unique and novel construction of the housing 2210 may also be effectively used in combination with a surgical robot control system. 因此,术语"外壳"也可涵盖机器人系统的容纳或以其他方式可操作地支撑至少一个驱动系统的外壳或类似部分,该至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的轴组件2204及其相应等同物的至少一种控制动作。 Thus, the term "shell" may also encompass a robot system operable to receive or otherwise support at least a portion of a housing or the like of the drive system, the at least one drive system is configured to be capable of generating and applying the herein disclosed for actuating the shaft assembly 2204 and their respective equivalents of at least one control action. 例如,本文所公开的外壳22 10可与名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布2012/0298719)中公开的各种机器人系统、器械、部件以及方法一起使用,该专利申请全文以引用方式并入本文。 For example, the housing 2210 may be the name of the herein disclosed as "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication 2012/0298719) disclosed various robotic system used with the instrument, means and methods, which patent application is incorporated herein by reference in its entirety.

[0225] 在至少一种形式下,外科器械2200可为外科紧固和切割器械。 [0225] In at least one form, a surgical instrument 2200 may be a surgical cutting and fastening instrument. 此外,外壳2210可以可操作地支撑一个或多个驱动系统。 In addition, the housing 2210 may be operable to support one or more drive systems. 例如,如图50所示,外壳2210可支撑驱动系统,该驱动系统在本文中被称为击发驱动系统2214,其被构造成能够将击发动作施加到端部执行器2208。 For example, as shown, may support 221,050 housing drive system, the drive system 2214 is referred to herein as firing drive system, which is configured to be applied to the firing operation of the end effector 2208. 击发驱动系统2214可采用电动马达2216,该电动马达可位于例如柄部2212中。 Firing drive system 2214 may employ an electric motor 2216, for example, the electric motor may be located in the handle portion 2212. 在各种形式中,马达2216可为例如具有大约25,000RPM的最大转速的直流有刷驱动马达。 In various forms, the motor 2216 may have, for example, a DC brushed driving motor having a maximum rotation of approximately 25,000RPM. 在其他布置中,马达可包括无刷马达、无线马达、同步马达、步进马达或任何其他合适的电动马达。 In other arrangements, the motor may include a brushless motor, a cordless motor, a synchronous motor, stepper motor, or any other suitable electric motor. 电池2218 (或"功率源"或"功率组"),例如锂离子电池,可联接到柄部2212,以向控制电路板组件2220并且最终向马达2216提供电力。 2218 battery (or "power source" or "power group"), such as a lithium-ion battery, may be coupled to the handle portion 2212 to 2220 to the control circuit board assembly and ultimately provides power to the motor 2216.

[0226] 在某些情况下,仍参见图50,电动马达2216可包括可以与齿轮减速器组件2222可操作地交接的可旋转轴(未示出),该齿轮减速器组件可与一组或一齿条的驱动齿2224啮合接合地安装在能够纵向运动的驱动构件2226上。 [0226] In some cases, still referring to FIG. 50, the electric motor 2216 may include a rotatable shaft may be a gear reducer assembly 2222 operable to transfer (not shown), which may be a gear reducer assembly group or a rack of drive teeth 2224 meshing engagement member mounted on the drive 2226 capable of longitudinal movement. 在使用中,电池2218所提供的电压极性可沿顺时针方向操作电动马达2216,其中由电池2218施加到电动马达的电压极性可被反向, 以便沿逆时针方向操作电动马达2216。 In use, the polarity of the voltage provided by the battery 2218 of the electric motor 2216 may operate in a clockwise direction, which is applied by the battery 2218 to the voltage polarity of the electric motor can be reversed to operate the electric motor 2216 in a counterclockwise direction. 例如,当电动马达2216沿一个方向旋转时,驱动构件2226将沿远侧方向"D"被轴向地驱动,并且例如,当马达2216被沿相反的旋转方向驱动时, 驱动构件2226将沿近侧方向"P"被轴向地驱动,如图50所示。 For example, when the rotation of the electric motor 2216 in one direction, the drive member 2226 "D" is driven axially in the distal direction, and for example, when the motor 2216 is driven in the opposite rotational direction, the drive member 2226 along nearly side in the direction "P" to be axially driven, shown in Figure 50. 柄部2212可包括开关,所述开关能够使由电池2218施加到电动马达2216的极性反向。 Handle 2212 may include a switch, said switch can be applied to the electric motor from the battery 2218 to 2216 of the polarity inversion. 与本文所述的其他形式一样,柄部2212还可包括传感器,该传感器被构造成能够检测驱动构件2226的位置和/或驱动构件2226正在运动的方向。 As with other forms described herein, the handle portion 2212 may further include a sensor, the sensor is configured to be able to detect the position of the driving direction and / or the drive member 2226 of member 2226 is moving.

[0227] 如上所述,在至少一种形式中,能够纵向运动的驱动构件2226可包括在其上形成的一齿条的驱动齿2224,以用于与齿轮减速器组件2222啮合接合。 [0227] As described above, in at least one form, the drive member to move longitudinally 2226 may include a rack of drive teeth 2224 formed thereon for engagement to 2222 engaged with the gear reducer assembly. 在某些情况下,如图50所示,外科器械2200可包括可手动致动的"应急"组件2228,该应急组件可被构造成能够在检测到应急错误时,例如,在操作外科器械2200的过程中,当马达2216出故障(这可使得由端部执行器2208捕集的组织被卡住)时,使临床医生能够手动地回缩能够纵向运动的驱动构件2226。 In some cases, shown in Figure 50, a surgical instrument 2200 may include a manually actuatable "emergency" assembly 2228, which may be an emergency assembly can be configured upon detection of an error response, e.g., a surgical instrument in operation 2200 process, when the motor 2216 faults (which may cause the end effector 2208 captured tissue is jammed), enable the clinician to manually retract the drive member to move longitudinally 2226.

[0228] 除上述内容之外,如图50所示,应急组件2228可包括杠杆或应急柄部2230,该杠杆或应急柄部被构造成能够被手动地运动或枢转成与驱动构件2 226中的齿2 224棘轮接合。 [0228] In addition to the above, as shown in FIG. 50, the emergency assembly 2228 may include a lever or emergency handle portion 2230, the lever or emergency handle is configured to be manually moved or pivoted into the drive member 2226 the ratchet engagement teeth 2224. 在所述情况下,临床医生可例如通过使用应急柄部2230沿近侧方向"P"回缩驱动构件2226,而手动地回缩驱动构件2226,以便例如从端部执行器2208释放卡住的组织。 In that case, the clinician may, for example, by using the emergency handle 2230 in the proximal direction "P" drive member 2226 is retracted, manually retract the drive member 2226, for example, to release from the end effector 2208 jamming organization. 可与本文所公开的各种器械一起使用的示例性应急布置方式和其他部件、布置方式和系统公开于名称为"POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM"的美国专利申请序列号12/249,117 (现为美国专利申请公布2010/ 0089970)中,该专利申请据此全文以引用方式并入本文。 An exemplary arrangement of the emergency can be used with the various devices disclosed herein, and other components, arrangements and systems are disclosed in entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM" U.S. Patent Application Serial No. 12 / the 249,117 (now US Patent application publication 2010/0089970), which patent application is hereby incorporated by reference herein.

[0229] 除上述内容之外,现在主要参见图48和图50,应急组件2228的应急柄部2230可位于柄部组件2202的外壳2210内。 [0229] In addition to the above, referring now to FIGS. 48 and 50 mainly, the emergency handle of the emergency assembly 2228 may be located within the handle portion 2230 of the housing assembly of 22,102,202. 在某些情况下,可由应急门2232控制对应急柄部2230的触及。 In some cases, the emergency door 2232 may reach the emergency control handle 2230. 应急门2232可被可释放地锁定到外壳2210,以控制对于应急柄部2230的触及。 Emergency door 2232 may be releasably locked to the housing 2210, in order to reach the control handle emergency 2230. 如图48所示,应急门2232可包括锁定机构,例如,用于与外壳2210锁定接合的按扣型锁定机构2234。 As shown, the emergency door 223 248 may include a locking mechanism, such as, for locking engagement with the housing 2210 by snap-type locking mechanism 2234. 本公开设想了用于将应急门2232锁定到外壳2210的其他锁定机构。 This disclosure contemplates for the emergency door 2232 is locked to the housing other locking mechanism 2210. 在使用中,临床医生可通过解锁锁定机构2234并打开应急门2232而触及应急柄部2230。 In use, the clinician can unlock the lock mechanism by 2234 and open the emergency door 2232 and 2230 to reach the emergency handle. 在至少一个示例中,例如, 应急门2232能够可分离地联接到外壳2232,并可从外壳2210脱离,从而为触及应急柄部2230提供通路。 In at least one example, for example, the emergency door 2232 can be detachably coupled to the housing 2232, 2210 can be disengaged from the housing, so as to provide access to reach the emergency handle 2230. 在另一个示例中,例如,应急门2232可通过铰链(未示出)可枢转地联接到外壳2210,并可相对于外壳2210枢转,从而为触及应急柄部2230提供通路。 In another example, for example, the emergency door 2232 can (not shown) pivotally coupled to the housing by a hinge 2210 and can pivot relative to the housing 2210, so as to provide access to reach the emergency handle 2230. 在又一个示例中, 应急门2232可为滑动门,该滑动门可以相对于外壳2210可滑动地运动,从而为触及应急柄部2230提供通路。 In yet another example, the emergency door 2232 may be a sliding door relative to the housing 2210 can be slidably moved, so as to provide access to reach the emergency handle 2230.

[0230] 现在参见图51,外科器械2200可包括应急反馈系统2236,该应急反馈系统可被构造成能够在如下文所详述的应急组件2228的各使用步骤中,引导临床医生和/或向其提供反馈。 [0230] Referring now to FIG. 51, a surgical instrument 2200 may include a feedback system 2236 emergency, the emergency feedback system may be configured to be an emergency assembly as described in detail below using each of the steps 2228, the guide clinicians and / or to providing feedback. 在某些情况下,应急反馈系统2236可包括微控制器2238和/或一个或多个应急反馈元件。 In some cases, the emergency feedback system 2236 can include a microcontroller 2238 and / or one or more emergency feedback elements. 与应急反馈系统2236和/或应急反馈元件相关联的电动和电子电路元件由例如控制电路板组件2220支撑。 And emergency feedback system 2236 and / or electrical and electronic circuit elements as associated with the emergency support, for example, feedback control by the circuit board assembly 2220. 微控制器2238通常可包括存储器2240和可操作地联接到存储器2240的微处理器2242 ("处理器")。 The microcontroller 2238 may generally include a memory 2240 operatively coupled to the microprocessor and the memory of 2242 2240 ( "processor"). 处理器2242可控制马达驱动器2244电路,该电路通常用于控制马达2216的位置和速率。 The processor 2242 may control the motor driver circuit 2244, the circuit is commonly used to control the position and velocity of the motor 2216. 在某些情况下,处理器2242向马达驱动器2244发送信号,以停止或停用马达2216,如下文所详述。 In some cases, the processor 22422244 transmits drive signals to the motor to stop or disable the motor 2216, as detailed below. 在某些情况下,处理器2242可控制单独的马达超控电路,该电路可包括马达超控开关,该马达超控开关可在操作外科器械2200的过程中,响应于处理器2242的超控信号而停止和/或停用马达2216。 In some cases, the processor 2242 may control a separate motor override circuit, the circuit may include a motor override switch, the motor switch may override during operation of the surgical instrument 2200, the processor 2242 in response to the override stop signal and / or deactivation of the motor 2216. 应当理解,本文使用的术语"处理器"包括任何合适的微处理器、微控制器,或者将计算机的中央处理单元(CPU)的功能结合到一个集成电路或最多几个集成电路上的其他基础计算装置。 It should be understood that the term "processor" includes any suitable microprocessor, microcontroller, or central processing unit functions in conjunction with a computer (CPU) to the other on the basis of an integrated circuit or at most a few integrated circuits computing means. 处理器是多用途的可编程装置,该装置接收数字数据作为输入,依据其存储器中存储的指令来处理输入,然后提供结果作为输出。 It is versatile programmable processor means receiving as input digital data, according to instructions stored in its memory to process the input, and provides the result as output. 处理器具有内部存储器,所以是顺序数字逻辑的示例。 The processor has an internal memory, the exemplary sequential digital logic. 处理器的操作对象是以二进制数字系统表示的数字和符号。 The processor is based on the operation target numbers and symbols represented by the binary number system.

[0231] 在一种情况下,处理器2242可以是任一种单核或多核处理器,诸如已知的商品名为ARM Cortex,购自Texas Instruments的那些。 [0231] In one case, the processor 2242 may be either a single or multiple core processors, such as known under the trade name ARM Cortex, those available from the Texas Instruments. 在一种情况下,外科器械2200可包括安全处理器,例如包括两个基于微控制器的系列(诸如TMS570和RM4x)的安全微控制器平台(已知其商品名为Hercules ARM Cortex R4,同样购自Texas Instruments)。 In one case, the surgical instrument 2200 may include a security processor, for example, include two safety microcontroller-based platform family of microcontrollers (such as a TMS570 and RM4x) (known under the trade name Hercules ARM Cortex R4, the same purchased from Texas Instruments). 然而,可不受限制地采用微控制器和安全处理器的其他合适的替代物。 However, unrestricted use other suitable alternative security processor and the microcontroller. 在一种情况下,安全处理器1004可明确地被配置用于IEC 61508和ISO 26262安全性关键应用及其他,以提供先进的集成安全特性,同时提供可扩展的性能、连接性与内存选项。 In one case, the security processor 1004 can be configured specifically for IEC 61508 and ISO 26262 and other safety-critical applications to provide advanced integrated security features, while providing scalable performance, connectivity and memory options.

[0232] 在某些情况下,微控制器2238可以是例如可购自Texas Instruments的LM 4F230H5QR。 [0232] In some cases, the microcontroller 2238 may be commercially available from, for example, a Texas Instruments LM 4F230H5QR. 在至少一个示例中,Texas Instruments出品的LM 4F230H5QR为ARM Cortex-M4F处理器芯,其包括:256KB单循环闪存存储器或其他非易失性存储器(最多至40MHZ)的片上存储器2240、用于改善性能使其超过40MHz的预取缓冲器、32KB单循环串行随机访问存储器(SRAM)、装载有SteUamWare'软件的内部只读存储器(ROM)、2KB电可擦可编程只读存储器(EEPROM)、一个或多个脉宽调制(PWM)模块、一种或多种正交编码器输入(QEI)模拟、具有12个模拟输入通道的一个或多个12位模数转换器(ADC),以及对于产品数据手册来说易得的其他特征结构。 In at least one example, Texas Instruments LM 4F230H5QR produced as ARM Cortex-M4F processor core comprising: 256KB Robin flash memory or other nonvolatile memory (up to 40MHZ) of on-chip memory 2240, for improving the performance of beyond that the prefetch buffer 40MHz, 32KB serial single cycle random access memory (SRAM), loaded with SteUamWare 'software internal read only memory (ROM), 2KB electrically erasable programmable read only memory (EEPROM), a or a plurality of pulse width modulation (PWM) module, the one or more quadrature encoder inputs (QEI) analog, with a 12 or a plurality of analog input channels of 12-bit ADC (the ADC), and for the product other features of the structure of the data sheet is readily available. 可容易地取代其他微控制器以用于应急反馈系统2236中。 It can be readily substituted for other microcontrollers emergency feedback system 2236. 因此,本公开不应限于这一上下文。 Accordingly, the present disclosure should not be limited in this context.

[0233] 再次参见图51,应急反馈系统2236可包括例如应急门反馈元件2246。 [0233] Referring again to FIG. 51, the feedback system 2236 may comprise an emergency, for example, the emergency door feedback element 2246. 在某些情况下,应急门反馈元件2246可被构造成能够警示处理器2242锁定机构2234未锁定。 In some cases, the emergency door feedback element 2246 may be configured to alert the processor 2242 can be a locking mechanism 2234 is unlocked. 在至少一个示例中,应急门反馈元件2246可包括可操作地联接到处理器2242的开关电路(未示出); 该开关电路可被构造成能够例如当临床医生解锁锁定机构2234时转换到打开构型,并且/ 或者当临床医生锁定锁定机构2234时转换到闭合构型。 In at least one example, the emergency door feedback element 2246 may comprise a processor operably coupled to the switch circuit (not shown) of 2242; the switching circuit may be configured to be, for example, when the clinician transitions to unlock the locking mechanism 2234 is opened configuration and / or locking mechanism when the clinician converter 2234 to the closed configuration. 在至少一个示例中,应急门反馈元件2246可包括至少一个可操作地联接到处理器2242的传感器(未示出);该传感器可被构造成能够例如当临床医生将锁定机构2234转换到解锁和/或锁定构型时被触发。 In at least one example, the emergency door feedback element 2246 may comprise at least one sensor operatively coupled to processor 2242 (not shown); The sensor can be configured to be, for example, when the clinician to unlock the locking mechanism 2234 and converted It is triggered / or locked configuration. 读者将认识到,应急门反馈元件2246可包括用于检测锁定机构2234被临床医生锁定和/或解锁的其他装置。 Readers will recognize that the emergency door feedback element 2246 may include a locking mechanism 2234 is detecting and / or other clinician locking device is unlocked.

[0234] 在某些情况下,应急门反馈元件2246可包括可操作地联接到处理器2242的开关电路(未示出);例如,该开关电路可被构造成能够例如当移除或打开应急门2232时转换到打开构型,并且/或者例如当安装或关闭应急门2232时转换到闭合构型。 [0234] In some cases, the emergency door feedback element 2246 may comprise a processor operably coupled to the switch circuit (not shown) 2242; for example, the switching circuit may be configured to be removed or opened for example when the emergency converter 2232 when the door to the open configuration, and / or, for example when mounting or closing the emergency door 2232 transitions to the closed configuration. 在至少一个示例中, 应急门反馈元件2246可包括至少一个可操作地联接到处理器2242的传感器(未示出);该传感器可被构造成能够例如当移除或打开应急门2232时被触发,和/或例如当关闭或安装应急门2232时被触发。 In at least one example, the emergency door feedback element 2246 may comprise at least one sensor operatively coupled to processor 2242 (not shown); The sensor can be configured to be removed or opened for example when the emergency door 2232 is triggered when the and / or, for example when the door is closed or installed emergency 2232 when triggered. 读者将认识到,应急门反馈元件2246可包括用于检测锁定机构2234被临床医生锁定和/或解锁,和/或应急门2232被临床医生打开和/或关闭的其他装置。 Readers will recognize that the emergency door 2246 may include a feedback element for detecting the locking mechanism 2234 is locked clinician and / or unlocked and opened by clinicians / or other devices / or 2232 and the emergency door is closed.

[0235] 在某些情况下,如图51所示,应急反馈系统2236可包括一个或多个附加反馈元件2248,该附加反馈元件可包括与处理器2242可操作地通信的附加开关电路和/或传感器;处理器2242可使用附加开关电路和/或传感器来测量与应急反馈系统2236相关联的其他参数。 [0235] In some cases, as shown in FIG. 51, the emergency feedback system 2236 may include one or more additional feedback elements 2248, may include the additional feedback element operable communication with the processor 2242 of the switch circuit and the additional / or sensors; processor 2242 may measure other parameters and emergency associated feedback system 2236 using additional switching circuits and / or sensors. 在某些情况下,应急反馈系统2236可包括一个或多个接口,这些接口可包括用于向用户提供感官反馈的一个或多个装置。 In some cases, the emergency feedback system 2236 may include one or more interfaces, which may include one or more devices for providing sensory feedback to the user. 这类装置可包括例如视觉反馈装置,例如显示屏和/或LED指示器。 Such means may comprise, for example, visual feedback device, such as display and / or LED indicators. 在某些情况下,这类装置可包括听觉反馈装置,例如扬声器和/或蜂鸣器。 In some cases, such apparatus may include audible feedback device, such as a speaker and / or a buzzer. 在某些情况下,这类装置可包括触觉反馈装置,例如触觉致动器。 In some cases, such apparatus may include a tactile feedback means, e.g. haptic actuators. 在某些情况下,这类装置可包括视觉反馈装置、听觉反馈装置和/或触觉反馈装置的组合。 In some cases, such apparatus may comprise a combination of visual feedback means, the feedback means audible and / or tactile feedback device. 在某些情况下,如图48所示,一个或多个接口可包括显示器2250,该显示器可包括在例如柄部组件2202中。 In some cases, as shown in FIG. 48, the one or more interfaces 2250 may include a display, the display may comprise, for example, the handle assembly 2202. 在某些情况下, 处理器2242可使用显示器2250来警示、引导外科器械2200的用户,并且/或者向其提供关于使用应急组件2228进行外科器械2200的手动应急的反馈。 In some cases, the processor 2242 may be used to alert the display 2250, the user 2200 to guide a surgical instrument, and / or provide feedback on the use to which the emergency surgical instrument assembly 2228 manual emergency 2200.

[0236] 在某些情况下,应急反馈系统2236可包括用固件、软件、硬件或它们的任意组合实现的一个或多个嵌入式应用程序。 One or more embedded applications [0236] In some cases, the emergency 2236 may include a feedback system is implemented with firmware, software, hardware, or any combination thereof. 在某些情况下,应急反馈系统2236可包括各种可执行模块,例如软件、程序、数据、驱动器和/或应用程序接口(API)。 In some cases, the emergency feedback system 2236 may include various executable modules, such as software, programs, data, driver and / or application program interface (API). 图52示出了可存储在例如存储器2240中的示例性模块2252。 FIG 52 shows, for example, may be stored in the memory 2240 of an exemplary module 2252. 模块2252可由处理器2242执行,例如以警示、引导外科器械2200的用户,并且/或者向其提供关于使用应急组件2228进行外科器械2200的手动应急的反馈。 2242 executed by the processor module 2252, for example, warning the user to guide a surgical instrument 2200, and / or provide feedback on the use to which the emergency surgical instrument assembly 2228 manual emergency 2200.

[0237] 如图52所示,模块2252可由处理器2242执行,以向用户提供关于如何接触到和/或使用应急组件2228以进行例如外科器械2200的手动应急的指令。 [0237] As shown in FIG 52, the module 2252 executed by the processor 2242 to provide information on how to reach and / or emergency assembly instructions 2228 to 2200, for example, a manual emergency surgical instrument to a user. 在各种情况下,模块2252 可包括一个或多个决策步骤,例如,关于检测到需要执行外科器械2200的手动应急的一个或多个错误的决策步骤2254。 In each case, the module 2252 may include one or more decision steps, for example, need to be performed on the detected one or more errors in the decision step 2200 manual emergency surgical instrument 2254.

