CN107427301A - It is configured to follow the trail of the surgical device of end-of-life parameter - Google Patents

It is configured to follow the trail of the surgical device of end-of-life parameter Download PDF

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Publication number
CN107427301A
CN107427301A CN201680012646.9A CN201680012646A CN107427301A CN 107427301 A CN107427301 A CN 107427301A CN 201680012646 A CN201680012646 A CN 201680012646A CN 107427301 A CN107427301 A CN 107427301A
Authority
CN
China
Prior art keywords
shank
shank module
module
battery
processor
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201680012646.9A
Other languages
Chinese (zh)
Other versions
CN107427301B (en
Inventor
A·T·贝克曼
A·K·纳拉加特拉
R·L·小科克
J·A·希布纳
F·E·谢尔顿四世
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Angiotech Pharmaceuticals Inc
Original Assignee
Angiotech Pharmaceuticals Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US14/633,562 external-priority patent/US10159483B2/en
Application filed by Angiotech Pharmaceuticals Inc filed Critical Angiotech Pharmaceuticals Inc
Publication of CN107427301A publication Critical patent/CN107427301A/en
Application granted granted Critical
Publication of CN107427301B publication Critical patent/CN107427301B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/00032Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by data exchange
    • H02J7/00036Charger exchanging data with battery
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0013Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries acting upon several batteries simultaneously or sequentially
    • H02J7/0014Circuits for equalisation of charge between batteries
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0047Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries with monitoring or indicating devices or circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/00681Aspects 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
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0803Counting the number of times an instrument is used
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0809Indication of cracks or breakages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A61B2090/0812Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument indicating loosening or shifting of parts of an instrument, signaling maladjustment of parts
    • HELECTRICITY
    • H01ELECTRIC 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
    • H01M10/4257Smart batteries, e.g. electronic circuits inside the housing of the cells or batteries
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J2207/00Indexing scheme relating to details of circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J2207/40Indexing scheme relating to details of circuit arrangements for charging or depolarising batteries or for supplying loads from batteries adapted for charging from various sources, e.g. AC, DC or multivoltage
    • H02J7/0027
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/34Parallel operation in networks using both storage and other dc sources, e.g. providing buffering
    • H02J7/342The other DC source being a battery actively interacting with the first one, i.e. battery to battery charging
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02EREDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
    • Y02E60/00Enabling technologies; Technologies with a potential or indirect contribution to GHG emissions mitigation
    • Y02E60/10Energy storage using batteries

Abstract

The invention discloses a kind of surgical device, the surgical device includes shank module and detachable shaft module and performs surgical operation for common.The shank module includes being used for the rotary drive system for driving the detachable shaft module, the rotary drive system is connected to for providing the electro-motor of power for the rotary drive system, one or more sensors, and the shank module handler circuit to be communicated with one or more of sensors and the electro-motor.The shank module handler circuit is programmed for controlling the electro-motor.The shank module handler circuit is also programmed for following the trail of and/or count the end-of-life parameter of the shank module based on the input from one or more of sensors.

Description

It is configured to follow the trail of the surgical device of end-of-life parameter
Background technology
The present invention relates to surgical instruments, and in various embodiments, be related to surgical stapling and cutting device and with Its nail bin used.
Suture instruments may include the elongated nip component of a pair of collaborative works, wherein each jaw member is inserted into patient Position in vivo and relative to be stapled and/or incision tissue.In various embodiments, one of jaw member can prop up Support wherein accommodates the nail bins of at least two staples being laterally spaced apart from, and another jaw member is sustainable has and nail The anvil block of the nail shapes pit of staple alignment in storehouse.In general, suture instruments may also include push rod and blade, the push rod It can be slided with blade relative to jaw member with by the cam face on push rod and/or the wedge-shaped slides pushed by push rod On cam face will follow closely and project successively from nail bin.In at least one embodiment, cam face is configured to Activation is by storehouse carrying and the multiple staple drivers associated with nail, to push nail against anvil block and to be held on jaw member Between tissue in form the deformation staple being laterally spaced from.In at least one embodiment, the traceable cam face of blade And cut tissue along the route between staple.The example of such suture instruments is in entitled " SURGICAL STAPLES HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND , should disclosed in having in STAPLING INSTRUMENTS FOR DEPLOYING THE SAME " United States Patent (USP) 7,794,475 The complete disclosure of patent is hereby incorporated by reference.
The current various aspects of correlation technique in the field of the invention only for the purpose of illustration discussed above, without should It is considered as the negative to right.
Brief description of the drawings
The various features structure of embodiment described herein together with its advantage can combine drawings described below according to it is following description come Understood:
Fig. 1 is the modularization surgery system for including motor driving shank module and three interchangeable detachable shaft modules Perspective view;
Fig. 2 is the side perspective view of Fig. 1 shank module, wherein for the sake of clarity, removing a part for shank shell;
Fig. 3 is the exploded assembled view of Fig. 1 shank module;
Fig. 4 is another exploded assembled view of Fig. 1 shank module;
Fig. 5 is the side front view of Fig. 1 shank module, wherein removing a part for shank shell;
Fig. 6 is the drive for the rotary drive system of Fig. 1 shank module to be operably linked to detachable shaft module The decomposition assembled view of the mechanical coupling system of dynamic system;
Fig. 7 is the block diagram for the electronic unit for showing detachable shaft module and Fig. 1 shank module;
Fig. 8 is the shank computing device by Fig. 1 shank module to determine when shank module reaches its end of life Handling process figure;
Fig. 9 is the shank computing device by Fig. 1 shank module to determine when shank module reaches its end of life Handling process another figure;
Figure 10 A are to show to treat expected percussion and retraction force by Fig. 1 shank module application with by shank module being applied Chart of the difference as the function of the stroke of axle module between actual percussion and retraction force;
Figure 10 B are by the schematic diagram of the handling process of the shank computing device of Fig. 1 shank module, the handling process For the expected percussion applied based on the shank module treated by Fig. 1 and retraction force and the actual percussion applied by shank module and return Difference between contracting power determines when shank module reaches its end of life;
Figure 10 C are with based on being consumed during use by shank module by the shank computing device of Fig. 1 shank module Energy, and determine when shank module reaches its end of life in the energy consumed during use by shank module every time Handling process figure;
Figure 10 D are the chart of the example of gross energy for showing to be consumed by shank module in multiple device activates;
Figure 10 E are the chart of the example of power for showing to consume during each activation of Fig. 1 shank module;
Figure 11 A and Figure 11 B show that shank module can be inserted into wherein for the sterilization tray of sterilizing;
Figure 11 C and Figure 11 D show that shank module and detachable shaft module can be inserted into wherein for the sterilizing support of sterilizing Disk;
Figure 11 E show that shank module can be inserted into wherein for another sterilization tray of sterilizing;
Figure 11 F, Figure 11 G, Figure 11 H and Figure 11 I show each side with Figure 11 E of shank module handing-over sterilization tray;
Figure 12 A, Figure 12 B and Figure 12 E are shown for checking shank module before, during and/or after surgical operation Inspection operation platform;
Figure 12 C are inspection operation platform and the block diagram of shank module;
Figure 12 D are to be placed on based on shank module on inspection operation platform by the shank computing device of shank module Number determines when shank module reaches the figure of the handling process of its end of life;
Figure 13 A are the block diagram for each side for showing shank module and removable battery pack, and wherein battery pack includes identification hair Emitter so that shank module can recognize that battery pack;
Figure 13 B are shown by the shank computing device of Figure 13 A shank module with installed in shank based on battery pack Number in module determines when shank module reaches the handling process of its end of life;
Figure 14 A, Figure 14 B and Figure 14 C show to detect detachable shaft module to each side of the shank module of attachment thereon;
Figure 14 D show shank module and detachable shaft module, and wherein shank module detects detachable shaft module to thereon Attachment;
Figure 14 E show Figure 14 D shank module, and wherein shank module also detects the attachment of removable battery pack;
Figure 14 F and Figure 14 G show the shank module for Figure 14 D detecting the insertion of removable battery pack wherein Sensor;
Figure 15 A and Figure 15 B are shown for shank module detecting the another of the insertion of removable battery pack wherein Individual sensor;
Figure 16 shows the shank module with multiple power supply groups;
Figure 17 A and Figure 17 B are shown by the shank computing device of shank module to determine when shank module reaches its longevity Order the additional treatments flow of terminal;
Figure 18 A, Figure 18 B and Figure 18 C show shank module, the shank module have prevent from inserting battery in some cases The mechanism of group;
Figure 18 D and Figure 18 E show Figure 18 A shank module prevent in some cases by battery pack from shank module move The mechanism removed;
Figure 19 A, Figure 19 B and Figure 19 C show charging operations platform and shank module, and wherein charging operations platform is used for shank mould The battery pack of block is charged;
Figure 20 A and Figure 20 B show to have sterilizing lid for covering the shank of its part in the sterilization period of shank module Module;
Figure 20 C show the sterilizing lid of the battery compartment of the shank module for Figure 20 A;
Figure 20 D show the removable battery pack of the shank module for Figure 20 A;
Figure 21 A, Figure 21 B, Figure 21 C and Figure 21 D show the aobvious of the surgical instruments for including shank module and detachable shaft module Show configuration;
Figure 22 shows the removable battery pack with internal circuit board;
Figure 23 A show the shank module with projecting device, and when protruding, the projecting device prevents from inserting shank module In sterilization tray;
Figure 23 B show sterilization tray and Figure 23 A shank module;
Figure 24 A and Figure 24 B show the shank module check operating desk for vacuum pressure to be applied to shank module;
Figure 25 A, Figure 25 B, Figure 25 C and Figure 25 D are shown with the handle for being used for the one or more fans for drying shank module Portion's module check operating desk;
Figure 25 E show the inspection operation platform with the vacuum port to dry shank module;
Figure 26 A, Figure 26 B and Figure 26 C show inspection operation platform, shank module, and for being connected to inspection in shank module Fictitious load is applied to the load simulation adapter of shank module when looking into operating desk;
Figure 26 D are the sectional view of Figure 26 A- Figure 26 C load simulation adapter;
Figure 26 E are chart of the instance model for the gear backlash for showing shank module as the function used;
Figure 27 A and Figure 27 B show that the inspection operation platform of shank module and detachable shaft module can be accommodated;
Figure 28 A show to think that shank module proposes the handling process of service recommendations by inspection operation platform computing device;
Figure 28 B show to perform the handling process for thinking that shank module proposes service recommendations by shank module handler;
Figure 29 A are shown for the charging to being charged available for the removable battery pack of one or more of shank module Operating desk;
Figure 29 B and Figure 29 C show the mechanism for being used to battery pack being fixed to charging operations platform of charging operations platform;
Figure 29 D are charging operations platform and the block diagram of battery pack;
Figure 29 E show the handling process performed by shank module charging operations platform;
Figure 30 A and Figure 30 B show the handling process performed by shank module charging operations platform;
Figure 31 and Figure 32 is the electrical schematic of charging operations platform;
Figure 33 A are the top view of battery pack;
Figure 33 B are the top view of charging operations platform, show the contact configuration of Figure 33 A battery pack;
Figure 34 A are the top view of battery pack;
Figure 34 B are the top view of charging operations platform, show the contact configuration of Figure 34 A battery pack;
Figure 35 is the flow chart using the processing of inspection operation platform;
Figure 36 and Figure 37 is to show for shank module being sterilized and being followed the trail of the exemplary of its quantity being sterilized The process chart of step;
Figure 38 is the perspective view according to the battery component being used together with surgical instruments of at least one embodiment, wherein Battery component includes multiple impact-absorbing elements;
Figure 38 A are the detailed section view of one of Figure 38 impact-absorbing element of battery component;
Figure 39 is the partial sectional view of Figure 38 battery component;
Figure 40 is the perspective view for the battery component being used together with surgical instruments, and the battery component includes being configured to Protect the battery case of the one or more battery unit of battery component;
Figure 40 A are the detailed section view of Figure 40 battery component;
Figure 41 show according at least one embodiment include from shank extend to power source power supply adaptor it is outer The shank of section's device system;
Figure 42 shows the shank of Figure 41 according at least one embodiment, the shank optionally power supply with Figure 41 Adapter is used together including removable battery with the power supply adaptor system of dismountable power wire;
Figure 43 is the schematic diagram according to the power supply adaptor of at least one embodiment;
Figure 44 is the schematic diagram according to the power supply adaptor of at least one embodiment;
Figure 45 is the perspective view of the shank for the surgical instrument system for including battery;
Figure 46 is the perspective view of the second battery of the shank for being attached to Figure 45;And
Figure 47 is Figure 45 shank and the sectional view of battery and Figure 46 the second battery.
In all some views, part corresponding to corresponding reference symbol instruction.Exemplifications set out herein is with a kind of shape Formula shows various embodiments of the present invention, and this example is not necessarily to be construed as the model that limit the invention in any way Enclose.
Embodiment
Present applicant possesses the following patent application submitted on the same day with the application, the respective full text of these patent applications It is herein incorporated by reference:
- entitled " SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7542USNP/140467);
- entitled " SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND” U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7547USNP/140472);
- entitled " SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONE OR MORE BATTERIES " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7545USNP/ 140470);
- entitled " CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR CHARGING A BATTERY " U.S. Patent Application Serial Numbers _ _ _ _ _ _ _ _ _ _ _ (attorney END7543USNP/ 140468);
- entitled " SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7558USNP/140483);
- entitled " REINFORCED BATTERY FOR A SURGICAL INSTRUMENT " U.S. Patent application sequence Row number _ _ _ _ _ _ _ _ _ _ _ (attorney END7551USNP/140476);
- entitled " POWER ADAPTER FOR A SURGICAL INSTRUMENT " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7553USNP/140478);
- entitled " ADAPTABLE SURGICAL INSTRUMENT HANDLE " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (attorney END7541USNP/140466);And
- entitled " MODULAR STAPLING ASSEMBLY " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ _ (generation Manage people file number END7544USNP/140469).
Present applicant, which possesses, to be filed on December 18th, 2014 and is each incorporated by reference in its entirety herein Following patent application:
- entitled " SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING " U.S. Patent application Sequence number 14/574,478;
- entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS " U.S. State's patent application serial number 14/574,483;
- it is entitled " DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS's " U.S. Patent Application Serial Number 14/575,139;
- entitled " LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS " U.S. Patent Application Serial Number 14/575,148;
- entitled " SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE " United States Patent (USP) Shen Please sequence number 14/575,130;
- entitled " SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS " U.S. State's patent application serial number 14/575,143;
- entitled " SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS " U.S. Patent Application Serial Number 14/575,117;
- entitled " SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS " U.S. Patent Application Serial Number 14/575,154;
- entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM " U.S. Patent Application Serial Number 14/574,493;And
- entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM " U.S. Patent Application Serial Number 14/574,500.
Present applicant, which possesses, to be filed on March 1st, 2013 and is each incorporated by reference in its entirety this paper's Following patent application:
- entitled " Articulatable Surgical Instruments With Conductive Pathways For Signal Communication " U.S. Patent Application Serial Number 13/782,295, is now U.S. Patent Application Publication 2014/0246471;
- entitled " Rotary Powered Articulation Joints For Surgical Instruments " U.S. Patent Application Serial Number 13/782,323, be now U.S. Patent Application Publication 2014/0246472;
- entitled " Thumbwheel Switch Arrangements For Surgical Instruments " U.S. State's patent application serial number 13/782,338, it is now U.S. Patent Application Publication 2014/0249557;
- entitled " Electromechanical Surgical Device with Signal Relay Arrangement " U.S. Patent Application Serial Number 13/782,499, it is now U.S. Patent Application Publication 2014/0246474;
- entitled " Multiple Processor Motor Control for Modular Surgical Instruments " U.S. Patent Application Serial Number 13/782,460, it is now U.S. Patent Application Publication 2014/0246478;
- it is entitled that " the Joystick Switch Assemblies For Surgical Instruments " U.S. is special Sharp patent application serial numbers 13/782,358, it is now U.S. Patent Application Publication 2014/0246477;
- entitled " Sensor Straightened End Effector During Removal Through Trocar " U.S. Patent Application Serial Number 13/782,481, it is now U.S. Patent Application Publication 2014/0246479;
- entitled " Control Methods for Surgical Instruments with Removable Implement Portions " U.S. Patent Application Serial Number 13/782,518, it is now U.S. Patent Application Publication 2014/ 0246475;
- entitled " Rotary Powered Surgical Instruments With Multiple Degrees of Freedom " U.S. Patent Application Serial Number 13/782,375, it is now U.S. Patent Application Publication 2014/0246473;And
- entitled " Surgical Instrument Soft Stop " U.S. Patent Application Serial Number 13/782,536, It is now U.S. Patent Application Publication 2014/0246476.
Present applicant, which also possesses, to be filed on March 14th, 2013 and is each incorporated by reference in its entirety herein Following patent application:
- entitled " ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE " U.S. Patent Application Serial Number 13/803,097, be now U.S. Patent Application Publication 2014/0263542;
- entitled " CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT " U.S. Patent Application Serial Number 13/803,193, it is now U.S. Patent Application Publication 2014/0263537;
- entitled " INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT " U.S. Patent Application Serial Number 13/803,053, it is now U.S. Patent Application Publication 2014/0263564;
- entitled " ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK " U.S. Patent Application Serial Number 13/803,086, it is now U.S. Patent Application Publication 2014/0263541;
- entitled " SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 13/803,210, it is now U.S. Patent Application Publication 2014/ 0263538;
- entitled " MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT " U.S. Patent application Sequence number 13/803,148, it is now U.S. Patent Application Publication 2014/0263554;
- entitled " DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 13/803,066, it is now U.S. Patent Application Publication 2014/0263565;
- entitled " ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 13/803,117, it is now U.S. Patent Application Publication 2014/0263553;
- entitled " DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 13/803,130, it is now U.S. Patent Application Publication 2014/0263543; And
- entitled " METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT " U.S. Patent application serial number 13/803,159, it is now U.S. Patent Application Publication 2014/0277017.
Present applicant also possess be filed on March 7th, 2014 and be incorporated by reference in its entirety this paper with Lower patent application:
- entitled " CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 14/200,111, it is now U.S. Patent Application Publication 2014/0263539.
Present applicant also possesses the following patent application for being filed on March 26th, 2014, and each of which Each it is hereby incorporated herein by full:
- it is entitled " POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS's " U.S. Patent Application Serial Number 14/226,106;
- entitled " STERILIZATION VERIFICATION CIRCUIT " U.S. Patent Application Serial Number 14/ 226,099;
- entitled " VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT " U.S. Patent Application Serial Number 14/226,094;
- entitled " POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL " U.S. Patent Application Serial Number 14/226,117;
- entitled " MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES " U.S. Patent Application Serial Number 14/226,075;
- entitled " FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 14/226,093;
- entitled " SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION " United States Patent (USP) Shen Please sequence number 14/226,116;
- entitled " SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR " U.S. Patent Application Serial Number 14/226,071;
- entitled " SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS " United States Patent (USP) Patent application serial numbers 14/226,097;
- it is entitled that " the INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS " U.S. is special Sharp patent application serial numbers 14/226,126;
- entitled " MODULAR SURGICAL INSTRUMENT SYSTEM " U.S. Patent Application Serial Number 14/ 226,133;
- entitled " SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT " U.S. Patent application serial number 14/226,081;
- entitled " POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION " U.S. Patent Application Serial Number 14/226,076;
- entitled " SURGICAL STAPLING INSTRUMENT SYSTEM " U.S. Patent Application Serial Number 14/ 226,111;And
- entitled " SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT " United States Patent (USP) Shen Please sequence number 14/226,125.
Present applicant, which also possesses, to be filed in September in 2014 5 and is each incorporated by reference in its entirety herein Following patent application:
- entitled " CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE " United States Patent (USP) Shen Please sequence number 14/479,103;
- entitled " ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION " U.S. Patent Application Serial Number 14/479,119;
- entitled " MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION " U.S. Patent Application Serial Number 14/478,908;
- entitled " MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION " U.S. Patent Application Serial Number 14/478,895;
- entitled " USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADED CARTRIDGE " U.S. Patent Application Serial Number 14/479,110;
- it is entitled that " the SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION " U.S. is special Sharp patent application serial numbers 14/479,098;
- entitled " MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE " United States Patent (USP) Patent application serial numbers 14/479,115;And
- entitled " LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION " United States Patent (USP) Shen Please sequence number 14/479,108.
Present applicant, which also possesses, to be filed on April 9th, 2014 and is each incorporated by reference in its entirety herein Following patent application:
- entitled " MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS " U.S. Patent Application Serial Number 14/248,590, it is now U.S. Patent Application Publication 2014/0305987;
- entitled " SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT " U.S. Patent Application Serial Number 14/248,581, It is now U.S. Patent Application Publication 2014/0305989;
- entitled " SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT " U.S. Patent Application Serial Number 14/248,595, now for U.S. Patent Application Publication 2014/0305988;
- entitled " POWERED LINEAR SURGICAL STAPLER " U.S. Patent Application Serial Number 14/248, 588, it is now U.S. Patent Application Publication 2014/0309666;
- entitled " TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT " United States Patent (USP) Patent application serial numbers 14/248,591, it is now U.S. Patent Application Publication 2014/0305991;
- entitled " MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS” U.S. Patent Application Serial Number 14/248,584, be now U.S. Patent Application Publication 2014/0305994;
- it is entitled " POWERED SURGICAL STAPLER " U.S. Patent Application Serial Number 14/248,587, now for U.S. Patent Application Publication 2014/0309665;
- entitled " DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT " U.S. Patent Application Serial Number 14/248,586, it is now U.S. Patent Application Publication 2014/0305990;With And
- entitled " MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS " U.S. Patent Application Serial Number 14/248,607, is now U.S. Patent Application Publication 2014/0305992。
Present applicant, which also possesses, to be filed on April 16th, 2013 and is each incorporated by reference in its entirety herein Following patent application:
- entitled " SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR " U.S. Provisional Patent Application Serial No. 61/812,365;
- entitled " LINEAR CUTTER WITH POWER " U.S. Provisional Patent Application Serial No. 61/812,376;
- entitled " LINEAR CUTTER WITH MOTOR AND PISTOL GRIP " U.S. Provisional Patent Application sequence Row number 61/812,382;
- entitled " SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL " U.S. Provisional Patent Application Serial No. 61/812,385;And
- entitled " SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR " U.S. Provisional Patent Application Serial No. 61/812,372.
Many details are listed herein, to provide to the whole of the embodiment described in specification and shown in accompanying drawing Body structure, function, manufacture and the thorough understanding of purposes.Well known operation, part and element are not described in, in order to avoid make explanation Embodiment described in book is smudgy.Reader will appreciate that embodiment described and illustrated herein is shown to be non-limiting Example, so as to can be appreciated that, specific structural and functional details disclosed herein can be representative and exemplary.Power is not being departed from In the case of the scope that profit requires, variations and modifications can be carried out to these embodiments.
Term " comprising " (and any form of " comprising ", such as " including (comprises) " and " including (comprising) "), with (and any form of " with ", such as " with (has) " and " with (having) "), " bag Containing " (and any form of "comprising", such as " include (includes) " and " including (including) ") and " containing " (and Any form of " containing ", such as " contain (contains) " and " containing (containing) ") be open link-verb.Cause This, " comprising ", " with ", "comprising" or " containing " one or more elements surgery system, device or equipment with these one Individual or multiple element, but it is not limited to that only there are these one or more elements.Equally, " comprising ", " having ", "comprising" or " contain Having " element of the systems of one or more features, device or equipment has those one or more features, but is not limited to only have There are those one or more features.
Term " nearside " and " distal side " are herein defined as coming relative to the clinician of the handle portions of manipulation of surgical apparatus Use.Term " nearside " refers to that near the part of clinician term " distal side " refers to the portion away from clinician's positioning Point.It is also understood that for the sake of succinct and be clear, herein can with reference to accompanying drawing using spatial terminology such as " vertical ", " level ", "up" and "down".However, surgical instruments uses in many orientations and position, and these terms and non-limiting and/or absolute Change.
There is provided herein various exemplary means and method for execution laparoscopic type and minimally invasive surgical procedures.So And reader will readily appreciate that, various method and apparatus disclosed herein can be used for many surgical operations and application, including for example Combined with open surgery.With continued reference to present embodiment, reader will be further understood that, disclosed herein various Apparatus by natural cavity, can pass through the otch being formed in tissue or puncturing hole etc. in any way in insertion body. The working portion or end effector portion of apparatus can be inserted directly into patient's body or can be by the entrance with service aisle Device is inserted, and the end effector and slender axles of surgical instruments can be promoted by the service aisle.
Surgical stapling system may include axle and the end effector from axle extension.End effector includes the first jaw and the Two jaws.First jaw includes nail bin.Nail bin is inserted into the first jaw and can removed from the first jaw;However it is contemplated that Wherein nail bin can not remove or at least be not easy to the other embodiments replaced from the first jaw from the first jaw.Second jaw Including the anvil block for being configured to deform the nail projected from nail bin.Second jaw can surround closure axle relative to the first pincers Mouth pivots;However it is contemplated that other embodiments that wherein the first jaw can pivot relative to the second jaw.Surgical stapling system System also includes being configured to the actuated articulation joints for allowing end effector that joint motions are rotated or carried out relative to axle.End Portion's actuator can surround the articulating shaft rotation for extending through actuated articulation joints.Contemplating does not include actuated articulation joints Other embodiments.
Nail bin includes warehouse.Warehouse includes proximal end, distal end and prolonged between proximal end and distal end The platform stretched.In use, nail bin is positioned on the first side of tissue to be stapled, and anvil positioning is in the second side of the tissue On.Anvil block is towards cartridge movement, to compress simultaneously grip tissue against platform.Then, the nail being removedly stored in warehouse can It is deployed in tissue.Warehouse includes being defined in nail cavity therein, is removedly stored in wherein following closely in nail cavity.Nail cavity is arranged to six Individual longitudinal direction row.Three nail chambers are positioned on the first side of longitudinal slit, and three nail chambers are positioned at the second side of longitudinal slit On.Other arrangements of nail cavity and nail are also possible.
Nail is supported by the staple drivers in warehouse.Driver can be in the first or non-firing position and second or firing position Between move, with from nail bin project follow closely.Driver is retained in warehouse by retainer, and retainer extends around the bottom of warehouse And including being configured to clamp warehouse and keeping retainer to the elastic component of warehouse.Driver can pass through cunning Moving part moves between its non-firing position and firing position.Sliding part can neighbouring proximal end proximal position with it is neighbouring Moved between the distal position of distal end.Sliding part includes multiple ramped surfaces, and the ramped surfaces are configured to direction Anvil block slides and lifted driver below driver, and follows closely and be supported on a drive.
Than that described above, sliding part can also be moved by firing member in distal side.Firing member is configured to contact Sliding part simultaneously promotes sliding part towards distal end.The longitudinal slit being defined in warehouse is configured to receive percussion structure Part.Anvil block also includes being configured to the slit for receiving firing member.Firing member also includes the first of the first jaw of engagement Second cam of the second jaw of cam and engagement.With firing member distal side promote, the first cam and the second cam can control The distance between platform and anvil block of nail bin or tissue space.Firing member also includes being configured to incision in nail bin and anvil The blade of the tissue of trapping among seat.Wish blade positioning at least part close to ramped surfaces so that nail projects prior to blade.
End effector is configured to carry out joint motions relative to the shank and/or axle of surgical instruments.For example, End effector pivotly and/or can be rotationally coupled to the axle of surgical instruments so that end effector is configured to It can be pivoted relative to axle and shank.In all cases, end effector is configured to positioned at end effector With progress joint motions at the actuated articulation joints among axle.In other cases, axle may include portions of proximal, distal part, And actuated articulation joints, the actuated articulation joints can be located among the portions of proximal and distal part of such as axle.
Fig. 1-Fig. 5 shows modularization surgery cuts and each side of fastening instrument, in a form, the modularization surgery Cutting and fastening instrument include the reusable shank module 10 of motor driving, and the shank module can combine a kind of or various Different detachable (and generally reusable) axle modules (DSM) use, and reuse.Following article is in more detail Description, shank module 10 may include to have the shell 12 of the rotary drive system of one or more motors drivings, and its generation is various Various control motions are simultaneously applied to the respective drive part for being connected to specific DSM thereon by control motion.Two such rotations Turn drive system 20,40 to be shown in Fig. 1 and Fig. 5 shank module 10.First rotary drive system 20 is for example available for can grasp The corresponding closure drive shaft assembly being supported on making in DSM applies " closed " motion, and the second rotary drive system 40 is for example Apply " percussion " motion available for the corresponding percussion drive shaft assembly into the DSM being connected to thereon.Various DSM can be releasable Ground and it is interchangeably connected to shell 12.It can arrange that three exemplary DSM for being connected to shank module 10 are shown in Fig. 1 with various In.Shown exemplary DSM includes opening linear stitching unstrument DSM 1, bending cutter stitching unstrument DSM 2 and circular surgical Stitching unstrument DSM 3.Other DSM types of the drive system 20,40 suitable for shank module 10, including straight cuts also can be used Device DSM, it is in entitled " MODULAR STAPLING ASSEMBLY " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ (agency People file number END7544USNP/140469) in be more fully described, this application is submitted and in full to draw on the same day with the application It is incorporated to mode.On April 9th, 2014 is being filed on exemplary dual drive surgery cuts and the more details of fastening instrument Entitled " Motor Driven Surgical Instruments with Lockable Dual Drive Shafts " U.S. There is provided in state's patent application serial number 14/248,590, this application is hereinafter referred to as " ' 590 application ", and its full text is with the side of reference Formula is incorporated herein.
As Figure 1-Figure 5, shell 12 includes being configured to the shank for being grasped, manipulating and being activated by clinician 14.Shank 14 may include a pair of shank shell sections 16 and 18, and this can be by screw, snap features, viscous to shank shell section Mixture etc. interconnects.In shown arrangement, shank shell section 16,18 coordinates to form the pistol that can be grasped and be manipulated by clinician Formula grip portion 19.Shank 14 is operably supported two rotary drive systems 20,40.
First rotary drive system and the second rotary drive system 20,40 can be passed through substantially in two transmissions by motor 80 " transferable " transmission assembly 60 of transfer power/motion between system provides power.First rotary drive system 20 includes first Rotation driving axle 22, the first rotation driving axle are pivotally supported in the shell 12 of shank 14 and limit the first drive shaft Axis " FDA-FDA ".First drive gear 24 is keyed to or is otherwise non-rotatably attached to the first rotation driving axle 22, so as to be rotated with it around the first drive axis FDA-FDA.Similarly, the second rotary drive system 40 includes the second rotation Turn drive shaft 42, the second rotation driving axle is pivotally supported in the shell 12 of shank 14 and limits the second drive shaft axle Line " SDA-SDA ".In at least one is arranged, the second drive axis SDA-SDA deviates and is parallel to or substantially parallel to the One drive axis FDA-FDA.As used in this context, term " deviation " represents the first drive axis and second Drive axis are not coaxial.Second rotation driving axle 42 has the second drive gear 44, and the second drive gear is keyed to or with it His mode is non-rotatably attached to the second drive shaft 42, so as to be rotated with it around the second drive axis SDA-SDA.Separately Outside, the second drive shaft 42 has the idler drive gear 46 being rotatably journaled to thereon so that idler drive gear 46 It can be rotated freely on the second rotation driving axle 42 around the second drive axis SDA-SDA.
In one form, motor 80 includes motor output shaft, and there is the motor output shaft motor being attached to thereon to drive Moving gear 82.Motor driven gear wheel 82 is configured to " operationally " engage in a manner of mutually nibbling with transmission assembly 60.At least In a kind of form, transmission assembly 60 includes transmission bracket 62, and transmission bracket is supported for rotating in drive gear 82 and second Axially advanced between gear 44 and 46 in drive shaft 42.For example, slideably axle journal is connected to support shaft 63 to transmission bracket 62 On, the support shaft is arranged in the shell 12 in axle mounting seat 61 so that transmits the position of bracket perpendicular to rotation driving system The gear train of system.Axle mounting seat 61 is configured to slit or other feature structures of the rigid support in shank module 10 It is interior.Transmission bracket 62 includes bracket gear 64, and the bracket gear is pivotally supported in support shaft 63 and is configured to When driving engagement with drive gear 82 engagement is optionally engaged with gear 44 and 46.In the arrangement shown in Fig. 1-Fig. 5, pass Loser bracket 62 is operatively attached to translator or " being used for the device shifted " 70, and the translator is configured to hold in the palm transmission Frame 62 is axially displaced between " the first activation point " and " the second activation point ".In one form, for example, for transfer Device 70 includes the translator solenoid 71 being supported in the shell 12 of shank 14.Translator solenoid 71 may include bistable spiral shell Spool, or for example may include two-position, spring-loaded solenoid.Show that arrangement will for example be transmitted including spring 72, the spring Bracket 62 is biased to the first activation point towards distal direction " DD ", and wherein bracket gear 64 is engaged with idler drive gear 46 and connect Close, while also engage engagement with drive gear 82.For motor 80 when in first activation point, its activation will cause gear 82,46 and 24 rotation, this will ultimately cause the first drive shaft 22 and rotate.
Translator solenoid 71 can be activated by being pivotally supported the firing trigger 90 on the shell 12 of shank 14, such as Shown in Fig. 1-Fig. 5.In the shown embodiment, firing trigger 90 is pivotally supported in the percussion in shank 14 On trigger axle 92.Firing trigger 90 is by the vertical off setting of firing trigger spring 94 to the position not activated, as shown in Figure 3. Firing trigger 90 is installed into the control board for being contained in being operatively supported in the shell 12 of shank module 10 Percussion switch 96 on component 100 carries out exercisable actuating.In the construction shown, the actuating of firing trigger 90, which causes, to be turned Move the actuating of device solenoid 71.The actuating of firing trigger 90 causes translator solenoid 71 to transmit the proximally direction of bracket 62 " PD " is pulled, and thus makes bracket gear 64 be moved into engaging engagement with the second drive gear 44.When bracket gear 64 and sliding tooth During the 82 and second engagement engagement of drive gear 44 of wheel, the actuating of motor 80 will cause the second drive shaft 42 to surround the second drive shaft axle Line " SDA " rotates.Transferable transmission assembly 60 may also include cue mark system 74, and the cue mark system includes operable Ground is attached to control panel 100 and transmits a pair of switches 75 and 76 of indicator lamp 77.Switch 75,76 is used to detect transmission bracket 62 Position, which results in control system according to transmission bracket 62 position activate indicator lamp 77.For example, indicator lamp 77 can transmit Bracket 62 is energized when being in the first activation point.This is provided an indication that to clinician:The actuating of motor 80 will cause The actuating of first drive system 20.
For example, motor 80 can be to be rotated up to the DC that value is about 25,000RPM to have brush drive motor.In other arrangements, Motor may include brushless motor, wireless motor, syncmotor, stepper motor or any other suitable electro-motor, including can Hot pressing motor.Motor 80 can provide power by power source 84, and in a form, the power source may include power supply group 86, the electricity Source group is removedly stored in the pistol grip portion 19 of shank 14.In order to access power supply group 86, clinician removes attachment Removable cap 17 at the bottom of pistol grip portion 19.Power supply group 86 can be operably supported multiple battery units wherein (not shown).Battery unit each may include such as lithium ion (" LI ") or other suitable batteries types.Power supply group 86 is constructed For being removably operably attached to equally be operably linked to motor 80 and the shank in shank 14 The control circuit board component 100 of module 10.Power supply group 86 may include the multiple battery units being connected in series, and it can be used as surgery device The power source of tool.In addition, for example, power source 84 can be interchangeable and/or chargeable, and in the case of at least one, CR123 batteries can be included.
Motor 80 can be activated by " rocking arm-trigger " 110 for the pistol grip portion 19 for being pivotally mounted to shank 14.Shake Arm trigger 110 is configured to the first motor switch 112 that actuating is operably coupled to control panel 100.First motor Switch 112 may include pressure switch, and the pressure switch is in contact with it to activate by the way that rocking arm trigger 110 is pivoted into.First The actuating of motor switch 112 will cause the actuating of motor 80 so that drive gear 82 rotates in the first rotational direction.Second Motor switch 114 is also attached to circuit board 100 and is mounted to be selective contacted with by rocking arm trigger 110.Second motor is opened The actuating of motor 80 will be caused by closing 114 actuating so that drive gear 82 rotates in a second direction.For example, in use, The polarity of voltage that power source 84 is provided can operate electro-motor 80 on clockwise direction, wherein being applied to by battery electronic Polarity of voltage on motor can be opposite, to operate electro-motor 80 on direction counterclockwise.Shank 14 can also wrap Include the sensor in the direction for being configured to detect drive system movement.
Shell 12 may also include the surgical instruments contact plate 30 being mounted thereto.Correspondingly, various DSM (for example, DSM 1, 2nd, it 3) may include the DSM contact plates coordinated (referring to Figure 34-Figure 60 of ' 590 applications).DSM contact plates can be positioned in DSM, So that when DSM is operably linked to shank module 10, end effector contact plate is electrically coupled to installed in shank module 10 In shank module contact plate 30.In this way, data and/or electrical power can be via cooperation contact plates in shank module 10 Transmitted between DSM.
Fig. 6 shows a form of mechanical coupling system 50, and the mechanical coupling system can be used for promoting shank module 10 In two drive systems 20,40 it is simultaneously removable and be operably linked to the correspondence in DSM " driven " axle.System of connections 50 The moon of the male coupling for the drive shaft that may include to could attach in shank module 10 and the driven shaft being attached in surgery DSM is inserted Seat connector.The driving that is each configured in male coupling 51 is received in pair that also could attach to the driven shaft in DSM Answer in female socket connector 57.
For driving being arranged in ' 590 applications for drive system 20,40 to have disclosed, including shank module 10 may include Multiple motors.
Fig. 7 is the block diagram for including shank module 2102 and DSM 2104 modular motor driving surgical instruments 2100. Shank and DSM2102,2104 include the respective electric subsystem 2106,2108 electrically connected by communication and power interface 2110. The part of the electrical subsystem 2106 of handle portions 2102 is supported by foregoing control panel 100, and may be connected to foregoing control panel 100.Communication and power interface 2110 are constructed such that electric signal and/or power can be easily in handle portions 2102 and axle portions Exchanged between dividing 2104.
In the illustrated embodiment, the electrical subsystem 2106 of shank module 2102 be electrically coupled to various electric devices 2112 with And display 2114.In one case, display 2114 is Organic Light Emitting Diode (OLED) display, but display 2114 should not necessarily be limited by this context, and other Display Techniques can be used.DSM 2104 electrical subsystem 2108 is electrically coupled to DSM 2104 various electric devices 2116.
On the one hand, the electrical subsystem 2106 of shank module 2102 includes solenoid driver 2118, accelerometer system System 2120, motor controller/driver 2122, shank processor 2124, pressure regulator 2126, and be configured to from can position Multiple sensing switch 2128 in DSM and/or shank receive input.Shank processor 2124 can be suitable for medical and outer The general purpose microcontroller of section's Application of device.In one case, shank processor 2124 can be from Texas Instruments TM4C123BH6ZRB microcontrollers, it includes 32CortexTMStored on-M4 80-MHz processors and chip Device, such as 256KB flash memories, 32KB SRAM, the inside ROM for the C groupwares, and 2KB EEPROM.Electrical subsystem 2106 may also include via data/address bus be connected to shank processor 2124 one or more individually external memory chips/ Circuit (not shown).As described herein, " processor " or " processor circuit ", such as shank processor 2124 can be realized as micro-control Device, microprocessor, field programmable gate array (FPGA) or application specific integrated circuit (ASIC) processed, its execution are stored in associated Program code (such as firmware and/or software) in memory performs the various functions programmed by program code.
On the one hand, the electrical subsystem 2106 of shank module 2102 receives the signal from various electronic units 2112, Including solenoid 2132, clip position switch 2134, firing position switch 2136, motor 2138, battery pack 2140, OLED interfaces Plate 2142 (it drives display 2114), and various switches, such as opening switch 2144, (whether its indicating closing trigger is beaten Open), (it indicates whether percussion switch swashs for closure switch 2146 (whether its indicating closing trigger closes) and percussion switch 2148 It is living).Motor 2138 can represent the motor 80 in Fig. 2-Fig. 5.
On the one hand, DSM 2104 electrical subsystem 2108 includes axle processor 2130.DSM electrical subsystem 2108 Be configured to receive clamping jaw in the instruction DSM from the various switches and sensor 2116 in DSM with The signal of the state of cutting element.Specifically, DSM electrical subsystem 2108 can receive the status switch opened from fixture 2150 (it indicates whether end effector fixture is opened), (it indicates end effector folder to the status switch 2152 of fixture closure Whether tool closes), percussion starts status switch 2154 (its indicate end effector whether start to fire) and fires done state The signal of switch 2156 (it indicates whether end effector terminates to fire) so that various switch instruction fixtures and cutting element State.
Accelerometer system 2120 may include the MEMS motion sensors for the 3 axles motion for sensing shank module 10, all Tathagata From STMicroelectronics LIS331DLM accelerometers.For example, motor controller/driver 2122 may include three-phase Brushless DC (BLDC) controllers and mosfet driver, the A3930 motor controllers/driver such as provided by Allegro. On the one hand, modular motor driving surgical instruments 2100 is equipped with brushless DC electric motor 2138 (BLDC motors, BL motors), It is also referred to as electronic rectifier motor (ECM, EC motor).A kind of such motor is the BLDC motors provided by Portescap B0610H4314.Sensing switch 2128 may include one or more unipolarity integrated circuit type hall effect sensors.Pressure regulation Device 2126 adjusts from power source (for example, battery 2140) and is fed to shank module 2102 and DSM 2104 various electronic units Power.The battery 2140 that the battery pack 86 in Fig. 1-Fig. 5 can be represented can be such as lithium ion polymer (LiPo) battery, polymer Lithium ion and/or lithium polymer battery, for example, their (being abbreviated as Li-poly, Li-Pol, LiPo, LIP, PLi or LiP) are can (secondary cell) battery of charging.LIPO batteries 2140 may include that some (for example, four or six) identicals of parallel connection are secondary Battery (" group ").OLED interfaces 2142 are the interfaces with the OLED display 2114 including Organic Light Emitting Diode.
On the one hand, the DSM processors 2130 of DSM 2104 electrical subsystem 2108 can be embodied as ultra low power 16 Mixed signal MCU, the MSP430FR5738 ultra low powers MCU such as from Texas Instruments.Inter alia, It may include internal RAM nonvolatile memory, CPU, A/D converter, 16 passage comparators and can have I2C, SPI Or three enhancing serial-ports of UART protocol.Subsystem 2108 may also include is connected to DSM processors via data/address bus The 2130 single external memory chip/circuit of one or more.
More details on shank and DSM 2102,2104 exemplary electrical subsystem are found in ' 590 applications. In operation, the electrical subsystem 2106 of shank module 2102 is received from the shell (example for being supported on shank module section 2102 Such as, shell 12) on opening switch 2144, the signal of closure switch 2146 and percussion switch 2148.When from closure switch 2146 when receiving signal, and shank processor 2124 operates motor 2138 to initiate the closure of clamping limb.Once fixture is closed, should The status switch 2152 of fixture closure in end effector just sends signal to axle processor 2130, and the axle processor passes through logical The state of clamping limb is sent to shank processor 2124 by letter and power interface 2110.
Once having clamped target tissue, percussion switch 2148 may be actuated to generate signal, the signal is by shank processor 2124 receive.As response, shank processor 2124 is activated bracket is transmitted to its second activation point so that motor 2138 Actuating will cause the rotation of the second drive shaft.Once cutting element is positioned, the percussion starting in the end effector Status switch 2154 just to DSM processors 2130 send instruction cutting element position signal, axle processor by communication and Position is sent back shank processor 2124 by power interface 2110.
Actuating first switch 2148 sends the signal to shank processor 2138 again, as response, the shank processor The second drive system in DSM and trigger system are activated to drive tissue cutting element and wedge-shaped slides component to pass through towards distal side Surgery nail bin.Once tissue cutting element and wedge-shaped slides component have been driven to their farthest sides in surgery nail bin Position, percussion end switches 2156 just send signal to DSM processors 2130, and axle processor is transmitted position by interface 2110 Return shank processor 2124.Now, percussion switch 2148 can be activated and send signal, shank processing to shank processor 2124 Device operation motor 2138 is reversely rotated so that trigger system is back to its original position.
Switch 2144 is opened in actuating again can send signal, shank processor operation motor to shank processor 2124 2138 open fixture.Once opening fixture, the status switch 2150 that fixture in end effector is opened is just at axle Manage device 2130 and send signal, chucking position is sent to shank processor 2124 by the axle processor.The He of clamp position switch 2134 Firing position switch 2136 provides the signal of the relevant position of instruction clamping limb and cutting element to shank processor 2124.
Fig. 8 is the figure for the handling process that can be performed in the following manner by shank processor 2124 in all cases:It is right The outside for being stored in the internal storage of processor and/or being connected to shank processor 2124 is performed in shank processor 2124 Software and/or firmware instructions in memory chip/circuit.At step 202, shank processor 2124 is for the so-called " longevity Life event " monitors the input signal of the sensor from apparatus 2100.Life-span event is to be related to shank module 2102 and/or DSM 2104 event or action, wherein once reaching the life-span event of number of thresholds, shank module 2102 just should be withdrawn (i.e., Do not use).Life-span event can be the clamping of end effector, the percussion of end effector, the combination of these events, and/or It is related to shank module 2102 and/or DSM 2104 other events or action, the event or action can be sensed by apparatus 2100 Arrive.For example, opening switch 2144, closure switch 2146 and the percussion switch 2148 of shank module 2102 can be connected to shank processing Device 2124.Except or replace described above, status switch 2150 that fixture in DSM 2104 is opened, the state of fixture closure are opened Close 2152, percussion start status switch 2154 and percussion done state switch 2156 can be connected to shank processor 2124 (via Interface 2110).According to the design and application of shank module 2102 and apparatus 2100, when some or all of these respective switch When being activated, and/or being activated in the particular sequence detected by shank processor 2124, life-span event may occur and It can be counted.For example, in various specific implementations, the fixture closure each detected and the percussion each detected can be counted Number is life-span event.In other words, the fixture closure detected may include the first life-span event, and the percussion detected can wrap Include second or different life-span events.In other specific implementations, fixture closure, the countable sequence for being followed by firing are the life-span Event.In addition, as described above, shank processor 2124 can be used for example from shank sensor 2144,2146,2148 and/or The input of DSM sensors 2150,2152,2154,2156 detects life-span event.
Shank processor 2124 keeps the counting of life-span event.When detecting life-span event, at step 204, shank Processor 2124 is incremented by the currency of the life-span event counter in its internal or external memory.Counter can be incremented by Counter, wherein when life-span event occurs when meeting presetting threshold value, counting, which increases by one, counts and (is incremented by+1);Or Counter can be down counter, wherein when life-span event occurs to count different from presetting threshold value until from end Value reaches specific end counting (for example, zero) after starting when, count reduction one and count (incremental -1).In view of as the life-span The particular sensor event of event count, presetting life-span event count threshold can be arranged to the system of shank module 2102 Make the desired any value of business.
If life-span event counter reaches presetting life-span event threshold at step 206, at step 208, Shank processor 2124 can initiate one or more end-of-life actions, such as make the display 2114 or one of shank module 2102 Other a little displays (for example, the visible mechanical counter of user) for example communicate with shank processor 2124, to indicate shank mould Block 2102 is depleted and (is in end of life) and should recall.Any suitable vision, tactile and/or the sense of hearing can be used to refer to Show.For example, display 2114 may include that instruction has reached the icon and/or text of the end of life of shank module.Display 2114 can also indicate life-span event (completely, close to sky etc.) by numerical monitor or volume cue mark on the basis of progress Count, such as so that user can monitor shank module whether close to its life cycle terminal.Except or instead of life-span event meter Several constant displays, display 2114 can have icon and/or show shank module close to its life-span using text Terminal (for example, " N uses left ").Shank processor 2124 can also initiate to prevent from further using when reaching end of life and counting The condition of shank module 2102, as further discussed below.If not yet reach end of life counting, shank processor 2124 Continuing with life counter event monitoring switch and sensor, until reaching end-of-life threshold value.
The various specific implementations of sensor can be used to detect some life-span events.For example, used DSM (for example, 3) DSM 1,2 may include two drive shafts, one is used to drive closed-system, and one is used to drive trigger system (each From respectively by a driving in drive system 20,40).Each such drive shaft can be respectively during clamping or percussion event Drive forwards bracket.Therefore, closure and/or trigger system may include when closure or percussion bracket (depending on the circumstances) contact them When the switch that is triggered.Switch can be connected to shank processor 2124, and shank processor 2124 can control oneself in its reception Registration life-span event count during the signal for the switch being triggered.Switch can be can automatically reset button switch, the switch exists Its bracket driven every time by drive shaft can all reset when contacting and triggering.
Further described above, ' 590 applications, which describe DSM 1-3, may include a pair to be used to drive various differences The DSM of type closure and the driving screw of trigger system.The example of such driving screw pair is shown in ' 590 applications, in its figure Opening linear stitching unstrument is directed at 34- Figure 37, for bending cutter stitching unstrument at its Figure 38-Figure 41, and in its figure Circular surgical staplers are directed at 42- Figure 45.Other DSM types, such as straight cuts suitable for shank module can also be used Device and/or right angle stitching unstrument.Because different DSM can be used together with shank module, so shank module is (for example, at shank Reason device 2124) more complicated algorithm can be used to follow the trail of the use of shank module and residual life, this depends on using and firing respectively The DSM of type number.For example, in one illustrates, shank processor 2124 can calculate the life-span event point built up Number, the fraction are differently weighted (for example, depending on their pressure in shank module such as by different DSM to using What), and by fraction compared with predetermined threshold value.When the fraction of shank module reaches threshold value, shank module is removed Return (for example, taking one or more end-of-lifes to act).For example, shank processor 2124 can be based on following relation mathematic(al) expectation Event score:
The different DSM types that wherein i=1 ... N represents to be used together from shank module are (for example, straight cuts device, line Sexual openness formula, circle, bending, right angle stitching unstrument etc.), Wi is DSM types i weighting factor, and Fi, j are to be related to DSM classes Type i j=1 ... DSM types i percussion quantity in S programs.The DSM types for generally applying smaller stress in shank module can With the low weight W of the DSM types than generally applying bigger stress in shank module.So, in various arrangements, all In the case of other conditions identical, the shank of the less program of stress will be only used for by being only used for the shank module of high stress program Expired before module.
Fig. 9 shows that shank processor 2124 is executable with mathematic(al) expectation event score and/or by life-span event score and threshold The exemplary process flow that value fraction is compared.In such cases, shank processor 2124 it is executable be stored in it is for example interior Firmware and/or software in portion and/or external memory storage.Assuming that the threshold score of shank module not yet reaches, then processing is in frame Start at 250, wherein shank processor 2124 receives input for the program that will be carried out.It is at least one in such input It may include the identification of the DSM types to being attached to shank module, when DSM is connected to shank module and/or at shank When reason device 2124 is established data therebetween with DSM processors 2130 and connect, shank processor can receive this from DSM processors 2130 Identification.During identification and/or certification DSM, DSM processors 2130 send the identifier to shank processor 2124, should The identification of shank processor is attached to the DSM of shank module type (for example, straight cuts device, circle etc.).Next in step At 252, shank processor 2124 follows the trail of the number that shank module is fired between surgery average of operation periods.Shank processor 2124 can example Such as by following the trail of number that firing trigger has been activated and/or by following the trail of feedback (such as end effector storehouse from DSM The instruction being replaced) follow the trail of the number that shank module has been fired.
After the procedure and/or at any other suitable time, referring now to step 254, shank processor 2124 can update the life-span event score of shank processor by the way that the fraction for the program just completed is added into previous fraction. The fraction for the program just completed can be based on the DSM types that will be used in program Wi weight and the percussion quantity phase in program S Multiply.Shank processor 2124 can be by, based on the type identifier received from DSM, (being stored in interior at step 250 in look-up table In portion and/or external memory storage) in search weight and determine DSM types Wi weight.At step 256, shank processor will The renewal life-span event score of shank module is compared to determine whether shank module is in it with presetting threshold score The terminal in life-span.If having reached threshold value, processing is advanced to step 258, wherein take for one of shank module or One or more of multiple end-of-life actions, all actions of end-of-life as described herein.On the other hand, if not yet reached To threshold value, then processing can be advanced to step 260 so that shank module can be used at least another program, thus repeatedly Fig. 9 Processing.
The loading environment that apparatus is undergone can be used for tracking shank module and DSM use, to assess shank module and DSM One or both of whether should be withdrawn.Illustration as one can relate to for example will be actually applied with drive end by apparatus The power of the firing member of portion's actuator is compared with the power that apparatus expection is subjected to.Similarly, can will be actually applied so that percussion The power that the power of component retraction is expected to be subjected to apparatus is compared to assess whether shank module and/or DSM should be withdrawn. The power that shank module can be expected to be subjected to based on shank module is horizontal and is rated the number of thresholds of percussion.Similarly, DSM can base The number of thresholds of percussion is rated in the power level that DSM is expected to be subjected to.Shank module threshold quantity and DSM number of thresholds can To be identical or different.If by the actual forces that shank module and/or DSM are subjected to significantly beyond expected power level, shank Processor and/or DSM processors (depending on the circumstances) can determine that shank module and/or DSM should reach its expected percussion It is withdrawn before quantity.
In some cases, further described above, by the power that shank module and/or DSM apply in percussion structure Can be constant in the whole firing schedule of part;However, the power applied by shank module and/or DSM is in whole firing schedule Change is very common.In either case, the power that is applied by shank module and/or the power applied by shank module is expected in advance It may depend on firing member position.Similarly, percussion may depend on by the DSM power applied by the DSM power applied and/or pre- expectation Member position.Certain types of DSM can have expected percussion force, the expection percussion force and the percussions of DSM over the whole length Stroke is related, i.e. the distance between the initial original position of firing member and its stroke end position.DSM, which can also have, to be expected Retraction force, the retract stroke of the expection retraction force to DSM over the whole length are related, i.e. the stroke stop bits of firing member Put the distance between its original position.Figure 10 A show the example of a type of DSM anticipated forces.Upper curve 270 is shown Expection percussion force when firing member traverses end effector from its original position to its stroke end position, and bottom is bent Line 272 shows the expection retraction force when firing member returns to its original position.In this particular example, it is contemplated that percussion Power is more than expected retraction force.