[0238] 在各种情况下,处理器2242可被构造成能够响应于一个或多个干预事件在例如外科器械2200的正常操作期间的发生率,而检测应急错误。 [0238] In each case, the processor 2242 may be configured to be responsive to one or more interference event rate, for example, a surgical instrument 2200 during normal operation, to detect an error response. 在某些情况下,处理器2242可被构造成能够当处理器2242接收到一个或多个应急错误信号时检测应急错误;应急错误信号可由例如外科器械2200的其他处理器和/或传感器传送给处理器2242。 In some cases, the processor 2242 may be configured to be able to detect an error when the emergency processor 2242 receives one or more emergency when an error signal; an error signal may be transmitted to an emergency such as surgical instruments other processors and / or sensors 2200 processor 2242. 在某些情况下,例如, 当由传感器(未示出)检测的外科器械2200温度超出阈值时,应急错误可被处理器2242检测出。 In some cases, e.g., when a sensor (not shown) detecting a temperature of a surgical instrument 2200 exceeds a threshold, the processor 2242 may be an emergency error detected. 在某些情况下,外科器械2200可包括定位系统(未示出),该定位系统用于感测和记录在击发驱动系统2214的击发行程期间,能够纵向运动的驱动构件2226的位置。 In some cases, a surgical instrument 2200 may include a positioning system (not shown), the positioning system for position sensing and recording the drive member during firing stroke of the firing drive system 2214, 2226 can be a longitudinal movement. 在至少一个示例中,处理器2242可被构造成能够例如当能够纵向运动的驱动构件2226的一个或多个记录位置与预先确定的阈值不一致时检测应急错误。 In at least one example, processor 2242 may be configured to be, for example, when a driving member capable of longitudinal movement of the 2226 or more records with a predetermined threshold value position of the emergency detection error is inconsistent.

[0239] 再次参见图52,在任何情况下,在决策步骤2254中当处理器2242检测到应急错误时,处理器2242可通过例如关停和/或停用马达2216而作出响应。 When [0239] Referring again to FIG. 52, in any case, the decision in step 2254 the processor 2242 when the error is detected to the emergency, the processor 2242 may be, for example, by shutting down and / or disable the motor 2216 responds. 此外,在某些情况下,在检测到应急错误之后,处理器2242也可将应急状态存储在存储器2240中,如图52所示。 Further, in some cases, after detecting an error response, the processor 2242 may also be stored in the memory panic state 2240, shown in Figure 52. 换句话讲,处理器2242可将表明已检测到应急错误的状态存储在存储器2240中。 In other words, the processor 2242 may indicate that an error has been detected to the emergency state stored in the memory 2240. 如上所述,存储器2240可为非易失性存储器,当例如用户重新设定外科器械2200时,该存储器可保持已检测到应急错误这一存储的状态。 As described above, the memory 2240 may be a non-volatile memory, for example, when the user resets the surgical instrument 2200, the memory can be kept to the emergency state has been detected the error store.

[0240] 在各种情况下,可通过例如使电池2218与马达2216断开连接而关停和/或停用马达2216。 [0240] In various circumstances, for example, by the battery 2218 and the motor 2216 is disconnected while shutting down and / or disable the motor 2216. 在各种情况下,处理器2242可采用驱动器2244来关停或停用马达2216。 In each case, processor 2242 can be employed to drive shut down or disable the motor 2244 2216. 在某些情况下,当使用了马达超控电路时,处理器2242可使用马达超控电路来关停和/或停用马达2216。 In some cases, when the override circuit of the motor, the processor 2242 may be used to shut down the motor override circuit and / or deactivation of the motor 2216. 在某些情况下,关停和/或停用马达2216可阻止外科器械2200的用户使用马达2216, 至少直到例如进行了手动应急。 In some cases, shut down and / or deactivation of the motor 2216 prevents the surgical instrument 2200. User motor 2216, for example, at least until a manual emergency. 读者将认识到,响应于检测到应急错误而关停和/或停用马达2216,可有利于保护由外科器械2200捕集的组织。 Readers will recognize that the emergency response to errors detected and shut down and / or deactivate the motor 2216, can help protect the surgical instrument 2200 by the capture of the organization.

[0241] 除上述内容之外,仍参见图52,模块2252可包括用于检测应急门2232是否移除的决策步骤2256。 [0241] In addition to the above, still referring to FIG. 52, the module 2252 may include a decision step 2232 whether to remove the emergency door detecting 2256. 如上所述,处理器2242可以可操作地联接到应急门反馈元件2246,该应急门反馈元件可被构造成能够警示处理器2242关于应急门2232是否移除的信息。 As described above, the processor 2242 can be operatively coupled to the emergency door, the feedback element 2246, feedback element of the emergency door may be configured to be on emergency alert information processor 2242 2232 whether to remove the door. 在某些情况下,处理器2242可被编程为例如当应急门反馈元件2246报告锁定机构2234解锁时,检测应急门2232是否被移除。 In some cases, the processor 2242 may be programmed, for example, when the feedback element 2246 reports the emergency door lock mechanism 2234 is unlocked, the door 2232 is detected whether or not the emergency is removed. 在某些情况下,处理器2242被编程为例如当应急门反馈元件2246报告应急门2232打开时,检测应急门2232是否被移除。 In some cases, the processor 2242 is programmed, for example, when the feedback element 2246 reports the emergency door emergency door 2232 is opened, detecting whether the emergency door 2232 is removed. 在某些情况下,处理器2242被编程为例如当应急门反馈元件2246报告锁定机构2234解锁且应急门2232打开时,检测应急门2232是否被移除。 In some cases, the processor 2242 is programmed, for example, when the feedback element 2246 reports the emergency door locking and unlocking mechanism 2234 to open the emergency door 2232, 2232 detect whether the emergency door removed.

[0242] 在各种情况下,仍参见图52,在决策步骤2254中当处理器2242未检测到应急错误, 并且在决策步骤2256中当处理器2242未检测到应急门2232被移除时,该处理器可能不会中断外科器械2200的正常操作,并可利用各种临床算法继续进行操作。 [0242] In each case, still referring to FIG. 52, 2254, when the processor is not detected at decision step 2242 to the emergency errors, when the processor 2256 and 2242 has not detected the emergency door at decision step 2232 is removed, the processor may not interrupt the normal operation of the surgical instrument 2200, and can use a variety of clinical algorithms to proceed. 在某些情况下,在决策步骤2254中当处理器2242未检测到应急错误,但在决策步骤2256中处理器2242检测到应急门2232被移除时,该处理器可如上文所述那样通过关停和/或停用马达2216而作出响应。 In some cases, when the processor at decision step 22542242 emergency error is not detected, but decision step detects the processor 22562242 2232 when the emergency door is removed, as described above, the processor may pass above shutting down and / or disable the motor 2216 responds. 此外,在某些情况下,处理器2242也可为用户提供关于重新安装应急门2232的指令,如下文所详述。 Further, in some cases, the processor 2242 may also provide instructions regarding user 2232 to reinstall the emergency door, as detailed below. 在某些情况下,当处理器2242检测到应急门2232已重新安装,同时未检测到应急错误时,处理器2242可被构造成能够重新将功率源与马达2216连接,并使用户利用临床算法继续操作,如图52所示。 In some cases, when the processor 2242 detects the emergency door 2232 has been re-installed, and an error response is not detected, the processor 2242 may be configured to be able to re-connect the power source to the motor 2216, and the user using clinical Algorithm continue, shown in Figure 52.

[0243] 在某些情况下,当用户未重新安装应急门2232时,处理器2242可能不会重新将功率源与马达2216连接,而是继续为用户提供关于重新安装应急门2232的指令。 [0243] In some cases, when a user does not reinstall the emergency door 2232, the processor 2242 may not be re-connected to the power source and the motor 2216, but continues to provide users with instructions as to reinstall the emergency door 2232. 在某些情况下,当用户未重新安装应急门2232时,处理器2242可向用户提供需要重新安装应急门2232 以便继续正常操作外科器械2200这一警告。 In some cases, when a user does not reinstall the emergency door 2232, the processor 2242 may provide the user need to re-install the emergency door 2232 in order to continue the normal operation of the surgical instrument 2200 that warning. 在某些情况下,外科器械2200可配备有超控机构(未示出),以使用户即便在未安装应急门2216的情况下,也能够重新连接功率源和马达2216〇 In some cases, a surgical instrument 2200 may be equipped with an override mechanism (not shown), so that the user, even in the case of emergency the door 2216 is not installed, it is possible to re-connect the power source and the motor 2216〇

[0244] 在各种情况下,处理器2242可被构造成能够在处理器2242检测到应急门2232被移除时,为用户提供感观反馈。 [0244] In each case, the processor 2242 may be configured to detect when the emergency door 2242 can be removed in the processor 2232, to provide sensory feedback to the user. 在各种情况下,处理器2242可被构造成能够在处理器2242检测到应急门2232被重新安装时,为用户提供感观反馈。 In each case, the processor 2242 may be configured to detect when the emergency door 2242 can be reinstalled in the processor 2232, to provide sensory feedback to the user. 处理器2242可采用各种装置为用户提供感官反馈。 The processor 2242 may employ various means to provide sensory feedback to the user. 这类装置可包括例如视觉反馈装置,例如显示屏和/或LED指示器。 Such means may comprise, for example, visual feedback device, such as display and / or LED indicators. 在某些情况下,这类装置可包括听觉反馈装置,例如扬声器和/或蜂鸣器。 In some cases, such apparatus may include audible feedback device, such as a speaker and / or a buzzer. 在某些情况下,这类装置可包括触觉反馈装置,例如触觉致动器。 In some cases, such apparatus may include a tactile feedback means, e.g. haptic actuators. 在某些情况下,这类装置可包括视觉反馈装置、听觉反馈装置和/或触觉反馈装置的组合。 In some cases, such apparatus may comprise a combination of visual feedback means, the feedback means audible and / or tactile feedback device. 在某些情况下,处理器2242可采用显示器2250来指示用户重新安装应急门2232。 In some cases, the display 2250 can be a processor 2242 instructs the user to re-install the emergency door 2232. 例如,处理器2242可通过例如显示器2250向用户呈现应急门2232 图像及其旁边的警示符号。 For example, the processor 2242 may render the emergency door 2250 and the image 2232 alert symbol next to a user via a display, for example. 在某些情况下,处理器2242可呈现例如应急门2232已被安装的动画图像。 In some cases, the processor 2242 may present animated images such as emergency door 2232 has been installed. 也可通过显示器2250显示其他图像、符号和/或词语以警示外科器械2200的用户重新安装应急门2232。 It may also display other images, symbols and / or words by 2250 display to alert the user of the surgical instrument 2200 2232 reinstall the emergency door.

[0245] 再次参见图52,当检测到应急错误时,处理器2242可信向外科器械2200的用户发出使用应急柄部2230执行手动应急的信号。 [0245] Referring again to FIG. 52, when an error is detected emergency, emergency manual issued by the trusted processor 2242 using the emergency handle signals the user performs a surgical instrument 2230 2200. 在各种情况下,处理器2242可例如通过为用户提供视觉、听觉和/或触觉反馈,而向用户发出执行手动应急的信号。 In each case, the processor 2242 may be, for example, by providing the user a visual, audible and / or tactile feedback, performing manual emergency emits a signal to a user. 在某些情况下,如图52 所示,处理器2242可通过使显示器2250的背光源闪烁,来向外科器械2200的用户发出执行手动应急的信号。 In some cases, shown in Figure 52, processor 2242 may cause the display backlight blinks by 2250 to issue signals to perform a user manual emergency surgical instrument 2200. 在任何情况下,处理器2242随后可为用户提供执行手动应急的指令。 In any case, the processor 2242 can then provide instructions to perform manual emergency users. 在各种情况下,如图52所示,这些指令可能取决于是否已安装应急门2232;决策步骤2258可确定向用户提供的指令类型。 In each case, as shown in Figure 52, these instructions may depend on whether the emergency door 2232 has been installed; decision step 2258 to determine the type of instruction may be provided to the user. 在某些情况下,当处理器2242检测到应急门2232已安装时,处理器2242可向用户提供例如移除应急门2232的指令和操作应急柄部2230的指令。 In some cases, when the processor 2242 detects the emergency door 2232 is installed, the processor 2242 may provide instructions to remove, for example, instructions and emergency operation of the emergency door handle portion 2232 to the user 2230. 但是,当处理器2242检测到应急门2232被移除时,处理器2242可向用户提供例如操作应急柄部2230的指令,但不提供移除应急门2232的指令。 However, when the processor 2242 detects the emergency door 2232 is removed, the processor 2242 may provide instructions, for example, operation of the emergency handle portion 2230 to the user, but does not provide an instruction to remove the emergency door 2232.

[0246] 再次参见图52,在各种情况下,由处理器2242向用户提供的移除应急门2232和/或操作应急柄部2230的指令可包括一个或多个步骤;这些步骤可按时间顺序呈现给用户。 [0246] Referring again to FIG. 52, in each case, removing the emergency door 2242 provided to the user by the processor 2232 and / or operational instructions emergency handle portion 2230 may include one or more steps; these steps can be time order presented to the user. 在某些情况下,这些步骤可包括由用户进行的动作。 In some cases, these steps may include an action by the user. 在这些情况下,用户可通过进行每一步骤中所示的动作,而执行手动应急步骤。 In these cases, the user can perform the operation shown in each step, and the step of performing manual emergency. 在某些情况下,一个或多个步骤中所需的动作能够例如以显示在显示器2250上的动画图像的形式呈现给用户。 In some cases, a desired one or more steps in the form of actions can be, for example, to display the animated image on the display 2250 is presented to the user. 在某些情况下,一个或多个步骤能够以信息的形式呈现给用户,该信息可包括指导用户进行手动应急的词语、信号和/或图像。 In some cases, one or more steps in the form of information can be presented to the user, the guide information may include a user manual emergency words, signals and / or images. 在某些情况下,可将一个或多个进行手动应急的步骤例如结合在一条或多条信息中。 In some cases, one or more steps such as a manual emergency incorporated in one or more pieces of information. 在某些情况下,每一信息可例如包括单独的步骤。 In some cases, each of the information may comprise, for example, a separate step.

[0247] 在某些情况下,可例如在预先确定的时间间隔内将提供了用于手动应急的指令的这些步骤和/或信息呈现给用户,从而使用户有足够长的时间来遵照这些步骤和/或信息进行操作。 [0247] In some cases, for example within a predetermined time interval to provide a manual override of the instructions for steps and / or information to the user, allowing the user to have a long enough time to follow these steps and / or information to operate. 在某些情况下,处理器2242可被编程为持续呈现步骤和/或信息,直至处理器2242 接收到已执行该步骤的反馈信息。 In some cases, the processor 2242 may be programmed to continue to show the steps and / or information until receiving the feedback information processor 2242 has performed this step. 在某些情况下,例如可由应急门反馈元件2246向处理器2242提供反馈。 In some cases, for example, by the emergency door 2246 to provide feedback to the feedback processor element 2242. 处理器2242也可采用其他机构和/或传感器获取已完成该步骤的反馈。 The processor 2242 may also be used other means and / or the step has been completed acquisition sensor feedback. 在至少一个示例中,当例如通过按压警示按钮完成步骤时,用户可得到警示处理器2242的指示。 In at least one example, when the step is completed, for example by pressing a button alert, alert the user to obtain an indication of the processor 2242. 在某些情况下,显示器2250可包括电容屏,该电容屏可为用户提供接口,从而在步骤完成时警示处理器2242。 In some cases, the display 2250 may include a capacitive screen, the screen may provide a capacitive user interface, so that the warning is completed at step 2242 the processor. 例如,在完成当前步骤之后,用户可按压电容屏以继续进行手动应急指令的下一步骤。 For example, after completion of this step, the user may press a capacitive screen to proceed to the next step instruction manual emergency.

[0248] 在某些情况下,如图52所示,在检测到应急门2232已安装时,处理器2242可被构造成能够使用显示器2250呈现出手正朝向应急门2232运动的动画图像2260。 [0248] In some cases, as shown, upon detection of the emergency door 2232 is installed, the processor 2242 may be configured to use the display 52 to 2250 shots rendering the animated image is moving toward the emergency door 2260 2232 movement. 处理器2242可持续显示动画图像2260-段时间,例如足以让用户接触应急门2232的时间间隔。 Sustainable animated image processor 2242 2260- period of time, for example, enough to make contact with the emergency door 2232 users intervals. 在某些情况下,处理器2242随后可例如用示出了以手指接触应急门锁定机构2234的动画图像2262来代替动画图像2260。 In some cases, the processor 2242 may then be used, for example, shows a finger in contact with the emergency door locking mechanism moving image 2262 2234 2260 instead of the moving image. 处理器2242可持续显示动画图像2262-段时间,例如足以让用户解锁锁定机构2234的时间间隔。 2242 Sustainable animated image processor 2262-a period of time, for example, sufficient to allow users to unlock the locking mechanism 2234 interval. 在某些情况下,处理器2242可持续显示动画图像2262,直至例如应急门反馈元件2246报告锁定机构2234被解锁。 In some cases, the processor 2242 2262 sustainable animated image, for example, until the feedback element 2246 reports the emergency door lock mechanism 2234 is unlocked. 在某些情况下,处理器2242可持续显示动画图像2262,直至用户警示处理器2242已完成解锁锁定机构2234这一步骤。 In some cases, the processor 2242 Sustainable animated image 2262 until the user has completed the alert processor 2242 2234 This step unlocking the lock mechanism.

[0249] 在任何情况下,处理器2242随后可例如用示出了以手指移除应急门2232的动画图像2264来代替动画图像2262。 [0249] In any case, the processor 2242 may then be used, for example, shows an animated image 2264 to remove the emergency door 2232 instead of the finger 2262 animated image. 处理器2242可持续显示动画图像2264-段时间,例如足以让用户移除应急门2232的时间间隔。 2242 Sustainable animated image processor 2264 period of time, for example, sufficient to allow the user to remove the emergency door 2232 interval. 在某些情况下,处理器2242可持续显示动画图像2264,直至例如应急门反馈元件2246报告应急门2232被移除。 In some cases, the processor 2242 2264 sustainable animated image, for example, until the 2246 report the emergency door emergency door feedback element 2232 is removed. 在某些情况下,处理器2242可持续显示动画图像2264,直至例如用户警示处理器2242已完成移除应急门2232这一步骤。 In some cases, the processor 2242 sustainable display animated images 2264, for example, a user alert until the processor 2242 has completed this step of removing the emergency door 2232. 在某些情况下,处理器2242可移除被构造成能够在处理器2242持续检测到在决策步骤2258中安装应急门时,继续以其相应顺序重复显示动画图像2260、2262和2246。 In some cases, the processor 2242 may be configured to be removed continuously detected emergency door 2258 when installed, its corresponding sequence is repeated to continue displaying animated images 2260,2262 and 2246 at decision step 2242 the processor.

[0250] 除上述内容之外,在检测到应急门2232被移除之后,处理器2242可继续指导用户进行操作应急柄部2230的步骤。 [0250] In addition to the above, after the detection of the emergency door 2232 is removed, the processor 2242 may instruct the user to continue operation of the emergency handle Step 2230 is performed. 在某些情况下,处理器2242可用例如示出了如上文所述那样以手指抬起应急柄部2230使其与驱动构件2226中的齿2224棘轮接合的动画图像2266来代替动画图像2264。 In some cases, for example, the processor 2242 can be used as described above is shown in a finger-up emergency tooth above the animated image 2224 2266 2230 ratchet engagement portion of the handle so that the drive member 2226 in place of 2264 animated images. 处理器2242可持续显示动画图像2266-段时间,例如足以让用户抬起应急柄部2230的时间间隔。 2242 Sustainable animated image processor 2266-a period of time, for example, sufficient to allow the user to lift the emergency handle 2230 interval. 在某些情况下,处理器2242可持续显示动画图像2266,直至处理器接收到应急柄部2230已被抬起的反馈。 In some cases, the processor 2242 Sustainable animated image 2266 until the processor receives the emergency handle 2230 has been lifted feedback. 例如,处理器2242可持续显示动画图像2266,直至用户警示处理器2242已完成抬起应急柄部2230这一步骤。 For example, the processor 2242 sustainable display animated images 2266, until the user processor 2242 lifted the emergency warning shank 2230 this step has been completed.

[0251] 在某些情况下,如上所述,用户可例如通过使用应急柄部2230沿近侧方向"P"回缩驱动构件2226,而手动地回缩驱动构件2226,以便例如释放由端部执行器2208卡住的组织。 [0251] In some cases, as described above, the user can, for example, by using the emergency handle 2230 in the proximal direction "P" drive member 2226 is retracted, manually retract the drive member 2226, for example, is released by the end portions 2208 actuator jammed organization. 在所述情况下,处理器2242可用例如示出了以手指重复地牵拉然后推挤应急柄部2230从而模拟应急柄部2230回缩的动画图像2268来代替动画图像2266。 In that case, the processor 2242 can be used, for example, shows a finger repeatedly pulled and pushed thus simulating emergency handle 2230 2230 retracted emergency handle portion 2268 in place of the animated image animated image 2266. 处理器2242可持续显示动画图像2268-段时间,例如足以让用户将驱动构件2226回缩至默认位置的时间间隔。 Animated image processor 2242 sustainable time period 2268, for example, enough for the user to retract the drive member 2226 to the default position of the time interval. 在某些情况下,处理器2242可持续显示动画图像2268,直至处理器2242接收到驱动构件2226已回缩的反馈。 In some cases, the processor 2242 sustainable animated image 2268, 2242 is received until the processor 2226 has retracted the drive member feedback.

[0252] 图53示出了模块2270,该模块在许多方面与模块2258类似。 [0252] FIG. 53 shows the module 2270, this module similar to module 2258 in many respects. 例如,模块2252也可存储在存储器2240中并且/或者由处理器2242执行,例如以警示、引导外科器械2200的用户, 并且/或者向其提供关于进行外科器械2200的手动应急的反馈。 For example, module 2252 may also be stored in the memory 2240 and / or 2242 executed by a processor, such as a warning, the user guiding a surgical instrument 2200, and / or provide feedback regarding thereto surgical instrument 2200. emergency manual. 在某些情况下,外科器械2200可不包括应急门。 In some cases, surgical instrument 2200 may include emergency door. 在此类情况下,处理器2242可使用模块2270向用户提供例如关于如何操作应急柄部2230的指令。 In such cases, the processor 2242 may be used, for example, module 2270 provides instructions on how to operate the emergency handle 2230 to the user.