For percussion every time, further described above, shank module and/or the traceable stroke length of DSM processors The power that the per unit distance increment (for example, 1 millimeter) of degree applies.In addition, shank module and/or DSM processors are traceable is directed to The power that each distance increment of haul distance applies, then by actual forces compared with anticipated forces, to check the reality of application Whether power exceedes anticipated forces.A kind of mode for measuring the power applied during percussion and retraction by apparatus is in the row that fires and bounce back The torque output of motor is measured during journey.In the case of at least one, the torque output of motor can be based on the electricity consumed by motor Flow with motor speed to determine.In at least one under such circumstances, the voltage for being applied to motor is constant.Electric current can electricity consumption Flow sensor measures;For example, available encoder measures motor speed.Figure 10 A are shown with being expected firing schedule power and being expected back The exemplary force measurement that contracting stroke force deviates.In the figure, for simplicity of explanation, the power of all measurements is above expected Power, and the difference between the power and anticipated forces only measured is shown by the line segment 274 for firing schedule, and by for returning The phantom line segments 276 of indention journey are shown.Reader should be appreciated that the power of one or more measurements is likely less than its corresponding anticipated forces.
Figure 10 B are to be stored in shank module and/or DSM by performing by shank module handler and/or DSM processors Firmware and/or software in the memory of (depending on the circumstances) are come the figure of exemplary process flow that performs.Referring now to step 280, processor can be along the firing schedule and/or retract stroke of apparatus with each unit length increment (hereinafter referred to as Δ L) The difference that aggregation (that is, is accumulated) between the power and anticipated forces of measurement.For example, firing schedule can be calculated with after based on following relation The accumulation power difference of continuous retract stroke:
Wherein EOS represents stroke end position;WithThe measurement percussion force being illustrated respectively at the Δ L of position With expected percussion force;And Fm, r, Δ L and Fe, r, Δ L are illustrated respectively in measurement retraction force and expected retraction at the Δ L of position Power.It is each in the percussion undergone for shank module and/or DSM at step 282, processor and then can be by will be every The power difference value of the accumulation of secondary percussion accumulates power difference.
On a specific embodiment, further described above, processor can calculate accumulation power difference in real time. In the case of at least one, processor can calculate the power difference after each percussion and retraction circulation.In some cases, handle Device can calculate the power difference after each surgical operation, and the surgical operation may include more than one percussion and retraction circulation.For example, If there is the secondary percussion in seven (7) in specific program, processor will be asked the result of each step 280 in seven percussions With.Next, at step 284, by the way that the accumulation power difference for the program being recently completed is added to before the program being recently completed Summation (or in the case of the first program of module be zero), shank module may be updated in shank and/or DSM total accumulation power is poor Value.At step 286, processor then can be by the accumulation power difference summation of renewal compared with threshold value.If threshold value has reached To or otherwise meet, then processing be advanced to step 288, wherein taking shank module or DSM (depending on the circumstances) longevity Order termination action.If on the contrary, at step 286, processor threshold value not yet reaches, then can reuse shank module And/or DSM (depending on the circumstances).
Even if accumulation power difference threshold not yet reaches, shank module and/or DSM (depending on the circumstances) also can be according to different thresholds Value reaches its end of life.For example, Figure 10 B processing can be advanced to step 289 after step 286, wherein processor will relate to And the sum of shank module and/or DSM (depending on the circumstances) program is compared with programmed counting threshold value.In at least one reality Apply in example, shank module there can be the programmed counting threshold value of 20 programs, and DSM there can be the programmed counting threshold of 10 programs Value.Other embodiment is possible.In at least one other embodiment, shank module and DSM can have identical program meter Number threshold value.If programmed counting threshold value has reached, shank module and/or DSM (depending on the circumstances) are initiated at step 288 End-of-life acts.On the contrary, if programmed counting threshold value not yet reaches, processing is advanced to step 290, wherein being another journey Sequence prepares shank module and/or DSM.Any of the techniques described herein counted for tracing program can be used for detecting journey The end of sequence.
In various embodiments, the executable calculating to both shank module and DSM of shank processor, then by DSM Result be sent to DSM processors, with cause DSM processors can initiate when needed end-of-life action.Similarly, at DSM The executable calculating to both shank module and DSM of device is managed, the result of shank module is then sent to shank processor, so that End-of-life action can be initiated when needed by obtaining shank processor., can be after program by the institute of program in another kind is arranged The power for having measurement downloads to teleprocessing unit, the processor in such as inspection operation platform, or for example in the program of program post processing Shank module another system based on remote computer or processor is connected to afterwards.For example, disclosed with reference to Figure 12 A- Figure 12 B Such inspection operation platform.
10C combination Figure 10 D and Figure 10 E show that shank processor can be used to monitor shank module for example whether having reached The another exemplary handling process of its end of life.Processing shown in Figure 10 C is based on being used during its life-span by shank module Energy determine whether shank module has reached its end of life, the example chart of the energy shows in figure 10d.Figure 10D is shown as the aggregation of shank module consumption or the energy of accumulation of the function of use or the percussion of shank module.Except or Instead of described above, the processing shown in Figure 10 C can determine handle based on the power used during each percussion of shank module Whether portion's module has reached its end of life, and the exemplary diagram of the power is shown in Figure 10 E.Figure 10 E are shown for shank mould The power of each individually percussion consumption of block.In at least one specific embodiment, Figure 10 C exemplary process is being realized In, whether the gross energy that processor monitoring is consumed by shank module exceedes various threshold values (referring to Figure 10 D), while monitoring handle Whether portion's module has a number of percussion higher than threshold power level (referring to Figure 10 E).When having met the two During part, in the case of at least one, shank processor can conclude that shank module is in its end of life.In some cases, handle Portion's processor can utilize any amount of multifactor test (each test has threshold value) to determine whether shank module is in it End of life.In the case of at least one, if having met or can determine that it more than any test threshold, shank processor Its end of life is reached.
After program, shank processor may be implemented within firmware in internally and/or externally memory and/or Software performs Figure 10 C processing to determine whether shank module is in its end of life.At step 290, shank processor The energy that shank module is accumulated during its life-span can be entered with first threshold energy grade (that is, the energy grade 1 in Figure 10 D) Row compares.For example, energy grade 1 can be 40kJ.Shank module may include the one or more motors for being connected to shank module Microwatt or power meter to measure and record the electrical parameter of one or more motors so that the energy and work(of one or more motors Rate output can be determined.If for example, met or exceeded first threshold energy grade (that is, energy grade 1), then shank processor It can determine that shank module is in its end of life and initiated end-of-life action, all longevity as described herein at step 291 Order one or more of termination action.
If shank processor determines that first threshold energy grade (that is, energy grade 1) not yet meets at step 290, Then processing is advanced to step 292, and wherein shank module determines whether to have met second (for example, relatively low) energy threshold, i.e. figure Energy grade 2 in 10D.For example, energy grade 2 can be 30kJ.If meet or exceed Second Threshold energy grade (without Meet or exceed first threshold energy grade), then processing is advanced to step 293, and wherein shank processor determines that shank module exists Whether have been subjected to, more than a number of percussion of the first power level threshold, be greater than 55 watts twice during its life-span Percussion is (referring to Figure 10 E).If met or met more than the second energy grade threshold value and power level threshold or More than predetermined number, then shank processor can determine that shank module is in its end of life.If however, power level Threshold value not yet meets or more than predetermined number, even if then having met or more than the second energy grade threshold value, at shank Reason device also can determine that shank module not yet reaches its end of life.Step 292 and 293 double factor can be to shank module Another test in life-span, and if shank module can not carry out two tests simultaneously and (that is, meet two threshold values or bar Part), then it can determine that shank module is in its end of life.
Shank processor can perform any amount of such double factor test.Figure 10 C example show one it is other Such double factor test.If step 292 and 293 double factor are unsatisfactory for, processing can be advanced to step 294, its Middle shank module determines whether to have met the 3rd (for example, still lower) energy threshold, i.e. energy grade 3.For example, energy etc. Level 3 can be 25kJ.If the 3rd threshold energy level has been met or exceeded (without meeting or exceeding the 3rd threshold energy etc. Level), then processing is advanced to step 295, and wherein shank processor determines whether shank module has a fixed number during its life-span The percussion (quantity for being preferably greater than the such percussion checked at step 293) of amount, the quantity is more than the second power level Threshold value (it can be identical or different with the power level threshold at step 293 place), it is greater than 55 watts of four percussions.Step 294 and 295 double factor can be another test to shank module life, and if shank module can not be entered simultaneously Two tests (that is, having met threshold value or condition) of row, then can determine that shank module is in its end of life.Otherwise, at shank Reason device can determine that shank module is not at its end of life and can used in subsequent program.
It is readily apparent that the step of Figure 10 C can be performed in various orders, while still realize identical result.For example, Step 294 and 295 can perform before step 290, by that analogy.
According to current best practices, shank module before performing surgical operation for that should be sterilized.Various In the case of, shank module is placed in sterilization tray, and the sterilization tray is then placed in sterilizing chamber.Except or replace it is upper The mode of the end of life for following the trail of shank module is stated, shank module is placed on the number in the sterilization tray for sterilizing End of life available for tracking shank module.In other words, the number that shank module is sterilized can be used as to shank module quilt The representative of the number used.In at least one exemplary, each shank module has the sterilization tray of its own, The sterilization tray keeps the sterilizing of the specific shank module to count.In such an arrangement, sterilization tray may include counter, often When associated shank module is placed in pallet, the counter is incremented by.Counter can have vision read-out display, such as Fruit uses count-up counter, or remaining or allow the quantity that sterilizes, then vision read-out display when using down counter The number that shank module has been sterilized can be shown.So, user can know when to reach the sterilizing limit, and therefore, user can remove Return shank module and/or take other appropriate end-of-life measures.In order to by shank module be placed in sterilization tray with Yu represents the number that shank module is sterilized, and therefore represents the number that shank module has been used, and shank module should be Sterilized in one and only one sterilization tray.So, counter will not be counted to other placements of shank module in pallet Number.Therefore, shank module and sterilization tray may be disposed at together for example as medicine box, and they may include identifier (example Such as, numeral or icon), the identifier shows that they will be used together.For example, shank module and DSM can sterilize individually or together.
Figure 11 A show exemplary sterilization tray 300 and the shank module 302 that can be positioned in sterilization tray 300.Sterilizing Pallet 300 limits opening or depressed part 304, its shape match with to be placed on the shape of shank module 302 therein.Depression Portion 304 is configured to closely receive shank module 302 so that relative motion that may be between them seldom (if If having).Sterilization tray 300 is included with the trip counter 306 for extending to the lever arm 308 in opening 304.Trip count Device 306 also includes counter vision reader 310.When shank module 302 is placed in opening 304 by user, lever arm end Portion 308 is pressed, switches or carried out stroke, and trip counter 306 is incremented by by this registration to count hence for count-up counter 1 (or for down counter -1), this is shown on reader 310.Changed or stroke to reduce the sham cut of lever arm 306, In various arrangements, lever arm end 308 may include to be configured to be assembled to the corresponding opening being limited in shank module 302 Projection 312 in 314.Figure 11 B are shown in its shank module 302 after being placed in sterilization tray 300.Lever arm end 308 is invisible in Figure 11 B, because it is below shank module 302.When shank module 302 is positioned in opening 304, Counter reader 310 keeps visible to user.
Figure 11 C and Figure 11 D show that wherein shank module 302 can be placed in the sterilization tray 300 with DSM 312 Modification.Shank module 302 is similar to shank module 10 in many aspects, and DSM 312 represents exemplary DSM.Such In arrangement, sterilization tray 300 includes being used for the shank module openings 318 for receiving shank module 302, shank module lever counter 314, and shank module count device reader 316.Pallet 300 also includes being used for the DSM openings 324, DSM for receiving DSM 312 Lever counter 320, and DSM counters reader 322.In such an arrangement, shank module 302 and DSM 312 should Only it is sterilized in specific sterilization tray 300 so that their own sterilizing can be followed the trail of accurately.Shank module count device 312 show the number and/or remaining sterilizing quantity that shank module 302 has been sterilized in sterilization tray 300.DSM counters 324 show the number and/or remaining sterilizing quantity that DSM 312 has been sterilized in sterilization tray 300.Shank module 302 can It is sterilized in the case of no DSM 312, and vice versa, and in this case, their corresponding count may not phase Deng.
Figure 11 E to Figure 11 I show other arrangements used for following the trail of shank module using sterilization tray 300. In Figure 11 E, sterilization tray 300 includes the projection 340 from the bottom up extension of the opening 304 in sterilization tray.When shank mould When block 302 is rested upon in opening 304, projection 340 is oriented to extend to the corresponding opening being limited in shank module 302 In 342.As shown in fig. 11f, shank module 302 may include two mechanical toggle switch 344, when switch 344 is in first position When, it has the part in the opening 342 for extending to and being limited by shank 302.When shank module 302 is placed on sterilization tray When in 300, opening 342 is aligned with projection 340 so that projection 340 is pushed to the second place by switching 344, as shown in fig. 11g. Switch 344 can with shank processor communication, and when switch 344 is moved to the second place (Figure 11 G) from first position (Figure 11 F) When, the renewable internal sterilizing of shank processor, which counts, (is stored in the further internal processor memory and/or external treatment of shank module In device memory).In such embodiments, shank module 302 may include power source as described herein with shank Device power supply is managed, and updates sterilizing in sterilization period and counts.Such power source may include secondary cell, the secondary cell not from Shank module removal, even if one-shot battery removes from shank module 302.Shank processor can will sterilizing count with it is predetermined Threshold value (for example, 20 sterilizings) is compared, and when the counting that sterilizes reaches predetermined threshold value, shank processor can be real Now one or more of various end-of-life actions for example as described herein.Switch 344 is positively retained at " triggering " or " activation " State, until it is reset (such as after sterilization treatment) in later time, such as (referring to Figure 36).Once shank module 302 remove and projection 340 removes from opening 342 from pallet 300, and switch 344 can be spring biased, such as to return to it Open position.Inner marker also can be set to indicate that shank module 302 is placed on sterilization tray 300 in shank module handler In, and the mark can be reset (referring to Figure 37) later after sterilization treatment.Figure 11 H and Figure 11 I are shown and contact-making switch 348 similar embodiments.When shank module 302 is placed in sterilization tray 300, opening 342 is aligned with projection 340, So that when shank module 302 is rested upon in opening 304, projection 340 closes contact-making switch 348, as shown in fig. 11g.Contact is opened 348 are closed with shank processor communication to update the sterilizing of shank module counting.For example, removed from pallet 300 when shank 302 and By the projection 340 inserted be applied to contact-making switch 348 pressure be removed when, contact-making switch 348 can be biased to pass through spring Return to its open position (Figure 11 H).
Except or instead of the above-mentioned mode for being used to follow the trail of the end of life of shank module, be able to can be connected by using shank module The end of life of the inspection operation platform tracking shank module connect.Inspection operation platform can be used to assess shank in any suitable time Whether module can be used for performing the subsequent step in surgical operation and/or surgical operation.For example, inspection operation platform can be in shank mould Used before, during and/or after the sterilization treatment of block, and/or prepare shank module for recycle when use. Such as after following steps, shank module can be connected to inspection operation platform:(i) the repeatable of shank module makes after program (being usually directed to manual wiper member or apparatus) is cleared up with the post processing of part;(ii) purification of part or apparatus is (for example, pass through Automatic washer);And/or cleaning and/or the indoor seasoning of (iii) part or apparatus.Shank module is placed on inspection operation On platform can be to shank module by using, sterilizing and/or otherwise be processed for recycle number representative.Check behaviour Make the number of thresholds that the display on platform (or elsewhere) may indicate to the user that placement of the shank module on inspection operation platform When reach or be up to, now user can take appropriate action relative to shank module, such as recall it.In addition, When shank module has reached its end of life, inspection operation platform can upload the data to shank processor, the shank processor Prevent the further use (for example, disabling shank module) of shank module.
Further described above, Figure 12 A and Figure 12 B show exemplary inspection operation platform 400 and shank module 402.Shank module 402 is similar to shank module 10 in many aspects.Figure 12 A are shown on inspection operation platform 400 is placed on Shank module 402 before, and Figure 12 B show the shank module after the position being placed on inspection operation platform 400 402.Similar to other embodiments disclosed herein, shank module 402 includes being limited to battery compartment 403 therein, should Battery compartment is configured to receive battery pack wherein.See, for example, the battery pack 86 in Fig. 2-Fig. 5.Such as herein in addition Disclosed elsewhere, battery pack can be readily inserted into battery compartment 403 and be removed from battery compartment 403.Figure 12A also illustrates that battery pack removes from shank module 402, so as to sudden and violent before shank module 402 is placed in inspection system 400 Reveal battery compartment 403.Inspection operation platform 400 include from its extension insert or data/power supply adaptor 404, its size and Construction causes it to be assemblied in the battery compartment 403 of shank module 402.Data/power supply adaptor 404 is placed with via by structure Cause to be capable of the physical contact of the power supply terminal of engaging battery group and/or via one be positioned in battery compartment 403 Or multiple signal contacting pieces and the processor communication of shank module, as described in further detail below.Shank module 402 can pass through Opening 403 is slided on data/power supply adaptor 404 and is positioned on inspection operation platform 400.
Figure 12 C are the block diagram for showing inspection operation platform 400 and some parts of shank module 402.Data/power supply adaptor 404 include power supply terminal 430, the power supply terminal in the same or a similar manner to the pressure regulator 432 of shank module 402 provide across Overvoltage, wherein battery pack provide voltage when battery pack is positioned in opening 403 to pressure regulator 432.If for example, battery Group is configured to supply 6V DC to pressure regulator 432, then insert 404 is configured to for example supply to pressure regulator 432 Answer 6V DC.Pressure regulator 432 provides electric power to the control panel 100 (referring to Fig. 1-Fig. 6) of shank module 402 and thinks control panel 100 Part is powered, and the part includes such as shank processor 434 and associated internally and/or externally memory 436.Inspection operation Platform 400 itself can be powered by using the power line 437 of appropriate AC-DC converter by AC power sources.Inspection operation platform 400 wraps FPDP 438 is included, the FPDP and the data of shank module 402 when shank module 402 engages with inspection operation platform 400 Port 440 contacts so that shank processor 434 can communicate with inspection operation platform processor 442.As it will be appreciate that, check Operating desk 400 may also include internally and/or externally memory 444 associated with inspection operation platform processor 442.
Figure 12 D are when performing the software and/or firmware in shank memory 436 and/or inspection operation platform memory 444 Carry out being placed on inspection to follow the trail of and respond shank module 402 by shank processor 434 and/or inspection operation platform processor 442 The figure of the handling process for the number looked on operating desk 400.In various arrangements, whenever shank module 402 is installed in inspection dress Put on 400 so that insert 404 proceed to the control panel 100 of shank module 402 data and/or it is electrically connected when, at shank Reason device 434 can be incremented by inspection counter.It can be the incremental meter that quantity is checked from zero to presetting threshold value to check counter Number devices check down counter of the quantity to zero from presetting threshold value.In the case of at least one, shank module 402 includes When data/power supply adaptor 404 by completely and be appropriately interposed opening 403 when be triggered inspection operation platform insertion switch 446 (Figure 12 C).The switch 446 can communicate via control panel 100 with shank processor 434, and when at Figure 12 D step 420 During trigger switch 446, shank processor 434 can make at step 422 inspection counter be incremented by (depend on the circumstances+1 or -1, this Type depending on counter).At step 424, shank processor 434 will can be checked to count and carried out with predetermined threshold value Compare.If threshold value not yet reaches, at step 426 shank processor 434 can with inspection operation platform 400 via insert The value for checking counter is output to inspection operation platform processor 442 when entering row data communication by 404.
Referring to Figure 12 E, inspection operation platform 400 may include visual displays 448, and it shows regards with checking that counter is relevant Feel information, such as shank module 402 be placed on number on inspection operation platform 400 and/or in shank module 402 for example Before reaching its end of life, shank module 402 should be placed on inspection operation platform 400 for the residue degree of inspection (or approximate number of times).If however, checking that count threshold has reached, processing can be advanced to step 428, wherein can take suitably End-of-life action.One such end-of-life action is that the display 448 of inspection operation platform 400 can be to user visually Display shank module 402 should not be used further.Except or instead of another adoptable end-of-life of visual displays is moved Work is that the strings of commands is sent to shank processor 434 by inspection operation platform processor 442, and the strings of commands causes shank processor 434 Shank module 402 can not further be used.For example, the strings of commands may indicate that shank processor 434 never activates shank after this The motor of module 402 or the action of some other deactivations.For example, the strings of commands may indicate that shank processor sets mark, when setting, The mark prevents the driven motor of shank processor 434.
In various embodiments, inspection operation platform insertion switch 446 can be pressure switch, the pressure switch data/ Power supply adaptor 404 is activated when being fully inserted into opening 403, and is moved in data/power supply adaptor 404 from opening 403 Remove or be reset when removing at least in part.In all fields, there may be associated with inspection operation platform insertion switch 446 Timer so that inspection operation platform counter is only activated the situation of at least threshold time period (for example, 30 seconds etc.) in switch 446 It is incremented by (Figure 12 D step 422) down.Such timer can reduce the quantity of false positive, i.e. shank module 402 is checking behaviour Making of short duration placement on platform 400 may not be associated with inspection after the program of shank module 402.
In another modification, inspection operation platform 400 includes the pressure switch with counter, and the reading of the counter is shown Show to user.Inspection operation platform pressure switch is by the way that shank module 402 is placed on inspection operation platform 400 to activate.For example, Inspection operation platform pressure switch can be at the base portion of the insert 404 of inspection operation platform 400 so that when shank module 402 is complete When sliding on insert 404, inspection operation platform pressure switch is activated.When being activated inspection operation platform pressure switch, Renewable counter (for example, being incremented by 1), to cause reader to show that shank module 402 is installed in inspection system 400 Number.Such counter can be such as mechanical counter and/or electronic counter.If the limit or threshold value are shown in inspection behaviour Make on platform 400, be shown in shank module 402 and/or otherwise announced to user, then user may know that the limit has reached To still approaching.In the case of at least one, the limit can be printed on such as inspection operation platform 400 and/or shank module On 402.
The display 448 of inspection operation platform 400, which may also display, to be obtained by inspection operation platform 400 and/or via it Between data connection the other information of inspection operation platform 400 is sent to from shank module 402.For example, shank processor storage The type of device identifier (for example, sequence number) for shank module can be stored, and the type of device identifier can be downloaded To inspection operation platform processor 442 for being shown on display 448.Except or replace it is described above, display 448 can example The state of shank module is such as indicated based on the status data received from shank processor 434, such as shank module reaches its longevity Whether the degree of closeness and/or shank module for ordering terminal have been locked.As described herein, display 448 may indicate that shank module Remaining use (for example, program) quantity and/or the wherein quantity for the program that shank module has been used.As disclosed herein, Inspection operation platform 400 is tested to ensure that shank module 402 can be in subsequent journey after can be additionally used in the program of execution shank module 402 Used in sequence.The test may include such as moisture measurement, sealing integrity test and/or fictitious load test.Display can refer to Show these test result (for example, by, failure, carry out in).
Except or replace it is described above, the display 448 of inspection operation platform 400 may indicate that the shape of inspection operation playscript with stage directions body Whether data and/or software upgrading are uploaded to shank by (i) from shank module downloading data, (ii) for state, such as inspection operation platform Module, (iii) processing data, and/or (iv) perform test.Display 448 may indicate that the result for coming self-test and data processing, Whether such as shank module is ready to uses in another program, and whether shank module needs repairing, and the guarantee of shank module is It is no to be expired because such as shank module has reached its threshold value usage quantity, and/or other warnings.Inspection operation platform 400 Display 448 can be the LED backlight LCD display for example controlled by inspection operation platform processor 442.Inspection operation platform 400 is also It may include control button 410, as shown in figure 12e, wherein user can input what is stored and used by inspection operation platform processor 442 Data and/or configuration are set.Display 448 can also be touch-screen, wherein user can for example via touch-screen input data and/or Configuration is set.Inspection operation platform 400 may include such as external data port 412, such as USB, miniature or small-sized USB, for It is connected to data cable 414 so that data can upload or download to the inspection operation platform from inspection operation platform 400.For example, come from The routine data of shank module 402 is downloaded to inspection operation platform 400, then downloads to long-range meter via FPDP 412 Calculation machine device.Software and/or firmware upgrade can download to inspection operation platform via FPDP 412 from remote computer device 400, then upload to such as shank module 402.
Figure 13 A and Figure 13 B are shown for following the trail of shank module by following the trail of installation of the power supply group in shank module The arrangement used.Figure 13 A are the block diagram of shank module 500.Shank module 500 is similar to shank module 10 in many aspects.Handle Portion's module 500 includes such as removable power source group 502 (such as battery) and shank processor 504.Figure 13 B are shown can be by shank Manage the handling process that device 504 performs.The processing can be in the memory 506 associated with processor 504 by firmware and/or software Perform.As shown in FIG. 13A, power supply group 502 may include for example to identify transmitter 508 (such as RFID label tag), the identification transmitter It can be communicated in shank module 500 with identification receiver 510 (such as RFID reader).Identify that transmitter 508 is for example wireless Signal projector;However, any suitable identification transmitter can be used.Identification receiver 510 be for example with shank processor 504 The wireless signal receiver of communication, however, any suitable identification receiver can be used.Identify that the transmission of transmitter 508 can be by knowing The unique ID for the power supply group 502 that other receiver 510 receives.It can control or limit the signal launched by identification transmitter 508 Intensity so that when power supply group 502 very close (for example, in 10cm) identification receiver 510, identification receiver 510 can only Detect the signal launched from identification transmitter 508.In the case of at least one, identification receiver 510 may be mounted to that control panel On 100 (Fig. 2-Fig. 4) so that identify that receiver 510 can only detect knowledge when power supply group 502 has been inserted into shank module 500 Other transmitter 508.In all cases, short distance RFID label tag and reader can be used so that identification receiver 510 is less The power supply group 502 being not installed in shank module 500 may mistakenly be detected.
Referring to the handling process shown in Figure 13 B, identification reader 510 detects identification transmitter at step 520.In step At 522, shank processor 504 determines whether power supply group 502 is new power supply based on its ID received by identification receiver 510 Group.Term in this context " newly " means that particular power source group 502 is not yet used together with specific shank module 500.Handle Portion's processor 504 can be by by the ID of the power supply newly detected group 502 and the power supply group that was previously detected by identification receiver 510 ID storage list is compared to perform the step.For example, such previously used power supply group ID list is stored in In the nonvolatile memory of shank module 500.If power supply group 502 is not new, i.e. its ID is in previously used power supply group Storage list on, then processing is advanced to step 524 in appropriate circumstances, and takes presetting action.For example, shank Processor 504 can disable shank module 500, until being installed in shank module 500 newly, i.e., the power supply of previous None- identified Group.In at least one under such circumstances, shank module 500 can disable motor 80.Except or instead of described above, shank module 500 display can show that power supply group is not new to user, and require to install different power supply groups, and this returns to processing Step 520.
If processor 504 determines that power supply group 502 is new, i.e. the ID of power supply group 502 is not in previously used power supply group Storage list on, then processing is advanced to step 526, and wherein shank processor 504 counts the use of shank module 500 to pass Increase.As it was previously stated, count-up counter and/or down counter can be used.At step 528, shank processor 504 will use Count compared with presetting threshold value, the presetting threshold value represents that shank module 500 should be from different unique power supply groups The number being used together.The generation of such number that can be used as having been used in patient procedures shank module 500 using counting Table.If reached at step 528 using count threshold, presetting end-of-life can be taken to move at step 529 Make.For example, shank processor 504 can disable motor, shank module display for example can show that shank module 500 does not have to user Remaining use, and/or activation alarm, do not have remaining use so as to alert user.If using count threshold not yet Reach, then the ID of new power group 502 is added to the storage of previously used power supply group by shank processor 504 at step 530 In list so that new power group 502 can not be used after its is currently used.In other modifications, the step shown in Figure 13 B Suddenly can be performed with different order.For example, new power supply group ID can be added to storage list using before counting incremental.With Lower combination Figure 14 E and Figure 15 A- Figure 15 B describe the other technologies for following the trail of installation of the power supply group in shank module.
Can be together with chargeable and/or non-rechargeabel battery pack above in association with the embodiment described in Figure 13 A and Figure 13 B Use.That is, it is used together with shank module 500, recharges and then makes again together with identical shank module 500 Battery pack may be such that shank module 500 enters locking mode.On the particular, the battery pack recharged must It must be reused together with different shank modules.Accordingly, it can be envisaged that to the embodiment of shank module 500, wherein recharging Battery pack can be reused together with identical shank module 500.
In the case of at least one, processor 504 can use prevent battery pack 502 for same use be counted twice or More logic.In the case of at least one, processor 504 can not count to battery pack 502 again, unless it is Through being disengaged and being re-engaged with shank module 500.Even so, subsequent engagement can be counted as by processor 504 Before secondary use, it is desirable to through after a while between the first engagement and subsequent engagement.Such elapsed time is probably Such as the spent time is recharged to battery pack.
Except or replace it is described above, the traceable DSM of shank module is connected to shank module and/or broken with the shank module The number of connection is opened, the representative as the number being had been used to shank module.Shank module can show the shank of such as renewal The remaining usage quantity of module, the remaining usage quantity of shank module of estimation is (such as with the sound of instruction residual life percentage Amount instruction marks), and/or the number that shank module has been used.When having been reached using threshold limit, shank module can be through Such as one or more end-of-life actions are taken by shank processor, such as show that shank module is exhausted, by disabling horse Reach further to prohibit the use of shank module, and/or send audible alarm.Figure 14 A- Figure 14 G represent to be used to follow the trail of DSM to shank The different arrangements for being connected and disconnected from connection of module, following article further discuss in more detail.
Turning now to Figure 14 A, include two rotation drivings similar to the shank module 600 of shank module 10 in many aspects System 602,604.DSM with above-mentioned two drive system can be operably linked to rotary drive system 602,604. DSM can have a groove, and the groove is configured to receive and slides into the company that is limited in the upper part of shank module 600 The bilateral edge 605A of the tongue in region 608 is met, on 605B.In such an arrangement, shank module 600 can be in tongue It is upper to include pressable switch 612 elsewhere (as shown in Figure 14 A) and/or in join domain 608 so as to work as DSM, such as When DSM 634 (Figure 14 B and Figure 14 C) is for example connected to shank module 600, pressable switch 612 is pressed.In at least one feelings Under condition, before DSM is rested upon onto shank module 600 completely, DSM may not be by compressing switch 612.Switch 612 can quilt Shank processor is connected to, wherein shank processor can switch 612 numbers being pressed to pressable and count as to DSM Have been coupled to the representative of the number of shank module 600 and/or the representative as the number being had been used to shank module 600. In addition, shank processor may be required in make counting be incremented by before by the continuous pressing at least certain period of time of pressable switch 612 (for example, 30 seconds), to reduce the situation of false positive.When the presetting number of thresholds of use or the activation of switch 612 has reached When, end-of-life action is can perform, as described herein.
Figure 14 B and Figure 14 C show a kind of arrangement of electromechanical pressable switch 612.As illustrated, the bag of pressable switch 612 Head 620 is included, the head extends to the tongue and/or any other suitable DSM matching surface for being limited to shank module 600 In opening 622 in.Head 620 can be at the end of spring arm 624, and the spring arm is configured to head 620 Position is biased upward into opening 622.Spring arm 624 also includes being positioned at the extension being limited in shank module 600 or side The upward motion of desired locations is arrived on shoulder 626 behind edge 628, its head 620 limited in opening 622.Pressable switch 612 Also include contact 630.When switch 612, which is in, not to be activated or open condition, as shown in Figure 14B, spring arm 624 is not with contacting Part 630 engages;When DSM 634 is attached to shank module 600 and pushes down on head 620, as shown in Figure 14 C, spring arm 624 The bonding contact 630 of shoulder 626 and closure switch 612.DSM 634 includes the protuberance 632 from its extension, and it is configured to Being capable of contact head 620.Switch arm 624 and contact 630 can be constructed from a material that be electrically conducting, when head 620 is pressed downwards by DSM 634 During pressure, the conductive material can complete the circuit with shank processor communication, as described above.
Referring now to Figure 14 D, shank module 700 may include Electrical Contact Plate 702, the Electrical Contact Plate and pair on DSM 706 Answer Electrical Contact Plate 704 to join/match somebody with somebody merging to be electrically connected with it.In the case of at least one, the processor of shank module 700 can The number that shank module 700 is for example assembled into DSM (such as DSM 706) counts.When DSM 706 contact 704 When engaging the contact 702 of shank module 700 and being operated data connection therebetween, processor can increase DSM connections meter Number.The cooperation of contact plate 702,704 can be used as having been coupled to DSM the representative of the number of shank module 700, and conduct pair The representative for the number that shank module 700 has been used.Similar to the above, shank processor, which may be required in, to be made before counting is incremented by Data between contact plate 702,704 connect continued presence at least certain period of time (for example, 30 seconds) to reduce false positive Situation.In another modification, when DSM 706 is connected to shank module 700, shank processor and the commutative number of DSM processors According to.In the exchange, shank processor can receive DSM 706 identification information, to cause shank processor is recognizable to be connected to The DSM 706 (for example, DSM types of models) of shank module 700.In such an arrangement, whenever shank processor is from attachment When receiving identification information to its DSM, shank processor can be incremented by DSM connection counts.In any of these modifications, Shank processor is by DSM connection counts compared with presetting threshold value, and if reaching threshold value, then shank processor is adopted End-of-life is taken to act.
Alternative arrangement for detecting connections of the DSM to shank module is shown in Figure 14 E- Figure 14 G.Shown arrangement is using suddenly Your effect sensor detects the connection that DSM 706 arrives shank module 700.As shown in fig. 14e, shank module 700 may include phase The hall effect sensor 710 positioned for the upper surface 712 of shank module 700, DSM 706 are attached to Hall effect sensing Device.Correspondingly, DSM 706 includes such as magnet 714, such as permanent magnet, when DSM706 is complete and is suitably connected to shank mould The magnet is close to hall effect sensor 710 during block 700, as shown in figure 14g.Hall effect sensor 710 can be for example via drawing Line 716 and shank processor communication.When DSM 706 is installed in shank module 700, hall effect sensor 710 can be felt Survey DSM 706 close to magnet 714.The magnetic field generated by magnet 714 can be constant, and shank processor may have access to and close Data in magnetic field so that magnet 714 and hall effect sensor can be determined based on the output of hall effect sensor 710 The distance between 710.Once the distance between magnet 714 and hall effect sensor 710 are stabilized to pacifying completely and suitably Distance corresponding to DSM 706 in shank module 700, shank processor can be inferred to DSM 706 by complete and appropriate Ground is arranged in shank module 700 and updates DSM connection counts.
Similarly, referring again to Figure 14 E, shank module 700 includes being configured to receive battery pack 722 wherein Battery compartment 724.Shank module 700 also includes hall effect sensor 720, and the hall effect sensor is configured to examine Removable battery pack 722 is surveyed to the insertion in battery compartment 724.Battery pack hall effect sensor 720, which can be positioned in, to be used for At the upper inside surface 723 in battery compartment 724 in the shank module 700 of battery pack 722.As it will be appreciate that as, Battery pack 722 is configured to supply power to shank module 700 via electric terminal 726, and may expect to imitate Hall Inductive sensing device 720 positions far as possible from electric terminal 726 so that any magnetic field generated by the electric current for flowing through terminal 726 is basic On battery pack 722 is suitably detected without interference with hall effect sensor 720 to the ability of the insertion in shank module 700.Electricity Pond group 722 includes such as magnet 730, such as permanent magnet, when battery pack 722 is inserted into battery compartment 724, Hall effect Sensor 720 senses the magnet.Similar to hall effect sensor 710, battery pack hall effect sensor 720 for example via Lead 732 and shank processor communication.When battery pack 722 is installed in battery compartment 724, hall effect sensor 720 Close battery pack magnet 730 can be sensed.The magnetic field generated by magnet 730 can be constant, and shank processor can visit Ask the data on magnetic field so that can determine that magnet 730 senses with Hall effect based on the output of hall effect sensor 720 The distance between device 720.Once the distance between magnet 730 and hall effect sensor 720 be stabilized to completely and suitably Distance corresponding to battery pack 722 in shank module 700, it is complete that shank processor can be inferred to battery pack 722 And it is appropriately mounted in shank module 700 and updates battery pack connection count.
The traceable DSM of shank module and/or battery pack are connected to shank module and/or disconnected with the shank module Number, the representative as the number being had been used to shank module.Shank module can show that the shank module of such as renewal is remaining Usage quantity, estimation the remaining usage quantity of shank module (such as with instruction residual life percentage volume indicateing arm Note), and/or the number that shank module has been used.When having been reached using threshold limit, shank module can be via shank at Reason device takes for example one or more end-of-life actions, such as shows that shank module is exhausted, enters one by disabling motor Step prohibits the use of shank module, and/or sends audible alarm.
Turning now to Figure 15 A and Figure 15 B, pressure switch can be used to follow the trail of power supply group to peace thereon in shank module 800 Dress, when power supply group 806 is for example complete and is appropriately attached to shank module 800, the pressure switch is pressed.Shank module 800 are similar to shank module 10 in many aspects.Shank 800 includes conductive contact pads 802, and power supply group 806 is connected to this and led Electrical contact is padded to supply voltage to the electronic unit of shank module 800.In shown arrangement, pressure switch 804 and conduction Contact pad designed 802 it is adjacent and with shank processor communication.When power supply group 806 is assembled into shank module 800, referring to figure 15B, the shell pressing of power supply group 806 and actuating pressure switch 804.When being activated pressure switch 804, shank processor can It is incremented by power supply group connection count, until reaching threshold value, can now carries out end-of-life action.It is similar to the above, shank processing Device can require that pressure switch 804 is continuously activated certain period of time (for example, 30 seconds) before power supply group connection count is incremented by, To reduce the situation of false positive.In other arrangements, for example, electric mechanical switch can be used.
In all cases, when being powered shank processor, the processor of shank module, which can use to count, to be incremented by. In some cases, when battery pack is disengaged with shank module, the processor of shank module can automatically power off.Similarly, when When battery pack engages with shank module, processor can power up automatically.In at least one such embodiment, battery pack is to use In the sole source of power of shank module, and battery pack can power off processor immediately with disconnecting for shank module, and The connection of battery pack to shank module can be powered for processor again immediately.In certain embodiments, shank module may include One or more capacity cells, when battery pack engages with shank module, the capacity cell can store the power from battery pack. When battery pack and shank module disconnect, capacity cell can provide power within a period of time to processor, therefore, in electricity During pond group is changed, processor can not power off.In such cases, in the case where battery installation is detected by a sensor, such as It is upper described, and/or in the case that processor is energized after power is turned off, processor can count to life-span or use.
In all cases, traceable its of the shank processor of shank module 800 receives electricity via conductive contact pads 802 The frequency of power, the conductive contact pads are used for the internal electrical components that battery supply group 806 is connected to shank module 800.Example Such as, shank module 800 may include the micro voltage and/or current sensor (not shown) for being connected to conductive contact pads 802.Voltage And/or current sensor can be with shank processor communication.When detecting the threshold value from power supply group 806 at contact pad designed 802 When input voltage and/or electric current, shank processor can be incremented by battery pack connection count.In shank processor sometimes by except electricity The power source of source group, in the case of such as being powered by ultracapacitor or other sources, the arrangement can be useful.
Turning now to Figure 16, shank module 900 includes for example multiple power sources, including the removable He of battery supply group 902 Secondary power source 904.Removable battery supply group 902 is similar to removable battery supply group as described herein in many aspects. Battery supply group 902 includes for example multiple Li ions and/or LiPo battery units.Even if work as removable battery supply group 902 When being removed or otherwise being disconnected with shank module 900, secondary power source 904 also provides work(to shank module 900 Rate source.On the embodiment, low-power operation of the secondary power source 904 for example for shank module 900, such as when removable Except battery supply group 902 from shank module 900 remove when on control panel 910 electronic unit power supply;Rather than high power Operation, such as provide power for the motor 905 of shank module 900.In various arrangements, secondary power source 904 may include to fill Electric battery unit and/or ultracapacitor (a/k/a ultra-capacitors), it is charged by removable battery supply group 902 when mounted. As long as secondary power source 904 has enough electric charges, then secondary power source 904 can be in the situation in the absence of a power source 902 It is down the electronic unit power supply on control panel 910.
Even if when power supply group 902 is not installed in shank module 900, secondary power source 904 also allows for shank module 900 trackings are using event and/or take end-of-life to act.Figure 17 A are for example can be by processor (such as handle of control panel 910 Portion's processor 2124) perform processing flow chart.According at least one embodiment, the processing can be by being for example stored in shank Software and/or firmware in the memory of module perform.Before surgical operation is performed, power supply group 902 is installed in shank mould In block 900.At the step 920 of processing, when shank processor can record when DSM is correctly connected to shank module 900 Between stab.Once surgical operation starts, at step 922, shank processor can be recorded in the shank occurred during surgical operation The timestamp of each percussion of module 900.In addition, elapsed time between the traceable percussion of shank processor.In at least one In the case of, secondary power source 904 can continue to power to shank processor, to follow the trail of the time after percussion event, even if removable Except power supply group 902 removes from shank module 900.At step 924, shank processor can determine that the process since last time fires Whether the time is more than threshold time period.In the case of at least one, for example, threshold time period can approximation after program substantially Handled and sterilized to shank module the required time.If the period between percussion is not more than threshold value, assume that The program is carried out, and is handled and be can return to step 922 to record the timestamp of shot.On the other hand, if Period between percussion is more than threshold value, then assume that the program is over, now at step 926, shank processor It can count the use of shank module 900 to be incremented by.At step 928, shank processor will use counting and shank module 900 Pre-programmed threshold value is compared using counting.If being less than threshold value using counting, shank module can be used in another program 900, and the processing can return to step 920 to wait the DSM of next program connection.On the other hand, if having reached makes With count threshold, then processing is advanced to step 930, wherein the end-of-life action of shank module 900 can be initiated.As described above, End-of-life action may include to disable shank module so that shank module can not use in subsequent surgical operation.At least In the case of one kind, the motor of shank module can be disabled physically and/or electrically.In some cases, end-of-life acts Including for example visually indicating the end of life of shank module on the display of shank module and/or sending sound police Report.
Figure 17 B are that can be powered by shank computing device and sometimes by secondary power source 904 to follow the trail of shank module The flow chart of the another exemplary processing used.At step 950, shank processor can detect removable battery supply group 902 To the connection of shank module 900.For detect battery supply group 902 insertion various technologies this paper elsewhere Description.In all cases, the insertion of power supply group 902 indicates that the surgical operation for being related to shank module 900 will to shank processor Start.Therefore, when shank processor detects power supply group 902 to during insertion in shank module 900, shank processor can be Step 952 place is arranged to ON by mark is handled.At step 954, shank processor can be directed to Programmable detection DSM to shank module Complete and appropriate connection.For various technologies being described elsewhere in this paper for the attachment for detecting DSM.Once DSM and battery pack 902 are suitably attached, and surgical instruments can be used to complete surgical operation.In battery pack 902 from shank mould In the case that block 900 removes, shank processor can detect the removal of battery supply group 902 at step 956.For detecting power supply The various technologies of the removal of group are disclosed in having elsewhere for this paper.In all cases, the removal instruction surgery of power supply group The ending of operation, therefore, the shank processor powered now by secondary power source 904 can make shank module 900 in step 958 Use count be incremented by.Even if the removal of power supply group does not form the end of surgical operation, also can by the insertion of new battery pack and/or Reinserting for the battery pack recharged is considered as another first use.Such recycling of shank module 900 can be in step 960 It is adjusted in the test for locating to apply, to assess the terminal whether shank module 900 has reached its service life.If The end of life of shank module is reached, then shank processor can initiate appropriate end-of-life action at step 962.It is various End-of-life acts disclosed in having elsewhere for this paper.It should be appreciated that on appointing in embodiments disclosed herein One, end-of-life action can be covered by the user of shank module.Reach for example, working as among surgical operation using threshold value meter During number, it will usually such situation occur.
Figure 18 A- Figure 18 E show to be acted by the end-of-life that shank module is taken, and the shank module use is for example removable The further use of shank module is prevented except battery supply group.Figure 18 A show shank module 1000, and the shank module includes interior The locking piece 1002 of portion's spring activation.When being discharged by shank module 1000, locking piece 1002 is prevented battery supply group 1004 And/or any other suitable battery pack is fully and properly installed in shank module 1000.In all cases, locking piece 1002 are configured to entirely prevent power supply group 1004 to enter shank module 1000.In other cases, locking piece 1002 Power supply group 1004 can be prevented to be inserted into the depth that cell contact part is made electrical contact with shank contact, as shown in Figure 18 A, and And hereinafter it is described in further detail.Due to the activation of locking piece 1002, power supply group 1004 is from the swinging radius of shank module 1000 From D, equally as shown in Figure 18 A.But for locking piece 1002, battery pack 1004 can be rested upon end cap to battery pack 1004 1006 depth for flushing with the shell of shank module 1000 or at least substantially flushing.
As described above, locking piece 1002 optionally prevents power supply group 1004 from being powered to shank module 1000.In Figure 18 B In the non-locking state of shown portion's module 1000, the electrical contact pad 1016 of shank module 1000 can connect with battery pack 1004 Touch the contact of pad 1018 so that the internal electrical components of shank module 1000 can be powered by battery supply group 1004.In Figure 18 C institutes In the lock-out state for the shank module 1000 shown, locking piece 1002 prevents the contact pad designed 1018 contact shank mould of battery pack 1004 Contact pad designed the 1016 of block 1000.Shank module 1000 does not include secondary power source and/or the dress for storage power wherein In the embodiment put, shank module 1000 will be unavailable in its locking condition.Shank module 1000 includes secondary wherein In power source and/or embodiment for the device of storage power, shank module 1000 is using for example from these other The power in source runs the operating system of shank module 1000, rather than the drive system of shank module 1000 and/or electronic Motor.
Figure 18 B show the locking piece 1002 being under normal operating state, the wherein unlocked battery pack 1004 of the locking piece, And Figure 18 C show the locking piece 1002 under being in the lock state, wherein locking piece locking battery pack 1004.Locking piece 1002 Torsionspring 1010 by being connected to locking piece 1002 is biased into from its unlocked position (Figure 18 B) and rotates to its latched position (Figure 18 C).Torsionspring 1010 has first end and the installation for the interior surface 1013 for being biased against shank module 1000 To the second end of locking piece 1002.Shank module 1000 also includes being configured to releasably hold locking piece 1002 Breech lock 1012 in its unlocked position.Locking piece 1002 includes locking shoulder 1014, when breech lock 1012 is in extended position, The locking shoulder proximate breech lock 1012, and locking piece 1002 is therefore maintained at its unlocked position.When breech lock 1012 bounces back, As shown in figure 18 c, the shoulder 1014 of locking piece 1002 no longer engages with breech lock 1012, and torsionspring 1010 can be by locking piece 1002 are biased into its latched position.
When not yet reaching the end-of-life condition of shank module 1000, the latch actuator of shank module 1000 will can fasten with a bolt or latch Lock 1012 is maintained at the position shown in Figure 18 B.However, when reaching end-of-life condition, latch actuator can be signified along arrow A Show direction movement breech lock 1012 so that breech lock 1012 move away from locking shoulder 1014, so as to allow locking piece 1002 due to The bias of spring 1010 and rotate counterclockwise, as indicated by the arrow B in Figure 18 C.In lock-out state, locking piece 1002 protrudes Into the battery compartment of shank module so that when battery pack 1004 is inserted into shank module 1000, the electricity of shank module 1000 Contact pad designed 1016 do not contact contact pad designed the 1018 of battery pack 1004, as described above.Latch actuator may include for example any Suitable actuator, such as solenoid.
Except or replace it is described above, Figure 18 D and Figure 18 E show such embodiment, wherein in shank module really At fixed end of life, the battery pack being positioned in shank module can not remove from shank module, so as to prevent by it is new (or Recharging) battery pack is inserted in shank module for down-stream.Figure 18 D show the battery in normal operating state Group 1004, wherein the battery pack can remove after program from shank module, and Figure 18 E show breech lock 1040, the breech lock Battery pack 1004 is locked in shank module so that battery pack 1004 can not remove from shank module.Such as Figure 18 D and figure Shown in 18E, battery pack 1004 can limit opening 1042, and the breech lock head 1044 of wherein breech lock 1040 can be inserted into by battery pack 1004 lockings are in place.Breech lock 1040 passes through the biased downward of compression spring 1046 in the upper axis 1048 of breech lock 1040. Breech lock 1040 also includes upper shoulder 1050, under the normal operating state of the shank module shown in Figure 18 D, shoulder proximate on this Two breech locks 1052, second breech lock are oriented to that spring 1046 is kept under compression to and prevented the downward fortune of breech lock 1040 It is dynamic.Equally as shown in Figure 18 D and Figure 18 E, breech lock head 1044 includes shoulder 1054, when breech lock 1044 is in its actuated position When, as shown in fig. 18e, the shoulder be locked in from battery pack 1004 limit with behind shoulder 1056.
In operation, when shank processor determines that shank module has reached its end of life and (passed through manner described herein Any of) when, the second breech lock 1052 may be actuated in shank processor, so that the second breech lock 1052 moves away breech lock 1044.Second breech lock 1052 can be activated for example by any suitable actuator (such as solenoid).In the illustrated embodiment, when When breech lock 1052 is activated, shoulder 1050 of second breech lock 1052 away from breech lock 1040 moves left and right, as indicated by arrow.Will Second breech lock 1052 removes from shoulder 1050 allows spring 1046 to pass through the opening that is limited in the shell 1013 of shank module 1060 depressurize and push down on breech lock 1044, as indicated by the arrow B.Moved down in breech lock 1040 by spring 1046 When, breech lock head 1044 is extended in the opening 1042 being limited in battery pack 1004.The latch shoulder on breech lock head 1044 1054 can be slid through opening 1042 and be locked in behind the cooperation shoulder 1056 of battery pack 1004.When the upper shoulder of breech lock 1040 When portion 1050 contacts shank module housing 1013, the limit moved downward by shank module housing 1013 on breech lock head 1044 System.Therefore, battery pack 1004 can not remove from shank module, so as to prevent being inserted into new (or recharging) battery pack For down-stream in shank module.
Referring now to Figure 19 A- Figure 19 C, shank module 1100, which includes rechargeable battery pack 1102, (has one or more can Rechargeable battery cell 1104), when shank module 1100 is docked to charging operations platform 1106, the rechargeable battery pack can be re-charged Electricity.Shank module 1100 also includes sliding door 1108, and the sliding door is in open position (Figure 19 C) and closing position (figure Slided up and down between 19B) in the passage 1110 being limited in shank module 1100.Compression spring 1112 is positioned in passage In 1110, the passage is configured to the biased downward of sliding door 1108 to its closing position.For example, when door 1108 is in During its closing position, the maskable battery charging terminals 1114 of door 1108, as shown in Figure 19 B, so that its is against damages and/or unexpected Ground contacts with the conductive surface in surrounding environment.In order to be recharged to battery unit 1104, shank module 1100 is placed In the receiving area 1120 limited by charging operations platform 1106, the charging operations platform includes charging terminal 1122, when shank mould Block 1100 is by completely and when being appropriately interposed in receiving area 1120, the charging terminal and the charging terminal of shank module 1100 1114 with contact is merged, as shown in fig. 19 c.When shank module 1100 is placed in receiving area 1120, sliding door The shoulder 1124 of 1108 engagement charging operations platforms 1106, the shoulder push up sliding door 1108, as indicated by arrow, from And compression spring 1112 and release shielding (or appearing) battery pack charging terminal 1114.Now, charging terminal 1114 can connect To and contact and receive operating desk charging terminal 1122, so as to be recharged to the battery unit 1104 of battery pack 1102.
Charging operations platform 1106 can be powered via power line 1130 by AC power supplies.Charging operations platform 1106 may also include vision Display 1132, the visual displays show the information on shank module 1100.For example, charging operations platform 1106 may include to locate Device (not shown) is managed, when shank module 1100 is arranged in charging operations platform 1106, the processor and shank processor communication. For example, charging terminal 1114,1122 may also include the data terminal for providing data path between the processors.At charging operations platform Reason device can receive the information/data that can be displayed on display 1132 from shank processor.For example, the information of display may include Such as the charged state (for example, the X% that charged) of battery pack 1102 and/or any information followed the trail of by shank processor, such as The life counter of shank module or remaining use and/or the quantity that for example period of validity fires.
Figure 20 A- Figure 20 B show to be used together with shank module 1200 to protect shank module during sterilization treatment The lid 1201,1202,1203 of 1200 internal part.Shank module 1200 includes being configured to have being attached to thereon DSM attachment part.End effector join domain lid 1201 may be connected to (for example, being clasped) and cover DSM and is connected to The position of shank module 1200.The removable of the drive system that shank module 1200 also includes being used to activate shank module 1200 touches Send out device assembly.Except or replace it is described above, trigger lid 1202 may be connected to (for example, being clasped) and cover opening, this Opening produces when firing trigger component removes from shank module 1200.Shank module 1200 also includes being configured to Wherein receive the battery compartment of removable power source group.In addition except or replace it is described above, battery pack cover 1203 may be connected to simultaneously And covering battery pack is inserted into the position in the pistol grip portion 1206 of shank module 1200.These lids 1201,1202,1203 Preferably it is made up of material (such as plastics) for example resistant to the chemicals for being sterilized to shank module.Separately Outside, lid 1201,1202,1203 can cover the electric contact piece of shank module 1200, including such as end effector contact plate 1210, Drive system 1212 and/or the internal contacts for battery pack (not shown).