[0253] 再次参见图53中所示的模块2270,在模块2270的决策步骤2254中当处理器2242未检测到应急错误时,该处理器2242可能不会中断外科器械2200的正常操作,并可利用各种临床算法继续进行操作。 Module shown in [0253] Referring again to FIG. 53, 2270, at block 2254, decision step 2270 the processor 2242 when the error is not detected emergency, the processor 2242 may not interrupt the normal operation of the surgical instrument 2200, and using a variety of clinical algorithms to proceed. 然而,在模块2270的决策步骤2254中当处理器2242检测到应急错误时,该处理器2242可例如通过关停和/或停用马达2216而作出响应。 However, at block 2254, decision step 2270 the processor 2242 when the error is detected to the emergency, for example, the processor 2242 may respond by shutting down and / or disable the motor 2216. 此外,在某些情况下, 在检测到应急错误之后,处理器2242也可将应急状态存储在存储器2240中,如图53所示。 Further, in some cases, after detecting an error response, the processor 2242 may also be stored in the memory panic state 2240, shown in Figure 53. 不存在应急门时,处理器2242可例如通过使显示器2250的背光源闪烁,而向外科器械2200的用户发出进行手动应急的信号;然后如上文所述那样,处理器2242可直接继续为用户提供操作应急柄部2230的指令。 When the emergency door is not present, the processor 2242 may be, for example, by flashing a display backlight 2250, and issued to the user of the surgical instrument 2200 manual emergency signal; above and as described above, the processor 2242 may direct the user to continue to provide 2230 instruction operation of the emergency handle.

[0254] 读者将认识到,图52和/或53中所示的步骤是可以提供给外科器械2200的用户进行手动应急的指令的示例性实施例。 [0254] The reader will appreciate that the steps / or 53 shown in FIG. 52 and is an exemplary embodiment of a surgical instrument 2200 may be provided to the user manual emergency instructions. 模块2252和/或2270可被构造成能够提供比图52和图53中所示模块更多或更少的步骤。 2252 and / or 2270 may be configured to provide a module 52 shown in FIG. 53 and more or fewer steps than the module of FIG. 读者也将认识到,模块2252和/或2270为示例性的模块; 处理器2242也可执行各种其他模块,以向外科器械2200的用户提供进行手动应急的指令。 The reader will also be appreciated, the module 2252 and / or 2270 are exemplary modules; a processor 2242 may also perform various other modules, to provide instructions to a user for manual emergency surgical instrument 2200.

[0255] 在各种情况下,如上所述,处理器2242可被构造成能够在预先确定的时间间隔中向外科器械2200的用户呈现进行手动应急的步骤和/或信息。 [0255] In various circumstances, as described above, the processor 2242 may be configured to be capable of presenting step manual emergency and / or information to a user of the surgical instrument 2200 in a predetermined time interval. 根据例如由用户进行的任务的复杂性,这些时间间隔可以相同或可以不同。 Depending on the complexity of the task, for example, by the user, these time intervals may be the same or may be different. 在某些情况下,这些时间间隔可为在例如约1秒至例如约10分钟范围内的任何时间间隔。 In some cases, for example, the time interval may be any time within a range of about 10-minute intervals, for example, about 1 second. 在某些情况下,这些时间间隔可为在例如约1 秒至例如约1分钟范围内的任何时间间隔。 In some cases, the time interval may be any time, for example, in the range of about 1 minute intervals, for example, about 1 second. 本公开可设想到其他时间间隔。 The present disclosure may be contemplated other time intervals.

[0256] 在一些情况下,功率组件(例如图31至图33中所示的功率组件2006)被构造成能够监测功率组件2006和/或联接到功率组件2006的外科器械2000的使用次数。 [0256] In some cases, the power components (e.g., 31 to the power module 33 as shown in 2006) is configured to be capable of monitoring the number of times the power module and / or the power module is coupled to the surgical instrument 2006 2006 2000. 功率组件2006 保持着对应于使用次数的使用循环计数。 Maintain power module 2006 corresponds to the frequency of use of using a loop counter. 功率组件2006和/或外科器械2000根据使用循环计数,进行一个或多个动作。 Power module 2006 and / or the use of surgical instrument 2000 according to the cycle count for one or more actions. 例如,在一些情况下,当使用循环计数超过预先确定的使用极限时,功率组件2006和/或外科器械2000可停用功率组件2006、停用外科器械2000,这表明需要进行修复循环或保养循环,并向操作者和/或远程系统提供使用循环计数和/或进行任何其他合适的动作。 For example, in some cases, when using the loop count exceeds a predetermined limit, the power module 2006 and / or surgical instrument 2000 may disable the power module 2006, disabling the surgical instrument 2000, which indicates a need for repair or maintenance of circulating loop , to the operator and / or remote system provides the use of cycle count and / or any other suitable action. 使用循环计数由合适的系统确定,例如,机械限制器、使用循环电路和/ 或联接到电池2006和/或外科器械2000的任何其他合适的系统。 Cycle count is determined by using a suitable system, e.g., mechanical limit, the use of loop circuits and / or coupled to the battery and / or any other suitable surgical instrument systems of 20,062,000.

[°257]图54示出了功率组件2400的一个示例,该功率组件包括被构造成能够监测功率组件2400的使用循环计数的使用循环电路2402。 [° 257] FIG. 54 shows an example of a power module 2400, which includes a power module configured to be used to monitor the power module 2400 using a recirculating loop count circuit 2402. 动力组件2400可联接到外科器械2410。 The power assembly 2400 may be coupled to the surgical instrument 2410. 使用循环电路2402包括处理器2404和使用指示器2406。 Using a loop circuit 2402 includes a processor 2404 and 2406 using a pointer. 使用指示器2406被构造成能够向处理器2404提供信号,以指示电池组2400和/或联接到功率组件2400的外科器械2410的使用情况。 Using the pointer 2406 is configured to provide a signal to the processor 2404, to indicate that the battery 2400 and / or the use of a surgical instrument assembly coupled to the power 2400 2410. "使用情况"可包括任何合适的动作、条件和/或参数,例如,改变外科器械2410的模块化部件、部署或击发联接到外科器械2410的一次性部件、从外科器械2410递送电外科能量、修复外科器械2410和/或功率组件2400、交换功率组件2400、为功率组件2400再充电,和/或超出外科器械2410和/或电池组2400的安全限制。 "Usage" may comprise any suitable action, conditions and / or parameters, e.g., a surgical instrument change modular components 2410, deployment or firing member coupled to a disposable surgical instrument 2410, the delivery of electrosurgical energy from the surgical instrument 2410, repair surgical instrument 2410 and / or 2400 power module, the power switching components 2400, 2400 to recharge the power module, and / or exceed safety limits of the surgical instrument 2410 and / or 2400 of the battery pack.

[0258] 在一些情况下,使用循环或使用情况由一个或多个功率组件2400参数限定。 [0258] In some cases, the use or usage cycle is defined by one or more parameters of the power module 2400. 例如, 在一种情况下,使用循环包括使用大于5%的当功率组件2400处于完全充电水平时可得自功率组件2400的总能量。 For example, in one case, when the total energy cycle includes the use of more than 5% of the power module 2400 available from the power module in a fully charged level 2400. 在另一种情况下,使用循环包括超出预先确定的时间限值的从功率组件2400的连续能量消耗。 In another case, the use cycle comprising exceeds a predetermined time limit energy consumption from the power assembly 2400 is continuous. 例如,使用循环可对应于从功率组件2400连续和/或总能量消耗五分钟。 For example, using a loop may correspond to and / or from the total energy consumption of the power module 2400 continuously for five minutes. 在一些情况下,功率组件2400包括使用循环电路2402,该使用循环电路存在连续功率消耗,以将使用循环电路2402的一个或多个部件,例如使用指示器2406和/或计数器2408保持在工作状态下。 In some cases, the power assembly 2400 includes a circuit 2402 using the loop, there is a continuous loop using the power consumption of the circuit to the loop circuit 2402 using one or more components, for example using the indicator 2406 and / or maintained in the operating state counters 2408 under.

[0259] 处理器2404保持着使用循环计数。 [0259] The processor 2404 used to maintain cycle counts. 使用循环计数指示出由使用指示器2406检测到的功率组件2400和/或外科器械2410的使用次数。 Using a cycle count indicates a power module 2406 using the pointer to the detected number of uses 2400 and / or 2410 of the surgical instrument. 处理器2404可根据来自使用指示器2406 的递增而缩减和/或减少使用循环计数。 The processor 2404 may be reduced using a pointer is incremented from 2406 and / or reduce the use of cycle count. 使用循环计数用于控制功率组件2400和/或外科器械2410的一个或多个操作。 Using the loop counter for controlling the power component and / or a surgical instrument 2410, 2400 or more operations. 例如,在一些情况下,当使用循环计数超出预先确定的使用极限时,停用功率组件2400。 For example, in some cases, when using the loop count exceeds a predetermined limit, disable power module 2400. 尽管本文所述情况是相对于递增使用循环计数使其超出预先确定的使用极限而论述的,但本领域中的那些技术人员将认识到,使用循环计数可开始于某个预先确定的量,并可由处理器2404缩减。 Although described herein with respect to the case of using a loop counter is incremented so as to use exceeds a predetermined limit and discussed, those skilled in the art will recognize that the use of a loop count may begin at a predetermined amount, and processor 2404 may be reduced. 在这种情况下,当使用循环计数降至低于预先确定的使用极限时,处理器2404即启动和/或阻止功率组件2400的一个或多个操作。 In this case, when using the loop count falls below a predetermined limit, i.e., a processor 2404 and / or preventing one or more of the power module 2400 operation is started.

[0260] 使用循环计数由计数器2408保持。 [0260] Using the loop count held by the counter 2408. 计数器2408包括任何合适的电路,例如,存储器模块、模拟计数器和/或被构造成能够保持使用循环计数的任何电路。 Counter 2408 comprises any suitable circuit, e.g., memory modules, counters and analog / or configured to use any circuitry capable of holding cycle count. 在一些情况下,计数器2408与处理器2404-体地形成。 In some cases, the counter 2408 and the processor forms 2404- body. 在其他情况下,计数器2408包括单独的部件,例如固态存储器模块。 In other cases, the counter 2408 comprise separate components, such as solid state memory module. 在一些情况下,使用循环计数被提供给远程系统,例如中央数据库。 In some cases, the loop count is provided to the remote system, such as a central database. 使用循环计数由通信模块2412传输到远程系统。 Use cycle count module 2412 is transmitted by the communication to the remote system. 通信模块2412被构造成能够使用任何合适的通信媒介,例如,有线和/或无线通信。 The communication module 2412 is configured to be able to use any suitable communications medium, e.g., wired and / or wireless communications. 在一些情况下,通信模块2412被构造成能够在使用循环计数超出预先确定的使用极限时,接收来自远程系统的一个或多个指令,例如控制信号。 In some cases, the communication module 2412 is configured to be used when using the loop count exceeds a predetermined limit, receiving one or more instructions from a remote system, such as control signals.

[0261] 在一些情况下,使用指示器2406被构造成能够监测与联接到功率组件2400的外科器械2410-起使用的模块化部件的数目。 [0261] In some cases, the indicator 2406 can be configured to monitor the number of power coupled to the surgical instrument assembly of 2410- 2400 from modular components used. 模块化部件可包括例如,模块化轴、模块化端部执行器和/或任何其他模块化部件。 The modular components may include, for example, a modular shaft, modular end effector and / or any other modular components. 在一些情况下,使用指示器2406监测一个或多个一次性部件的使用情况,例如,在联接到外科器械2410的端部执行器内插入和/或部署钉仓的情况。 In some cases, the use of the indicator 2406 monitors one or more disposable components, for example, in the case of insertion and / inner end effector or surgical instrument 2410 is coupled to the deployment of the staple cartridge. 使用指示器2406包括一个或多个传感器,这些传感器用于检测外科器械2410的一个或多个模块化和/或一次性部件的交换。 2406 usage indicator comprises one or more sensors, sensors for detecting a surgical instrument exchange 2410 or more modular and / or disposable components.

[0262] 在一些情况下,使用指示器2406被构造成能够监测在已安装功率组件2400时进行的单次患者外科手术。 [0262] In some cases, the indicator 2406 is configured to be monitored in a single patient's surgically installed power assembly 2400 when the. 例如,当功率组件2400联接到外科器械2410时,使用指示器2406可被构造成能够监测外科器械2410的击发。 For example, when the power assembly 2400 is coupled to the surgical instrument 2410 when using a pointer 2406 can be configured to be able to monitor the firing of the surgical instrument 2410. 击发可对应于钉仓的部署、电外科能量的施加和/或任何其他合适的外科事件。 The firing may correspond to the deployment of the staple cartridge, and / or any other suitable surgical event of application of electrosurgical energy. 使用指示器2406可包括用于在已安装功率组件2400时,测量击发次数的一个或多个电路。 Using a pointer 2406 can include a power module has been installed at the time 2400, a measurement of the number of firing circuits or more. 当进行单次患者手术时,使用指示器2406向处理器2404提供信号,然后处理器2404递增使用循环计数。 When a single patient procedure, using a pointer 2406 to provide a signal processor 2404, processor 2404 then increments the loop counter used.

[0263] 在一些情况下,使用指示器2406包括被构造成能够监测功率源2414的一个或多个参数(例如,自功率源2414消耗的电流)的电路。 [0263] In some cases, the indicator 2406 includes one or more parameters (e.g., from a power source current consumed 2414) is configured to monitor the power source 2414 can be a circuit. 功率源2414的一个或多个参数对应于可由外科器械2410执行的一个或多个操作,例如,切割和缝合操作。 A power source 2414 or more parameters corresponding to one or more operations performed by the surgical instrument 2410, e.g., cutting and stapling operation. 使用指示器2406向处理器2404提供一个或多个参数,当这一个或多个参数指示出手术已进行时,该处理器递增使用循环计数。 Using a pointer 2406 to processor 2404 or more parameters when one or more parameters indicative of the operation has been performed, using the processor increments the loop counter.

[0264] 在一些情况下,使用指示器2406包括被构造成能够在预先确定的时间段后递增使用循环计数的计时电路。 [0264] In some cases, using a pointer 2406 comprises a timing circuit used to increment the loop counter after a predetermined period of time is configured. 预先确定的时间段对应于单次患者手术时间,即操作者进行手术(例如,切割和缝合手术)所需的时间。 The predetermined time period corresponds to a single patient operation time, i.e. the time required for the operator performs operation (e.g., cutting and stapling procedure). 当功率组件2400联接到外科器械2410时,处理器2404 轮询使用指示器2406,以确定单次患者手术时间是否已结束。 When the power assembly 2400 is coupled to the surgical instrument 2410, the processor 2404 polls using a pointer 2406, a single patient to determine whether the operation time has ended. 若预先确定的时间段已经过去,处理器2404则递增使用循环计数。 If the predetermined time period has elapsed, the processor 2404 using the loop counter is incremented. 在递增使用循环计数之后,处理器2404重新设定用户指示器2406的计时电路。 After the loop counter is incremented use, the user processor 2404 resets the indicator timing circuit 2406.

[0265] 在一些情况下,使用指示器2406包括与单次患者手术时间近似的时间常数。 [0265] In some cases, the time constant using a pointer 2406 comprises a single patient approximate operation time. 图55 示出功率组件2500的一个实例,该功率组件包括具有电阻器-电容器(RC)计时电路2506的使用循环电路2502。 FIG 55 shows an example of the power assembly 2500, the assembly comprises a power resistor having - a timer circuit 2506 using a recirculating circuit capacitor (RC) 2502. RC计时电路2506包括由电阻器-电容器对限定的时间常数。 RC timing circuit 2506 includes a resistor - capacitor time constant defined. 时间常数由电阻器2516和电容器2518的值限定。 The time constant defined by values ​​of the resistor 2516 and the capacitor 2518. 当功率组件2500安装在外科器械中时,处理器2504轮询RC计时电路2506。 When the power assembly mounted in the surgical instrument 2500, the processor 2504 polls RC timing circuit 2506. 当RC计时电路2506的一个或多个参数低于预先确定的阈值时,处理器2504递增使用循环计数。 When the RC timing circuit 2506 of one or more parameter is below a predetermined threshold, the processor 2504 using the loop counter is incremented. 例如,处理器2504可轮询电阻器-电容器对2506的电容器2518的电压。 For example, the processor 2504 may poll resistor - capacitor voltage of the capacitor 2506 2518. 当电容器2518的电压低于预先确定的阈值时,处理器2504递增使用循环计数。 When the voltage of the capacitor 2518 is lower than a predetermined threshold value, the processor 2504 using the loop counter is incremented. 处理器2504可通过例如A/D 2520联接到RC计时电路2506。 The processor 2504 may be coupled to the RC timing circuit 2506, for example, by A / D 2520. 在递增使用循环计数之后,处理器2504 将晶体管2522导通,以将RC计时电路2506连接至功率源2514,从而为RC计时电路2506的电容器2518充电。 After the loop counter is incremented use, the processor 2504 of the transistor 2522 is turned on, to the RC timing circuit 2506 is connected to a power source 2514, thereby charging the capacitor of the timer circuit 2506 RC 2518. 当电容器2518充满电时,断开晶体管2522,并使RC计时电路2506放电(如由时间常数控制)以指示后继的单次患者手术。 2518 When the capacitor is fully charged, the transistor 2522 turned off, and the RC timing circuit 2506 discharges (e.g., controlled by a time constant) to indicate a single patient subsequent surgery.

[0266] 图56示出了功率组件2550的一个实例,该功率组件包括具有可再充电电池2564和时钟2560的使用循环电路2552。 [0266] FIG. 56 shows an example of a power module 2550, the power assembly includes a rechargeable battery 2564 and 2560 using a clock loop circuit 2552. 当功率组件2550安装在外科器械中时,可再充电电池2564 由功率源2558充电。 When the power assembly 2550 is mounted on a surgical instrument, the rechargeable battery 2564 can be charged by a power source 2558. 可再充电电池2564包括足够的电力以使时钟2560运行至少单次患者手术时间。 2564 includes a rechargeable battery sufficient power to run a clock at least 2560 patients a single operation time. 时钟2560可包括实时时钟、被构造成能够实现计时功能的处理器或任何其他合适的计时电路。 Clock 2560 can include a real time clock, the processor can be configured to achieve the timing function, or any other suitable timing circuit. 处理器2554接收来自时钟2560的信号,并在时钟2560指示已经超出单次患者手术时间时,递增使用循环计数。 When the processor 2554 receives a signal from the clock 2560, and beyond a single patient in the operation time clock 2560 indicates, using a loop count is incremented. 在递增使用循环计数之后,处理器2554重新设定时钟2560。 After the loop counter is incremented using, processor 2554 resets the clock 2560. 例如,在一种情况下,处理器2554闭合晶体管2562,从而为可再充电电池2564再充电。 For example, in one case, the processor 2554 of the transistor 2562 is closed, so that the rechargeable battery 2564 to be recharged. 当可再充电电池2564充满电时,处理器2554断开晶体管2562,并且当可再充电电池2564放电时使时钟2560运行。 When the rechargeable battery 2564 is fully charged, the processor 2554 off the transistor 2562, the clock 2560 and the discharging operation when the rechargeable battery 2564.

[0267] 重新参见图54,在一些情况下,使用指示器2406包括传感器,该传感器被构造成能够监测功率组件2400所经受的一个或多个环境条件。 [0267] Referring again to Figure 54, in some cases, using a pointer 2406 comprises a sensor, the sensor is configured to one or more environmental conditions are able to monitor the power assembly 2400 is subjected. 例如,使用指示器2406可包括加速度计。 For example, using a pointer 2406 may include an accelerometer. 加速度计被构造成能够监测功率组件2400的加速度。 Accelerometers are configured to be able to monitor the acceleration of the power module 2400. 功率组件2400具有最大加速度耐受度。 Power module 2400 has a maximum acceleration tolerance. 加速度超过预先确定的阈值表示例如功率组件2400已掉落。 Acceleration exceeds a predetermined threshold value, for example, indicates the power module 2400 has been dropped. 当使用指示器2406检测到加速度超过最大加速度耐受度时,处理器2404递增使用循环计数。 When using a pointer 2406 when the detected acceleration exceeds the maximum acceleration tolerance, the processor 2404 using the loop counter is incremented. 在一些情况下,使用指示器2406包括水分传感器。 In some cases, using a pointer 2406 comprises a moisture sensor. 水分传感器被构造成能够在功率组件2400已暴露于水分时进行指示。 Moisture sensor is configured to be able to indicate when the power module 2400 has been exposed to moisture. 水分传感器可包括例如,被构造成能够在功率组件2400已经完全浸没到清洁液体中时进行指示的浸没式传感器、被构造成能够在使用过程中当水分与功率组件2400接触时进行指示的水分传感器,和/或任何其他合适的水分传感器。 Moisture sensors may include, for example, a submerged sensor indicates when a is configured to be completely immersed in the cleaning liquid in the power assembly 2400, indicate when configured to be when the contact of water with the power assembly 2400 during use of the moisture sensor and / or any other suitable moisture sensor.

[0268] 在一些情况下,使用指示器2406包括化学品接触传感器。 [0268] In some cases, the chemical indicator 2406 includes a contact sensor. 化学品接触传感器被构造成能够在功率组件2400已经与有害和/或危险化学品接触时进行指示。 The chemical can be a contact sensor is configured to indicate when 2400 has been contacted with harmful and / or hazardous chemicals power module. 例如,在消毒过程中,可能使用了导致功率组件2400劣化的不合适化学品。 For example, during sterilization, it may cause the power module 2400 using unsuitable chemical degradation. 当使用指示器2406检测到不合适化学品时,处理器2404递增使用循环计数。 When indicator 2406 detects improper chemicals, using the processor 2404 it increments the loop counter.

[0269] 在一些情况下,使用循环电路2402被构造成能够监测功率组件2400所历经的修复循环次数。 [0269] In some cases, circulation circuit 2402 is configured to be able to monitor the number of repair cycles after the power module 2400. 修复循环可包括例如,清洁循环、消毒循环、充电循环、常规和/或预防性维护, 和/或任何其他合适的修复循环。 Repair cycle may comprise, for example, a cleaning cycle, disinfecting cycle, a charging cycle, conventional and / or preventive maintenance, and / or any other suitable repair cycle. 使用指示器2406被构造成能够检测修复循环。 Using the pointer 2406 is configured to be able to check and repair cycle. 例如,使用指示器2406可包括水分传感器以检测清洁和/或消毒循环。 For example, using a pointer 2406 may include a sensor to detect moisture cleaning and / or sterilization cycle. 在一些情况下,使用循环电路2402监测功率组件2400所历经的修复循环次数,并在修复循环次数超出预先确定的阈值之后,停用功率组件2400。 In some cases, the use of a loop circuit to the power module 2402 monitors the number of repair cycles after 2400 cycles and after repair exceeds a predetermined threshold, deactivate the power module 2400.

[0270] 使用循环电路2402可被构造成能够监测功率组件2400交换的次数。 [0270] using a loop circuit 2402 may be configured to monitor the frequency and power module 2400 can be exchanged. 每当交换功率组件2400时,使用循环电路2402便递增使用循环计数。 Whenever the power switching components 2400, 2402 using a loop circuit using a loop count is incremented. 当超出最大交换次数时,使用循环电路2402锁定功率组件2400和/或外科器械2410。 When the switching frequency exceeds the maximum, the use of a locking loop circuit 2402 2400 and / or 2410 power surgical instrument assembly. 在一些情况下,当功率组件2400联接到外科器械2410时,使用循环电路2402识别功率组件2400的序列号并锁定功率组件2400,使得功率组件2400只有在与外科器械2410联接在一起时才可使用。 In some cases, when the power assembly 2400 is coupled to the surgical instrument 2410, the circuit 2402 using a loop sequence number to identify the power module 2400 and a power lock assembly 2400, assembly 2400 such that the power only in the surgical instrument 2410 coupled together before use . 在一些情况下,每当功率组件2400从外科器械2410移除和/或联接到该外科器械时,使用循环电路2402递增使用循环。 In some cases, whenever the power assembly 2400 is removed from the surgical instrument 2410 and / or coupled to the surgical instrument, using a loop circuit using a loop 2402 incremented. [0271] 在一些情况下,使用循环计数对应于功率组件2400的消毒。 [0271] In some cases, the use of a loop count corresponding to the disinfecting power module 2400. 使用指示器2406包括被构造成能够检测消毒循环的一个或多个参数(例如,温度参数、化学参数、水分参数和/或任何其他合适的参数)的传感器。 Using the pointer 2406 is configured to include one or more parameters (e.g., temperature parameters, the chemical parameters, water parameters and / or any other suitable parameter) capable of detecting a sensor sterilization cycle. 当检测到消毒参数时,处理器2404递增使用循环计数。 When detecting the sterilization parameters, the processor 2404 using the loop counter is incremented. 在预先确定的消毒次数之后,使用循环电路2402停用功率组件2400。 After a predetermined number of sterilization, using a loop circuit 2402 to disable power module 2400. 在一些情况下,使用循环电路2402在消毒循环期间、电压传感器和/或任何合适的传感器检测再充电循环期间被重新设定。 In some cases, the use of loop circuits 2402 during the sterilization cycle, a voltage sensor and / or any suitable sensor for detecting during a recharge cycle is reset. 当检测到修复循环时,处理器2404递增使用循环计数。 When detecting the repair cycle, the processor 2404 using the loop counter is incremented. 当检测到消毒循环时,停用使用循环电路2402。 When detecting the sterilization cycles, using a loop circuit 2402 disabled. 当功率组件2400联接到外科器械2410时,重新启用和/或重新设定使用循环电路2402。 When the power assembly 2400 is coupled to the surgical instrument 2410 when re-enabled, and / or re-use of the cycle setting circuit 2402. 在一些情况下,使用指示器包括零功率指示器。 In some cases, the use of indicators including zero-power indicator. 零功率指示器在消毒循环期间改变状态,并当功率组件2400联接到外科器械2410时由处理器2404检查。 Zero power indicator changes state during the sterilization cycle, and when the power assembly 2400 is coupled to the surgical instrument 2410 when examined by the processor 2404. 当零功率指示器指示已经发生消毒循环时,处理器2404递增使用循环计数。 When zero power indicator indicates a sterilization cycle has occurred, the processor 2404 using the loop counter is incremented.

[0272] 计数器2408保持着使用循环计数。 [0272] Counter 2408 counts maintained using a loop. 在一些情况下,计数器2408包括非易失性存储器模块。 In some cases, the counter 2408 comprises a nonvolatile memory module. 每当检测到使用循环时,处理器2404便递增存储在非易失性存储器模块中的使用循环计数。 Whenever use is detected cycle, the processor 2404 is incremented using the cycle count stored in the nonvolatile memory module. 存储器模块可由处理器2404和/或控制电路(例如,控制电路1100)访问。 The memory module by the processor 2404 and / or control circuitry (e.g., control circuit 1100) access. 当使用循环计数超出预先确定的阈值时,处理器2404停用功率组件2400。 When a loop count value exceeds a predetermined threshold, the processor 2404 to disable power module 2400. 在一些情况下,使用循环计数由多个电路部件保持。 In some cases, the loop count is held by a plurality of circuit components. 例如,在一种情况下,计数器2408包括电阻器(或熔断器)组。 For example, in one case, the counter 2408 comprises a resistor (or fuse) group. 在每次使用功率组件2400之后,电阻器(或熔断器)可被烧断成打开位置,从而改变电阻器组的电阻。 After each use of the power module 2400, a resistor (or fuse) may be blown into an open position, thereby changing the resistance of the resistor group. 功率组件2400和/或外科器械2410读取剩余的电阻值。 Power module 2400 and / or 2410 to read the rest of the surgical instrument resistance value. 当电阻器组的最后一个电阻器被烧坏时,电阻器组便具有预先确定的电阻(例如,对应于开式电路的无穷大电阻),这表明功率组件2400已经达到其使用极限。 When the last group of the resistance of the resistor is burned, resistor group having a predetermined resistance (e.g., corresponding to open circuit, infinite resistance), which indicates that the power assembly 2400 has reached its use limit. 在一些情况下,电阻器组的电阻用于推导出剩余的使用次数。 In some cases, the resistance of the resistor bank for deriving the number of uses remaining.

[0273] 在一些情况下,当使用循环计数超出预先确定的使用极限时,使用循环电路2402 便阻止功率组件2400和/或外科器械2410的进一步使用。 [0273] In some cases, when using the loop count exceeds a predetermined limit, the circuit 2402 using a loop will prevent the power module 2400 and / or 2410 of the surgical instrument further use. 在一种情况下,例如,利用与外科器械2410-体形成的屏幕将与功率组件2400相关的使用循环计数提供给操作者。 In one case, for example, by using a screen formed with a surgical instrument 2410- body will provide the operator with the use of the power module 2400 associated cycle count. 外科器械2410向操作者提供使用循环计数已经超出功率组件2400的预先确定的限值的指示,并阻止外科器械2410的进一步操作。 The surgical instrument 2410 to provide the operator using the cyclic count has exceeded the limit indicative of a predetermined power module 2400, and prevent further operation of the surgical instrument 2410.

[0274] 在一些情况下,使用循环电路2402被构造成当达到预先确定的使用极限时能够在物理上防止其操作。 [0274] In some cases, circulation circuit 2402 is configured to be physically preventing its operation when it reaches the predetermined limit used. 例如,功率组件2400可包括护罩,该护罩被构造成能够在使用循环计数超出预先确定的使用极限时,部署在功率组件2400的触点上。 For example, the power assembly 2400 may comprise a shroud is configured to be used when using the loop count exceeds a predetermined limit, the power module deployed on the contact 2400. 该护罩通过覆盖功率组件2400的电连接件阻止再充电及使用功率组件2400。 The shroud is electrically connected to the power module by covering member 2400 and prevent the use of rechargeable power module 2400.

[0275] 在一些情况下,使用循环电路2402至少部分地位于外科器械2410之内,并被构造成能够保持外科器械2410的使用循环计数。 [0275] In some cases, circulation circuit 2402 is at least partially positioned within the surgical instrument of 2410, and is configured to use the surgical instrument 2410 can keep count of cycles. 图54以虚线示出了外科器械2410内的使用循环电路2402的一个或多个部件,虚线也示出使用循环电路2402的可选位置。 FIG 54 shows in dotted lines using a loop circuit within the surgical instrument 24102402 one or more members, a broken line is also shown using a loop circuit 2402. selectable position. 当超出外科器械2410的预先确定的使用极限时,使用循环电路2402停用和/或阻止外科器械2410的操作。 When used beyond a predetermined limit of a surgical instrument 2410, the circuit 2402 using a cyclic deactivation and / or preventing operation of the surgical instrument 2410. 当使用指示器2406检测到特定事件和/或需求(例如,外科器械2410的击发、对应于单次患者手术时间的预先确定的时间段)时,使用循环电路2402响应于表明达到了一个或多个预先确定的阈值和/或满足了任何其他合适需求的系统诊断,而根据外科器械2410的一个或多个马达参数递增使用循环计数。 When detection of a specific event indicator 2406 and / or requirements (e.g., firing the surgical instrument 2410, corresponding to a predetermined period of time to a single patient operation time), the circuit 2402 using a cyclic response to a show or reached a pre-determined threshold value and / or to meet any other suitable system diagnostic needs, using incremented motor according to one or more parameters of the surgical instrument 2410 cycle count. 如上所论述,在一些情况下,使用指示器2406包括对应于单次患者手术时间的计时电路。 As discussed above, in some cases, using a pointer 2406 comprises a single patient corresponding to the operation time of the timer circuit. 在其他情况下,使用指示器2406包括一个或多个传感器,这些传感器被构造成能够检测外科器械2410的特定事件和/或条件。 In other cases, the indicator 2406 includes one or more sensors which are configured to be able to detect a specific surgical instrument 2410 events and / or conditions.

[0276] 在一些情况下,使用循环电路2402被构造成能够防止在达到预先确定的使用极限之后使用外科器械2410。 [0276] In some cases, circulation circuit 2402 is configured to be prevented from using the surgical instrument 2410 after reaching a predetermined limit use. 在一些情况下,外科器械2410包括可视指示器,以便当已经达到和/或超过预先确定的使用极限时给出指示。 In some cases, a surgical instrument 2410 includes a visual indicator, in order to give an indication when it has been reached and / or exceeded a predetermined limit use. 例如,标记(诸如红色标记)可从外科器械2410 (诸如从柄部)弹出,从而为操作者提供外科器械2410已超出预先确定的使用极限的视觉指示。 For example, label (such as a red mark) available (such as from the handle) is ejected from the surgical instrument 2410, thereby providing a surgical instrument 2410 has exceeded a predetermined limit using a visual indication to the operator. 又如,使用循环电路2402可联接到与外科器械2410-体地形成的显示器。 As another example, using a loop circuit 2402 may be coupled to a display formed with the body of the surgical instrument 2410-. 使用循环电路2402显示出指示已经超出预先确定的使用极限的信息。 Using a loop circuit 2402 displays information indicating use has exceeded a predetermined limit. 外科器械2410可以向操作者提供已经超出预先确定的使用极限的听觉指示。 2410 may provide the surgical instrument has been used beyond a predetermined limit of an audible indication to the operator. 例如,在一种情况下,当超出预先确定的使用极限时,外科器械2410发出可以听见的音调,然后将功率组件2400从外科器械2410移除。 For example, in one case, when use exceeds a predetermined limit, the surgical instrument 2410 can issue an audible tone, then power is removed from the assembly 24002410 surgical instrument. 可以听见的音调指示出外科器械2410的最后一次使用,并指示应该丢弃或修复外科器械2410。 An audible tone indicative of the last use of the surgical instrument 2410, and indicate that it should be discarded or reconstructive surgical instrument 2410. [0277] 在一些情况下,使用循环电路2402被构造成能够将外科器械2410的使用循环计数传输到远程位置,例如,中央数据库。 [0277] In some cases, circulation circuit 2402 is configured to be able to transmit using the surgical instrument 2410 cycle count to a remote location, e.g., a central database. 使用循环电路2402包括被构造成能够将使用循环计数传输到远程位置的通信模块2412。 Using a loop circuit 2402 includes is configured to be transmitted using the cycle count to a remote location communication module 2412. 通信模块2412可利用任何合适的通信系统,例如有线和/ 或无线通信系统。 The communication module 2412 may utilize any suitable communication system such as a wired and / or wireless communication system. 远程位置可包括被构造成能够保持使用信息的中央数据库。 The remote location may be configured to include a central database can be used to maintain information. 在一些情况下,当功率组件2400联接到外科器械2410时,功率组件2400记录外科器械2410的序列号。 In some cases, when the power assembly 2400 is coupled to the surgical instrument 2410, the power module 2400 records the serial number 2410 of the surgical instrument. 例如,当功率组件2400联接到充电器时,该序列号被传输到中央数据库。 For example, when the power assembly 2400 is coupled to a charger, the sequence number is transmitted to the central database. 在一些情况下,中央数据库保持着对应于外科器械2410的每一次使用的计数。 In some cases, a central database maintained count corresponds to each use of the surgical instrument 2410. 例如,每当使用外科器械2410时, 与外科器械2410相关联的条形码便可被扫描。 For example, whenever the surgical instrument 2410, the bar code associated with the surgical instrument 2410 can be scanned. 当使用计数超过预先确定的使用极限时,中央数据库向外科器械2410提供指示应该丢弃外科器械2410的信号。 When using the usage count exceeds a predetermined limit, the central database 2410 to provide an indication signal should be discarded surgical instrument surgical instrument 2410.

[0278]外科器械2410可被构造成当使用循环计数超出预先确定的使用极限时,能够锁定和/或阻止操作外科器械2410。 [0278] The surgical instrument 2410 may be used when configured to use the cycle count beyond a predetermined limit, the locking and / or prevent operation of the surgical instrument 2410. 在一些情况下,外科器械2410包括一次性仪器,并且在使用循环计数超出预先确定的使用极限之后被丢弃。 In some cases, a surgical instrument 2410 includes a disposable instrument, and discarded after use using the cycle count exceeds the predetermined limit. 在其他情况下,外科器械2410包括可重复使用的外科器械,该外科器械可在使用循环计数超出预先确定的使用极限之后被修复。 In other cases, a surgical instrument 2410 includes a reusable surgical instrument, the surgical instrument can be repaired using the following cycle count exceeds the predetermined limit of use. 在达到预先确定的使用极限之后,外科器械2410引发可逆闭锁。 After reaching a predetermined limit use of the surgical instrument 2410 caused reversible latch. 技术人员例如利用被构造成能够重新设定使用循环电路2402的专业技术键来修复外科器械2410并释放闭锁。 In the art using, for example it is configured to be reset using a loop circuit 2402 expertise surgical instrument 2410 to fix the key and release the latch.

[0279] 在一些情况下,在使用之前为功率组件2400同时进行充电和消毒。 [0279] In some cases, charging the power assembly 2400 and disinfected prior to use simultaneously. 图57示出了被构造成能够同时为电池2602充电并消毒的组合式消毒充电系统2600的一个示例;组合式消毒充电系统2600包括消毒室2604。 FIG. 57 shows at the same time is configured to be charged and the battery 2602 disinfection sterilization modular charging system according to one example of 2600; the combined disinfection sterilization chamber comprising the charging system 2600 2604. 电池2602被设置在消毒室2604内。 Cell 2602 is disposed in sterilization chamber 2604. 在一些情况下,电池2602联接到外科器械。 In some cases, the battery 2602 is coupled to the surgical instrument. 将充电缆线2606安装穿过消毒室2604的壁2608。 The charging cable through the mounting wall 2606 2604 2608 sterilization chamber. 壁2608围绕充电缆线2606密封,从而在消毒期间保持消毒室2604内的无菌环境。 Wall 2608 surrounds the charging cable seal 2606, thus maintaining a sterile environment within the sterilization chamber during sterilization 2604. 充电缆线2606包括第一端部和第二端部,第一端部被构造成能够联接到消毒室2604内的功率组件2602,第二端部被构造成能够联接到位于消毒室2604之外的电池充电器2610。 Charging cable portion 2606 includes a first end and a second end, the first end portion is configured to be coupled to the power assembly 2604 within the sterilization chamber 2602, a second end portion configured to be coupled to the sterilization chamber located outside 2604 the battery charger 2610. 因为在保持消毒室2604内的无菌环境时,充电缆线2606穿过消毒室2604的壁2608,因此功率组件2602可同时被充电和消毒。 Because in the 2604 maintain a sterile environment within the sterilization chamber, the sterilization chamber through the charging cable 2606 26082604 wall, and thus the power assembly 2602 may be simultaneously charged and sterilized. [0280]由电池充电器2610施加的充电曲线被构造成能够匹配消毒室2604的消毒循环。 [0280] is applied by a charging curve of the battery charger 2610 is configured to be able to match the sterilization chamber 2604 sterilization cycles. 例如,在一种情况下,消毒过程时间为约28至38分钟。 For example, in one case, the sterilization process time is about 28-38 minutes. 电池充电器2610被构造成能够提供在消毒过程时间期间为电池充电的充电曲线。 Battery charger 2610 is configured to be provided during the sterilization process time to charge the battery charging curve. 在一些情况下,充电曲线可在消毒过程之后的冷却期内延伸。 In some cases, it may extend in the charging curve during cooling after the sterilization process. 充电曲线可根据来自功率组件2602和/或消毒室2604的反馈由电池充电器2610调整。 Charging curve 2604 may be fed by the battery charger 2610 in accordance with the adjustment and / or sterilization chamber 2602 from the power module. 例如,在一种情况下,传感器2612位于消毒室2604内。 For example, in one case, the sensor 2612 is located within the sterilization chamber 2604. 传感器2612被构造成能够监测消毒室2604的一个或多个特性,例如,存在于消毒室2604中的化学品,消毒室2604的温度和/或消毒室2604的任何其他合适的特性。 Sensor 2612 is configured to be able to monitor a sterilization chamber 2604 or more characteristics, e.g., present in any other suitable characteristic sterilization chamber 2604 Chemicals temperature sterilization chamber 2604 and / or 2604 of the sterilization chamber. 传感器2612通过延伸穿过消毒室2604的壁2608的缆线2614联接到电池充电器2610。 The sensor 2612 is coupled through a cable extending through the wall of the sterilization chamber 2604 2608 2610 2614 to the battery charger. 缆线2614被密封,使得消毒室2604可保持无菌环境。 2614 cable is sealed, so that the sterilization chamber 2604 may maintain a sterile environment. 电池充电器2610根据来自传感器2614的反馈调整充电曲线。 The battery charger 2610 adjusts the charging curve 2614 based on feedback from the sensor. 例如,在一种情况下,电池充电器2610接收来自传感器2612的温度数据,并在消毒室2604和/或功率组件2602的温度超出预先确定的温度时调整充电曲线。 For example, in one case, the battery charger 2610 receives data from a temperature sensor 2612, and the charge out of adjustment when a predetermined temperature profile at the temperature of the sterilization chamber 2604 and / or 2602 of the power module. 又如,电池充电器2610接收来自传感器2612的化学组成信息,并在化学品(例如,H 2O2)接近爆炸限值时阻止功率组件2602充电。 As another example, the battery charger 2610 receives the chemical composition information from the sensor 2612, the explosion limits and close chemicals (e.g., H 2O2) when the power module 2602 prevents charging.

[0281] 图58示出了被构造用于功率组件2652的组合式消毒充电系统2650的一个实例,该功率组件具有在其内一体形成的电池充电器2660。 [0281] FIG. 58 shows an example of a modular power module is configured for charging system 2652 2650 sterilization, the power module having a battery charger 2660 integrally formed therein. 交流电(AC)源2666位于消毒室2654之外,并通过穿过消毒室2654的壁2658安装的AC缆线2656联接电池充电器2660 JC缆线2656 周围的壁2658被密封。 An alternating current (AC) source 2666 is located outside of the sterilization chamber 2654, and coupled to the battery charger 2656 2656 2660 JC wall is sealed around the cable 2658 via a cable through the wall of the sterilization chamber 2654 AC 2658 installed. 电池充电器2660的操作类似于图57中所示的电池充电器2610。 Battery Charger Operation 2660 of FIG 57 is similar to the battery charger 2610 shown in FIG. 在一些情况下,电池充电器2660接收来自传感器2662的反馈,该传感器位于消毒室2654内并通过缆线2664联接到电池充电器2660。 In some cases, the battery charger 2660 receives feedback from the sensor 2662, the sensor is located within the sterilization chamber is coupled to the battery charger 2654 and 2660 via a cable 2664.

[0282] 在各种情况下,外科系统可包括磁体和传感器。 [0282] In various circumstances, a surgical system may include a magnet and the sensor. 经组合,磁体和传感器可配合检测紧固件仓的各种状况,诸如紧固件仓在外科器械的端部执行器中的存在、装载在端部执行器中的紧固件仓的类型和/或装载的紧固件仓的击发状态。 Combined, and the sensor magnet can be used with the fastener cartridge detecting various conditions, such as the presence of a fastener cartridge in the end effector of a surgical instrument, the type loaded in the end effector of the fastener cartridge and / cocked or loaded fastener cartridge. 现在参见图62,端部执行器900 的钳口902可包括例如磁体910,并且紧固件仓920可包括例如传感器930。 Referring now to FIG. 62, the end effector jaws 902,900 may comprise, for example, a magnet 910, and the fastener cartridge 920 may comprise, for example, a sensor 930. 在各种情况下,磁体910可定位在尺寸和构造能够接收紧固件仓920的细长通道904的远侧端部906处。 In each case, the magnet 910 may be positioned at the distal end portion 906 can be sized and configured to receive a fastener cartridge 920 of the elongated channel 904. 此外, 传感器930可至少部分地嵌入或保持在例如紧固件仓920的鼻部924的远侧端部926中。 Further, the sensor 930 may be at least partially embedded in or held in, for example, the distal end 926 of the nose portion 920 of the fastener cartridge 924. 在各种情况下,传感器924可与外科器械的微控制器进行信号通信。 In each case, the sensor 924 may be in signal communication with the microcontroller of the surgical instrument.

[0283] 在各种情况下,当紧固件仓920被定位在钳口902的细长通道904中时,传感器930 可检测磁体910是否存在。 [0283] In various circumstances, when the fastener cartridge 920 is positioned in the elongated channel 904 of the jaws 902, the sensor 930 may detect the magnet 910 is present. 传感器930可检测到例如紧固件仓920不恰当地定位在细长通道904中和/或未装载到细长通道904中的情况,并可将仓装载状态传送到例如外科系统的微控制器。 Sensor 930 may detect, for example, the fastener cartridge 920 is not properly positioned in the elongated channel 904 and / or loaded into the elongated channel 904 in the case, and the cartridge loaded state to a transmitting microcontroller, for example, a surgical system . 在某些情况下,磁体910可定位在例如紧固件仓920中,并且传感器930可定位在例如端部执行器900中。 In some cases, for example, the magnet 910 may be positioned in the fastener cartridge 920, and the sensor 930 may be positioned in the end effector 900. 在各种情况下,传感器930可检测装载在端部执行器900中的紧固件仓920的类型。 In each case, the load sensors 930 in the end 900 of the fastener 920 can detect the type of cartridge. 例如,不同类型的紧固件仓可具有不同的磁性布置,例如相对于仓体或其他仓部件不同的布局、不同的极性和/或不同的磁场强度。 For example, different types of fastener cartridge may have different magnetic arrangements, for example with respect to the cartridge body or various other cartridge component layout, a different polarity and / or different magnetic field strengths. 在这类情况下,传感器930可根据检测到的磁场信号检测定位在钳口902中的仓的类型,例如仓长度、紧固件的数目和/或紧固件高度。 In such cases, the sensor 930 may be positioned in the jaws of the type of cartridge 902 according to the magnetic field signal detected by the detector, e.g., cartridge length, the number of fasteners and / or fasteners height. 除此之外或另选地,传感器930可检测紧固件仓920是否恰当地坐置在端部执行器900 中。 Additionally or alternatively, sensor 930 may detect whether or not a fastener cartridge 920 is properly seated in the end effector 900. 例如,端部执行器900和紧固件仓920可包括多个磁体和/或多个传感器,并且在某些情况下,一个或多个传感器可例如根据多个磁体相对于所述一个或多个传感器的位置检测紧固件仓920是否恰当地定位和/或对齐。 For example, end effector 900 and the fastener cartridge 920 may comprise a plurality of magnets and / or a plurality of sensors, and in some cases, one or more sensors may be, for example, a plurality of magnets with respect to the one or more whether the position detecting sensor fastener cartridge 920 is properly positioned and / or aligned.