The attachment of lid 1201,1202 and/or 1203 to shank module 1200 can help to follow the trail of shank module 1200 have been made With and/or sterilizing number.Similarly, lid 1201,1202 and/or 1203 can help to follow the trail of handle from the dismounting of shank module 1200 The number that portion 1200 has been used and/or sterilized.At least one in lid 1201,1202,1203 may include to trigger shank The device of switch in module 1200, indicating cover are installed.When such switch is triggered, shank processor, which can be assumed that, to go out The disinfecting action pattern for being optimized to bear sterilizing program will occur and enter for bacterium program.For example, at shank processor When in disinfecting action pattern, shank processor can prevent that the motor of shank module 1200 from being operated, make some contacts and/or Sensor powers off, and powers up some contacts and/or sensor, any data being stored in transient storage recorded and deposit Memory chip, by the memory copy of shank module to shelf storage, and/or create soft for the operating system of shank module The copy of the current version of part.When one or more of lid 1201,1202,1203 is attached to shank module 1200 or from shank When module 1200 is dismantled, the use that shank processor can also increase shank module 1200 counts.In shown arrangement, DSM connections Region lid 1201 includes projection 1220, and when lid 1201 is placed in shank module 1200, the projection contacts and activates shank In module 1200 to inductive switch 1222 (for example, pressable switch or contact-making switch etc.).Switch 1222 can be with shank processor Communication, and in all cases, when detecting the actuating of switch 1222, shank processor may be updated its sterilizing and count. In other arrangements, trigger 1220 on other coverings 1202,1203 and/or can be placed on DSM join domains lid 1201 Diverse location.Under any circumstance, because battery pack is generally removed in sterilization period, so lid 1201,1202,1203 is excellent Selection of land is used in the shank module with secondary power source, even if when battery pack is removed, the secondary power source is still shank Processor is powered, as described herein.As described in this paper other arrangements, when the counting that sterilizes reaches threshold level, at shank Reason device can realize one or more of end-of-life action as described herein.
Figure 20 C show the modification of battery pack cover 1203, and Figure 20 D show battery pack 1240, and the battery pack can be with figure 20C battery pack cover 1203 is exchanged.Because battery pack cover 1203 and battery pack 1240 are both designed to be assembled to shank module Replaced each other in battery pack opening in 1200 pistol grip portion 1206, so Figure 20 C battery pack cover 1203 is with non- Often it is similar to the shape and configuration of Figure 20 D battery pack 1240.For example, battery pack cover 1203 and battery pack 1240 are simultaneously including using In the fixture 1244 for being locked to shank module 1200.In addition, battery pack cover 1203 and battery pack 1240 are simultaneously including one or more Individual tubular container 1242.Battery unit 1246 can be in the container 1242 in battery pack 1240, rather than for lid 1203.So And lid 1203 is also included feature structure that it is distinguished with battery pack 1240 easily.In shown arrangement, lid 1203 is covering Include relatively thin, long at 1203 bottom and be easy to the tab 1248 grasped, the tab may include to indicate that it is used for what is sterilized Mark, as shown in Figure 20 C.
In addition as shown in Figure 20 C and Figure 20 D, lid 1203 each may include positioned at Bu Tong relative position with battery pack 1240 The respective tabs 1250,1252 put.In shown arrangement, the tab 1250 of lid 1203 is on right container 1242, and battery Tab 1252 in group 1240 is to the left on container 1242.When being inserted into shank module 1200, tab 1250,1252 can Contact and activate the correspondence in shank module 1200 and corresponding switch, with identify lid 1203 or battery pack 1240 (optionally and Insertion calmly).Switch (not shown) can with shank processor communication, and shank processor can be used respective switch actuating come Its use, sterilizing and/or battery pack connection count are updated, is depended on the circumstances.For example, the actuating of sterilizing switch can be by shank module 1200 are placed in disinfecting action pattern, and shank module can be placed in surgical operation pattern by the actuating of cell switch. Tab 1250,1252 is preferably at two diverse locations so that shank module 1200 may include two different switches:Only by electricity The cell switch of the actuating of pond group 1240 and the sterilizing switch only activated by sterilizing lid 1203.In various arrangements, tab 1250, 1252 can be located at mirror for example relative with the position on container 1242.Lid 1203 and battery pack 1240 may each comprise feature knot Structure so that they can only be inserted with an orientation, so as to prevent the actuating sterilizing lid switch of battery pack tab 1252, and otherwise also So.For example, in shown arrangement, battery pack cover 1203 and battery pack 1240 include tongue 1254 simultaneously at it only on side, The tongue may fitted in the respective grooves being limited in the only side of shank module 1200.
Figure 21 A- Figure 21 C show the exemplary display for shank module 1300 and/or DSM 1302, and the display can Provide a user the visual information of the state on shank module 1300 and/or DSM 1302.As illustrated in fig. 21, display can It is included in the display portion 1304A in the shank module 1300 and display portion 1304B on DSM.Display portion 1304A and 1304B adjacent to each other or can be separated from each other.In some cases, display portion 1304A and 1304B can be used for showing discrete or not Overlapping information group.In all cases, display portion 1304A and 1304B can be used for showing coordination information, and the information can be Or it can not be repetition.In some other cases, display 1304 can completely on DSM 1302, as illustrated in fig. 21b, or Person, display 1304 can be completely in shank modules 1300, as shown in fig. 21 c.Display 1304 may include such as FPD Device (such as LED backlight LCD panel) and/or any other suitable flat board or non-flat-panel display type.Display 1304 can be controlled by shank processor and/or DSM processors.
Figure 21 D show exemplary display configuration, and wherein display includes adjacent handle portions 1304A and end performs Device part 1304B.As shown in figure 21d, handle portions 1304A cue marks may include the cue mark related to shank module, Such as battery status cue mark 1310, it is shown connected to the identified cue marks 1312 of the DSM of shank module, and/or one As shank module error indicator mark 1314.DSM displays 1304B may include cue mark for example related to DSM, such as hold The cue mark 1320 whether portion's actuator jaw closes, nail in end effector whether the cue mark not yet fired, Follow closely the cue mark 1322 whether correctly fired, and/or the cue mark with the presence or absence of the error related to nail or nail bin 1324.Certainly, in other modifications, less, more and/or different icons can be used alert user/clinician on The state of shank module 1300 and/or DSM 1302 various parts and aspect.For example, display 1304 for example, may indicate that battery The remaining usage quantity of the remaining percussion quantity of group and/or shank module.Display may include button and/or touch screen interface, Wherein user/clinician can input information to shank module and/or DSM processors/memory.
In all cases, removable battery pack can be sterilized and recharge after program so that it can be in identical Recycled in down-stream in shank module and/or different shank modules.Figure 22 is the figure of removable battery pack 1350, should The traceable number that it has been sterilized of removable battery pack, this can be the number used in surgical operation battery pack 1350 Representative.Battery pack 1350 may include multiple battery units 1352 with output voltage terminal 1354.As shown in figure 22, battery Group 1350 may also include the battery pack processor 1360 for being installed to battery circuit board 1362.Battery pack processor 1360 may include Internal or external memory (external memory chip 1364 for being such as installed to circuit board 1362), and battery pack processor The software/firmware of 1360 executable storages in memory.Therefore, battery pack processor 1360 can realize management rechargeable battery Battery management system (BMS).For example, BMS can protect battery in order to avoid being operated outside its ESD protection area, battery is monitored State, assistance data is calculated, the data is reported, controls its environment, certification battery, and/or the unit of balancing battery.
In various arrangements, battery pack 1350 may also include micro hydropower or humidity sensor 1366, for sensing battery When group 1350 is in the moist or moist environment consistent with experience sterilization treatment.Battery pack processor 1360 can with moisture/ Humidity sensor 1366 is communicated so that moisture or humidity are detected in threshold time period for moisture/humidity sensor 1366 Threshold level each case, battery processor 1360 may be updated its sterilizing and counts as having been used to battery pack 1350 The representative of number.In all cases, battery processor 1360 is configured to not to there may be the exception of false positive Event is counted.Under any circumstance, counted once having reached threshold value sterilizing, battery pack processor 1360 can disable electricity Pond group 1350.For example, as shown in figure 22, battery pack 1350 may include data terminal 1368, the data terminal provides and arrives shank mould The connection of the shank processor of block.When battery pack 1350 is exhausted (for example, reaching sterilizing count threshold), battery pack processor 1360 can send the signal that battery pack 1350 should not be used to shank processor.Then shank processor can pass through its display Problem be present in instruction battery pack 1350.
In all cases, battery pack processor 1360 can be connected based on the data to shank module and use meter to update it Number.When battery pack processor 1360 detects the data connection of shank module, battery pack processor may be updated it and use meter Number.
Battery pack 1350 may include secondary power source (not shown), and the secondary power source is when battery unit 1352 is electrically charged Charged from battery unit 1352 and/or supply power to shank module between surgery average of operation periods.In such embodiment In, even if when battery pack 1350 is not installed in shank module, low battery power group electronic unit can still keep powering.Separately Outside, as shown in figure 22, battery pack 1350 may include end cap 1370 and breech lock 1372 in order to which battery pack 1350 is connected into shank Module.
Figure 23 A and Figure 23 B show another possible end-of-life action for shank module.In shown arrangement, handle Portion's module 1400 includes the ledge 1402 that can be moved between advanced position and extended position.In the longevity of shank module 1400 Before ordering terminal, ledge 1402 is maintained at its advanced position.In such position, ledge 1402 does not disturb shank Module 1400 is positioned in the corresponding opening in its sterilization tray 1404.Once shank processor has determined shank module 1400 Its end of life is reached, then its extended position is moved to according to any suitable algorithm, ledge 1402.In such position Put, ledge 1402 disturbs the correct placement in its corresponding opening of shank module 1400 in sterilization tray 1404.Institute Show in arrangement, ledge 1402 is at the distal end 1406 of shank module 1400, but it can be placed on convenient appoint It is where square, and when protruding, shank module 1400 is placed in the corresponding opening of sterilization tray 1404 by its prevention.As before With reference to described in Figure 11 A, sterilization tray includes opening, and its shape corresponds to the shape of shank module so that shank module is close Ground receives in the opening.In Figure 23 A and Figure 23 B arrangement, shank module 1400 bounces back and (not protruded) in ledge 1402 When be assembled in the opening in sterilization tray 1404, but do not filled when ledge 1402 is outstanding from shank module 1400 It is fitted in the opening, as shown in Figure 23 A and Figure 23 B.Ledge 1402 may be, for example, solenoid-activated.For example, work as shank Processor determines that solenoidal coil is energized so that solenoid armature when having arrived at the end of life of shank module 1400 Stretch out, so that ledge 1402 stretches out from shank module 1400.Shank module 1400 may also include such as Retainer, such as spring-loaded screens, once they have activated time for just preventing solenoid armature and ledge 1402 Contracting.
With reference to as described in Figure 12 A- Figure 12 E, shank module can before the procedure, during and/or after be connected to inspection behaviour Make platform.Inspection operation platform can be used for performing test to shank module, be suitable to another surgery hand to determine whether shank module is in Whether the condition of art, or shank module need to be adjusted or repair before suitable for another surgical operation.Such as Figure 24 A and figure Shown in 24B, inspection operation platform 1500 includes extension 1504, and the extension is configured to be inserted into the sky of shank module In battery compartment so that extension 1504 can be placed with to communicate with shank module, similar to the embodiment above.It is shown in figure Shank module 1501 in 24B includes for example such shank module.Inspection operation platform is included in the top portion of extension 1504 The vacuum connector 1502 of office, its can vacuum connector 1506 corresponding with the interior section of shank module 1501 coordinate. Inspection operation platform 1500 can be connected to vavuum pump via vacuum port 1508, and the vavuum pump is connected to inspection operation platform via pipe 1510 1500 vacuum connector 1502.When vavuum pump is connected, it can do from the interior section suction air of shank module 1501 The interior section of dry shank module 1501.Inspection operation platform 1500 may include pressure gauge and/or the air stream to be communicated with pipe 1510 Quantity sensor, it measures the degree that shank module 1501 keeps vacuum pressure.In all cases, such vacuum test can be commented Estimate the integrality of the various seals in for example whole shank module 1501, such as engaged with rotation driving output 1512,1514 Seal, the seal engaged with firing trigger region 1516, and/or the Electrical Contact Plate 1518 with being connected to DSM engages Seal.If various shank module sealing parts are unsatisfactory, and shank module does not fully keep vacuum such as to sense Vacuum detected by device, then inspection operation platform 1500 can be sent via its display indicates that shank module 1501 is eligible for repair Warning.
Except or replace it is described above, inspection operation platform can outer section perform the operation and/or sterilizing program after dry handle Portion's module, prepare a part for shank module as down-stream.Figure 25 A are shown for example available for drying shank module 1602 Inspection operation platform 1600.Similar to the above, inspection operation platform 1600 includes base segments 1610, comprises additionally in from base segments The extensions 1606 of 1610 extensions, the extension can be positioned in the empty battery compartment of shank module 1602, so as to by shank mould Block 1602 is positioned to communicate with inspection operation platform 1600.Inspection operation platform 1600 includes two fans:Positioned at extension 1606 First fan 1604 of upper end, and the second fan 1608 before base segments 1610.The He of fan 1604 1608 are for example such as powered via power supply adaptor 1612 by AC power sources.First fan 1604 can be by battery pack cavity Opening aims at the internal part of shank module 1602.The upper surface of extension 1606 may include vent openings, by the first fan 1604 air blowed can be recycled to shank module 1602 by the vent openings.Second fan 1608 can aim at shank module 1602 trigger area 1614, to dry the peripheral region of trigger area 1614 and shank module 1602.Inspection operation platform The preceding surface in top of 1600 base segments 1610 may include the vent openings 1616 for the second fan 1608 so that from second The air that fan 1608 blows can be recycled to trigger area 1614.Base segments 1610 may also include for the He of fan 1604 Air inlet 1618 in 1608 air inlet, such as base segments 1610.Inspection operation platform 1600 may also include exhaust outlet, such as Bilateral exhaust outlet 1620 at the bottom of extension 1606, to allow waste gas to be escaped from inspection operation platform 1600.Inspection operation Platform 1600 can include fan as much as possible, air inlet and/or gas outlet as needed.
Figure 25 B, Figure 25 C and Figure 25 D show another exemplary inspection operation platform 1600.In Figure 25 B, Figure 25 C and Figure 25 D Base segments 1610 are longer than the base portion operating desk in Figure 25 A from front to back, and the bottom in Figure 25 B, Figure 25 C and Figure 25 D Forefan 1608 is raised above base segments 1610 and is at an angle of at trigger area 1614.Figure 25 B, Figure 25 C and figure Arrangement shown in 25D also includes lid (or capping) 1630, and it is attached to the base segments 1610 in inspection portion 1600, and it is covered And encapsulating shank module 1602.Lid 1630 can be made up of such as hard translucent plastic (such as makrolon).On the one hand, wind Fan 1608 can be powered by the adapter 1612 for inspection operation platform 1600, as shown in fig. 25 c.On the other hand, fan 1608 There can be the power supply adaptor 1632 of its own, be separated with the power supply adaptor 1612 for inspection operation platform 1600, such as Figure 25 D It is shown.The upper surface of lid/capping 1630 may include one or more exhaust outlets 1634, and covers/cover 1630 and may also include and lean on The air inlet 1636 of nearly fan 1608.
Figure 25 E show the another kind arrangement for inspection operation platform 1600, and the inspection operation platform carrys out drying using vacuum-flow Shank module 1602.In such an arrangement, lid/capping 1630 can limit one or more air inlets 1640 (two of which is shown In Figure 25 E), and have and be configured to be placed with the vacuum port 1642 to communicate with vavuum pump.In order to dry shank Module 1602, vavuum pump are switched on to aspirate air from air inlet 1640, across shank module 1602, and enter vacuum port In 1642.Preferably, vacuum port 1642 is spaced apart with air inlet 1640, to increase the air stream across shank module 1602. In Figure 25 E embodiment, air inlet 1640 is at the bottom of lid/capping 1630, and vacuum port 1642 is in lid/capping 1630 At top;However, any suitable arrangement can be used.
Shank module (such as shank module 1602) for example can also be tested by fictitious load adapter.In all cases, When shank module 1602 is connected to inspection operation platform 1600, shank module 1602 can be tested by load adaptor 1650, such as be schemed Shown in 26A- Figure 26 D embodiment.In other cases, fictitious load adapter is configured to test shank mould Block, without supplementing inspection operation platform.Under any circumstance, fictitious load adapter 1650 may include shell 1651 and be positioned at outer Relative load motor 1652,1654 in shell 1651.As described in further detail below, the first load motor 1652 is configured to First test load can be applied to the first drive motor of shank module 1602, and the second load motor 1654 is constructed Into the second drive motor that the second test load can be applied to shank module 1602.First load motor 1652 is configured to The first attaching nut 1660 can be driven, first attaching nut operationally with the first drive motor by shank module 1602 The connector 1656 of driving engages.Second load motor 1654 is configured to drive the second attaching nut 1662, and this second Connector 1658 of the attaching nut operationally with the second drive motor by shank module 1602 engages.
Fictitious load adapter 1650 may include the motor control circuit for example on circuit board, and the circuit board at least has place Manage device, memory and the motor controller for controlling load motor 1652,1654.Motor control circuit can be presented as a collection Into circuit (for example, SOC) or multiple discrete ICs or other circuits.Motor control circuit controllable motor 1652,1654 To apply opposite power to the rotary drive system of shank module 1602 under varying load conditions.By shank module 1602 The power that rotary drive system is resisted and/or overcomes opposite power to be consumed can be monitored by inspection operation platform 1600, to determine handle Portion's module motor and rotary drive system whether normal operation.In all cases, the first horse of fictitious load adapter 1650 It can be driven in one direction up to 1652, and the drive motor of shank module 1602 can drive the first connector in opposite direction 1656.If the drive motor of shank module 1602 can not resist or overcome the first motor by fictitious load adapter 1650 1652 fictitious loads applied, then fictitious load adapter 1650 can indicate that shank module 1602 can not be by shank module 1602 It is required that perform.In all cases, the second motor 1654 of fictitious load adapter 1650 can drive in one direction, and handle The drive motor of portion's module 1602 can drive the second connector 1658 in opposite direction.If the drive motor of shank module 1602 The fictitious load applied by the second motor 1654 of fictitious load adapter 1650 can not be resisted or overcome, then fictitious load is adapted to Device 1650 can indicate that shank module 1602 can not perform on request to shank module 1602.Such assessment may make up total evaluation Whether shank module 1602 is applied to the one side of another program.
In all cases, further described above, fictitious load adapter motor control circuit can simulate Shank module rotary drive system is it is contemplated that the mode for the load being subjected to during surgical operation makes by fictitious load adapter motor 1652,1654 loads being applied on the rotary drive system of shank module 1600 are low to (relative) High variation from (relative). In the case of at least one, motor control circuit can be programmed so that it can be based on the DSM to be used in the program that will be carried out Type change the load distribution of motor 1652,1654.For example, using user interface 1672 (for example, button 1670 and/or The touch-screen at interface 1672), user may specify for example desired fictitious load condition, and such as selection, which corresponds to difference, can use DSM Pre-programmed fictitious load condition.Fictitious load adapter 1650 can have data exposure terminal 1674, the data exposure end Son and the data connection terminal of shank module 1602 coordinate.In this way, the load distribution of user can be selected from inspection Operating desk processor uploads to shank module handler, and uploads to the motor control circuit of load simulator 1650.In reality When simulation in and/or after simulation, motor control circuit will can be used to be supplied to load simulator motor during simulation The timestamp power reading (for example, volt-ampere) of 1652,1654 power downloads to shank module handler and/or inspection Operating desk processor.Inspection operation platform processor and/or shank module handler can be by these readings and by shank module motor The timestamp reading association of the power of consumption, the effect of to assess shank module motor and rotary drive system.
Fictitious load adapter 1650 can be powered by such as inspection operation platform 1600.As shown in Figure 26 B embodiment, come The electric power of self-check operating desk 1600 can be supplied to fictitious load adapter via shank module 1602 and Electrical Contact Plate 1674 1650.In Figure 26 C embodiment, the independent power line of fictitious load adapter 1650 is extended to from inspection operation platform 1600 1680 can bypass shank module 1602 directly supplies electric power to load simulator adapter 1650.In another kind is arranged, load Its own connection to AC power sources and/or the battery supply of its own can be had by simulating adapter 1650.In all cases, Load simulator 1650 can be also positioned to communicate with the direct signal of inspection operation platform 1600 by rope 1680.
Fictitious load adapter 1650 can also be used to monitor one as rotary drive system in shank module gear wheels The sideshake divided.When fictitious load adapter 1650 is in sideshake detection pattern, fictitious load adapter motor control circuit One or two rotation in fictitious load motor 1652,1654, and inspection system 1600 and/or shank module 1602 can be made Any one of processor can pass through the tracking rotation of the corresponding rotation drive system of shank module 1602.Fictitious load adapter Rotational differential between motor 1652,1654 and the rotary drive system of shank module 1602 indicates the corresponding of shank module 1602 Sideshake in rotary drive system, this can reduce the life-span of shank module.In other words, the increase of sideshake can reduce shank module 1602 remaining usage quantity.Therefore, in each inspection of shank module 1602, inspection operation platform 1600 and load simulator 1650 can check the sideshake of shank module and write results to the memory of shank module.Shank module storage can store side Gap reading simultaneously adds timestamp to it.Shank processor and/or inspection operation platform processor for example can be made based on sideshake to residue With the model of the effect of quantity, the end-of-life threshold value for the modification of shank module is determined according to percussion.Instance model shows In Figure 26 E.Dotted line 1690 is shown as the threshold limit of the sideshake of the function of the percussion quantity of shank module progress.Line 1691 It is shown as using the expection sideshake of the shank module of the function of (for example, percussion).In this embodiment, in about 500 percussions When reach sideshake threshold value (line 1690 and 1691 intersecting).Due to (and therefore in percussion quantity) side can be followed the trail of over time Gap measures, so shank processor and/or the comparable rhombus by Figure 26 E of check processor indicate sideshake measurement to determine shank Module sideshake is intended to reach threshold value at less than 500 times percussions (being about 370 percussions in this embodiment).The modification is more New percussion threshold value can be used for the residual life for assessing shank module.If for example, shank module by percussion 220 times, and by The end of life that it is changed in sideshake is 370 percussions, then processor can determine that shank module has 150 remaining percussions;Or Person is if it is assumed that each program has 7 percussions, then shank module has 21 residual programs.Can be by this way to shank module Each rotary drive system carry out sideshake test, and most short one of residual life can determine the overall remaining of shank module Life-span.
It is described above, if measuring the sideshake smaller than expection, make to reach needed for the end-of-life threshold value of shank module Percussion can be changed or be increased upwards.If the in fact, for example, combination instruction shank module of any parameter and/or parameter The abrasion smaller than expection is being undergone, then can increase the end-of-life threshold value of shank module.Correspondingly, it is if for example, any The combination instruction shank module of parameter and/or parameter is undergoing the abrasion bigger than expection, then can reduce the longevity of shank module Life terminates threshold value.In addition, various parameters threshold value disclosed herein can be fixed or be suitable for.Threshold parameter can be based on Internal information and/or extrinsic information are adjusted.For example, the control system of shank module can assess the pattern of supplemental characteristic or become Gesture, and relative to pattern or trend adaptation parameter threshold value.In the case of at least one, control system can be from the supplemental characteristic of sensing Baseline is established, and parameter threshold is established relative to the baseline.In some cases, the control system of shank module can be assessed pair In the pattern or trend of the data of the first gain of parameter, and assessing to adjust the threshold of the second parameter based on the first supplemental characteristic Value.In the case of at least one, control system can be established baseline by the sensing data of the first parameter, and be built relative to the baseline The threshold value of vertical second parameter.In addition, many threshold values are described herein as including two scopes, i.e. the first model less than threshold value Enclose and the second scope higher than threshold value.Threshold value can be a part for the first scope or the second scope in itself, and this depends on situation. That is, as described herein, threshold value may include three scopes, i.e. the first scope less than minimum value, higher than the of maximum Two scopes, and the 3rd scope between minimum value and maximum.If the sensing data for parameter is in the range of first, Then control system can take the first action, and if the sensing data of parameter is in the range of second, then control system can adopt The second action is taken, second action may or may not be identical with the first action.If the sensing data of parameter is in the 3rd model In enclosing, then control system can take the 3rd action, and this may not include any action.According to circumstances, minimum value can be A part for first scope or the 3rd scope, and according to circumstances, maximum can be one of the 3rd scope or the second scope Point.If for example, sensing data in the range of first, at least one embodiment, control system can be a side Threshold value is adapted to upwards, and if sensing data in the range of second, then control system can adapt to threshold value in the opposite direction, And if sensing data in the range of the 3rd, then control system may be not suitable with threshold value.
On the other hand, as shown in Figure 27 A and Figure 27 B, inspection operation platform 1600 can accommodate such as He of shank module 1602 One or more DSM 1680.Figure 27 A show such inspection operation platform 1600 itself;Figure 27 B, which show to have, is connected to its Both inspection operation platforms 1600 of shank module 1602 and DSM 1680.Inspection operation platform processor can be with shank module handler And/or DSM processor communications, to download and upload data and information.As shown in fig. 27 a, DSM inspection operation platform is also supported 1600 may include rotating driver 1682,1684, and it is similar to the rotating driver 1656,1658 of shank module 1600 and constructed. Inspection operation platform rotating driver 1682,1684 may be actuated to test DSM 1680 drive system in inspection operation platform 1600. In other arrangements, for example, DSM 1680 can have the inspection operation of its own for being used to perform various tests and/or data transmission Platform.
In view of the above, inspection operation platform 1600 can be used to perform multiple pre- journeys for shank module and/or DSM Apparatus handles task after sequence and/or program, such as:
It is determined that simultaneously display device ID (for example, sequence number) and/or the state of model and device (for example, end-of-life, Locking etc.);
From memory reading/downloading data of shank module 1602, such as quantity in percussion/cycle, performance parameter, handle Portion and/or DSM software versions;
Identified based on device, set and upload operational order and the standard for shank module and/or DSM, check behaviour Device ID can be based on from the memory search operational order and standard by making platform;
Carry out various Electronic Testings, such as test of modularization gate oxide integrity, the test of memory version, system electronic inspection Look into, transfer rate (read/write) check, plan maintenance test, guarantee expiration test, end-of-life inspection, system lock Check, and/or the regulation test of internal cell life-span;
Various physical testings are carried out, such as motor performance is tested and (used and/or without fictitious load as described above), be close Seal integrity test etc.;
Performance test, such as by the real data (being downloaded from shank module and/or DSM memories) from program and in advance Phase routine data is compared;
The locking in shank module is resetted if necessary;
Device is dried;
User (for example, via display) device (shank module and/or DSM) is notified to be suitable or unsuitable for continuing to make With;
The software of shank module and/or DSM is upgraded;
Test result is write into shank module storage and/or DSM memories;And/or
Connected via such as USB or wireless (for example, WiFi) to remote computer system and transmit shank and/or DSM Data and can be used.
Inspection operation platform memory can store inspection operation platform computing device with perform the software of these various functions and/ Or firmware.
Inspection operation platform and/or the display of shank module can also be based on using related data for the various of shank module To propose to safeguard and repair suggestion.Based on using data, the quantity of such as program, the quantity of sterilizing, the quantity of percussion and/or strong Degree, and/or gear backlash, for example, can be determined whether should be relative to handle for inspection operation platform and/or shank module handler Portion's module and/or DSM take or suggested various maintenances or maintenance task, and via in inspection operation platform and/or shank module The display of any one send these suggestions to user.Safeguard and maintenance suggestion can be after the program of completion, in program Period and/or performed when program starts and send user to.
Figure 28 A- Figure 28 B are the exemplary process flow for proposing to safeguard and/or maintenance is suggested, the handling process can lead to The firmware and/or software crossed in the associated memory for performing processor come by shank module handler and/or inspection operation platform Computing device.Figure 28 A show the exemplary process flow for inspection operation platform processor 442.At step 1800, in journey After sequence, shank module is connected to inspection operation platform (for example, with reference to Figure 19 A), thus will make from shank module storage Inspection operation platform is downloaded to with performance data.The data may include the counting of the program quantity of shank module;This document describes To the various modes counted to program quantity.Data may also include the percussion quantity that for example shank module is carried out, every time The intensity (for example, power) of percussion, it is contemplated that the percussion force difference between percussion force and actual percussion force, by shank module in shank mould (accumulation) energy consumed in the whole life-span of block, and/or gear backlash.
At step 1802, based on data, inspection operation platform processor determines the need for the maintenance of shank module.Check Operating desk processor can parse use and performance data in many ways according to programming, to determine the need for repairing, and If it is determined that needing repairing, then it can propose that one or several maintenances are suggested at step 1804.Repair suggestion can for example with It is recommended that shank remodelling is equally extensive, or as lubricating some parts it is secondary.In addition, for example, inspection operation platform is handled The maintenance overhaul that device can perform at step 1802 be for each N1 programs and/or each S1 percussion, or program and Some combinations of percussion (for example, N2 programs and S2 percussions), it should rebuild shank module.In this case, if checked Operating desk processor determine in these threshold values any one be satisfied, then at step 1804, inspection operation platform processor can Inspection operation platform display is controlled to show that shank module should be reconstructed.Inspection operation platform processor can perform at step 1802 Another maintenance overhaul be that the gear of rotary drive system should be lubricated when each S3 is fired.Inspection operation platform can be suitable Other maintenance overhauls for performing and suggesting in the case of are included for example:Examined for the electric integrality of the electric contact piece of shank module Look into;The test of communication system;The extensive diagnostic of the electronic device of shank module is (for example, RAM and/or ROM integralities, processor Operation, idle and operation current drain, the operation temperature etc. of selected part);The behaviour of cue mark, display and sensor Make;And/or battery problems, such as circulate, balance and/or test.Maintenance overhaul can be performed on battery to assess the bar of battery Part.For example, whether inspection operation platform can assess battery close to its end of life, if it is chargeable, or close to for example for once Property battery be less than once the threshold value of remaining percussion.Other maintenance overhauls include percussion lock (diagnostic mode or allow percussion and Without in other of DSM or storehouse pattern) with the abnormal conditions of monitoring motor parameter (voltage or electric current etc.).The gear of damage The change of motor load can be caused, can be detected by the parameters of hydraulic motor of monitoring, it may indicate that the inside that needs are replaced is asked Topic.In addition, generally higher motor load may indicate that the needs to cleaning or lubricating, or the damage in device.
At step 1806, inspection operation platform processor can determine that whether any part of shank module needs to be examined. As it was previously stated, inspection operation platform processor can parse use and performance data in many ways according to programming, to determine whether Need to check various shank modular units, and if it is determined that need part inspection, then can be proposed at step 1,808 one or If dry part suggestion from procuratorial organ.For example, if inspection operation platform processor determines gear backlash more than presetting at step 1806 Threshold value, then inspection operation platform processor the suggestion for the gear that check rotary drive system can be shown at step 1808. In addition, if inspection operation platform processor is determined by the cumlative energy that shank module consumes at step 1806 more than presetting Threshold value, then inspection operation platform processor the motor and/or gear that check rotary drive system can be shown at step 1808 Suggestion.Similarly, if inspection operation platform processor determines the number of thresholds of percussion (what is be recently completed at step 1806 In program and/or during the life-span of shank module) exceed presetting intensity threshold (for example, power or electrical power), then Inspection operation platform processor can show the suggestion of the motor and/or gear that check rotary drive system at step 1808. Via display, inspection operation platform processor can also suggest checking DSM in various embodiments.If for example, check behaviour Make platform processor and determine that the number of thresholds of the percussion in the program being recently completed exceedes presetting intensity at step 1806 Threshold value, then inspection operation platform processor the sharpness that should check cutting device in end effector can be shown at step 1808 It is recommended that because blunt cutting device may need bigger power to perform cutting stroke.
Shank module handler can also be repaired and/or part inspection is determined and suggested.Figure 28 B show to be used for shank mould The exemplary process flow of block processor 2124.Figure 28 B processing is similar to Figure 28 A processing, the difference is that in step 1801 Place, shank module handler is from its program and program post processing storage uses and performance data so that its can in step 1802 and It is made regarding whether to need repairing at 1806 and/or the determination of part inspection.At step 1804 and 1808 show recommendation and It is recommended that can be on the display of shank module, and/or be connected to inspection operation platform in shank module and exist therebetween In the case that data connect, shank module handler can transmit to inspection operation platform processor suggests so that inspection operation platform shows Show that device can show suggestion, instead of or except include it in shank module display.
As shown in Figure 27 A and Figure 27 B, DSM 1680 is also connected to inspection operation platform 1600.In such an arrangement, DSM processors and/or inspection operation platform processor can be repaired based on the use and performance data being stored in DSM memories Determine and suggest with part inspection.
Therefore, Figure 35 is the flow chart for showing the step of available inspection operation platform as described herein performs.In step 2200 Place, clinician perform surgical operation with the surgical instruments of one in shank module and DSM is included.As described herein, handle Portion's module storage can store use and routine data in for example whole program, such as motor for activating various triggers Energy and power level, motor torsional moment and/or timestamp.After program, at step 2202, clinician can make DSM with Shank module disconnects and removes removable battery pack, such as so that can be by connecting shank module at step 2204 Prepare shank module to inspection operation platform to be used in down-stream, as shown here.At step 2206, inspection operation Platform can download (or reading) program from the memory of shank module and use data.Inspection operation platform can be also downloaded for shank mould The identification data can be used to determine shank module type at step 2208 in the identification data of block, inspection operation platform processor And/or configuration, inspection operation platform can include the shank module type and/or configuration on its display.
At step 2210, inspection operation platform can set the inspection program of shank module and inspection based on its type and configuration Look into standard.For example, inspection operation platform memory can memory check program and the standard for inspection, the inspection program tackle in Every kind of shank module type and configuration perform.Based on the shank module type and structure solved at step 2208 by inspection operation platform Type ID, inspection operation platform can call and/or set the appropriate inspection program and check criteria of shank module to be used for.For example, Step 2212 place, check that module can dry the part of shank module, such as herein in conjunction with described in Figure 25 A- Figure 25 E.In addition, in step At rapid 2214, sealing integrity test is can perform, such as herein in conjunction with described in Figure 24 A- Figure 24 B.At step 2216, it can perform Electronics integrity test for shank module.These tests may include that test electrical connection is present between appropriate part, and And for the data processor of shank module, agreement and connection for sending data are currently running., can at step 2218 Perform the function and/or physical testing of shank module.For example, motor and/or rotary drive system can be tested (for example, driving) To ensure their correct operations.At step 2220, the shank module locking piece that can be resetted to needs after program is answered Position.At step 2222, the further necessary regulation to shank module can perform.The regulation may include accurate to subsequent surgical operation Any other regulation needed for standby shank module, and/or the execution of any maintenance suggestion to being identified by inspection operation platform.In step At rapid 2224, shank module can discharge from inspection operation platform, and thus it can be used in subsequent surgical operation (or for rear onward encoding Sterilized before sequence).Inspection operation platform can for example by the display of inspection operation platform indicate shank module can be removed come " release " shank module.
As shown in Figure 27 A and Figure 27 B, after using DSM in surgical operation, DSM can also be connected to such check and grasp Make platform, to check DSM.The processing similar with shown in Figure 35 can be used for the DSM for being connected to inspection operation platform, with for follow-up Program prepares DSM.
Various steps shown in Figure 35 can be performed with different order or simultaneously, and the step shown in Figure 35 is not necessarily required to Performed with the order shown in Figure 35, but they can also be performed in this order.For example, electronics integrity test (step 2216) It can be performed before sealing integrity tests (step 2214) etc..
Figure 36 and Figure 37 is to show to be related to shank module to be sterilized and followed the trail of it and using the quantity of/sterilizing shown The process chart of example property step.In Figure 36, processing starts from step 2300, and wherein shank module (and DSM) is in surgery hand Used in art.After program, at step 2302, the post processing cleaning of shank module is can perform, such as this may need hand It is dynamic to wipe shank module.Hereafter, at step 2304, shank module can be purified for example with automatic washer.In step 2306 Such as heat and/or air can be used to be dried in clean room for place, shank module.At step 2308, shank module can connect To such as inspection operation platform, such as herein in conjunction with Figure 12 A- Figure 12 C, Figure 19 A, Figure 25 A- Figure 25 E, Figure 26 A- Figure 26 C, and/or Inspection operation platform described in Figure 27 A- Figure 27 B.
At step 2310, shank module can be inquired about or inquired to inspection operation platform, to determine sterilizing switch (for example, switch 344, referring to Figure 11 E- Figure 11 I) be to be activated to be in indicating its previously placed state in sterilization tray, it is all as above Text is shown in Figure 11 E- Figure 11 I.If sterilization tray switch is in triggering or actuating state, at step 2311, sterilizing Count increase and on off state resets.Then, at step 2312, inspection operation platform can determine that the threshold value sterilizing of shank module Whether counting has reached, as described herein.Reach if sterilizing counts, at step 2314, can take as described herein End-of-life for shank module acts.
On the contrary, if threshold value not yet reaches, processing can be advanced to step 2316, wherein such as in the following manner by handle Portion's module prepares to be used to sterilize:By shank module be placed in its corresponding sterilization tray (for example, with reference to Figure 11 E- Figure 11 I) with And/or sterilizing lid is placed on it (for example, with reference to Figure 20 A- Figure 20 D) by person, this is in either case at step 2318 Activation sterilizing trigger.Shank module can be sterilized at step 2320, thus can be stored at step 2322 and subsequent Operating room is transported to, to be used for down-stream at step 2300.
Step 2310 is returned to, if sterilizing trigger is not activated or its state change, shank module can must be Step 2324 place is by PE.
Figure 37 exemplary process flow is similar to Figure 36, the difference is that after the program at step 2300, shank mould Block can be re-energised to determine whether to set its sterilizing state mark at step 2310 (when switching 344 activation by shank Module handler is set, referring to Figure 11 E- Figure 11 I).If set, at step 2311, sterilizing counting can be updated and Sterilizing state resets.
As described above, shank modular battery group can be after surgical operation from shank module removal so that it can be follow-up In program, generally used after recharging in identical or another like configurations shank modules.Figure 29 A- Figure 29 D are shown For the charging operations platform 1700 recharged to battery pack 1702.Battery pack 1702 is inserted into and is limited to charging operations platform In socket 1704 in 1700, shown in Figure 29 B and Figure 29 C side view so that when inserting battery pack 1702, their phases The power supply terminal 1706 answered at the bottom of socket 1704 charging terminal 1708 corresponding to contact with to corresponding battery pack 1702 Charged.Shown charging operations platform 1700 can charge to two battery packs simultaneously, but in other arrangements, charging Operating desk can have the socket for being used for that more or less battery packs to be stored and charged.
Charging operations platform 1700 may include such as display 1709, and the display shows battery pack according to charging process 1702 state, such as currently charging or charge/prepared and used.For the battery pack currently to charge, display can show Show charging process have how long and/or it is how far.Text and/or figure may be used to indicate charged state, such as indicate battery pack quilt The volume of charging how many (for example, 40% charging, 50% chargings etc.) and/or other kinds of fraction cue mark.
As shown in Figure 29 B and Figure 29 C, what the size of socket 1704 can be set so that battery pack 1702 is inserted into socket In end sections easily assemble (for example, zero insertion force connection).Charging operations platform 1700 may include be used for detect when by Battery pack 1702 is inserted into the device in socket.For example, as shown in Figure 29 D block diagram, charging operations platform 1700 is in socket 1704 Bottom at may include the pressure switch 1720 that is communicated with charging operations platform processor 1722, the socket inserts in battery pack 1702 When activated.In addition or alternatively, when charging operations platform data terminal 1712 and battery pack data terminal 1710 enter line number During according to connection, charging operations platform processor 1722 can detect the insertion of battery pack 1702.Under any circumstance, when battery pack 1702 When being inserted into the socket 1704 for the charging operations platform 1700 of charging, charging operations platform 1700 can face battery pack 1702 When be fixed to charging operations platform 1700 so that battery pack 1702 can not by prematurely (for example, charging and/or it is fully charged it Before) remove.In one arrangement, as shown in Figure 29 B and Figure 29 C, this by the socket 1704 in charging operations platform 1700 bottom The screw 1724 at place is completed, and the screw is automatically screwed into the corresponding opening 1726 in the bottom of battery pack 1702, the opening Size and screw thread are designed to receive screw 1724.
Figure 29 D are according to the charging operations platform 1700 of various arrangements and the simplified block diagram of battery pack 1702.Assuming that charging behaviour Make platform 1700 to be powered by AC power sources, charging operations platform 1700 may include AC/DC of the AC voltage conversions into D/C voltage to be turned Parallel operation 1730 and for D/C voltage to be converted into the pressure regulator 1732 of desired charging voltage, and/or for battery pack 1702 The electric current that is charged of battery unit 1734.Charging operations platform 1700 may include charge controller circuit 1736, for base Pressure regulator 1732 is controlled in the parameter (such as electric current, voltage and/or temperature) of the sensing of charging operations, the parameter can be by filling The sensing circuit 1738 of electrically operated 1700 senses.For example, when being charged under the conditions of charging normal to battery pack 1702, Charge controller circuit 1736 can control pressure regulator 1732 to charge at constant current, until Li ions or LiPo battery units 1734 reach voltage (Vpc) as defined in every unit.Then, unit can be maintained at the Vpc by charge controller circuit 1736, until Charging current drops to the X% (for example, 10%) of initial charge rate, and now charging process can terminate.It can perform and be suitable for electricity Other charging schemes of pool technology.
Pressure switch 1720 can detect battery pack 1702 to the insertion in the socket 1704 of charging operations platform 1700, and During activation signal is sent to charging operations platform processor 1722.Charging operations platform processor 1722 can be used as response by control signal Connection actuator 1740 is sent to, such as linear actuators, it drives screw 1724 in battery pack screw openings 1726.Even Connecing actuator 1740 can be powered by the second pressure regulator 1742, and in addition to connecting actuator 1740, second pressure regulator can also be Other electronic units power supply of charging operations platform 1700.
Further described above, battery pack 1702 may include data terminal 1710, when battery pack 1702 is inserted into During into socket 1704, the data terminal and the corresponding data terminal 1712 of charging operations platform 1700 coordinate.At charging operations platform Internal or external memory 1744 can be had by managing device 1722, and it stores the firmware for treating to be performed by charging operations platform processor 1722 And/or software.By performing firmware and/or software, charging operations platform processor 1722 can (i) control display 1709, (ii) The aspect of battery unit charging process, and/or (iii) are controlled via data terminal by being communicated with charge controller 1736 Son 1710,1712 exchanges data with battery pack processor 1750.As described herein, battery pack electronic device may also include memory 1752, the memory storage treats the firmware and/or soft performed by battery pack processor 1750 (such as battery management system (BMS)) Part.Battery pack 1702 may also include for example for sensing the condition (such as moisture and/or humidity) relevant with battery pack 1702 Sensor 1754, as described above.The data terminal 1712 of charging operations platform 1700 can also supply low for battery pack processor 1750 Horizontal power.Charging operations platform 1700 may also include the wireless module 1755 to be communicated with processor 1722, and it can be via wireless Communication link (for example, Wi-Fi, bluetooth, LTE etc.) is communicated with remote-control device.Therefore, charging operations platform 1700 can be to long-range Computing system (for example, server, desktop computer, tablet PC, laptop computer, smart phone etc.) wirelessly transmit on The charged state of battery pack 1702 in charging operations platform 1700 and other data are (for example, the upcoming life-span is whole Point, temperature).Charging operations platform may also include the port (for example, USB-style port) for wired connection so that on battery pack 1702 charged state and other data can download to the device of connection from charging operations platform 1700.So, surgery personnel and/or Battery pack supplier can receive such information.
On the one hand, for example, in order to extend cell runtime and battery life, the battery list of battery pack 1702 is included Member can rebalance every now and then during the life-span of battery pack 1702.Figure 29 E are can be (logical by charging operations platform processor 1722 Cross the firmware/software for performing and being stored in memory 1744) perform to rebalance the figure of the handling process of battery unit.In step At rapid 1760, signal that charging operations platform processor 1722 can be based on the pressure switch 1720 for example in socket 1704 and/ Or battery pack 1702 is detected to the insertion in inspection operation platform 1700 to be charged by some other suitable devices. Step 1762 place, the actuatable connection actuator 1740 of charging operations platform processor 1722 is with charging (and/or electric discharge) phase period Between battery pack 1702 temporarily anchored into charging operations platform 1700.At step 1764, charging operations platform processor 1722 can be with Battery pack processor 1750 exchanges data.In addition, the commutative battery pack 1702 of battery pack processor 1750 is charged The logarithm for the time that time and its unit are balanced.At step 1765, it can be performed in the complete charge or discharge cycle Before, in the case where needing battery pack, charging operations platform 1700 can rapidly fill the electric charge of battery pack.Noted at step 1765 Full electric charge for example only can be charged with constant current to battery unit so that they reach defined Vpc levels or its fraction. At step 1766, charging operations platform processor 1722 can determine that whether battery unit should be balanced again.In all fields, it is single Member can be balanced when it charges per n times, and wherein N is greater than or equal to one, and preferably more than one integer.If not Rebalancing the time of battery, then processing is advanced to step 1768, and wherein battery unit is recharged, and at step 1770 Connection actuator 1740 such as is activated to be freed for using by releasing so that battery pack 1702 can remove from socket.It is another Aspect, at step 1766, if it is determined that battery unit needs to rebalance, then processing may be advanced into step 1772, wherein Unit is discharged, and is then charged at step 1768.Unit can discharge into suitable (low) voltage level at step 1772.
As shown in figure 29 a, charging operations platform 1700 may include the emergency release push for each battery pack charging socket 1780, or only one only discharge at present with most electric charges (therefore being most suitable for promptly using) battery pack 1702 urgent release Button 1780.In all fields, when particular battery 1702 is charged, urgent release is being pressed for the battery pack During button 1780, charging operations platform processor 1722 can initiate one or many actions.For example, charging operations platform processor 1722 It can be signaled to connection actuator 1740 to turn on battery pack 1702 so that it can be removed.In addition, battery pack 1702 this Before the machinery release of sample, charging operations platform processor 1722 may indicate that charge controller takes action to accelerate battery pack 1702 Quick charge.For example, charging operations platform processor 1722 may indicate that the use of charge controller 1736 in short time period to electricity The charging feature that pool unit 1734 is more rapidly charged, even if such quick short-term charging may not fill battery unit It is charged to its capacity with dividing or improves the life-span of battery unit.Common charging for being charged to Li ion battery cells is special The sign stage includes (i) trickle charge, (ii) constant current charge, and (iii) constant-potential charge.Charge controller circuit 1736 Can be switched in short duration these distribution one of (for example, constant current charge), with short time period for battery pack 1702 provide additional charge as much as possible.In addition, charging operations platform processor 1722 can be by making such as from charging operations Other power sources of other sockets and/or charge storage devices (for example, ultracapacitor or battery unit) in platform 1700 can For the increase charged to coordinate available for the charging voltage to be charged to battery unit.Data on such charging procedure Also it is recordable in battery pack memory.
Figure 30 A show except or replaced the processing shown in Figure 29 E, charging operations platform processor 1722 can take another Exemplary charge/discharge determination processing.Figure 30 A processing recognizes that the electric discharge of surgical instruments battery pack generally has to its life-span Benefit, but if not having time enough to discharge battery pack before surgical operation needs, then the battery pack should not be by Electric discharge.Figure 30 A processing starts from step 1780, wherein " first " rechargeable battery pack is inserted into charging operations platform 1700 In one of charging socket 1704.At step 1782, the battery pack from the first battery pack is downloaded to charging behaviour using data Make platform memory, the data may include current residual battery capacity.Although not shown in Figure 30 A, the first battery pack also can be It is fixed to charging operations platform when inserting (for example, with reference to Figure 29 B- Figure 29 C).At step 1784, charging operations platform 1700 The first battery pack is charged immediately in the case of be able to may being needed in the program that currently carries out or will carry out. Step 1786 place, the data on the charging of the first battery pack at step 1784 are written to the memory of the first battery pack In.The data may include the timestamp of the beginning and end of such as charge step, and beginning and end battery capacity.
At step 1788, charging operations platform processor checks the charge/discharge logarithm of the first battery pack, and if the One battery pack has been discharged completely since last program, then processing is advanced to step 1790, wherein the first battery pack is ready to For in program.At the step, charging operations platform display may indicate that the first battery pack is ready to use.On the other hand, such as Fruit has determined that the first battery pack is still not fully discharged since its last program at step 1788, then processing can be advanced to step Rapid 1792, wherein charging operations platform processor can determine that in its charging socket with the presence or absence of at least one other full charge of Battery pack.If it is present at step 1794, the first battery pack can be completely discharged to extend its life-span, because if needing Will, also in the presence of another full charge of battery pack to prepare to use.Once the electric discharge of the first battery pack is completed, then in step At 1796, discharge data (for example, start and end time stamp, beginning and end capacity) can be written into the storage of the first battery pack Device so that can perform and assess at step 1788.Hereafter, processing can be advanced to step 1784, wherein the battery of the first battery pack Unit is recharged, and the processing repeats.If the first battery pack has been put at step 1794 since last program Electricity, then since step 1788, processing will be advanced to step 1790, because not needing another electric discharge of battery unit.
The modification of the processing to Figure 30 A can be carried out.For example, initial charge step 1784 can be eliminated and/or in example As moved between step 1788 and 1790 and/or between step 1792 and 1790.
Figure 30 B show another exemplary charge/discharge determination processing that charging operations platform processor 1722 can be taken.Figure 30B processing is similar to Figure 30 A, the difference is that at step 1783, after step 1782, charging operations platform 1700 is executable The rapid electric charge of battery pack fills (for example, of short duration be charged to less than full capacity) and recorded on being filled in battery pack memory The data of electric charge.Then at step 1788, such as in Figure 30 A, charging operations platform processor can determine that battery pack from last Whether discharged completely since individual program, and if electric discharge completely, then at step 1789, perform the fully charged of battery pack, Now, battery pack prepares to use (frame 1790).On the other hand, at step 1788, if charging operations platform processor determines electricity Pond group is since last program and not fully discharged, then processing can be advanced to step 1792, and wherein charging operations platform determines Whether another battery pack is currently inserted in one of its socket 1704 to prepare to use (for example, substantially or completely charging).If It is not inserted into, then the first battery pack can be completely charged at step 1789.However, if another battery pack is by substantially or completely Charge and prepare to use, then at step 1794, the first battery pack can be discharged that (data wherein on electric discharge are stored in In battery pack memory).After complete electric discharge, processing can be advanced to step 1789 so that then the first battery pack can be filled Electricity.
In various embodiments, charging operations platform processor 1722 can monitor and store various battery units and be inserted into Time therein, as the hospital where charging operations platform or electrosurgery unit when the instruction of configuration processor.At charging operations platform Reason device 1722 can be programmed for determining that hospital or electrosurgery unit generally perform the program for the apparatus for being directed to use with such battery pack Time of day, and hospital or electrosurgery unit do not perform the time of day of the program.Specifically, for example, charging operations platform Processor 1722 can determine that hospital or electrosurgery unit are carrying out being directed to use with the statistics of the program of the apparatus of such battery pack Possibility, the program persistently cross over the non-overlapped incremental time of 24 hours periods, such as one hour increment.Therefore, for battery Fully charged (for example, at Figure 30 B step 1789) of group, charging operations platform can be in the possibility that ongoing program be present Property starts such fully charged step when very low, particularly in another existing full charge of battery pack to prepare what is used In the case of.That is, for example, in Figure 30 B, after the electric discharge at step 1792 at step 1789 it is fully charged simultaneously It is nonessential after the electric discharge at step 1792 place, conversely can be directed to there is a possibility that ongoing program it is relatively low when Between arranged, as determined and arranged as charging operations platform processor 1722.In addition, the personnel of hospital or electrosurgery unit can Via user interface 1709 to charging operations platform 1700 input for example on when configuration processor and/or the program to be performed Type (or charge volume needed for program) data.The data can be stored in charging operations platform memory 1744, and Used by charging operations platform processor 1722 to determine when to charge to battery pack.
In the system charged and discharged to battery, due to generally the electric charge on battery unit to be discharged being passed through Resistive load exhausts, so may waste substantial amounts of energy from unit power of releasing under the maintenance of form of heat.Therefore, Charging operations platform may include fan and/or radiator to help to radiate.In other respects, charging operations platform can be used to be discharged Electric charge on unit is with another electric charge storage dress that another unit in charging operations platform is charged or stored it in In putting.Figure 31 is for the simplification figure of the circuit 1900 to be discharged in this way battery unit.When to " first " electricity When pool unit 1902 is charged, power source/pressure regulator 1904 is connected to the first battery unit 1902 by closure switch S1, its In it is every other switch (S2, S3, S4 and S5) open.In order that the first battery unit 1902 is discharged by resistor 1906, open S2 and S3 closures are closed, and switch S1, S4 and S5 are opened.The control electric current of diode 1903 flows from the first battery unit 1902 Direction.In order to which the first battery unit 1902 is discharged into energy storing device 1908 (for example, ultracapacitor or charging operations platform Another internal battery unit, is generally not used for surgical instruments), switch S2 closures, and switch S1, S3, S4 and S5 its It is remaining to partially open.The control electric current of diode 1903 flow to the direction of energy storing device 1908.In order to use energy storing device Electric charge on 1908 charges to the first battery unit 1902, switch S5 closures, and switchs S1, S2, S3 and S4 remaining Partially open.The control electric current of diode 1905 flow to the direction of the first battery unit 1902.In order to use the first battery unit 1902 pairs of another battery units 1910 are charged, and switch S2 and S4 closures, and switch S1, and S3 and S5 are opened.Switch S1, S2, S3, S4 and S5 can be controlled by charging operations platform processor 1722 and/or charge controller 1736.
Figure 32 shows the circuit for being charged and discharged to the first battery pack 1902, and it is similar to Figure 31 circuit, different Be Figure 32 configuration include can be used for the first battery unit 1902 charging stacks of cells 1920.In shown arrangement, Group 1920 includes three battery units 1922,1924,1926, but in other arrangements, organize 1920 may include it is more or less Battery unit.Group 1920 in battery unit 1922,1924 and 1926 can be charging operations platform internal cell and/or Other battery packs being inserted into charging operations platform.Unit 1922,1924,1926 in group 1920 can for example be used for the first electricity Pond group 1902 carries out quick charge, is such as needed in ongoing program in the case of replacing battery pack.In shown arrangement In, the unit 1922,1924,1926 in group 1920 can be connected in series or in parallel to provide increased voltage (when connected in series) Or increased electric current (when being connected in parallel).For series-connected unit 1922,1924,1926, switch S7 closures, and switch S6 is opened.For parallel connection unit 1922,1924,1926, switch S6 closures, and switch S7 openings.Each unit can divide Resistor R1, R2, the R3 that Ju You be associated, such as to provide current source when being connected in parallel.