[0284] 现在参见图63,在某些情况下,端部执行器3000可包括多个磁体和多个传感器。 [0284] Referring now to FIG. 63, in some cases, the end effector 3000 may comprise a plurality of magnets and a plurality of sensors. 例如,钳口3002可包括定位在其远侧端部3006处的多个磁体3010,3012。 For example, the jaw 3002 may comprise a plurality of magnets 3010, 3012 is positioned in its distal end 3006. 此外,紧固件仓3020 可包括例如定位在鼻部3024的远侧端部3026处的多个传感器3030,3032。 Further, the fastener cartridge 3020 may comprise, for example, a plurality of sensors 3030, 3032 positioned in the nose portion 3026 of the distal end 3024. 在某些情况下,传感器3030,3032可检测钳口3002的细长通道3004中是否存在紧固件仓3020。 In some cases, the sensor 3030, 3032 may detect jaw elongated channel 30043002 whether there fastener cartridge 3020. 在各种情况下, 传感器3030,3032可包括例如霍尔效应传感器。 In each case, the sensor 3030, 3032 may comprise, for example, a Hall effect sensor. 各种传感器在2008年9月23日提交的名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT"的美国专利8,210,411 中有所描述。 He described various sensors in the name of September 23, 2008 entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" US Patent No. 8,210,411. 提交于2008年9月23日的名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT"的美国专利8, 210,411据此全文以引用方式并入本文。 Name filed on September 23 for the "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" US Patent No. 8, 210,411 hereby incorporated by reference herein. 另外添加一个或多个传感器可例如提供更大的宽带信号,这可为外科器械的微控制器提供另外的和/或改善的信息。 Further addition of one or more sensors may be provided, for example greater wideband signal, which may provide additional and / or improved information to the microcontroller of the surgical instrument. 除此之外或另选地,另外的传感器可确定例如紧固件仓3020是否恰当地坐置在钳口3002的细长通道中。 Additionally or alternatively, further sensors may be determined, for example, whether a fastener cartridge 3020 is properly seated in the channel 3002 of the elongated jaws.

[0285] 在各种情况下,磁体可定位在紧固件仓的可运动部件上。 [0285] In various circumstances, the magnets may be positioned on the movable part of the fastener cartridge. 例如,磁体可定位在紧固件仓的在击发行程期间运动的部件上。 For example, the magnets may be positioned on the moving member in the fastener cartridge during the firing stroke. 在这类情况下,端部执行器中的传感器可检测紧固件仓的击发状态。 In such cases, the end of the sensor may detect cocked fastener cartridge. 例如,现在参见图64,磁体3130可定位在紧固件仓3120的滑动件3122上。 For example, referring now to FIG. 64, the magnet 3130 may be positioned on the slide fastener cartridge of 31,223,120. 此外,传感器1110可定位在端部执行器3100的钳口3102中。 Further, the sensor 1110 may be positioned in the end effector jaws of 31,023,100. 在各种情况下,滑动件3122可在击发行程期间平移。 In each case, the slide member 3122 may be translated during the firing stroke. 此外,在某些情况下,滑动件3120在击发行程之后可保持在紧固件仓3120的远侧端部处。 Further, in some cases, after the slide member 3120 may be maintained in the firing stroke of the distal end of the fastener cartridge 3120. 换句话讲,在仓已被击发之后,滑动件3120可保持在紧固件仓3120的远侧端部处。 In other words, after the cartridge has been fired, the slide member 3120 may remain at the distal end of the fastener cartridge 3120. 因此,传感器3110可检测磁体3130和对应滑动件3120的位置,以确定紧固件仓3120是否呈击发状态。 Thus, the sensor 3110 may detect position of the magnet 3130 and a corresponding slide member 3120 to determine whether the fastener cartridge 3120 was cocked. 例如,当传感器3110检测到磁体3130在近侧位置时,紧固件仓3120可为例如未击发和准备击发的,而当传感器3110检测到磁体3130在远侧位置时,紧固件仓3120可为例如已耗尽的。 For example, when the sensor 3110 detects the magnet 3130 in a proximal position, if not an example fastener cartridge 3120 may be cocked and firing, and when the sensor 3110 detects the magnet 3130 at the distal position, fastener cartridge 3120 may be for example, it has been exhausted. 现在参见图65,在各种情况下,端部执行器3200的钳口3202可包括多个传感器3210,3212。 Referring now to FIG. 65, in each case, the end effector jaws 32023200 3210, 3212 may include a plurality of sensors. 例如,近侧传感器3212可定位在钳口3202的近侧部分中,而远侧传感器3210例如可定位在钳口3202的远侧部分中。 For example, the sensor 3212 may be positioned at the proximal proximal portion of the jaws 3202, 3210 and the distal sensor may be positioned, for example, the distal portion 3202 of the jaws. 在这类情况下,例如当滑动件3122在击发行程期间运动时,传感器3210,3212可检测滑动件3122的位置。 In such cases, for example when the slide member 3122 in the firing motion during the stroke, the sensor may detect the position of the slider 3210, 3212, 3122. 在各种情况下,传感器3210, 3212可包括例如霍尔效应传感器。 In each case, the sensor 3210, 3212 may comprise, for example, a Hall effect sensor.

[0286] 除此之外或另选地,端部执行器可包括多个电接触件,这些电接触件可检测紧固件仓是否存在以及/或者是否呈击发状态。 [0286] Additionally or alternatively, the end effector may include a plurality of electrical contacts, the electrical contacts may detect fastener cartridge is present and / or whether the firing was state. 现在参见图66,端部执行器3300可包括钳口3302,该钳口限定被构造成能够接收紧固件仓3320的通道3304。 Referring now to FIG. 66, the end effector 3300 may include jaws 3302, defining the nip is configured to be able to receive a fastener cartridge channel 3320 3304. 在各种情况下,钳口3302和紧固件仓3320可包括电接触件。 In each case, the jaws 3302 and fastener cartridge 3320 may include an electrical contact. 例如,细长通道3304可限定底部表面3306,并且电接触件3310可定位在底部表面3306上。 For example, the elongated channel 3304 may define a bottom surface 3306, and the electrical contact member 3310 may be positioned on the bottom surface 3306. 在各种情况下,多个电接触件3310可限定在细长通道3304 中。 In each case, a plurality of electrical contacts 3310 may be defined in the elongated channel 3304. 电接触件3310可形成击发状态电路3340的一部分,该电路可与外科系统的微控制器进行信号通信。 Electrical contacts 3310 may form part of a firing state of the circuit 3340, the circuit may be in signal communication with the microcontroller surgical system. 例如,电接触件3310可电联接到功率源并/或与功率源通信,并可形成例如开式电路的电活性端部。 For example, electrical contacts 3310 may be electrically coupled to a power source and / or the power source of communication, and may be formed, for example, electrically active end of the open circuit. 在一些情况下,可为电接触件3310中的一个供电,使得电压电位在电接触件3310中间形成。 In some cases, a power supply may be in electrical contact member 3310, so that the voltage potential formed in the intermediate electrical contact 3310. 在某些情况下,这些触点中的一个可联接到例如微处理器的输出通道,其可将电压电位施加到该触点。 In some cases, one of these contacts may be coupled to the output channel, for example, a microprocessor, which may be a voltage potential is applied to the contacts. 另一触点可联接到例如微处理器的输入通道。 The other contact may be coupled to the input channel, for example, a microprocessor. 在某些情况下,电接触件3310可与钳口3302的框架3306绝缘。 In some cases, the electrical contacts can be insulated from the frame member 3310 3302 3306 jaws. 仍参见图66,紧固件仓3320也可包括例如电接触件3330或多个电接触件。 Still referring to FIG. 66, the fastener cartridge 3320 may comprise, for example, 3330 or more electrical contact electrically contacts. 在各种情况下,电接触件3330可定位在紧固件仓3320的可运动元件上。 In each case, the electrical contacts 3330 may be positioned on the fastener cartridge 3320 of the movable element. 例如,电接触件3330可定位在紧固件仓3320的滑动件3322上,因此,电接触件3330可在击发行程期间在紧固件仓3320中运动。 For example, electrical contacts 3330 may be positioned on the slide fastener cartridge 33223320, and thus, the electrical contact member 3330 is movable in the fastener cartridge 3320 during the firing stroke.

[0287] 在各种情况下,电接触件3330可包括例如滑动件3320上的金属杆或板。 [0287] In each case, the electrical contact member 3330 may comprise, for example, metal rods or plates on the sliding member 3320. 紧固件仓3320中的电接触件3330可与例如端部执行器3300中的一个或多个电接触件3310配合。 Electrical contacts in the fastener cartridge 3320 may be 3330 or 3310 in conjunction with, for example, a plurality of electrical contacts end effector 3300. 在某些情况下,当滑动件3322被定位在紧固件仓3320中的特定位置或位置范围中时,电接触件3330可接触所述一个或多个电接触件3310。 In some cases, when the fastener cartridge 3320 is positioned in a particular position or range of positions of the slide member 3322, the electrical contacts 3330 may contact the one or more electrical contacts 3310. 例如,当滑动件3322未击发并因此定位在紧固件仓3320的近侧位置中时,电接触件3330可接触电接触件3310。 For example, when the slide member 3322 and thus the unfired fastener cartridge is positioned in the proximal position 3320, the electrical contacts 3330 may contact the electrical contact 3310. 在这类情况下,电接触件3330可关闭例如电接触件3310之间的电路。 In such cases, the electrical contact member 3330 may be closed, for example, an electrical circuit between the contacts 3310. 此外,击发状态电路3340可将闭合电路(即,未击发的仓)指示传送到外科系统的微控制器。 In addition, the firing circuit 3340 may be a closed state of the circuit (i.e., unfired cartridge) transmit an indication to the microcontroller surgical system. 在这类情况下,当滑动件3322在击发行程期间朝远侧击发时,电接触件3330可例如脱离与电接触件3310的电接触。 In such cases, when the slide member 3322 distally during the firing stroke of firing, for example, electrical contacts 3330 may be out of electrical contact with the electrical contact 3310. 因此,击发状态电路3340可将开式电路(即,击发的仓)指示传送到外科系统的微控制器。 Thus, the firing status circuit 3340 may be an open circuit (i.e., a fired cartridge) transmit an indication to the microcontroller surgical system. 在某些情况下,微控制器只在例如击发状态电路3340指示未耗尽的仓时引发击发行程。 In some cases, only the microcontroller that the firing circuit 3340 indicates the state of the unspent cartridge initiate the firing stroke. 在各种情况下,电接触件3330可包括机电熔断器。 In each case, the electrical contact member 3330 may include an electromechanical fuse. 在这类情况下,熔断器可例如在滑动件3322击发穿过击发行程时断开或短路。 In such cases, the fuse may be open or short circuit for example, the slide member 3322 through the firing stroke of the firing.

[0288] 除此之外或另选地,现在参见图67,端部执行器3400可包括钳口3402和仓存在电路3440。 [0288] Additionally or alternatively, referring now to FIG. 67, the end effector 3400 may comprise jaws 3402 and 3440 present the circuit compartment. 在各种情况下,钳口3402例如在其细长通道3404中可包括电接触件3410或多个电接触件3410。 In each case, the jaw 3402 may comprise an electrical contact member 3410 or 3410, for example, a plurality of electrical contacts in its elongated channel 3404. 另外,紧固件仓3420可在紧固件仓3420的外表面上包括电接触件3430或多个电接触件3430。 Further, in the fastener cartridge 3420 may be an outer surface of the fastener cartridge 3420 includes a plurality of electrical contacts or electrical contacts 3430 3430. 在各种情况下,电接触件3430可定位和/或安装于例如紧固件仓3420的固定或静止部件上。 In each case, the electrical contacts 3430 may be positioned and / or mounted on a stationary member such as a fixed or fastener cartridge 3420. 在各种情况下,紧固件仓3420的电接触件3430可例如在紧固件仓3420装载到细长通道3404中时接触端部执行器3400的电接触件3410。 In each case, the electrical contact member fastener cartridge 3430 may be, for example, 3420 in the fastener cartridge 3420 is loaded into the elongated channel 3404 when the end effector contacts the electrical contacts of the 34,103,400. 在将紧固件仓3420放置在细长通道3404中之前,仓存在电路3440可为例如开式电路。 Before the fastener cartridge 3420 is placed in the elongate channel 3404, the cartridge 3440 may be present, for example, open circuit type circuit. 当紧固件仓3420恰当地坐置在钳口3402中时,电接触件3410和3430可形成闭合的仓存在电路3440。 When the fastener cartridge 3420 is properly seated in the jaws 3402, 3410 and electrical contacts 3430 may form a closed circuit exists cartridge 3440. 在钳口3402和/或紧固件仓3420包括多个电接触件34ΠΚ3430的情况下,仓存在电路3440可包括多个电路。 Jaw 3402 and / or 3420 in the case 34ΠΚ3430 fastener cartridge comprising a plurality of electrical contacts, the cartridge 3440 may comprise a plurality of circuit exists circuits. 此外,在某些情况下,仓存在电路3440可根据例如紧固件仓3420上电接触件3430的数目和/或布置以及例如仓存在电路3440的对应开式和/或闭合电路识别装载在钳口3402中的仓类型。 Further, in some cases, the cartridge according to the present there is a corresponding circuit 3440 may be open and / or closed circuit identification circuit 3440 for example, a fastener cartridge 3420 electrical contact number and / or arrangement, and, for example, cartridge 3430 loaded clamp type 3402 of the cartridge opening.

[0289] 此外,钳口3402中的电接触件3410可与外科系统的微控制器进行信号通信。 [0289] In addition, the electrical contacts 3402 in the jaws 3410 may be in signal communication with the microcontroller surgical system. 电接触件3410可连接到例如功率源,并且/或者可例如通过有线和/或无线连接与微控制器通信。 Electrical contacts 3410 may be connected to a power source, for example, and / or may be, for example, wired and / or wireless connection to communicate with the microcontroller via. 在各种情况下,仓存在电路3440可将仓存在或不存在的信息传送到外科系统的微控制器。 In each case, the cartridge presence information transmitted to the surgical system microcontroller circuit 3440 does not exist or may exist cartridge. 在各种情况下,击发行程可例如在仓存在电路3440指示端部执行器钳口3402中存在紧固件仓时被阻止。 In various circumstances, the firing stroke may be prevented, for example, when the present circuit 3440 indicates the presence of the fastener cartridge end effector jaws 3402 in the cartridge. 此外,当仓存在电路3440指示端部执行器钳口3402中存在紧固件仓3420 时,击发行程可被允许。 Further, when the circuit 3440 indicates the end effector jaws 3402 in the presence of the cartridge when the fastener cartridge 3420 is present, the firing stroke may be allowed.

[0290] 如本公开通篇所述,各种传感器、程序和电路可检测并测量外科器械和/或其部件、外科使用或操作以及/或者组织和/或操作部位的多个特性。 [0290] As used throughout the present disclosure, various sensors, circuits and programs can detect and measure surgical instruments and / or parts thereof, or using surgical operations and / or tissue and / or operating characteristics of a plurality of parts. 例如,外科器械可检测组织厚度、器械部件的识别、来自外科功能的使用和反馈数据以及错误或故障指示。 For example, a surgical instrument can detect the thickness of the tissue identification, device components, the use of feedback data and an error or failure indication and from the surgical function. 在某些情况下,紧固件仓可包括非易失性存储器单元,该单元可例如嵌入或可移除地联接到紧固件仓。 In some cases, the fastener cartridge may include non-volatile memory unit, which may for example be embedded or removably coupled to the fastener cartridge. 这种非易失性存储器单元可通过硬件(诸如本文所述的电接触件)、射频或各种其他合适形式的数据传输来与微控制器进行信号通信。 Such nonvolatile memory cells may be a radio frequency or a variety of other forms of data transfer suitable for signal communication by hardware (such as an electrical contact as described herein), with the microcontroller. 在这种情况下,微控制器可将数据和反馈传送到紧固件仓中的非易失性存储器单元,从而紧固件仓可存储信息。 In this case, the microcontroller may transmit the feedback data to the fastener cartridge and the non-volatile memory cells, such that the fastener cartridge can store information. 在各种情况下,信息可被安全地存储,并且可将对其的访问限制为针对具体情况相配且适当的。 In each case, the information can be safely stored, and which access may be restricted to specific situations and the appropriate match.

[0291] 在某些情况下,非易失性存储器单元可包括关于紧固件仓特性和/或其与模块化外科系统的各种其他部件的相容性的信息。 [0291] In some cases, the nonvolatile memory unit may comprise other components compatible information of various characteristics about the fastener cartridge and / or modular surgical system. 例如,当将紧固件仓装载到端部执行器中时,非易失性存储器单元可向外科系统的微控制器提供相容性信息。 For example, when the fastener cartridge is loaded into the end effector, the nonvolatile memory unit may provide information to the microcontroller compatible surgical system. 在这类情况下,微控制器可证实模块化组件的有效性或相容性。 In such cases, it confirmed the validity or microcontroller compatible modular components. 例如,微控制器可确认柄部部件可击发紧固件仓,并且/或者紧固件仓适当地配合例如端部执行器。 For example, the microcontroller may confirm the handle member may be fired fastener cartridge, and / or mating fastener cartridge suitably e.g. end effector. 在某些情况下,微控制器可将相容性或缺乏相容性传送给外科系统的操作者,并且/或者例如在模块化部件不相容时可阻止外科功能。 In some cases, the microcontroller may compatibility or lack of compatibility of the operator is transmitted to surgical system, and / or, for example in the incompatible member can prevent the modular surgical function.

[0292] 如本文所述,外科器械可包括传感器,该传感器可与磁体配合检测外科器械的各种特性、操作和手术部位。 [0292] As described herein, a surgical instrument can include a sensor that can detect various characteristics of the surgical instrument, the surgical operation and mating portion and the magnet. 在某些情况下,传感器可包括霍尔效应传感器,并且在其他情况下,传感器可包括磁阻传感器,如例如图68 (A) -68 (C)所示。 In some cases, the sensor may comprise a Hall effect sensor, and in other cases, the sensor may comprise a magnetoresistive sensor, for example, as in FIG. 68 (A) -68 (C) shown in FIG. 如本文所详述,外科端部执行器可包括第一钳口和第二钳口,其中第一钳口可被构造成能够接收紧固件仓。 As detailed herein, the surgical end effector may include first and second jaws, wherein the first jaw may be configured to be able to receive a fastener cartridge. 第一钳口和/或紧固件仓可包括例如磁性元件(诸如永磁体),并且第二钳口可包括例如磁阻传感器。 A first jaw and / or fastener cartridge may include a magnetic element (such as a permanent magnet), and the second jaw may comprise, for example, a magnetoresistive sensor. 在其他情况下,第一钳口和/或紧固件仓可包括例如磁阻传感器,并且第二钳口可包括磁性元件。 In other cases, the first jaw and / or fasteners may include a magnetoresistive sensor cartridge, and the second jaw may include a magnetic element. 磁阻传感器可具有例如图68 (C)的表中所列举的特性和/或例如相似规格。 The magnetoresistive sensor may have, for example, FIG. 68 (C) are listed in Table characteristics and / or, for example, similar specifications. 在某些情况下,由磁性元件相对于磁阻传感器的运动而引起的电阻变化可影响和/或改变例如图68 (B) 中所示磁路的特性。 In some cases, the variable resistance element with respect to a magnetic magnetoresistive sensor caused may affect and / or alter the properties of the magnetic circuit such as shown in (B) in FIG. 68.

[0293] 在各种情况下,磁阻传感器可检测磁性元件的位置,并因此可检测夹持在例如相对的第一和第二钳口之间的组织厚度。 [0293] In each case, the magnetoresistive sensor can detect the position of the magnetic element, and thus can detect tissue thickness between the first and second opposing jaw clamp example. 磁阻传感器可与微控制器进行信号通信,并且磁阻传感器可将数据无线传输到例如与微控制器进行信号通信的天线。 The magnetoresistive sensor may be in signal communication with the microcontroller, and the magnetoresistive sensor can wirelessly transmit data to, for example, an antenna in signal communication with the microcontroller. 在各种情况下,无源电路可包括磁阻传感器。 In each case, the passive circuit may comprise a magnetoresistive sensor. 此外,天线可定位在端部执行器中,并且可检测例如来自磁阻传感器和/或可操作地联接到该传感器的微处理器的无线信号。 Furthermore, the antenna may be positioned at the end, and can be detected, for example, magnetoresistive sensors and / or operatively coupled to the microprocessor of the radio signal from the sensor. 在这类情况下,可避免例如包括天线的端部执行器和例如包括磁阻传感器的紧固件仓之间暴露的电连接。 In such cases, the antenna can be avoided, for example, comprise an end effector, for example, and exposed between the fastener cartridge comprises a magnetoresistive sensor electrical connection. 此外,在各种情况下,天线可与外科器械的微控制器进行有限和/或无线通信。 Further, in each case, the antenna may be limited and / or wireless communication with the microcontroller of the surgical instrument.

[0294] 组织可包含流体,当组织被压缩时,流体可从压缩的组织中被压出。 [0294] tissue fluid may comprise, when the tissue is compressed, the fluid can be pressed out from the compressed tissue. 例如,当组织被夹持在外科端部执行器的相对钳口之间时,流体可流动并/或从夹持的组织中排出。 For example, when the tissue is clamped between opposing jaw of a surgical end effector, the fluid can flow and / or discharged from the clamped tissue. 流体在夹持组织中的流动或排出可取决于组织的各种特性(诸如组织的厚度和/或类型)以及例如外科手术的各种特性(诸如期望的组织压缩和/或经过的夹持时间)。 Various characteristics of the fluid flow in the clamped tissue or tissue may depend on the discharge (thickness and / or type, such as tissue) and various characteristics, for example, a surgical procedure (such as a desired tissue compression and / or holding time elapsed ). 在各种情况下,端部执行器的相对钳口之间的流体排出可促使相对钳口之间形成的钉发生变形。 In each case, the fluid between the opposing jaws of the end effector may cause discharge between the opposed jaws formed staple deformed. 例如,流体在钉成形期间和/或之后的排出可诱导钉发生弯曲和/或其他不受控的运动,从而背离其所需或期望的成形。 Discharge and / or during and after, for example, can induce fluid staple forming the staples and / or other uncontrolled movement occurs, thereby departing from its desired shaped or desired. 因此,在各种情况下,可能有利的是,基于检测到外科端部执行器的相对钳口中间有流体流动或没有流体流动而控制击发行程,例如控制击发速度。 Thus, in each case, it may be advantageous that the fluid flow is detected based on the intermediate portion of the opposing jaw of a surgical end effector or no fluid flow control firing stroke, such as control of the firing rate.