On the one hand, referring again to Figure 29 A, if clinician is among program and needs new battery pack Into the program, then clinician (or his/her assistant) can select from charging operations platform 1700 and remove the quilt in battery pack Full charge of one and prepare to use, this can be indicated on the display 1709 of charging operations platform 1700.If battery pack There is no any one to be indicated as preparing to use in 1702, then clinician's pressable such as emergency release push 1780, this is urgent Release button is releasably currently at the battery pack 1702 in charging operations platform 1700, and the charging operations platform now has at most electricity Lotus, as determined by charge controller 1736 and/or charging operations platform processor 1722 so that the battery pack of part charging can quilt It is inserted into the current shank module being used in a program.Charging operations platform 1700 may also include to indicate in urgent feelings The visual indicator which battery pack 1702 is released under condition so that understand which battery pack should remove from charging operations platform To be inserted into surgical instruments.For charging operations platform 1700, (the charging operations platform includes being used for during charging by battery Group 1702 is fixed to the devices of charging operations platform 1700, the screw 1724 in such as Figure 29 A- Figure 29 C arrangement), urgent release The activation of button 1780 can cause attachment means appropriate battery pack 1702 is disconnected (or unlocked), as described herein. In the about same time, charging operations platform 1722 can take steps to be carried out in short time period to selected battery pack 1702 Quick charge, its at least enough electric charge is preferably given to complete to fire once or several times.As described herein, charging operations platform Processor 1722 can combined charge controller circuitry 1736 change charging feature (for example, constant current or constant-potential charge), Battery pack is charged with ultracapacitor 1908, and/or with other one or more battery units (its can connect or It is connected in parallel, as described herein) battery pack is charged.In various arrangements, battery pack 1702 is filled until charging in short term To the charge level for the threshold value electric charge for being enough to complete to fire once or several times, battery pack 1702 is just released (for example, by making electricity Screw 1724 disconnects).
In all fields, charging operations platform is also configured to be easy to battery pack correct placement to charging operations platform In for charging and/or strengthening the engagement between the electric contact piece between battery pack and the charging terminal of charging operations platform, from And improve the efficiency of charging process.For example, the hole (or socket) in charging operations platform can have multigroup terminal so that no matter with what Battery pack is inserted into groove/socket by kind mode, and the charging terminal of battery pack all contacts one group of charging terminal of charging operations platform. The top view of battery pack 2000 and charging operations platform 2002 is shown respectively in Figure 33 A and Figure 33 B, and wherein battery pack 2000 has pros Shape shape of cross section, and groove/socket 2004 of charging operations platform 2002 to be dimensioned so as to receive such square horizontal Section battery pack 2000.Shown charging operations platform 2002 has two groove/sockets 2004, but in other arrangements, charging Operating desk 2002 can have a groove/socket or many more than two groove/socket.As shown in figure 33 a, battery pack 2000 has charging operations The plus end 2006 and negative terminal 2008 that you is contacted, to be charged to battery pack.In shown arrangement, terminal 2006,2008 are not centered on the top of battery pack 2000.Because such battery pack 2000 can be with four kinds of configurations (every kind of 90 Degree rotate, and assume that the side with terminal 2006-2008 of battery pack 2000 is always face-down) in one kind be inserted into just In one in groove/socket 2004 of square configuration, so each groove/socket can have four pairs of charging terminals being positioned in 2010 so that when battery pack 2000 is inserted into groove/socket 2004, no matter the battery pack rotates in which way, eccentric Battery terminal 2006-2008 will contact with charging operations you to one in 2010.Each charging operations platform Terminal is connected to the charging circuit of charging operations platform to 2010, but only contacts a pair of battery terminal 2006-2008 2010 will have complete circuit so that charging current can flow to battery pack 2000.In another kind is arranged, such as Figure 34 A and figure Shown in 34B, one of battery terminal can be at the center of battery pack 2000.In the illustrated case, negative terminal 2008 is in center, Wherein plus end 2006 is towards side;However, opposite arrangement can use in another embodiment.Charging operations platform Groove/socket can accordingly center have be used for contact battery pack 2000 negative terminal 2008 a terminal 2014, and There are four terminals 2016 for being used for contacting plus end 2006, no matter battery pack 2000 is with what on every side of center terminal 2014 Kind mode is inserted into groove/socket.It may need to exist less for the battery pack with other geometries, in groove/socket Or more quantity terminal to (two couple such as rectangular battery group).
As described above, surgical instruments may include that surgical instruments and/or the battery pack from surgical instruments dismounting can be attached to Part.Such processing of battery component can increase the chance of damage battery component.For example, battery component is being assembled into surgery device Tool and/or when battery component is transported into charging operations platform, battery component may unexpectedly drop.Hereinafter further in detail Description, battery component are configured to protect shell, the battery of battery component in the case where battery component is inadvertently fallen off Unit and/or power circuit.
Referring now to Figure 38, battery component (such as battery component 5000) for example may include battery case 5010 and multiple interior Portion's part 5030, the internal part include at least one battery unit 5031 and/or the power supply being positioned in battery case 5010 Circuit.At least one battery unit 5031 may include such as lithium ion battery.Battery component 5000 also includes one or more electricity Contact 5011, it is configured to the electric energy provided by least one battery unit 5031 being sent to surgical instruments.Electricity Pond component 5000 also includes one or more alignment characteristicses 5012, its be configured to help user by battery component 5000 just Really it is assembled into surgical instruments.Alignment characteristicses 5012 include such as slit, and the slit can be with the protuberance that extends from surgical instruments Alignment.Alignment characteristicses 5012 are arranged symmetrically around the periphery of battery case 5010.Although it is not shown, but it is contemplated that other Embodiment, wherein alignment characteristicses 5012 include asymmetric configuration, it is allowed to which battery component 5000 is only attached to outer with one kind orientation Section's apparatus.Battery component 5000 also includes latch mechanism 5040, and it is configured to during use consolidate battery component 5000 Surely surgical instruments is arrived.When battery component 5000 is attached to surgical instruments, electric energy can be sent to surgery device by battery component 5000 The electricity of tool receives contact.
Battery case 5010 may act as being configured to the container of receiving internal part 5030 and/or serve as by structure Cause that the supporting construction of various parts can be being supported thereon.As container and/or supporting construction, battery case 5010 can be It is rigid, to support the internal part 5030 being positioned in.Battery case 5010 can be made up of such as plastic material.At certain In the case of a little, inner shell 5010 is made up of such as elastomeric material.Referring again to Figure 38, battery case 5010 include top surface, Bottom surface 5016, multiple lateral faces 5015 and multiple corners 5014.Bottom surface 5016 can be associated with electric contact piece 5011.Lateral face 5015 and corner 5014 be configured to surround internal part 5030.
Various embodiments as described herein are related to the protection of the battery component for being used together with surgical instruments.Again Referring to Figure 38, battery component 5000 include radially and/or vertical reinforcer, its be configured to protect battery case 5010, Internal part 5030 and/or electric contact piece 5011.Radially and/or vertical reinforcer may include such as impact absorbing layer.Various In the case of, impact absorbing layer can surround battery case 5010, so as to absorb be applied to battery case 5010 lateral face 5015, Bottom surface 5016 and/or the impact in corner 5014.Except or replace it is described above, impact absorbing layer is accommodated in battery case In 5010.In addition, except or replace it is described above, battery component 5000 may also include the outer enclosure for supplementary protection.Outside Portion's shell is configured to accommodate battery case 5010 and impact absorbing layer.
For protecting a kind of device of battery component 5000 to be shown in Figure 38 A, such as including battery case or inner shell 5010, and impact absorbing layer 5020.As described above, shell 5010 can be by the internal part 5030 of sustainable battery component 5000 Rigid material form.Impact absorbing layer 5020 can include the cell structure 5022 with multiple units 5024.Unit 5024 can Reduce the density of impact absorbing layer 5020.Unit 5024 can have open cellular construction and/or the cellular construction of closure.This Outside, cell structure 5022 may include one or more grid layers.For example, cell structure 5022 may include first or inner grid layer And second or outer grip layer.
Cell structure 5022 also includes being designed to the multiple pillars 5025 for deflecting and/or bending under stress.It is if electric Pond component 5000 is dropped, then impact is absorbed by the compression of unit 5024 and the bending of pillar 5025 and/or deflection. Therefore, the absorbable vibrations of impact absorbing layer 5020 and/or vibrational energy, rather than rely on battery case 5010 to absorb at certain It may cause the energy that the internal part 5030 of battery component 5000 damages in the case of a little.In all cases, impact absorbing layer 5020 may include such as pumiceous texture and/or elastomeric material.
In all cases, referring again to Figure 38, unit 5024 is arranged in a row, such as the interior row with unit 5026, The intermediate row of unit 5027 and the outer row of unit 5028.Each unit in the interior row of unit 5026 may include planar wall 5026a.Unit 5026 is oriented such that the planar wall 5026a of unit 5026 at least substantially parallel to battery case 5010 Lateral face 5015.Each unit in the outer row of unit 5028 may include planar wall 5028a.Unit 5028 is oriented such that list Outer surfaces 5029 of the planar wall 5028a of member 5028 at least substantially parallel to impact absorbing layer 5020.It is right in this way The planar wall 5026a of each unit in interior row 5026 and outer row 5028,5028a carry out being orientated the impact that can produce more antidetonation suction Receive layer 5020.Impact absorbing layer 5020 may include to be positioned at the corner section near the corner 5014 of battery case 5010, the angle The impact in the absorbable corner 5014 for pointing to battery case 5010 in portion part.Corner section 5020 is not connected to each other;However, can To be susceptible to such embodiment, wherein corner section 5020 can be connected to each other.
In all cases, battery component 5000 includes multiple impact-absorbing elements 5020.The quilt of impact-absorbing element 5020 It is positioned to protect the corner 5014 of battery component 5000.In all cases, impact can be concentrated on more at corner 5014, and this can The risk of increase damage battery case 5010 and/or internal part 5030.Impact-absorbing element 5020 includes end sections 5021, The end sections extend beyond the bottom surface 5016 of battery case 5010, to prevent damaging such as electric contact piece 5011, and entering One step protects battery component 5000.If battery component 5000 is to cause bottom surface 5016 to fall at least substantially parallel to the orientation on ground Fall, then one or more of end sections 5021 can absorb impact and the Impact energy that dissipates.
It may be preferred that battery component is available after impact is undergone, such as when battery component 5000 is unexpected When ground drops.In such cases, impact-absorbing element 5020 is configured to allow battery component 5000 to keep correctly The ability being assembled in the battery receptacle portion of surgical instruments, and the electricity that electric energy is still sent to surgical instruments receives contact Part, even if battery component 5000 has dropped.Impact-absorbing element 5020 may include to be configured to applying impact time-varying The plication region of shape.In the case of at least one, if impact, less than corrugation force threshold, plication region may not be permanent Ground deforms, or at least substantially permanently deforms.In such cases, only corrugation force threshold is met or exceeded in impact In the case of, plication region just can be deformed for good and all.Plication region can limit impact-absorbing element 5020 towards battery component The direction of the deformation at 5000 center.This be deformed inward can be by preventing outwards deformation from keeping battery component 5000 to be assembled to Ability in the battery receptacle portion of surgical instruments, the outside deformation will cause the acquisition of battery component 5000 to cannot fit into surgery Shape in the battery receptacle portion of apparatus.
In all cases, impact-absorbing element 5020, which can undergo, needs the quantitative change excessively for replacing impact-absorbing element 5020 Shape.In the case where needing to replace impact-absorbing element 5020, battery component 5000 is configured to so that surgical instruments User can from battery component 5000 remove damage impact-absorbing element, then available impact-absorbing element is attached to Thereon.Describe more fully below, it may be preferred that impact-absorbing element 5020 can be replaced in time.When will in addition Task when being incorporated into surgical operation, it is probably important to minimize the time quantum replaced needed for impact-absorbing element 5020.
When needing to replace impact-absorbing element 5020, impact-absorbing element 5020 is assembled into battery component 5000 to be It is required.In all cases, impact-absorbing element 5020 includes one or more projections 5023, and it is configured to slide It move/is wedged into the respective slots 5013 in battery case 5010.Slit 5013 is configured to needing to replace impact suction The projection 5023 of new and/or available impact-absorbing element is received in the case of receiving element 5020.In all cases, projection 5023 and slit 5013 can therebetween include press press-fit, this can allow corner of the projection 5023 along shell 5010 in slit Slided in 5013.In the case of at least one, projection 5023 and slit 5013 can include wedging therebetween and coordinate.In various situations Under, impact-absorbing element 5020 can be attached to battery case 5010 with snap fit.In the case of at least one, outside battery Shell 5010 may include to be configured to the perforate that projection 5023 is received with snap fit.In some cases, projection 5023 can be with snap fit radially into slit 5013.Except or instead of described above, impact-absorbing element 5020 Such as adhesive can be used to be attached to shell 5010.
In all cases, battery component 5000 also includes impact absorbing lid 5050.Impact absorbing lid 5050 is positioned in At the outer end 5002 of battery component 5000.Impact absorbing lid includes shoulder 5051, and it is configured in battery component 5000 Surgical instruments is contacted when resting upon completely in surgical instruments.The chargeable such as retainer of shoulder 5051, and battery pack can be limited Part 5000 rests upon position completely.In all cases, shoulder 5051 is configured to abut impact-absorbing element 5020.Such as Fruit battery component 5000 is attached to surgical instruments, then when surgical instruments is make it that top surface is hitting at least substantially parallel to ground Direction drop in the case of, impact absorbing lid 5050 can protect battery component 5000 and/or surgical instruments.On the other hand, such as Fruit battery component 5000 is not attached to surgical instruments, then in battery component 5000 to cause top surface at least substantially parallel to ground In the case that direction is dropped, impact absorbing lid 5050 can still protect battery component 5000.
The broken section of battery component 5000 is illustrated in Figure 39.Impact absorbing lid 5050 includes cell structure or unit knot Structure, it includes multiple units 5052.Impact absorbing lid 5050 may include the material similar to impact absorbing layer 5020.In battery pack The outward flange 5054 of part 5000 is nearby using finer and close grid arrangement 5055, its impact more concentrated that can dissipate.Impact Absorbing lid 5050 includes core 5053, and the core includes column grid arrangement 5056, and it is configured to absorb The Impact energy generated by the impact for being applied to core 5053.In all cases, post grid arrangement 5056 is constructed Into the impact that applies extensively of can dissipating.
In all cases, impact absorbing lid 5050 may include to be configured to the fold deformed when applying impact Region.Impact absorbing lid 5050 is designed to for example prevent using plication region in the case where battery component 5000 drops Battery component 5000 is upspring on floor.
Impact absorbing lid 5050 be able to can be replaced easily.Need to replace impact absorbing lid in the experience of impact absorbing lid 5050 In the case of 5050 excessive deformation, battery component 5000 is configured to allow the user of surgical instruments from battery Component 5000 removes the impact absorbing lid of damage, is then attached available impact absorbing lid.
In all cases, impact-absorbing element 5020 can be tied by center section.Center section is configured to Protect the lateral face 5015 and/or alignment characteristicses 5012 of battery case 5010.It is appreciated that if impact is applied in battery Above the surface region of the lateral face 5015 of shell 5010, then the stress generated by impact will be than applying by identical impact To smaller in the case of the corner 5014 with minor surface area of battery case 5010.In other words, impact is distributed Surface region is more, and stress and stress concentration are lower.Accordingly, it is possible to it is not necessary that, between impact-absorbing element 5020 in Between part be made up of form suitable with impact-absorbing element 5020.In the case of at least one, therefore, center section may include The thinner composition of Charpy absorber element 5020;However, it is contemplated that various embodiments, wherein center section include and punching Hit identical and/or thicker than it composition of absorber element 5020.
Each include similar construction in the impact-absorbing element 5020 of battery component 5000;However, it is contemplated that Other embodiments, wherein one or more of impact-absorbing element 5020 can be different from other.As at least one In the case of, at least one extra weight that may include for example to be positioned in impact-absorbing element 5020, such as metal weight Thing, this can cause battery component 5000 to be fallen down and fallen with specific orientation.For example, also can be by the way that one or more weights be placed Such effect is realized in battery case 5010.
It is shown in many aspects similar to the battery component 5100 of battery component 5000 in Figure 40.Battery component 5100 can wrap Include for protect the internal part 5030 of battery component 5100 from because hit vibrations and/or heat and caused by the dress that damages Put.The various devices for protecting battery component 5100 from hitting vibrations are discussed above.For example, by the Q tables in Figure 40 A The heat shown can be transmitted by battery case 5110, and the battery unit 5031 that can be positioned in battery case 5110 is inhaled Receive.
It should be appreciated that heat flows to lower temperature environments from higher temperature environment.Under typical sterilising conditions, battery pack Part 5100 is exposed to high temperature, and therefore heat is flowed into battery component 5100 from sterilizing chamber.However, in some cases, Battery component 5100 may improperly be sterilized and be likely to be exposed at too high temperature.If in battery unit 5031 extremely Few one absorbs and/or keeps harmful heat Q measured, then battery unit 5031 can undergo thermal runaway event and fail.
Referring now to Figure 40 A, battery case 5110 include heat reflection housing or shielding part 5111, impact absorbing layer 5112 with And heat dissipating layer 5113.For example, reflection housing 5111 is configured to reflect and/or prevented by the heat of incorrect sterilizing generation Measure Q transmission.In all cases, reflect housing 5111 can by for example with lower thermal conductivity material (such as polymer and/or Ceramic material) form.Material with lower thermal conductivity is generally with low coefficient of thermal expansion.Material with lower thermal conductivity can also be made It is good for insulating barrier performance.Under any circumstance, reflection housing 5111 may include heat can be reflect off to battery component 5100 Reflective outer surface.Reflective outer surface can be formed by for example polishing metal (such as polished aluminum).
Further described above, heat dissipating layer 5113 is configured to absorb what is transmitted by reflecting housing 5111 Heat.Heat dissipating layer 5113 is also configured to absorb by battery unit 5031 for example when battery unit 5031 is recharged The heat of generation.In some cases, battery unit 5031 can be overcharged due to it and/or excessively use and generate atypia The heat of amount.In all cases, heat dissipating layer 5113 can be made up of the material (such as metal) for example with high heat conductance.Have Any suitable material of high heat conductance can be used for absorbing the heat generated by least one battery unit 5031.In addition, have The material of high heat conductance generally has high coefficient of thermal expansion.
Further described above, battery unit 5031 can expand when it is electrically charged.Make battery unit 5031 swollen It is swollen to push out heat dissipating layer 5113.In addition, heat dissipating layer 5113 can the quick outwards expansion due to its high coefficient of thermal expansion.Battery Unit 5031 and heat dissipating layer 5113 it is such move out can be promoted towards reflection housing 5111 impact absorbing layer 5112 and It pressure is applied to reflection housing 5111.Such pressure can be in reflection housing 5111, heat dissipating layer 5113 and battery unit 5031 Interior generation stress, particularly reflect what housing 5111 was made up of the material with the coefficient of thermal expansion lower than heat dissipating layer 5113 wherein In embodiment.In such cases, heat dissipating layer 5113 expands more than reflection housing 5111, so as in reflection housing 5111st, additional stress is produced in heat dissipating layer 5113 and battery unit 5031.
Impact absorbing layer 5112 is configured to the expansion for allowing battery unit 5031, while prevents to battery case 5110 damage.As the free degree of battery case 5110, impact absorbing layer 5112 is inflatable and/or shrinks, fair will pass through Perhaps heat dissipating layer 5113 and at least one battery unit 5031 while the enabling capabilities of battery component 5100 are maintained due to heat Transmit and expand and/or shrink to manage the expansion of battery unit 5031 and/or contraction.In all cases, impact absorbing layer 5112 expansion and contraction can prevent the damage to battery case 5110.The absorbable heat of impact absorbing layer 5112 is hit and vibrations are hit Hit.
Turning now to Figure 41 and Figure 42, surgical instrument system 5300 includes can be together with the shaft assembly selected from multiple shaft assemblies The shank 5310 used.Further described above, one or more of such shaft assembly may include such as nail bin.Handle Portion 5310 includes shell 5312, the first rotatable 5340 and second rotatable driving output 5350 of driving output.Shank 5310 is also Including for operating the first actuator 5314 of the first rotatable driving output 5340 and for operating the second rotatable driving Second actuator 5315 of output 5350.Shank shell 5312 includes being configured to receive the battery compartment of battery wherein 5311.Battery can be for example any suitable battery, such as lithium ion battery.In all cases, battery can be plugged into battery It can remove in cavity 5311 and from battery compartment 5311.In many cases, for example, such battery can carry to shank 5310 For power to operate surgical instrument system 5300, without supplementary quota outside and/or the power source that ties.For many reasons, Such design is probably favourable.For example, when surgical instrument system 5300 is not tethered to power source, surgical instrument system 5300 entirety may be present in the aseptic area of operating room.However, such battery can only provide limited amount power.In many In the case of, the limited amount power that battery can be supplied is enough to operate surgical instrument system 5300.On the other hand, it is it is possible that electric Pond can not be the certain situation that surgical instrument system 5300 supplies necessary power.
Referring again to Figure 41, the battery being positioned in the battery compartment 5311 of shank 5310 can be for example removed and electricity consumption Source adapter 5360 is replaced.Power supply adaptor 5360 includes the distal side plug 5361 being positioned in battery compartment 5311.Insert in distal side First 5361 include multiple electric contact pieces 5366, and it can be engaged with the corresponding electric contact piece 5316 in shank 5310.In various situations Under, battery and the engageable identical electric contact piece 5316 of distal side plug 5361, this is positioned at battery compartment 5311 depending on which one In.In such cases, no matter whether battery or power supply adaptor 5360 engage with shank 5310, and shank 5310 all can be from one group Electric contact piece 5316 provides power.In other cases, first group of electric contact piece 5316 of battery engagement, and distal side plug 5361 Engage different groups of electric contact piece 5316.In such cases, the microprocessor of shank 5310 is configured to identification electricity Whether pond or power supply adaptor 5360 are connected to shank 5310.
The distal side plug 5361 of power supply adaptor 5360 may include any suitable shape, as long as distal side plug 5361 can be determined Position is in battery compartment 5311.In all cases, distal side plug 5361 may include for example with battery identical geometry. In some cases, the shell of distal side plug 5361 and the shell of battery are similar or similar enough.Under any circumstance, distal side plug 5361 can be configured so that once distal side plug 5361 rests upon in battery compartment 5311 completely, then distal side plug 5361 Relative motion between battery compartment 5311 is seldom (if any).In the case of at least one, distal side plug 5361 wraps Retainer 5368 is included, it is configured to the stop benchmark 5318 that contact is limited in shank shell 5312.When stop plug When retainer 5368 contacts shank stop benchmark 5318, plug 5361 can rest upon in battery compartment 5311 completely.Shank 5310 And/or plug 5361 may include to be configured to plug 5361 is maintained at into it and rest upon lock in position completely.For example, plug 5361 include being configured to be releasably engaged at least one lock 5362 of shell 5312.
Power supply adaptor 5360 also includes the rope 5363 extended from plug 5361.For example, rope 5363 is by plug 5361 Electrically connected with power source (such as power source 5370).Power source 5370 may include for example any suitable power source, such as signal Generator, it is from such as 110V, 60Hz power source and/or battery receptacle power.Rope 5363 include to by electric power from power Source 5370 is sent to any appropriate number of conductor and insulator of plug 5361.In the case of at least one, rope 5363 wraps Include the supply conductor being for example electrically insulated from each other by insulator sheath, return to conductor and earth conductor.The each of rope 5363 leads Body may include the nearside terminal for example in nearside plug 5369.In all cases, nearside plug 5369 be able to can be released It is attached to power source 5370 with putting.In some other cases, nearside plug may be not easy to dismantle from power source 5370.
In all cases, power source 5370 may include such as direct current (DC) power source.In such cases, battery and electricity Source adapter 5360 can supply DC power to shank 5310, and this is electrically coupled to shank 5310 depending on which one.Power adaptation Device 5360 and power source 5370 can collaboratively supply power to shank 5310, and the electric power is equal to and/or can provided more than battery Electric power to shank 5310.In the case of at least one, a part for surgical instrument system 5300 is used as using shank 5310 Surgeon can determine that the underpower of shank 5310, remove battery from shank 5310, and power supply adaptor 5360 is connected into handle Portion 5310.Power source 5370 then can be operable to via power supply adaptor 5360 to shank 5310 provide enough power with by Desired mode operates surgical instrument system.In all cases, power source 5370 can be provided for example bigger to shank 5310 Voltage.
In some cases, power source 5370 includes exchange (AC) power source.In at least one under such circumstances, power supply Adapter 5360 may include AC-to DC (AC/DC) power supply changeover device, and it is configured to be provided by power source 5370 AC power be converted to DC power.In such cases, battery and power supply adaptor 5360 can provide DC work(to shank 5310 Rate, this is electrically coupled to shank 5310 depending on which one.AC/DC power supply changeover devices may include that such as transformer, full wave bridge type is whole Flow device and/or filter condenser;However, it is possible to use any suitable AC/DC power supply changeover devices.For example, AC/DC Power converts Device is positioned in plug 5361;However, AC/DC power supply changeover devices can be positioned at power supply adaptor with any suitable position In 5360, such as cable 5363.
In all cases, shank 5310 includes the AC/DC power supply changeover devices except or instead of power supply adaptor 5360 AC/DC power supply changeover devices.Such embodiment can realize above-mentioned two Battery packs contact 5316.In at least one such reality Apply in scheme, battery power circuit may include the one, first circuit section, and first circuit section includes being connect by first group of battery engagement Contact element 5316;And two, the second circuit section in parallel with the first circuit section, the second circuit section are included by power supply adaptor 5360 Second group of contact 5316 of engagement.Second circuit section includes AC/DC power supply changeover devices, and it is configured to by power source The 5370 AC power provided are converted to DC power, and the first circuit section does not include AC/DC power supply changeover devices, because battery is by structure Cause that DC power can be provided.
Referring again to Figure 41, shank 5310 can be in aseptic operation region 5301, and power supply 5370 can be at non-nothing In bacterium region 5302.In such cases, power supply adaptor 5360 can be between aseptic area 5301 and non sterile area 5302 Extension.Aseptic area 5301 and non sterile area are separated by border 5303.Border 5303 may include such as physical boundary, such as wall Virtual boundary among wall, or such as aseptic operation table and non-sterile back of the body platform.
In order that with power supply adaptor 5360, the battery being positioned in battery compartment 5311 must be removed, so as to by electricity The plug 5361 of source adapter 5360 is installed in battery compartment 5311.It is contemplated that alternative embodiment, wherein working as power supply When adapter is operatively coupled with shank 5310, battery can be retained in battery compartment 5311.Turning now to Figure 42, battery 5461 can be positioned in battery compartment 5311.When lock 5362 is deactivated, battery 5461 can be moved easily from battery compartment 5311 Remove;However, it is contemplated that wherein battery 5461 is not easy to remove embodiment from battery compartment 5311.Similar to plug 5361, the size and construction of battery 5461 may be designed such that battery 5461 is closely received in battery compartment 5311, with Just the relative fortune between battery 5461 and battery compartment 5311 is limited when battery 5461 rests upon in battery compartment 5311 completely It is dynamic.Plug 5361 is also similarly to, battery 5461 includes being configured to contact the end of the stop benchmark 5318 of shank 5310 Portion's retainer 5468.