[0295] 在各种情况下,夹持组织中的流体排出可通过各种可测量和/或可检测的组织特性确定或估计。 [0295] In various circumstances, tissue clamp can be discharged in a variety of measurable fluid and / or tissue properties may be determined or estimated by detectable. 例如,组织压缩程度可对应于夹持组织中的流体排出程度。 For example, the degree of tissue compression clamped tissue may correspond to the fluid discharge degree. 在各种情况下, 例如组织压缩程度越高,可对应越多的流体流动,而例如组织压缩程度越低,可对应越少的流体流动。 In each case, the higher the compression degree of organization e.g., may correspond to the more fluid flow, the lower the degree of compression and tissues e.g., may correspond to the less fluid flow. 在各种情况下,定位在端部执行器钳口中的传感器可检测由压缩组织施加到钳口上的力。 In each case, the sensor is positioned at the end effector jaws detectable force exerted by the jaws to compress the tissue. 除此之外或另选地,当推进切割元件穿过并横切夹持组织时,切割元件上的或可操作地与切割元件相联的传感器可检测切割元件上的电阻。 Additionally or alternatively, when advancing the cutting element through the tissue and transversely clamped, cut or a sensor operatively associated with the cutting element may be detected on the resistor element on the cutting element. 在这种情况下,检测到的切割和/或击发电阻可对应于组织压缩程度。 In this case, cutting detected and / or firing resistor may correspond to the degree of tissue compression. 当组织压缩程度高时,例如,切割元件电阻可较大, 并且当组织压缩程度低时,例如,切割元件电阻可减小。 When a high degree of tissue compression, e.g., the cutting element resistance can be large, and when the low compression tissue, e.g., a cutting element resistance can be reduced. 对应地,切割元件电阻可指示流体排出量。 Correspondingly, the resistance of the cutting element may be indicative of a fluid discharge amount.

[0296] 在某些情况下,夹持组织中的流体排出可通过击发切割元件所需的力(即击发力) 确定或估计。 [0296] In some cases, the clamped tissue may be required to force the fluid discharged by firing the cutting element (i.e. firing force) is determined or estimated. 击发力可对应于例如切割元件电阻。 It may correspond to the firing force such as cutting resistance element. 此外,击发力可由与驱动切割元件的电动马达进行信号通信的微控制器测量或估计。 Further, the firing may be the driving force of the electric motor of the cutting element for signal communication microcontroller measured or estimated. 例如,在切割元件电阻较高的情况下,电动马达可需要较大电流来驱动切割元件穿过组织。 For example, at higher cutting resistance element, the electric motor can require a large current to drive the cutting element through the tissue. 相似地,若切割元件电阻较低,则电动马达可需要较小电流来驱动切割元件穿过组织。 Similarly, if the lower cutting element resistance, the electric motor may require less current to drive the cutting element through the tissue. 在这类情况下,微控制器可确定击发行程期间由电动马达消耗的电流量。 In such cases, the microcontroller may determine the amount of current during the firing stroke consumed by an electric motor. 例如,微控制器可包括电流传感器,该传感器可检测例如用于击发切割元件穿过组织的电流。 For example, the microcontroller may include a current sensor that may detect for example a firing current through tissue cutting element.

[0297] 现在参见图60,外科器械组件或系统可被构造成能够检测夹持组织中的压缩力。 [0297] Referring now to FIG. 60, the surgical instrument assembly or system may be configured to be able to detect a compressive force of the clamped tissue. 例如,在各种情况下,电动马达可驱动击发元件,并且微控制器可与电动马达进行信号通信。 For example, in each case, the electric motor can drive the firing member, and the microcontroller may be in signal communication with the electric motor. 当电动马达驱动击发元件时,微控制器可确定例如由电动马达消耗的电流。 When the electric motor-driven firing element, for example, the microcontroller may determine the current consumed by an electric motor. 在这类情况下,如上所述,击发力可对应于在整个击发行程中由电动马达消耗的电流。 In such cases, as described above, may correspond to the firing force of the firing stroke the entire current consumed by the electric motor. 仍参见图60,在步骤3501处,外科器械的微控制器可确定击发行程期间由电动马达消耗的电流是否增大, 如果增大,则可计算电流的增量百分比。 Still referring to FIG. 60, at step 3501, the microcontroller may determine whether the surgical instrument during the firing stroke of the current consumed by the electric motor is increased if is increased, the percentage can be calculated current increment.

[0298] 在各种情况下,微控制器可比较击发行程期间的电流消耗增量与预定义阈值。 [0298] In each case, the microcontroller may compare the current during the firing stroke cost increment with a predefined threshold value. 例如,预定义阈值可为5 %、10 %、25 %、50 %和/或例如100 %,微控制器可比较击发行程期间检测到的电流增量与预定义阈值。 For example, the predefined threshold may be 5%, 10%, 25%, 50%, and / or such as 100%, the microcontroller may compare detected during the firing stroke of current increase with a predefined threshold value. 在其他情况下,阈值增量可为介于5%和100%之间的值或值范围,并且在其他情况下,阈值增量可例如小于5%或大于100%。 In other cases, the threshold increment value can be a value or a range between 5% and 100%, and in other cases, the threshold may be, for example, less than 5% increments or greater than 100%. 例如,如果预定义阈值为50%,则微控制器可比较电流消耗变化百分比与例如50%。 For example, if the predefined threshold is 50%, then the microcontroller may compare the current consumption percentage change such as 50%. 在某些情况下,微控制器可确定击发行程期间由电动马达消耗的电流是否超出最大电流或基线值的某个百分比。 In some cases, the microcontroller may determine the current consumed during the firing stroke by an electric motor exceeds a certain percentage of the maximum current value or baseline. 例如,微控制器可确定电流是否超出最大马达电流的5%、10%、25%、50%和/或100%。 For example, the microcontroller may determine whether the current exceeds 5% of the maximum motor current, 10%, 25%, 50%, and / or 100%. 在其他情况下,微控制器可比较击发行程期间由电动马达消耗的电流与例如预定义基线值。 In other cases, the microcontroller may compare the firing current to a predefined baseline value, for example, during a stroke consumed by an electric motor.

[0299] 在各种情况下,微控制器可利用算法确定击发行程期间由电动马达消耗的电流变化。 [0299] In each case, the micro-controller may use algorithms to determine the current change during the firing stroke consumed by an electric motor. 例如,电流传感器可检测击发行程期间在不同时刻和/或时间间隔中由电动马达消耗的电流。 For example, the current sensor may be a current at different times during the stroke and / or the time interval consumed by the electric motor detected firing. 电流传感器可连续检测由电动马达消耗的电流,并且/或者可间歇性地检测由电动马达消耗的电流。 The current sensor can continuously detect the current consumption by the electric motor, and / or may be intermittently detected by the current consumption of the electric motor. 在各种情况下,算法可比较最新的电流读数与例如紧接的电流读数。 In all cases, the algorithm can compare the latest and current readings such as current readings immediately. 除此之外或另选地,算法可比较时间段X内的样品读数X与此前的电流读数。 Additionally or alternatively, the algorithm may compare the sample reading X X within the time period with the previous current readings. 例如,算法可比较样品读数与例如此前的时间段X (诸如紧接的时间段X)内的样品读数。 For example, the algorithm may compare the sample reading with the previous period, for example, X (such as a period immediately X) in the sample readings. 在其他情况下,算法可计算由马达消耗的电流趋势平均值。 In other cases, the algorithm may calculate the average value of the motor current consumption trends. 算法可计算时间段X期间消耗的平均电流(包括例如最新电流读数),并且可比较消耗的平均电流与例如在紧接的时间段X期间消耗的平均电流。 Algorithm may calculate the average current consumed during the period of time X (for example, including the latest current readings), and the average current may be compared with the average current consumption during the time period, for example, X immediately consumed.

[0300] 仍参见图60,如果微控制器检测到电流增量大于阈值变化或阈值数值,则微控制器可行进到步骤3503,击发元件的击发速度可降低。 [0300] Still referring to FIG. 60, if the microcontroller detects a change in the current delta is greater than the threshold value or threshold value, then the microcontroller may proceed to step 3503, the firing rate of the firing element can be reduced. 例如,微控制器可与电动马达通信以减慢击发元件的击发速度。 For example, the microcontroller can communicate with the electric motor to slow the firing rate of the firing element. 例如,击发速度可按预定义步长单位和/或预定义百分比降低。 For example, the firing rate can be predefined step units and / or a predefined percentage reduction. 在各种情况下,微控制器可包括速度控制模块,该模块可影响切割元件速度的变化,并且/或者可保持切割元件速度。 In each case, the micro-controller may include a speed control module, which may affect the rate of change of the cutting element and / or the speed of the cutting element may be maintained. 速度控制模块可包括例如电阻器、可变电阻器、脉宽调制电路和/ 或频率调节电路。 Speed ​​control module may include a resistor, a variable resistor, a pulse width modulation circuit and / or the frequency adjustment circuit. 仍参见图60,如果电流增量小于阈值,则微控制器可行进到步骤3505,其中击发元件的击发速度可例如被保持。 Still referring to FIG. 60, if the current delta value is less than the threshold, the microcontroller may proceed to step 3505, where the firing rate of the firing element can for example be held. 在各种情况下,微控制器可继续监测由电动马达消耗的电流及其在击发行程的至少一部分期间发生的变化。 In each case, the microcontroller can continue to monitor the current consumed by the electric motor and its changes during at least part of the firing stroke. 此外,微控制器和/或其速度控制模块可根据检测到的电流消耗来调整整个击发行程中的击发元件速度。 Further, the microcontroller and / or a speed control module may adjust the speed of the entire firing stroke of the firing element in accordance with the detected current consumption. 在这类情况下,根据例如夹持组织中的近似流体流动或排出控制击发速度可降低钉在夹持组织中变形的概率。 In such cases, the approximate fluid flow or tissue clamped e.g. discharging control the firing rate can reduce the probability of the staples in the clamped tissue distortion.

[0301] 现在参见图61,在各种情况下,微控制器可通过暂停击发元件一段预定义时间来调整击发元件速度。 [0301] Referring now to FIG. 61, in each case, the microcontroller may adjust the speed of the firing element by halting the firing element a predefined period of time. 例如,与图60所示实施方案相似,如果微控制器在步骤3511处检测到电流消耗超出预定义阈值,则微控制器可行进到步骤3513,击发元件可被暂停。 For example, similar to the embodiment shown in FIG. 60, if the microcontroller detects at step 3511 the current consumption exceeds a predefined threshold, the microcontroller may proceed to step 3513, the firing member can be suspended. 例如,如果由微控制器所测量的电流增量超出阈值,则微控制器可暂停击发元件的运动和/或平移一秒钟。 For example, if the current measured by the microcontroller increments exceeds the threshold, the microcontroller may suspend the movement of the firing member and / or translation of a second. 在其他情况下,击发行程可暂停例如不到一秒和/或一秒以上。 In other cases, the firing stroke may be suspended, for example, less than one second and / or more than one second. 与上文所述的过程相似, 如果电流消耗增量小于阈值,则微控制器可行进到步骤3515,击发元件可继续前进经过击发行程而无需调整击发元件的速度。 The process is similar to the above, if the increment is less than the threshold current consumption, the microcontroller may proceed to step 3515, the firing member can move through the firing stroke without adjusting the speed of the firing element. 在某些情况下,微控制器可被构造成能够在击发行程期间暂停和减慢击发元件。 In some cases, the microcontroller may be configured to be able to pause and slow the firing element during the firing stroke. 例如,对于电流消耗的第一增量,可暂停击发元件,而对于电流消耗的第二不同增量,可减小击发元件的速度。 For example, for the first increment of the current consumption, the firing member may be suspended, for the second increment of different current consumption, can reduce the speed of the firing element. 在其他情况下,如果电流消耗降低到例如阈值之下,则微控制器可命令提高击发元件速度。 In other cases, for example if the current consumption is reduced to below a threshold, then the microcontroller may increase the command speed of the firing element.

[0302] 以下专利的完整公开内容据此以引用方式并入本文中: [0302] The complete disclosures of the patents are hereby incorporated herein by reference:

[0303] 公布于1995年4月4 日的名称为"ELECTROSURGICAL HEMOSTATIC DEVICE" 的美国专利5,403,312; [0303] published on April 4, 1995, entitled "ELECTROSURGICAL HEMOSTATIC DEVICE" US Patent No. 5,403,312;

[0304] 公布于2006年2 月21 日的名称为"SURGICAL· STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" 的美国专利7,000,818; [0304] published on February 21, 2006, entitled "SURGICAL · STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" US Patent No. 7,000,818;

[0305] 公布于2008年9月9 日的名称为"MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK" 的美国专利7,422,139; [0305] published on September 9, 2008, entitled "MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK" US Patent No. 7,422,139;

[0306] 公布于2008年12月16 日的名称为"ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS" 的美国专利7,464,849; [0306] published on December 16, 2008, entitled "ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS" US Patent No. 7,464,849;

[0307] 公布于2010年3月2 日的名称为"SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR" 的美国专利7,670,334; [0307] published on March 2, 2010, entitled "SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR" US Patent No. 7,670,334;

[0308] 公布于2010年7月13日的名称为"SURGICAL STAPLING INSTRUMENTS"的美国专利7,753,245; [0308] published on July 13, 2010, entitled "SURGICAL STAPLING INSTRUMENTS" US Patent No. 7,753,245;

[0309] 公布于2013年3 月12 日的名称为"SELECTIVELY 0RIENTABLE IMPLANTABLE FASTENER CARTRIDGE" 的美国专利8,393,514; [0309] published on March 12, 2013, entitled "SELECTIVELY 0RIENTABLE IMPLANTABLE FASTENER CARTRIDGE" US Patent No. 8,393,514;

[0310] 名称为"SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES"的美国专利申请序列号11/343,803; [0310] entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES" U.S. Patent Application Serial No. 11 / 343,803;

[0311] 提交于2008年2月14 日的名称为"SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES"的美国专利申请序列号12/031,573; Name [0311] filed on February 14 for "SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES" US Patent Application Serial No. 12 / 031,573;

[0312] 提交于2008年2月15 日的名称为"END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT"的美国专利申请序列号12/031,873 (现为美国专利7,980,443); Name [0312] filed on February 15 as "END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT" US Patent Application Serial No. 12 / 031,873 (now US Patent 7,980,443);

[0313] 名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" 的美国专利申请序列号12/235,782 (现为美国专利8,210,411); [0313] entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" U.S. Patent Application Serial No. 12 / 235,782 (now U.S. Patent No. 8,210,411);

[0314] 名称为"POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM"的美国专利申请序列号12/249,117 (现为美国专利申请公布2010/0089970); [0314] entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM" U.S. Patent Application Serial No. 12 / 249,117 (now U.S. Patent Application Publication 2010/0089970);

[0315] 提交于2009年12月24 日的名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY" 的美国专利申请序列号12/ 647,100; Name [0315] filed on December 24, 2009 for the "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY" US Patent Application Serial No. 12 / 647,100;

[0316] 提交于2012年9月29日的名称为"STAPLE CARTRIDGE"的美国专利申请序列号12/ 893,461 (现为美国专利申请公布2012/0074198); [0316] submitted in 2012 the name September 29 as "STAPLE CARTRIDGE" US Patent Application Serial No. 12 / 893,461 (now US Patent Application Publication 2012/0074198);

[0317] 提交于2011年2月28日的名称为"SURGICAL STAPLING INSTRUMENT"的美国专利申请序列号13/036,647 (现为美国专利申请公布2011/0226837); Name [0317] filed on February 28, 2011 for "SURGICAL STAPLING INSTRUMENT" US Patent Application Serial No. 13 / 036,647 (now US Patent Application Publication 2011/0226837);

[0318] 名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布2012/ 0298719); [0318] entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication 2012/0298719);

[0319] 提交于2012年6 月15 日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE"的美国专利申请序列号13/524,049; Name [0319] filed on June 15, 2012 as "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" US Patent Application Serial No. 13 / 524,049;

[0320] 提交于2013年3月13 日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,025; Name [0320] filed on March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,025;

[0321] 提交于2013年3月13 日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,067; Name [0321] filed on March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,067;

[0322] 提交于2006年1 月31 日的名称为"SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM"的美国专利申请公布2007/0175955;以及 Name [0322] filed on January 31, 2006 for "SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM" US Patent Application Publication 2007/0175955; and

[0323] 提交于2010年4月22 日的名称为"SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR"的美国专利申请公布2010/0264194。 Name [0323] filed on April 22, 2010 for "SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR" US Patent Application Publication 2010/0264194.

[0324] 根据各种实施方案,本文所述的外科器械可包括联接到各种传感器的一个或多个处理器(例如,微处理器、微控制器)。 [0324] According to various embodiments, the surgical instrument described herein may include a variety of sensors coupled to one or more processors (e.g., microprocessors, microcontrollers). 此外,存储(具有操作逻辑)和通信接口与一个或多个处理器彼此联接。 Further, the memory (having a logic operation), and a communication interface coupled to the one or more processors to each other.

[0325] 处理器可被构造成能够执行操作逻辑。 [0325] The processor may be configured to be able to perform logical operations. 处理器可为本领域中已知的多个单核或多核处理器中的任一个。 The processor may any known art a plurality of mononuclear or polynuclear processor. 存储装置可包括被构造成能够存储操作逻辑的永久和临时(工作)拷贝的易失性和非易失性存储介质。 Storage means may comprise storage operation is configured to be permanent and temporary logic (working) copy of volatile and nonvolatile storage media.

[0326] 在各种实施方案中,操作逻辑可被构造成能够处理所收集的与用户的运动数据相关联的生物计量数据,如上所述。 [0326] In various embodiments, the operating logic may be configured to be capable of processing the collected biometric data of the user data associated with the motion, as described above. 在各种实施例中,操作逻辑可以被构造成能够执行初始处理,并且将数据传送到托管应用程序的计算机以确定和产生指令。 In various embodiments, the operating logic may be configured to be able to perform initial processing, and transmits the data to the computer hosting the application program to determine and generate a command. 对于这些实施例,操作逻辑可以被进一步构造成能够从托管计算机接收信息并且向其提供反馈。 For these embodiments, the operating logic may be further configured to be capable of receiving information from the managed computer and provide feedback thereto. 在另选实施例中, 操作逻辑可以被构造成能够在接收信息和确定反馈中扮演更重要的角色。 In an alternative embodiment, the operating logic may be configured to be able to play a more important role in determining the feedback information and the reception. 在任一种情况下,无论是其独立确定还是响应于来自托管计算机的指令,操作逻辑可以被进一步构造成能够控制反馈并向使用者提供反馈。 In either case, either independently or in response to instructions from the determining managed computers, operating logic may be further configured to be able to provide the user with feedback control feedback.

[0327] 在各种实施例中,操作逻辑可以由处理器的指令集架构(ISA)所支持的指令来实施,或者以更高级语言来实施,并且编译成受支持的ISA。 [0327] In various embodiments, the logic may be set by the operation instruction instructs the processor architecture (ISA) supported implemented, or implemented in a higher-level language and compiled to produce ISA supported. 操作逻辑可包括一个或多个逻辑单元或模块。 Operating logic may include one or more logic units, or modules. 操作逻辑可以面向对象的方式来实施。 Operation logic may be implemented in object-oriented way. 操作逻辑可以被构造成能够以多任务方式和/或多线程方式来执行。 Operation logic may be configured to be able to be performed in a multitasking manner and / or multithreading mode. 在其他实施例中,操作逻辑可在硬件(诸如门阵列)中实施。 In other embodiments, the operating logic may be implemented in hardware (such as gate arrays).

[0328] 在各种实施例中,通信接口可以被构造成能够有利于外围设备与计算系统之间的通信。 [0328] In various embodiments, the communication interface may be configured to be able to facilitate communication between the peripheral device and the computing system. 该通信可包括将所收集的与位置、姿势相关联的生物计量数据和/或使用者身体部分的运动数据传送到托管计算机,以及将与触觉反馈相关联的数据从主计算机传送到外围设备。 The communication may comprise transmitting the collected location, biometric data associated with the gesture and / or motion data to the user's body part hosting computer, and the data will be associated with haptic feedback transmitted from the host computer to the peripheral device. 在各种实施例中,通信接口可为有线或无线通信接口。 In various embodiments, the communication interface may be a wired or wireless communication interface. 有线通信接口的例子可包括但不限于通用串行总线(USB)接口。 Examples of wired communication interface may include, but are not limited to, a Universal Serial Bus (USB) interface. 无线通信接口的例子可包括但不限于蓝牙接口。 Examples of the wireless communication interface may include, but are not limited to Bluetooth interface.

[0329] 对于各种实施例,处理器可与操作逻辑封装在一起。 [0329] For the various embodiments, the processor may be packaged together with logic operation. 在各种实施例中,处理器可与操作逻辑封装在一起以形成系统级封装(SiP)。 In various embodiments, the processor may be packaged together with logic operation to form a System in Package (SiP). 在各种实施例中,处理器可在相同裸片上与操作逻辑一起集成。 In various embodiments, the processor may be integrated with the operating logic on the same die. 在各种实施例中,处理器可与操作逻辑封装在一起以形成片上系统(SoC) 〇 In various embodiments, the processor may be packaged together with logic operation to form a system on a chip (SoC) square

[0330] 各种实施例可在本文中于计算机可执行指令的一般背景中进行描述,所述计算机可执行指令诸如软件、程序模块、和/或正由处理器执行的引擎。 [0330] Various embodiments may be described in the general context of computer-executable instructions, herein, the computer executable instructions, such as software, program modules, and / or engine being executed by a processor. 一般来讲,软件、程序模块、 和/或引擎包括被布置成执行特定操作或实现特定抽象数据类型的任何软件元件。 Generally, software, program modules, and / or any engine comprises software elements particular abstract data types are arranged to perform particular operations or implement. 软件、程序模块、和/或引擎可包括执行特定任务或实现特定抽象数据类型的例程、程序、对象、部件、数据结构等。 Software, program modules, and / or engine may include performing particular tasks or implement particular abstract data types routines, programs, objects, components, data structures, and the like. 软件、程序模块、和/或引擎部件和技术的具体实施可存储在某种形式的计算机可读介质上并且/或者通过某种形式的计算机可读介质传输。 Software, program modules, and / or specific embodiments the engine components and techniques may be stored in some form of computer-readable medium and / or transmission medium readable by some form of computer. 就此而言,计算机可读介质可以是可用于存储信息且可由计算设备访问的任何可用介质。 In this regard, computer-readable media can be any available media that can be used to store information and which can be accessed by a computing device. 一些实施例还可以在分布式计算环境中实践,在所述分布式计算环境中,操作由通过通信网络链接的一个或多个远程处理设备执行。 Some embodiments may also be practiced in a distributed computing environment, the distributed computing environment, operations executed by one or more linked through a communications network remote processing devices. 在分布式计算环境中,软件、程序模块、和/或引擎可位于包括存储器存储设备在内的本地和远程计算机存储介质中。 In a distributed computing environment, software, program modules, and / or engines may be located in both local and remote computer storage media including memory storage devices in. 可采用存储器(诸如随机存取存储器(RAM)或其他动态存储装置)来存储信息以及待由处理器执行的指令。 The memory may be employed (such as random access memory (RAM) or other dynamic storage device) for storing information and instructions to be executed by a processor. 存储器还可用于在执行待由处理器执行的指令期间存储临时变量或其他中间信息。 The memory may also be used for temporary variables or other intermediate information during execution of instructions to be stored by the processor in execution.

[0331] 虽然可以将一些实施例例示和描述为包括功能部件、软件、引擎、和/或执行各种操作的模块,但是应当理解,此类部件或模块可以由一个或多个硬件部件、软件部件、和/或它们的组合实现。 [0331] Although some embodiments may be illustrated and described as including functional components, software, engines, and / or modules performing various operations, it should be appreciated that such components or modules may be one or more hardware components, software member, and / or combinations thereof to achieve. 功能部件、软件、引擎、和/或模块可由(例如)待被逻辑设备(例如,处理器)执行的逻辑(例如,指令、数据、和/或代码)实现。 Features, software, engines, and / or modules may be (e.g.) to be logic devices (e.g., processor) logic (e.g., instructions, data, and / or code) executed achieved. 这种逻辑可存储在位于一种或多种类型的计算机可读存储介质上的逻辑设备内部或外部。 Such logic may be stored internal or external logical devices located on one or more types of computer-readable storage medium. 在其他实施例中,功能部件诸如软件、 引擎、和/或模块可由硬件元件实现,所述硬件元件可包括处理器、微处理器、电路、电路元件(例如,晶体管、电阻器、电容器、电感器等)、集成电路、专用集成电路(ASIC)、可编程逻辑设备(PLD)、数字信号处理器(DSP)、现场可编程门阵列(FPGA)、逻辑门、寄存器、半导体设备、芯片、微芯片、芯片组,等等。 In other embodiments, functional components, such as software, the engine, and / or hardware element modules may be implemented, the hardware elements may include processors, microprocessors, circuits, circuit elements (e.g., transistors, resistors, capacitors, inductors, so forth), integrated circuits, application specific integrated circuit (ASIC), programmable logic devices (PLD), digital signal processors (DSP), field programmable gate arrays (the FPGA), logic gates, registers, semiconductor device, chips, microchips, chip, chip sets, and so on.

[0332] 软件、引擎、和/或模块的示例可包括软件部件、程序、应用、计算机程序、应用程序、系统程序、机器程序、操作系统软件、中间件、固件、软件模块、例程、子例程、函数、方法、 过程、软件接合部、应用程序接合部(API)、指令集、计算代码、计算机代码、代码片段、计算机代码片段、字、值、符号、或它们的任何组合。 [0332] software, the exemplary engine, and / or the module may include software components, programs, applications, computer programs, application programs, system programs, machine programs, operating system software, middleware, firmware, software modules, routines, sub routines, functions, methods, procedures, software joint, the joint application (the API), instruction sets, computing code, computer code, code segments, computer code segments, words, values, symbols, or any combination thereof. 确定实施例是否使用硬件元件和/或软件元件来实现可以根据任何数量的因素改变,这些因素诸如期望的计算速率、功率电平、热容差、处理循环预算、输入数据速率、输出数据速率、存储器资源、数据总线速度以及其他设计或性能约束。 Determining whether an embodiment is implemented using hardware elements and / or software elements may vary in accordance with any number of factors, such as desired computational rate, power levels, heat tolerances, processing cycle budget, input data rates, output data rates, memory resources, data bus speeds and other design or performance constraints.

[0333] 本文所述的模块中的一个或多个可包括实施为固件、软件、硬件或它们的任意组合的一个或多个嵌入式应用程序。 [0333] The modules described herein may comprise one or more embodiments of a firmware, software, hardware, or any combination thereof or more embedded applications. 本文所述的模块中的一个或多个可包括各种可执行模块,诸如软件、程序、数据、驱动器、应用程序接口(API)等。 One or more modules described herein may include various executable modules, such as software, programs, data, driver, application program interfaces (API) and the like. 固件可存储在控制器2016和/或控制器2022的可包括非易失性存储器(NVM)的存储器中,诸如位屏蔽只读存储器(ROM)或闪速存储器中。 Firmware may be stored in the controller memory 2016 and may include non-volatile memory (NVM) and / or controller 2022, such as bit mask read only memory (ROM) or flash memory. 在各种具体实施中,将固件存储在ROM中可保护闪速存储器。 In various embodiments, the firmware is stored in the ROM, the flash memory can be protected. 非易失性存储器(NVM)可包括其他类型的存储器,包括例如可编程ROM(PROM)、可擦除可编程ROM(EPROM)、电可擦除可编程ROM (EEPROM)或电池支持的随机存取存储器(RAM),诸如动态RAM (DRAM)、双数据率DRAM (DDRAM)和/或同步DRAM (SDRAM) 〇 A non-volatile memory (NVM) may comprise other types of memory, including, for example, a programmable ROM (PROM), erasable programmable ROM (EPROM), electrically erasable programmable ROM (EEPROM), or battery-backed random access access memory (RAM), such as dynamic RAM (DRAM), double data rate DRAM (DDRAM) and / or synchronous DRAM (SDRAM) square

[0334] 在一些情况下,各种实施例可实现为制造制品。 [0334] In some cases, various embodiments may be implemented as a manufactured article. 所述制造制品可以包括被布置为存储用于执行一个或多个实施例的各种操作的逻辑、指令和/或数据的计算机可读存储介质。 The article of manufacture may comprise a variety of logic operations is arranged to store an embodiment for performing one or more of the instructions and / or data is computer readable storage medium. 在各种实施例中,例如,所述制品可包括磁盘、光盘、闪存存储器或固件,这些制品均含有适于由通用处理器或专用处理器执行的计算机程序指令。 In various embodiments, for example, the article may include a magnetic disk, optical disk, flash memory or firmware, these preparations contain suitable computer program instructions executed by a general purpose or special purpose processor. 然而,实施例并不仅限于此。 However, the embodiment is not limited thereto.

[0335] 结合本文所公开的实施例描述的各种功能性元件、逻辑块、模块、和电路元件的功能可在计算机可执行指令的一般环境中实施,诸如由处理单元执行的软件、控制模块、逻辑、和/或逻辑模块。 Functions of the various functional elements of the embodiment [0335] incorporated herein disclosed embodiments, logical blocks, modules, and the circuit element can be implemented in the general context of computer-executable instructions, such as software executed by the processing unit, the control module , logic, and / or logic modules. 一般而言,软件、控制模块、逻辑、和/或逻辑模块包括布置成执行特定操作的任何软件元件。 Generally, software control module, logic, and / or logic modules include any software element arranged to perform certain operations. 软件、控制模块、逻辑、和/或逻辑模块可包括执行特定任务或实施特定抽象数据类型的例程、程序、对象、部件、数据结构等。 Software, the control module, logic, and / or the module may include logic that perform particular tasks or implement particular abstract data types routines, programs, objects, components, data structures, and the like. 软件、控制模块、逻辑、和/或逻辑模块和技术的具体实施可存储在某种形式的计算机可读介质上并且/或者通过某种形式的计算机可读介质传输。 Software, the control module, logic, and / or specific embodiments of logic modules and techniques may be stored on some form of computer-readable medium and / or transmission medium readable by some form of computer. 就此而言,计算机可读介质可以是可用于存储信息且可由计算设备访问的任何可用介质。 In this regard, computer-readable media can be any available media that can be used to store information and which can be accessed by a computing device. 一些实施例还可以在分布式计算环境中实践,在所述分布式计算环境中,操作由通过通信网络链接的一个或多个远程处理设备执行。 Some embodiments may also be practiced in a distributed computing environment, the distributed computing environment, operations executed by one or more linked through a communications network remote processing devices. 在分布式计算环境中,软件、控制模块、逻辑、和/或逻辑模块可位于包括存储器存储设备在内的本地和远程计算机存储介质中。 In a distributed computing environment, the software control module, logic, and / or logic modules may be located in both local and remote computer storage media including memory storage devices in.

[0336] 此外,应当理解,本文所述的实施例阐明了示例性具体实施,并且功能性元件、逻辑块、模块、和电路元件可以与所述实施例一致的各种其他方式来实施。 [0336] Further, it should be understood that the embodiments described herein set forth the exemplary embodiment, and the functional elements, logic blocks, modules, circuits, and elements of the embodiments may be consistent with various embodiments be implemented in other ways. 此外,由此类功能性元件、逻辑块、模块、和电路元件执行的操作可组合和/或分离以用于给定的具体实施,并且可由更多数量或更少数量的部件或模块来执行。 Further, the operation of this class of functional elements, logic blocks, modules, and the circuit element may be performed by a combination and / or components or modules may be separated to a greater or lesser number for a given specific embodiment, and performs . 如本领域技术人员在阅读本公开之后所显而易见的,本文所述和所示的单独实施例中的每个具有分立部件和特征,在不背离本公开的范围的前提下,所述部件和特征可容易地与其他若干方面中任意方面的特征分离或组合。 As those skilled in the art upon reading the present disclosure be apparent, each having discrete components and features in the embodiment described herein and shown separately, without departing from the scope of the present disclosure, the components and features It can be readily separated from or combined with the features of any aspect of several other aspects. 可按所述事件的顺序或按任何其他在逻辑上可能的顺序来执行任何所述方法。 The event may be sequentially or in any other possible sequence in logic to perform any of the method.

[0337] 值得注意的是,任何对"一个实施例"或"实施例"的提及均意指结合实施例所述的特定特征、结构或特性包括在至少一个实施例中。 [0337] Notably, any reference to or "an embodiment", "an embodiment" means that a particular feature are described in the Examples, structure, or characteristic included in at least one embodiment. 在说明书中各处出现的短语"在一个实施例中"或"在一个方面"并不一定全部是指相同的实施例。 In various places in the specification appearances of the phrase "in one embodiment" or "in one aspect" are not necessarily all referring to the same embodiment.

[0338]除非另外特别说明,否则应当理解,术语诸如"处理"、"运算"、"计算"、"确定"等是指计算机或计算系统、或类似电子计算装置的动作和/或过程,所述电子计算装置诸如通用处理器、DSP、ASIC、FPGA或其他可编程逻辑装置、分立门或晶体管逻辑、分立硬件部件,或它们的任何组合,其被设计以执行本文所述的功能,其操纵表示为寄存器和/或存储器内的物理量(例如,电子)的数据并且/或者将其转换成相似地表示为存储器、寄存器或其他此类信息存储装置、传送装置或显示装置内的物理量的其他数据。 [0338] Unless specifically stated otherwise, it should be understood that terms such as "processing," "computing," "calculating," "determining" and the like refer to a computer or computing system, or similar operation of the electronic computing means and / or processes, the device such as a general purpose processor, DSP, ASIC, FPGA or other programmable logic device of said electronic computer, discrete gate or transistor logic, discrete hardware components, or any combination thereof designed to perform the functions described herein, that manipulates expressed as registers and / physical quantities (e.g., electronic) within the memory or data and / or convert it into similarly represented as memories, registers or other such information storage devices, transmission devices, or display other data physical quantities within the apparatus .

[0339] 值得注意的是,一些实施例可使用表达"联接"和"连接"以及它们的衍生词来描述。 [0339] It is noted that some embodiments may be described using the expression "coupled" and "connected" along with their derivatives will be described. 并不希望这些术语是彼此同义的。 We do not want these terms are synonymous with each other. 例如,一些实施例可使用术语"连接"和/或"联接"来描述,以表示两个或更多个元件彼此直接物理接触或电接触。 For example, some embodiments may use the terms "connected" and / or "coupled" to describe, to indicate that two or more elements are in direct physical or electrical contact. 然而,术语"联接"还可以指两个或更多个元件彼此不是直接接触,而是彼此配合或相互作用。 However, the term "coupled" may also mean that two or more elements are not in direct contact with each other, but cooperate or interact with each other. 就软件元件而言,例如,术语"联接"可指接口、消息接口、应用程序接口(API)、交换消息等。 To software elements, for example, the term "coupled" may refer to interfaces, message interfaces, application program interfaces (the API), exchanging messages and the like.

[0340] 应当理解,所述以引用的方式并入本文中的任何专利、出版物或其他公开材料,无论是全文或部分,仅在所并入的材料与本公开中给出的定义、陈述或者其他公开材料不冲突的范围内并入本文。 [0340] It should be understood that the incorporated by reference herein, any patent, publication, or other disclosure material, either whole or in part, only the definitions given in the incorporated material of the present disclosure, it is stated incorporated herein within the scope of the disclosure or other materials does not conflict. 因此,并且在必要的程度下,本文明确阐述的公开内容取代以引用方式并入本文的任何冲突材料。 Accordingly, and in the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. 任何据称以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分,仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。 Any material, or any part is said to herein are incorporated by reference herein, but the existing definitions, statements, or other disclosure material conflict does not occur only between that incorporated material and the existing disclosure material incorporated herein to the extent of the conflict.

[0341] 本发明所公开的实施例应用于常规的内窥镜检查和开放式外科器械以及应用于机器人辅助的手术。 [0341] The disclosed embodiments of the invention have application in conventional endoscopic and open surgical instrumentation as well application in robotic-assisted surgery.

[0342] 本文所公开的装置的实施例可设计为使用单次后丢弃,也可设计为供多次使用。 Example [0342] The apparatus disclosed herein can be designed to be discarded after a single use, it may be designed to be used multiple times. 在上述任一或两种情况下,都可对这些实施例进行修复,以便在使用至少一次后再使用。 In either or both cases, these embodiments can be repaired, so that in use at least once before use. 修复可包括以下步骤的任意组合:拆卸装置、然后清洗或更换特定零件和随后进行重新组装。 Reconditioning can include any combination of the following steps: disassembly of the device, followed by cleaning or replacement of particular pieces, and subsequent reassembly. 具体地讲,可以拆卸装置的实施例,并且可选择性地以任何组合形式来更换或移除装置的任意数量的特定零件或部件。 In particular, embodiments of the device may be disassembled, and any combination may be selectively replaced or removed to form a specific part or parts of any number of devices. 在清洁和/或更换特定部件时,所述装置的实施例可在修复设施中重新组装或在即将进行外科手术前由外科手术团队重新组装以供随后使用。 In an embodiment the cleaning and / or replacement of particular parts, the device may be reassembled or immediately prior to surgery by a surgical team reassembled for subsequent use either at a reconditioning facility. 本领域的技术人员将会了解,装置修复可以利用多种技术进行拆卸、清洗/更换以及重新组装。 Those skilled in the art will appreciate that reconditioning of a device may utilize a variety of techniques for disassembly, cleaning / replacement, and reassembly. 这些技术的使用和所得重新修复的装置均在本申请的范围内。 And means within the range obtained using these techniques are restored in the present application.

[0343] 仅以举例的方式,可在外科手术之前对本文所述的实施例进行处理。 [0343] way of example only, may be treated according to the embodiment described herein prior to surgery. 首先,可以获得新的或用过的器械,并且根据需要进行清洁。 First, you can get a new or used instrument and cleaned as needed. 然后,可对器械进行消毒。 Then, on the instrument can be sterilized. 在一种消毒技术中,将该器械放置在闭合且密封的容器中,例如塑料或TYVEK袋中。 In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. 然后可将容器和器械置于可穿透该容器的辐射场,例如γ辐射、X射线或高能电子。 The container and instrument may then be placed in the radiation field can penetrate the container, such as γ radiation, X-rays, or high-energy electrons. 辐射可以杀死器械上和容器中的细菌。 The radiation may kill bacteria on the instrument and in the container. 消毒后的器械随后可被存放在无菌容器中。 The sterilized instrument can then be stored in the sterile container. 密封容器可将器械保持处于无菌状态, 直至在医疗设施中将该容器打开。 Sealed container may keep the instrument in a sterile condition until the container is opened in the medical facility. 还可使用本领域已知的任何其他技术对装置进行消毒, 所述技术包括但不限于β或γ辐射、环氧乙烷或蒸汽。 May also be used any other technique known in the art that device is sterilized, including but not limited to the β or γ radiation, ethylene oxide, or steam.

[0344] 本领域技术人员将会认识到,本文所述的部件(例如,操作)、装置、对象和它们随附的讨论是为了概念清楚起见而用作示例,并且可以设想多种构型修改形式。 [0344] Those skilled in the art will recognize that the herein described components (e.g., operations), devices, objects, and the discussion accompanying them are used for examples of conceptual clarity and that various configuration modifications may form. 因此,如本文所用,阐述的具体示例和随附的讨论旨在代表它们更一般的类别。 Thus, as used herein, the specific examples set forth and the accompanying discussion are intended to representative of their more general classes. 通常,任何具体示例的使用旨在代表其类别,并且具体部件(例如,操作)、装置和对象的未纳入部分不应采取限制。 In general, use of any specific examples are intended to representative of its class, and specific components (e.g., operations), the non-inclusion device and the object should not be taken to be limiting.

[0345] 对于本文中使用的基本上任何复数和/或单数术语,本领域技术人员可从复数转换成单数和/或从单数转换成复数,只要适合于上下文和/或应用就可以。 [0345] For substantially any plural and / or singular terms herein, those skilled in the art can translate from the plural to the singular and / or from the singular to the plural as is appropriate to the context and / or application can. 为清楚起见,各种单数/复数置换在本文中没有明确表述。 For clarity, the various singular / plural permutations are not expressly stated herein.

[0346] 本文所述的主题有时阐述了包含在其他不同部件中的不同部件或与其他不同部件连接的不同部件。 [0346] The subject matter set forth herein sometimes different components or different components included in the various other components connected to various other components. 应当理解,这样描述的架构仅是例子,并且事实上可以实施实现获得相同功能性的许多其他架构。 It should be understood that such depicted architectures are merely examples, and that in fact many other architectures can be implemented to achieve the same functionality. 在概念意义上,获得相同功能性的部件的任何布置方式都是有效"相关联的",从而获得所需的功能性。 Any arrangement in a conceptual sense, to obtain the same functional members are effectively "associated" such that the desired functionality. 因此,本文中为获得特定功能性而结合在一起的任何两个组件都可被视为彼此"相关联",从而获得所需的功能性,而不论结构或中间组件如何。 Hence, any two components herein to achieve a particular functionality can be bonded together viewed as being "associated with", so as to obtain the desired functionality, irrespective of architectures or intermediate components. 同样,如此相关联的任何两个部件也可被视为彼此"可操作地连接"或"可操作地联接", 以获得所需的功能性,并且能够如此相关联的任何两个部件都可被视为彼此"可操作地联接",以获得所需的功能性。 Likewise, any two components so associated can also be viewed as being "operably connected" or "operably coupled", to achieve the desired functionality, and any two components so associated can also They are viewed as being "operably coupled", to achieve the desired functionality. 可操作地联接的具体示例包括但不限于可物理匹配的和/或物理交互式部件,和/或可无线交互的和/或无线交互式部件,和/或可逻辑交互的和/或逻辑交互式部件。 Specific examples of operably couplable include but are and / or logically interacting and / or wireless interactive components and / or logically interacting limited to physically mateable and / or physically interactive components, and / or wirelessly interacting component.

[0347] 一些方面可以使用表达"联接"和"连接"以及它们的衍生词来描述。 [0347] Some aspects may be described using the expression "coupled" and "connected" along with their derivatives will be described. 应当理解,并不希望这些术语是彼此同义的。 It should be understood that these terms are not intended to be synonymous with each other. 例如,某些方面可以利用术语"连接"来描述,以表示两个或更多个元件彼此直接物理接触或电接触。 For example, some aspects may be described using the terms "connected" to describe, to indicate that two or more elements are in direct physical or electrical contact. 在另一个例子中,一些方面可使用术语"联接"来描述,以表示两个或更多个元件直接物理接触或电接触。 In another example, some aspects may be using the term "coupled" is described to indicate that two or more elements are in direct physical or electrical contact. 然而,术语"联接"还可以指两个或更多个元件彼此不是直接接触,而是彼此配合或相互作用。 However, the term "coupled" may also mean that two or more elements are not in direct contact with each other, but cooperate or interact with each other.

[0348] 在一些情况下,一个或多个部件在本文中可被称为"被构造成能够"、"可被构造成能够"、"可操作/可操作地"、"适合/适于"、"能够"、"适应/适合"等。 [0348] In some cases, one or more components may be referred to herein as "configured to be", "may be configured to be able to," "operable / operative to," "adapted / suitable" , "could", "adapt / fit" and so on. 本领域的技术人员将会认识到,除非上下文另有所指,否则"被构造成能够"通常可涵盖活动状态的部件和/或失活状态的部件和/或待机状态的部件。 Those skilled in the art will recognize that, unless the context indicates otherwise "is configured to be" generally encompasses member components and / or standby state components and / or inactive state of the active state.

[0349] 虽然已经示出并描述了本文所述的本发明主题的特定方面,但是对本领域的技术人员将显而易见的是,基于本文的教导,可在不脱离本文所述的主题的情况下作出改变和变型,并且如在本文所述的主题的真实范围内,其更广泛的方面并因此所附权利要求将所有此类改变和变型包括在其范围内。 To the [0349] While there has been shown and described, certain aspects of the subject matter of the present invention described herein, those skilled in the art it will be apparent that, based on the teachings herein may be made without departing from the subject matter described herein case changes and modifications, as fall within the true scope and subject matter described herein and its broader aspects, therefore, the appended claims all such changes and modifications be included within the scope thereof. 本领域的技术人员应当理解,一般而言,本文特别是随附权利要求(例如,随附权利要求的正文)中所使用的术语通常旨在为"开放"术语(例如,术语"包括"应解释为"包括但不限于",术语"具有"应解释为"至少具有",术语"包含"应解释为"包含但不限于"等)。 Those skilled in the art will appreciate that, in general, in particular in the appended claims herein (e.g., the body of the appended claims) are generally intended as used as "open" terms (e.g., the term "comprising" is to be interpreted as "including but not limited to," the term "having" should be interpreted as "having at least," the term "includes" should be interpreted as "includes but is not limited to," etc.). 本领域的技术人员还应当理解,当所引入权利要求叙述的具体数目为预期的时,则这样的意图将在权利要求中明确叙述,并且在不存在这样的叙述的情况下, 不存在这样的意图。 Under those skilled in the art will also appreciate that when a specific number of an introduced claim recitation is as expected, such an intent will be explicitly recited in the claim, and in such recitation no presence of such intent is present . 例如,为帮助理解,下述随附权利要求可含有对介绍性短语"至少一个" 和"一个或多个"的使用以引入权利要求叙述。 For example, as aid to understanding, the following appended claims may contain usage of claim introductory phrases "at least one" and "one or more" to introduce claim recitations. 然而,对此类短语的使用不应被视为暗示通过不定冠词"一个"或"一种"引入权利要求叙述将含有此类引入权利要求叙述的任何特定权利要求限制在含有仅一个这样的叙述的权利要求中,甚至当同一权利要求包括介绍性短语"一个或多个"或"至少一个"和诸如"一个"或"一种"(例如,"一个"和/或"一种"通常应解释为意指"至少一个"或"一个或多个")的不定冠词时;这也适用于对用于引入权利要求叙述的定冠词的使用。 However, the use of such phrases should not be taken to imply that by the indefinite articles "a" or "an" to introduce claim recitations any particular claim containing such introduced claim recited in claim limit containing only one such recited in the claims, even when includes the introductory phrases "one or more" or "at least one" and as "a" or "an" same claim (e.g., "a" and / or "an" generally when shall mean "at least one" or "one or more") indefinite articles explained; this also applies to the use of definite articles used to introduce claim recitations of.

[0350]另外,即使在明确叙述引入权利要求叙述的特定数目时,本领域的技术人员应当认识到,这种叙述通常应解释为意指至少所叙述的数目(例如,在没有其他修饰语的情况下,对"两个叙述"的裸叙述通常意指至少两个叙述、或两个或更多个叙述)。 [0350] Further, even when explicitly recited in a specific number of an introduced claim recited, those skilled in the art should recognize that such recitation should typically be interpreted to mean at least the recited number (e.g., no other qualifying case, bare "two recitations," describes generally means at least two recitations, or two or more recitations). 此外,在其中使用类似于"A、B和C中的至少一者等"的惯例的那些情况下,一般而言,这种结构意在具有本领域的技术人员将理解所述惯例的意义(例如,"具有A、B和C中的至少一者的系统"将包括但不限于具有仅A、仅B、仅C、A和B-起、A和C一起、B和C一起和/或A、B和C一起等的系统)。 Further, in those instances where convention analogous to "A, B, and C at least one other", in general, having such a construction is intended in the present art will understand the significance of the art convention ( For example, "a system having at least one of a, B, and C" would include but are not limited to have only a, only B, only C, a, and from B-, a and C together, B and C together, and / or etc. a, B and C together). 在其中使用类似于"A、B或C中的至少一者等"的惯例的那些情况下,一般而言,这种结构意在具有本领域的技术人员将理解所述惯例的意义(例如,"具有A、B或C中的至少一者的系统" 将包括但不限于具有仅A、仅B、仅C、A和B-起、A和C一起、B和C一起和/或A、B和C一起等的系统)。 In those cases where a convention analogous to "A, B or C is at least one other", in general, having such a construction is intended in the present art will understand the significance of the art convention (e.g., "a, B, C, or at least one of the system" would include but are not limited to have only a, only B, only C, a, and from B-, a and C together, B and C together, and / or a, B and C together, etc. system). 本领域的技术人员还应当理解,通常,除非上下文另有指示,否则无论在具体实施方式、权利要求或附图中呈现两个或更多个替代术语的转折性词语和/或短语应理解为涵盖包括所述术语中的一者、所述术语中的任一个或这两个术语的可能性。 Those skilled in the art will also appreciate that, typically, unless the context indicates otherwise disjunctive word presenting two or more alternative terms and / or phrases to be understood in terms of specific embodiments, claims, or drawings cover the possibilities of including one of the terms, either of the terms, or both terms. 例如,短语"A或B"通常将被理解为包括"A"或"B"或"A和B"的可能性。 For example, the phrase "A or B" will be typically understood to include the possibility of "A" or "B" or "A and B" is.

[0351] 对于所附的权利要求,本领域的技术人员将会理解,其中列出的操作通常可以任何顺序进行。 [0351] For the appended claims, those skilled in the art will appreciate that the operating listed therein may generally be performed in any order. 另外,尽管以一定顺序列出了多个操作流程,但应当理解,可以不同于所示顺序的其他顺序进行所述多种操作,或者可以同时进行所述多种操作。 Further, although various operational flows are listed in a certain order, it should be understood that the various operations may be performed in other sequences different than the order shown, or may simultaneously perform the various operations. 除非上下文另有规定, 否则此类替代排序的例子可包括重叠、交错、中断、重新排序、增量、预备、补充、同时、反向, 或其他改变的排序。 Unless the context otherwise requires, the sort of example or such alternative may include overlapping, interleaved, interrupted, reordered, incremental, preparatory, supplemental, simultaneous, reverse, sort, or other changes. 此外,除非上下文另有规定,否则像"响应于"、"相关"这样的术语或其他过去式的形容词通常不旨在排除此类变体。 In addition, unless the context otherwise requires, otherwise like "responsive to," "relevant," such terms or other past-tense adjectives are generally not intended to exclude such variants.

[0352] 总之,已经描述了由采用本文所述的概念产生的许多有益效果。 [0352] In summary, it has been described a number of beneficial effects produced by the use of the concepts herein. 为了举例说明和描述的目的,已经提供了一个或多个实施方案的上述说明。 For purposes of illustration and description, the above description has been provided with one or more embodiments. 所述说明并非意图为详尽的或限定到本发明所公开的精确形式。 The description is not intended to be exhaustive or to be limited to the precise form disclosed. 可以按照上述教导内容对本发明进行修改或变型。 The present invention may be modifications or variations of the above teaching. 所选择和描述的一个或多个实施方案是为了示出本发明的原理和实际用途,从而允许本领域的普通技术人员能够利用多个实施方案,并且在适合设想的具体应用的情况下进行各种修改。 One or more embodiments are chosen and described in order to illustrate principles and practical uses of the invention, allowing those of ordinary skill in the art can utilize a plurality of embodiments, and are in each case adapted to the particular use contemplated modifications. 与此一同提交的权利要求书旨在限定全部范围。 The claims filed with this claim are intended to define the full scope.

Claims (20)

1. 一种外科器械,包括: 外壳; 能够可移除地联接到所述外壳的可互换轴组件,所述可互换轴组件包括具有下列部分的端部执行器: 第一端部执行器部分,所述第一端部执行器部分可操作地响应于施加到其的第一驱动动作;和第二端部执行器部分,所述第二端部执行器部分可操作地响应于施加到其的第二驱动动作,并且其中所述外科器械还包括: 由所述外壳可操作地支撑的第一驱动系统,所述第一驱动系统能够从第一未致动位置运动到第二致动位置,所述第一驱动系统被构造成能够在所述第一驱动系统处于所述第二致动位置时将所述第一驱动动作施加到可操作地联接到所述外壳的所述可互换轴组件; 由所述外壳可操作地支撑的第二驱动系统,所述第二驱动系统能够从未击发位置运动到击发位置,所述第二驱动系统被构造成能够在所述第二驱动系 1. A surgical instrument, comprising: a housing; can be removably coupled to the housing of the interchangeable shaft assembly, the interchangeable shaft assembly includes an end effector having the following portions: a first end portion, said first end portion is operable in response to a first applied to its driving operation; and a second end portion, said second end portion is operable in response to application of a second driving operation thereof, and wherein said surgical instrument further comprises: a first drive system operably supported by said housing, said first actuator to the second drive system is capable of moving from a first unactuated position of the movable actuating position, the first driving system is configured to be in the first operation is applied to the drive operatively coupled to said second actuated position in the housing of the first drive system can be interchangeable shaft assembly; second drive system operably supported by said housing, said second drive system is capable of unfired position to the fired position, said second drive system is configured to be in the second drive train 处于所述击发位置时将所述第二驱动动作施加到所述可互换轴组件;以及闩锁系统,所述闩锁系统用于将所述可互换轴组件可移除地联接到所述外壳,使得在所述第一驱动系统处于所述第一未致动位置时,所述可互换轴组件能够从所述外壳脱离, 并且在所述第一驱动系统处于所述第二致动位置时,所述闩锁系统防止所述可互换轴组件从所述外壳脱离。 Applying the second driving operation when in the firing position to the interchangeable shaft assembly; and a latch system, the latch system for the interchangeable shaft assembly is removably coupled to the said housing, such that when the first drive system is in said first unactuated position, the interchangeable shaft assembly can be disengaged from the housing, and in the first drive system is in said second actuator when actuated position, the latch system prevents the interchangeable shaft assembly is disengaged from the housing.
2. 根据权利要求1所述的外科器械,其中,所述可互换轴组件还包括被构造用于与所述外壳可移除地接合的底座构件,并且其中所述闩锁系统包括锁定构件,所述锁定构件能够选择性地在锁定位置和解锁位置之间运动,使得在处于所述锁定位置时,所述锁定构件保持将所述底座构件联接到所述外壳,并且在所述锁定构件处于所述解锁位置时,所述底座能从所述外壳脱离。 The surgical instrument according to claim 1, wherein said interchangeable shaft assembly further includes a base member configured for removable engagement of said housing, and wherein the latch system comprises a locking member the locking member is selectively movable between a locking position and an unlocking position, such that when in the locked position, holding the locking member coupling the base member to the housing and the locking member when in the unlocked position, the base disengaged from said housing.
3. 根据权利要求2所述的外科器械,其中,所述可互换轴组件还包括: 第一轴组件,所述第一轴组件被构造成能够可操作地将所述第一驱动动作传输到所述第一端部执行器部分;和第一轴辄,所述第一轴辄可操作地支撑所述第一轴组件并被构造用于可释放地接合到所述第一驱动系统的对应部分,所述第一轴辄被构造成能够在所述第一驱动系统处于所述第二致动位置时防止所述锁定构件运动到所述解锁位置。 3. The surgical instrument according to claim 2, wherein said interchangeable shaft assembly further comprises: a first shaft assembly, said first shaft assembly is configured to be operable to transfer operation of the first drive to the actuator portion of the first end portion; Noir and the first shaft, said first shaft operably supported Noir said first shaft assembly and configured to be releasably engaged to the first drive system corresponding portions of the first shaft is configured to be Noir prevent movement of the locking member to the unlocked position to the second actuated position the first drive system.
4. 根据权利要求3所述的外科器械,其中,所述端部执行器包括被构造成能够在其中可操作地支撑外科钉仓的通道,并且其中所述第一部分包括相对于所述通道可运动地得到支撑的砧座,所述砧座能够响应于施加到其的所述第一驱动动作而相对于所述通道在打开位置和闭合位置之间运动。 The surgical instrument according to claim 3, wherein the end effector comprises a channel can be configured to operably support in which a surgical staple cartridge, and wherein said first portion comprises a further passage may is supported movably anvil, the anvil can be responsive to the passage between an open position and a closed position which is applied to the first drive action with respect.
5. 根据权利要求4所述的外科器械,其中,所述第一驱动系统包括闭合连接件,所述闭合连接件被支撑以响应于施加到其的致动动作而在所述外壳内轴向运动,所述闭合连接件被构造用于与所述第一轴辄可移除地接合。 The surgical instrument according to claim 4, wherein said drive system comprises a first member connected to the closure, connecting the closure member is supported in response to an operation applied to the actuator which is axially within the housing movement of the closure member is configured to connect the first axis Noir removably engaged.
6. 根据权利要求5所述的外科器械,其中,所述第一驱动系统还包括闭合触发器,所述闭合触发器由所述外壳可运动地支撑以用于选择性地在未致动触发位置和致动触发位置之间行进,所述闭合触发器可操作地联接到所述闭合连接件。 The surgical instrument according to claim 5, wherein the drive system further includes a first closure trigger, the closure trigger supported movably by the housing for selective actuation of the trigger without position and an actuated position of the trigger travel between the closure trigger operably coupled to said closure member is connected.
7. 根据权利要求2所述的外科器械,其中,所述外壳限定纵向轴轴线,并且其中所述底座能够与所述外壳沿垂直于所述纵向轴轴线的安装轴线接合。 7. The surgical instrument according to claim 2, wherein the housing defines a longitudinal shaft axis, and wherein said base is capable of housing the direction perpendicular to the longitudinal axis of the shaft engages the mounting axis.
8. 根据权利要求7所述的外科器械,其中,所述底座包括至少一个渐缩附接部分,所述至少一个渐缩附接部分被构造成能够被滑动地接收在位于所述外壳中的对应燕尾形狭槽中。 8. The surgical instrument according to claim 7, wherein said base comprises at least one tapered attachment portion, said at least one tapered attachment portion is configured to be slidably received in said housing corresponding to the dovetail slot.
9. 根据权利要求1所述的外科器械,其中,所述外壳包括柄部。 9. The surgical instrument according to claim 1, wherein said housing includes a handle portion.
10. 根据权利要求4所述的外科器械,其中,所述第二端部执行器部分包括刀杆,所述刀杆被支撑以用于在支撑于所述通道中的所述外科钉仓内轴向行进。 The surgical instrument according to claim 4, wherein the second end comprises a shank portion, said arbor being supported within the support for the channel in the staple cartridge of the surgical axial travel.
11. 一种外科切割和紧固器械,包括: 外壳; 能够可移除地联接到所述外壳的可互换轴组件,所述可互换轴组件包括具有下列部分的端部执行器: 通道,所述通道被构造成能够在其中可操作地支撑外科钉仓; 砧座,所述砧座相对于所述通道可运动地得到支撑并能够相对于所述通道在打开位置和闭合位置之间运动;和刀杆,所述刀杆被支撑以响应于施加到其的击发动作而在支撑于所述通道中的外科钉仓内轴向行进,并且其中所述外科器械还包括: 由所述外壳可操作地支撑的闭合系统,所述闭合系统能够从第一未致动位置运动到第二致动位置,所述闭合系统被构造成能够在所述闭合系统处于所述第一致动位置时通过所述可互换轴组件将第一闭合动作施加到所述砧座; 由所述外壳可操作地支撑的马达驱动击发系统,所述马达驱动击发系统能够从未击发 11. A surgical cutting and fastening instrument, comprising: a housing; can be removably coupled to the housing of the interchangeable shaft assembly, the interchangeable shaft assembly includes an end effector having the following moiety: channel , the channel being configured to be operably supported therein surgical staple cartridge; an anvil, said anvil in said passage between open and closed positions of the channels may be supported movably with respect to and relative to motion; and arbor, said arbor is supported in response to the firing motion applied thereto travels axially within the support passage in the surgical staple cartridge and wherein said surgical instrument further comprises: by the operably supported housing closure system, the closure system can be actuated position from a second movement of the first actuator is not actuated position to a closure system configured to be in the first actuating position of the closure system when the interchangeable shaft assembly by applying a first closing motion to said anvil; supported by the housing and operable to drive a firing system of a motor, a motor driving system capable of firing unfired 置运动到击发位置,所述马达驱动击发系统被构造成能够在所述马达驱动击发系统处于所述击发位置时通过所述可互换轴组件将所述击发动作施加到所述刀杆;和闩锁系统,所述闩锁系统用于将所述可互换轴组件可移除地联接到所述外壳,使得在所述闭合系统处于所述第一未致动位置时,所述可互换轴组件能够从所述外壳脱离,并且在所述闭合系统处于所述第二致动位置且所述砧座闭合时,所述闩锁系统防止所述可互换轴组件与所述外壳脱离。 When set motion to the firing position, the motor drive system is configured to be capable of firing in the firing position of the firing system by the motor driving the interchangeable shaft assembly to said firing motion is applied to said arbor; and the latch system, the latch system for the interchangeable shaft assembly is removably coupled to the housing, such that when the closure system is in said first unactuated position, said mutual transducer shaft assembly can be disengaged from the housing, and the closure system is in the second actuated position and the anvil is closed, the latch system prevents the interchangeable shaft assembly from the housing .
12. 根据权利要求11所述的外科切割和紧固器械,其中,所述可互换轴组件还包括被构造用于与所述外壳可移除地接合的底座构件,并且其中所述闩锁系统包括锁定构件,所述锁定构件能够选择性地在锁定位置和解锁位置之间运动,使得在处于所述锁定位置时,所述锁定构件保持将所述底座构件联接到所述外壳,并且在所述锁定构件处于所述解锁位置时,所述底座能从所述外壳脱离。 Claim 12. The surgical cutting and fastening instrument of claim 11, wherein said interchangeable shaft assembly further includes a base member configured for removable engagement of said housing, and wherein said latch the system includes a locking member, the locking member is selectively movable between a locking position and an unlocking position, such that when in the locked position, holding the locking member coupling the base member to the housing, and the locking member is in the unlocked position, the base disengaged from said housing.
13. 根据权利要求12所述的外科切割和紧固器械,其中,所述可互换轴组件还包括: 闭合管,所述闭合管包括被构造成能够将所述闭合动作施加到所述砧座的远侧端部部分;和闭合梭动件,所述闭合梭动件由所述底座可运动地支撑并可操作地支撑所述闭合管的近侧端部,所述闭合梭动件被构造用于可释放地接合到所述闭合系统的对应部分,所述闭合梭动件被构造成能够在所述闭合系统处于所述第二致动位置时防止所述锁定构件运动到所述解锁位置。 13. The surgical cutting and fastening instrument 12 according to claim wherein said interchangeable shaft assembly further comprising: a closure tube, said tube comprising a closure is configured to be applied to the closing motion to the anvil the distal end portion of the housing; and a closure member movable shuttle, the shuttle closed by the base member is supported movably and operatively supporting a proximal end of the tube is closed, the closure member is movable shuttle configured to releasably engage a corresponding portion of the closure system, the closure shuttle member is configured to be prevented when the closure system is in the second actuating position of the locking member to said unlocked position.
14. 根据权利要求11所述的外科切割和紧固器械,其中,所述闭合系统还包括闭合触发器,所述闭合触发器由所述外壳可运动地支撑以用于选择性地在未致动触发位置和致动触发位置之间行进,并且其中所述闭合系统的所述对应部分包括可操作地联接到所述闭合触发器的闭合连接件。 14. The surgical cutting and fastening instrument of claim 11 wherein said closure system further comprises a closure trigger, the closure trigger by the housing movably supported for selectively unactuated moving the trigger position and an actuated position between the trigger travel, and wherein said corresponding portion of said closure system comprising a connector operatively coupled to the closure member of the closure trigger.
15. 根据权利要求12所述的外科切割和紧固器械,其中,所述底座包括至少一个渐缩附接部分,所述至少一个渐缩附接部分被构造成能够被滑动地接收在位于所述外壳中的对应燕尾形狭槽中。 15. The surgical cutting and fastening instrument 12 according to claim wherein the base comprises at least one tapered attachment portion, said at least one tapered attachment portion configured to be positioned to be slidably received in the said housing in a corresponding dovetail slot.
16. 根据权利要求11所述的外科切割和紧固器械,其中,所述外壳包括柄部。 Claim 16. The surgical cutting and fastening instrument of claim 11, wherein said housing includes a handle portion.
17. 根据权利要求12所述的外科切割和紧固器械,其中,所述外壳限定纵向轴轴线,并且其中所述底座能够与所述外壳沿垂直于所述纵向轴轴线的安装轴线可移除地接合。 17. The surgical cutting and fastening instrument of claim 12 wherein said housing defines a longitudinal shaft axis, and wherein said base is capable of housing the direction perpendicular to the longitudinal axis of the mounting shaft axis, may be removed engaged.
18. 根据权利要求11所述的外科切割和紧固器械,其中,所述马达驱动击发系统在所述闭合系统处于所述第一未致动位置时是不能够致动的。 18. The surgical cutting and fastening instrument of claim 11 wherein said motor drive firing system of the closure system is in said first unactuated position is not actuatable.
19. 一种外科器械,包括: 外壳; 能够可移除地联接到所述外壳的可互换轴组件,所述可互换轴组件包括具有下列部分的端部执行器: 第一端部执行器部分,所述第一端部执行器部分可操作地响应于施加到其的第一驱动动作;和第二端部执行器部分,所述第二端部执行器部分可操作地响应于施加到其的第二驱动动作,并且其中所述外科器械还包括: 由所述外壳可操作地支撑的第一驱动系统,所述第一驱动系统能够从第一未致动位置运动到第二致动位置,所述第一驱动系统被构造成能够在所述第一驱动系统处于所述第二致动位置时将所述第一驱动动作施加到可操作地联接到所述外壳的所述可互换轴组件; 由所述外壳可操作地支撑的第二马达驱动系统,所述第二马达驱动系统能够从未击发位置运动到击发位置,所述第二马达驱动系统被构造成能够在所 19. A surgical instrument, comprising: a housing; can be removably coupled to the housing of the interchangeable shaft assembly, the interchangeable shaft assembly includes an end effector having the following portions: a first end portion, said first end portion is operable in response to a first applied to its driving operation; and a second end portion, said second end portion is operable in response to application of a second driving operation thereof, and wherein said surgical instrument further comprises: a first drive system operably supported by said housing, said first actuator to the second drive system is capable of moving from a first unactuated position of the movable actuating position, the first driving system is configured to be in the first operation is applied to the drive operatively coupled to said second actuated position in the housing of the first drive system can be interchangeable shaft assembly; second motor drive system operably supported by said housing, said second motor driving system capable of unfired position to the fired position, said second motor drive system is configured to be in the 述第二马达驱动系统处于所述击发位置时将所述第二驱动动作施加到所述可互换轴组件;和用于将所述可互换轴组件可移除地联接到所述外壳的装置,使得在所述第一驱动系统处于所述第一未致动位置时,所述可互换轴组件能够从所述外壳脱离,并且在所述第一驱动系统处于所述第二致动位置时,用于可移除地联接的所述装置防止所述可互换轴组件与所述外壳脱离。 Said second motor drive system is in the firing position when the second operation is applied to the interchangeable drive shaft assembly; and means for the interchangeable shaft assembly is removably coupled to the housing means such that when said first drive system is in said first unactuated position, the interchangeable shaft assembly can be disengaged from the housing, and the first drive system is in said second actuator position, said means for removably coupling device prevents the interchangeable shaft assembly from the housing.
20. 根据权利要求19所述的外科器械,其中,所述外壳包括柄部。 20. The surgical instrument according to claim 19, wherein said housing includes a handle portion.
CN201580027607.1A 2014-03-26 2015-03-11 Modular powered surgical instrument with detachable shaft assemblies CN106413581A (en)

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