Battery 5461 includes for example being positioned in one or more lithium ionic cell units.It is similar to the above, battery 5461 can provide enough power to operate surgical instrument system in all cases to shank 5310.In the battery of battery 5461 In the case that unit lacks the operation necessary power of surgical instrument system, power supply adaptor 5460 can be connected to battery 5461.Electricity Source adapter 5460 is similar to power supply adaptor 5360 in many aspects.Similar to the above, power supply adaptor 5460 is included for example Rope 5463, the rope include may be connected to the proximal end 5369 of power source (such as power source 5370).Battery 5461 includes Electric connector 5464 therein is limited to, it is configured to receive the distal connector 5465 of rope 5463 with by power source 5370 are electrically coupled to battery 5461.
In the case of at least one, further described above, when adapter coupler 5465 is inserted into battery When in connector 5464, power supply adaptor 5460 can be placed in series with battery 5461.In such cases, battery 5461 and power Source 5370 can supply power to shank 5310.Figure 43 shows such embodiment.As disclosed in Figure 43, battery 5461 ' Including power circuit, the power circuit includes one or more battery unit 5470 ', and it is configured to carry to shank 5310 For DC power.When power supply adaptor 5460 is electrically coupled to battery 5461 ', power source 5370 can with one, via recharging circuit 5471 ' recharge to battery unit 5470 ', and/or two, supplement battery unit 5470 ' carries to shank 5310 The power of confession.In the case where power source 5370 includes AC power sources, battery 5461 ' may include AC/DC transformers 5467 ', should Transformer is constructed can will be by power source before charging circuit 5471 ' and/or battery unit 5470 ' is provided power to The 5370 AC power provided are converted to DC power.Power circuit in battery includes battery connector 5464, the AC/ being one another in series DC transformers 5467 ', charging circuit 5471 ', battery unit 5470 ' and battery terminal 5366;However, it can be used for power supply electricity Any suitable arrangement on road.
In other cases, adapter coupler 5465 to the insertion in battery connector 5464 can by power source 5370 with Shank 5310 electrically connects, while the battery unit of battery 5461 is departed from from the electricity of shank 5310.Figure 44 shows such reality Apply scheme.As disclosed in Figure 44, battery 5461 " includes power circuit, and the power circuit includes one or more battery unit 5470 ", it is configured to provide DC power to shank 5310.When the delocalization of adapter coupler 5465 is in battery connector When in 5464, battery unit 5470 " is electrically connected via the first circuit section 5472 " and cell switch 5474 " with cell contact part 5366 It is logical.In such cases, cell switch 5474 " is in first switch state.Adapter coupler 5465 arrives battery connector Insertion in 5464 will switch 5474 " and be placed in second switch state, and as shown in figure 44, wherein battery unit 5470 " is no longer able to Electric power is supplied to contact 5366.In addition, when switch 5474 " is in its second switch state, power supply adaptor 5460 and electricity Pond connector 5464 is electrically connected via second circuit section 5473 " and cell switch 5474 " with cell contact part 5366.In power source In the case that 5370 include AC power sources, the second circuit section 5473 " of battery 5461 " may include AC/DC transformers 5467 ', should Transformer, which is constructed, to be converted to DC power by the AC power provided by power source 5370.
As described above, referring again to Figure 44, cell switch 5474 " can be operable to first open in it in switch 5474 " The the first parallel circuit section 5472 " that will include battery unit 5470 " during off status is selectively placed to and cell contact part 5366 are electrically connected, and alternatively, will include the He of battery connector 5464 when switch 5474 " is in its second switch state Second parallel circuit section 5473 " of AC/DC transformers 5467 " is positioned to be electrically connected with cell contact part 5366.Cell switch 5474 " may include mechanical switch, electric mechanical switch and/or electronic switch, as described in greater detail below.
Mechanical battery, which switchs 5474 ", may include for example to slide bus, and the slip bus is in the first switch with switch 5474 " Promoted between the associated first position of state and the second place associated with the second switch state of switch 5474 ".In cunning The first position of dynamic bus, bus couple the first circuit section 5472 " with cell contact part 5366, but not by second circuit section 5473 " couple with cell contact part 5366.The second place of bus is being slided, bus connects second circuit section 5473 " with battery Contact element 5366 couples, but the first circuit section 5472 " is not coupled with cell contact part 5366.Battery 5461 may also include bias Component, such as spring, it is configured to bus being biased into its first position, and therefore that cell switch 5474 " is inclined It is pressed onto its first switch state.Further described above, when adapter coupler 5465 is inserted into battery connector When in 5464, the bus of the accessible switch 5474 " of adapter coupler 5465, and bus is pushed to it from its first position The second place, and 5474 " will be switched and be placed in its second switch state.When adapter coupler 5465 is from battery connector 5464 During removal, biasing member can make bus return its first position and by battery unit 5470 " and cell contact part 5366 again Electrically connect.In some alternative embodiments, adapter coupler 5465 can make battery to the insertion in battery connector 5464 Unit 5470 " forever departs from from cell contact part 5466.In at least one such embodiment, battery 5461 " may include Lock, it is adapted device connector 5465 once the lock is configured to bus and is pushed to its second place bus is just maintained at it The second place.Such embodiment can provide permanent locking to prevent battery 5461 " to be used again to from battery unit 5470 " Supply power because may not expect and/or it is insecure be to can not be shank 5310 provide enough power battery carry out Recycle and/or recharge.
For example, electric mechanical switch 5474 " may include relay.When the no-fix of adapter coupler 5465 is in battery connector When in 5464, relay can be biased into the first relay status.When adapter coupler 5465 is electrically coupled to battery connector When 5464, relay can be switched to the second relay status.Relay may include such as electromagnet, and the electromagnet may include line Circle and armature, when the contact of adapter coupler 5465 joins with battery connector 5464, the electromagnet is activated.Extremely In the case of few one kind, power supply adaptor 5460 may include the control relay circuit in addition to power circuit, the Control Circuit can be provided for the coil of relay enough voltage with by the armature of relay its first switch state and its second open Moved between off status.In all cases, switch 5474 " may include such as latching relay.In the case of at least one, open Closing 5474 " may include such as contactor, and it can be by such as microprocessor and control circuit Electronic Control.
Some electronic switches may not have for example any moving parts, such as solid-state relay.Solid-state relay can make With such as IGCT, TRIAC and/or any other solid switchgear.Solid-state relay can be by the control from power source 5370 Signal activation processed, such as so that the load for being supplied to cell contact part 5366 is switched into power source 5370 from battery unit 5470 ". In the case of at least one, solid-state relay may include such as contactor solid-state relay.In all cases, electronic switch can Including such as microprocessor and the sensor to be communicated with microprocessor signals, the sensor is detected whether to battery connector 5464 contact provides power.In the case of at least one, sensor is configured to inductively to detect by voltage It is applied to the field generated during the contact of battery connector 5464.In some cases, microprocessor may be in response to for example from electricity The control signal that source 5370 receives, relay is switched between the first relay status and the second relay status, to divide Kong Zhi not be that the first parallel circuit section 5472 " or the second parallel circuit section 5473 " are electrically connected with cell contact part 5366.
Further described above, power supply adaptor 5460 may include AC/DC power supply changeover devices.Power supply adaptor 5460 include AC/DC power transformers 5467 in rope 5463;However, AC/DC power transformers can be with any suitable position Placement location is in power supply adaptor 5460.
In all cases, power supply adaptor supply system may include such as battery, such as battery 5361,5461,5461 ' And/or 5461 ", and power supply adaptor, such as power supply adaptor 5360 and/or 5460.
Turning now to Figure 45-Figure 47, the shank 5510 of surgical instrument system includes grip or pistol grip 5511 With shell 5512.Shank 5510 also includes for example being positioned at one or more of grip 5511 battery unit, such as electric Pool unit 5470.In many cases, battery unit 5470 can provide enough power to operate surgical instruments to shank 5510 System.In other cases, battery unit 5470 may not provide enough power to shank 5510.In such cases, Following article is further more fully described, and supplement battery such as supplements battery 5560 and for example could attach to shank 5510 with to shank 5510 provide power.
Further described above, referring primarily to Figure 47, battery unit 5470 is battery supply electricity by arranged in series The part on road 5513.Battery power circuit 5513 is electrically connected with the electric connector 5516 being limited in shell 5512.Electrical connection Device 5516 may include any appropriate number of electric contact piece.In the case of at least one, electric connector 5516 includes such as two Electric contact piece.Electric connector 5516 is positioned in the end of grip 5511;However, electric connector 5516 can be positioned in Any suitable opening position on shank 5510.
Shank 5510 also includes connector cover 5517.Connector cover 5517 can move between the first position and the second position Dynamic, in the first position, connector cover covering electric connector 5516, in the second place, electric connector 5516 is exposed.Shell 5512 include being limited to slit 5518 therein, and the slit is configured to slideably received within and supports connector cover 5517.Shank 5510 also includes the bias structure for example in shell 5512 and the interfix of connector cover 5517 in slit 5518 Part, such as spring 5519.Spring 5519 is configured to connector cover 5517 being biased into its first position to be electrically connected with covering Connect device 5516.
As described above, supplement battery 5560 can be attached to shank 5510.Supplement battery 5560 includes such as shell 5562 With the one or more battery unit being positioned in, such as battery unit 5570.Battery unit 5570 is benefit by arranged in series A part for rechargable battery supply circuit 5563.Supplement battery powered circuitry 5563 and the electrical connection being limited in battery case 5562 Device 5566 is electrically connected.Electric connector 5566 includes the electric contact piece with 5516 identical quantity of electric connector, and is adapted to Enough and electric connector 5516 electric contact piece, which is formed, to be matched.
Supplementing the shell 5562 of battery 5560 also includes being limited to cavity or socket 5561 therein, and it is configured to Receive the grip 5511 of shank 5510.Cavity 5561 is configured to closely receive grip 5511 so that when Supplement battery 5560 be fully assembled to when thereon supplement battery 5560 and shank 5510 between exist very little relative motion or In the absence of relative motion.Supplement battery 5560 be assembled into shank 5510 when, the contact-connection assembly for electric lid 5517 of shell 5562 and Connector cover 5517 is pushed to its second place to expose electric connector 5516.Once the contact of electric connector 5516 is Expose at least in part, the contact of electric connector 5566 can mating electrical connector 5516 contact.Now, battery is supplemented Supply circuit 5563 has been electrically coupled to battery power circuit 5513.
Electric connector 5516 and 5566 can be positioned and be arranged so that they are not engaged with each other, until supplementing battery 5560 rest upon on grip 5511 completely.In other embodiments, electric connector 5516 and 5566 can be positioned simultaneously And it is arranged so that they are engaged with each other before supplement battery 5560 is rested upon onto grip 5511 completely.Any In the case of, the shell 5512 of shank 5510 and/or the shell 5562 of supplement battery 5560 may include to be configured to supplement Battery 5560 remains to the lock of shell 5510.The lock is releasably easily removed with allowing to supplement battery 5560 from shank 5510; However, it is contemplated that such embodiment, wherein locking does not allow supplement battery 5560 easily to be discharged from shank 5510.
As described above, when supplement battery 5560 is assembled into shank 5510, supplement battery powered circuitry 5563 electrically connects To battery power circuit 5513.In all cases, supplement battery unit 5570 is placed in series with shank battery unit 5470, and And 5510 available power of shank can be increased.For example, when shank battery unit 5470 in from when exhausting, this such implementation Scheme can be useful.In other cases, the battery list of the supplement battery unit 5570 and shank 5510 of battery 5560 is supplemented Member 5470 is in parallel to place.In at least one under such circumstances, when supplementing battery unit 5570 and shank 5510 electrically connects, handle Portion's battery unit 5470 can depart from from the electricity of shank 5510.When occurring short-circuit in shank battery unit 5470, such embodiment Can be useful.The various embodiments of shank 5510 may include to switch, and it can allow user optionally to supplement battery list Member 5570 is placed with the serial or parallel connection of shank battery unit 5470.
Embodiment
A kind of surgical devices for including the shank module with attachment part of embodiment 1-, wherein detachable shaft module can It is attached to attachment part and performs surgical operation for common, and wherein shank module includes rotary drive system for driving Dynamic detachable shaft module, the electro-motor of rotary drive system is connected to for providing power for rotary drive system, and One or more sensors.Shank module also includes the shank resume module to be communicated with one or more sensors and electro-motor Device circuit, wherein shank module handler circuit are programmed for controlling electro-motor, based on from one or more sensors Input follow the trail of the end-of-life parameter of shank module, and maintain the counting of end-of-life parameter.
The surgical device of embodiment 2- embodiments 1, in addition to the device with shank module handler circuit communication, for End-of-life is taken to act when shank module handler circuit determines that the counting of end-of-life parameter reaches threshold value.
The surgical device of embodiment 3- embodiments 2, wherein include display for the device for taking end-of-life to act, should Display shows that instruction reaches the surgical device information of the end-of-life parameter of threshold value to user.
The surgical device of embodiment 4- embodiments 3, wherein display display counting.
The surgical device of embodiment 5- embodiments 3 or 4, wherein display show cue mark, and cue mark instruction reaches The remaining usage quantity of shank module before to threshold value.
The surgical device of embodiment 6- embodiments 2,3,4 or 5, wherein for taking the device that end-of-life acts to include using In the device that shank module is disabled for subsequent surgical operation.
The surgical device of embodiment 7- embodiments 6, wherein for disabling the device of shank module including electronic for disabling The device of the operation of motor.
The surgical device of embodiment 8- embodiments 6 or 7, wherein for disable shank module device include be used for prevent by The battery pack of charging is arranged on the device in shank module.
The surgical device of embodiment 9- embodiments 2,3,4,5,6,7 or 8, wherein end-of-life parameter, which are selected from, includes following item Group:Shank module carry out percussion quantity, be related to shank module surgical operation quantity, detachable shaft module to shank mould The quantity of the sterilizing of the quantity, shank module of the attachment of block, and removable battery pack is to the quantity of the attachment of shank module, its In removable battery pack be used between surgery average of operation periods to shank module provide electrical power.
The surgical device of embodiment 10- embodiments 2,3,4,5,6,7,8 or 9, wherein end-of-life parameter according to function come Calculate, it inputs the quantity for including the percussion quantity of shank module progress and being related to the surgical operation of shank module.
The surgical device of embodiment 11- embodiments 10, wherein function by using for different detachable shaft modules not Carry out mathematic(al) expectation terminal parameter with weight coefficient.
The surgical device of embodiment 12- embodiments 2,3,4,5,6,7,8,9,10 or 11, wherein detachable shaft module include End effector with firing member, the firing member traverse haul distance, and wherein end-of-life parameter in percussion Use parameter including shank module, it indicates it is expected the power and reality applied by shank module in the haul distance of firing member Difference between the power that border is applied by shank module.
The surgical device of embodiment 13- embodiments 2,3,4,5,6,7,8,9,10,11 or 12, wherein end-of-life parameter bag Include the number that shank module has been sterilized.
The surgical device of embodiment 14- embodiments 2,3,4,5,6,7,8,9,10,11,12 or 13, wherein shank module bag The sterilizing sensor with shank module handler circuit communication is included, the sterilizing sensor is attached to shank mould in protectiveness sterilizing lid It is activated during block.
The surgical device of embodiment 15- embodiments 14, wherein sterilizing sensor, which is included in protectiveness sterilizing lid, is attached to handle The switch being activated during portion's module.
The surgical device of embodiment 16- embodiments 2,3,4,5,6,7,8,9,10,11,12,13,14 or 15, in addition to inspection Operating desk is looked into, wherein shank module is connectable to inspection operation platform for checking shank module after surgical operation, its Middle inspection operation platform is included in when shank module is connected to inspection operation platform via data connection and shank module handler circuit The inspection operation platform processor circuit of communication, and the inspection operation platform display to be communicated with inspection operation platform processor circuit, Wherein inspection operation platform display shows the information on shank module when shank module is connected to inspection operation platform.
Embodiment 17- includes the surgical device of shank module, the shank module can be attached to detachable shaft module with In performing surgical operation jointly, wherein shank module includes to be activated to drive the rotation driving system of detachable shaft module Unite, be connected to rotary drive system for providing the electro-motor of power for rotary drive system, and for based on rotation The number that drive system is activated follows the trail of the device of the counting of the end-of-life parameter of shank module.
The surgical device of embodiment 18- embodiments 17, wherein the device of the counting for following the trail of end-of-life parameter includes Processor circuit and memory, wherein memory storage are by computing device in terms of the end-of-life parameter for following the trail of shank module Several program codes.
The surgical device of embodiment 19- embodiments 17 or 18, wherein shank module are battery-powered by can be removed, and its In be used to follow the trail of the device of counting of the end-of-life parameter of shank module shank module be also connected to based on removable battery pack Number.
The surgical device of embodiment 20- embodiments 17,18 or 19, in addition to for keeping shank mould during sterilizing program The sterilization tray of block, wherein the device of the counting of end-of-life parameter by following the trail of shank module is included based on sterilization tray Number device, the counter are incremented by counting when shank module is placed in sterilization tray.
The equipment that embodiment 21- includes shank module, the shank module can be attached to detachable shaft module for altogether With surgical operation is performed, wherein shank module includes being used for the rotary drive system for driving detachable shaft module, is connected to rotation Drive system is for providing the electro-motor of power for rotary drive system, and at the shank module to be communicated with electro-motor Manage device circuit.The equipment also includes being used for the inspection operation for being connected to shank module when shank module is not used in surgical operation Platform, wherein inspection operation platform are included in when shank module is connected to inspection operation platform via data connection and shank module handler The inspection operation platform processor circuit of circuit communication, and shown with the inspection operation platform that inspection operation platform processor circuit communicates Device, wherein inspection operation platform display show the information of the shank module on being connected to inspection operation platform.
The equipment of embodiment 22- embodiments 21, wherein inspection operation platform include power supply for being connected in shank module During inspection operation platform electrical power is provided to shank module.
The equipment of embodiment 23- embodiments 21 or 22, wherein inspection operation platform are configured to perform shank module One or more is tested to determine shank module for the adaptability in subsequent surgical operation.
The equipment of embodiment 24- embodiments 23, the sealing integrity that wherein one or more tests include shank module are surveyed Examination.
The equipment of embodiment 25- embodiments 23 or 24, wherein one or more tests include the rotation for shank module The gear backlash test of drive system.
The equipment of embodiment 26- embodiments 21,22,23,24 or 25, wherein inspection operation platform are configured to perform tune Section is acted to adjust shank module for being used in subsequent surgical operation.
The action of the equipment of embodiment 27- embodiments 26, wherein regulation includes drying the part of shank module.
The equipment of embodiment 28- embodiments 21,22,23,24,25,26 or 27, wherein inspection operation platform include one or more Individual fan on the part of shank module for blowing air.
The equipment of embodiment 29- embodiments 21,22,23,24,25,26,27 or 28, wherein inspection operation platform include vacuum Mouthful for the part of vacuum pressure pneumatic conveying drying shank module.
The equipment of embodiment 30- embodiments 21,22,23,24,25,26,27,28 or 29, wherein inspection operation platform also include It is connectable to the load simulation adapter of the rotary drive system of shank module.
The equipment of embodiment 31- embodiments 30, wherein load simulation adapter include motor for shank module Rotary drive system provides fictitious load.
The equipment of embodiment 32- embodiments 21,22,23,24,25,26,27,28,29,30 or 31, wherein inspection operation platform It is also connected to detachable shaft module.
Embodiment 33- surgical procedures, including surgical operation is performed to patient with surgical instruments by clinician, this is outer Section's apparatus includes being connected to the shank module of detachable shaft module, and wherein shank module includes storage on shank module and surgery The memory of the data of operation;When shank module is connected to inspection operation platform, by the memory on being stored in shank module In surgical operation inspection operation number of units according to downloading to memory;When shank module is connected to inspection operation platform simultaneously, The inspection of the console message on shank module is visually shown on display.
The surgical procedures of embodiment 34- embodiments 33, it is additionally included in after surgical operation and by shank module It is connected to before inspection operation platform, from the removable battery pack of shank module removal, wherein the removable battery between surgery average of operation periods Group is shank module for power supply;When shank module is connected to inspection operation platform simultaneously, the electrical power for self-check operating desk is Shank module for power supply.
The surgical procedures of embodiment 35- embodiments 33 or 34, when shank module is connected to inspection operation platform, to handle Portion's module performs one or more tests to determine shank module for the adaptability in subsequent surgical operation.
The surgical procedures of embodiment 36- embodiments 35, wherein one or more test the sealing for including shank module Integrity test.
The surgical procedures of embodiment 37- embodiments 35 or 36, wherein one or more tests include gear backlash survey Examination.
The surgical procedures of embodiment 38- embodiments 34,35,36 or 37, when shank module is connected to inspection operation platform When, regulation action is performed to adjust shank module for being used in subsequent surgical operation.
The action of the surgical procedures of embodiment 39- embodiments 38, wherein regulation includes drying the part of shank module.
Embodiment 40- includes the surgical device of shank module, the shank module can be attached to detachable shaft module with In performing surgical operation jointly, wherein shank module includes being used for the rotary drive system for driving detachable shaft module, is connected to Rotary drive system is for providing the electro-motor of power for rotary drive system, for sensing the data on electro-motor One or more sensors, and the shank module handler circuit to be communicated with one or more sensors, wherein shank mould Block processor circuit is programmed for monitoring the performance parameter of shank module based on the input from one or more sensors, And wherein shank module handler circuit by Monitoring Performance parameter whether acceptable performance band external monitoring shank The performance parameter of module.
The surgical device of embodiment 41- embodiments 40, wherein processor circuit are less than still by Monitoring Performance parameter Higher than the performance parameter that acceptable performance brings monitoring shank module.
The surgical device of embodiment 42- embodiments 40 or 41, wherein shank module also include being used in shank resume module Device circuit determines that performance parameter takes the device of remedial action when outside acceptable performance band.
The performance that the surgical device of embodiment 43- embodiments 40,41 or 42, wherein performance parameter include electro-motor is joined Number.
The surgical device of embodiment 44- embodiments 43, the performance parameter of wherein electro-motor are included in the whole of shank module The energy consumed in the individual life-span by electro-motor.
The surgical device of embodiment 45- embodiments 43 or 44, the wherein performance parameter of electro-motor are included for shank mould The power that each percussion of block is consumed by electro-motor.
The surgical device of embodiment 46- embodiments 43,44 or 45, the performance parameter of wherein electro-motor are included in shank mould The energy by electro-motor consumption and each percussion for shank module are consumed by electro-motor in the whole life-span of block Power.
The surgical device of embodiment 47- embodiments 46, wherein shank module handler circuit are programmed for determining when full It is enough that during at least one in lower condition remedial action should be taken:Consumed in the whole life-span of shank module by electro-motor Energy more than the first energy threshold, and in the whole life-span of shank module by electro-motor consumption energy more than second Energy threshold, second energy threshold is less than the first energy threshold, and shank module has the dress higher than threshold power level Put the number of thresholds of percussion.
The surgical device of embodiment 48- embodiments 43,44,45,46 or 47, wherein performance parameter include the defeated of electro-motor Go out moment of torsion.
The surgical device of embodiment 49- embodiments 40,41,42,43,44,45,46,47 or 48, wherein performance parameter include The performance parameter of rotary drive system.
The surgical device of embodiment 50- embodiments 49, the wherein performance parameter of rotary drive system include gear backlash.
The surgical device of embodiment 51- embodiments 42,43,44,45,46,47,48,49 or 50, wherein being remedied for taking The device of action includes the display for being used to show the state of shank module.
The surgical device of embodiment 52- embodiments 42,43,44,45,46,47,48,49,50 or 51, wherein for taking The device of remedial action includes being used for the device for disabling shank module.
The surgical device of embodiment 53- embodiments 52, wherein including being used to prevent for disabling the device of shank module The removable battery pack of charging is inserted into the device that shank module for power supply is thought in shank module during surgical operation.
The surgical device of embodiment 54- embodiments 53, wherein the device of the removable battery pack for preventing insertion charging Including spring-loaded mechanical lock.
The surgical device of embodiment 55- embodiments 53 or 54, wherein for preventing from inserting the removable battery pack to charge Device includes breech lock, and when activateding, the breech lock is prevented the removable battery pack of electric discharge from shank module removal.
Embodiment 56- surgical devices, the surgical device include detachable shaft module and are connected to the handle of detachable shaft module Portion's module performs surgical operation for common, and wherein shank module includes being used for the rotation driving system for driving detachable shaft module System, is connected to rotary drive system for providing the electro-motor of power for rotary drive system, for monitoring electro-motor With the device of at least one performance parameter in rotary drive system, and for it is determined that performance parameter in acceptable property The device of remedial action is taken when can be with outside.
The surgical device of embodiment 57- embodiments 56, in the whole life-span that wherein performance parameter is included in shank module by The energy of electro-motor consumption.
The surgical device of embodiment 58- embodiments 56 or 57, wherein performance parameter include hitting every time for shank module The power that hair is consumed by electro-motor.
The output that the surgical device of embodiment 59- embodiments 56,57 or 58, wherein performance parameter include electro-motor is turned round Square.
The surgical device of embodiment 60- embodiments 56,57,58 or 59, wherein for taking the device of remedial action to include For disabling the device of shank module.
The surgical device of embodiment 61- embodiments 60, wherein including being used to disable electricity for disabling the device of shank module The device of dynamic motor.
The surgical device of embodiment 62- embodiments 60 or 61, wherein including being used to prevent for disabling the device of shank module The removable battery pack of charging is only inserted into the device that shank module for power supply is thought in shank module between surgery average of operation periods.
Embodiment 63- is combined, and the combination includes that the shank module of detachable shaft module can be attached to for holding jointly Row surgical operation, be connectable to the removable rechargeable battery pack of shank module between surgery average of operation periods to shank Module provides electrical power, and wherein battery pack includes the memory of the charge data and discharge data for storage battery group, and Used in being charged and discharged in battery pack from shank module removal and when being inserted into charging operations platform to battery pack The charging operations platform of at least one, wherein charging operations stylobate are in the charge data and electric discharge that are stored in the memory of battery pack Data and being used at least one of charge and discharge to battery pack.
The combination of embodiment 64- embodiments 63, wherein battery pack include multiple battery units, and charging operations platform includes charging Operating desk processor circuit, the charging operations platform processor circuit is based on the charge data being stored in battery pack memory and puts Electric data and determine when battery unit should be rebalanced based on rebalancing standard, and when charging operations platform is handled When device circuit determines that battery unit should be rebalanced, charging operations platform rebalances to the battery unit of battery pack.
The combination of embodiment 65- embodiments 64, wherein charging operations platform processor circuit are programmed for determining in battery Group carry out n times charging after without rebalancing in the case of battery unit should be rebalanced, wherein N be greater than zero it is whole Number.
The combination of embodiment 66- embodiments 64 or 65, wherein before being rebalanced to battery unit, charging operations Platform is configured to fill the electric charge of battery unit.
The combination of embodiment 67- embodiments 63,64,65 or 66, wherein charging operations platform include charging operations platform processor Circuit, the charging operations platform processor circuit is based on the charging and discharging data being stored in battery pack memory and is based on putting Electric standard determines whether battery pack should be discharged, and wherein when charging operations platform processor circuit determines that battery pack should be put When electric, charging operations platform discharges battery pack.
The combination of embodiment 68- embodiments 67, wherein electric discharge standard includes the second battery being arranged in charging operations platform Whether group is fully charged and prepares to be used for shank module.
The combination of embodiment 69- embodiments 63,64,65,66,67 or 68, wherein charging operations platform are programmed for being based on The surgical operation progress data of the organizing user of charging operations platform charges in the time of one day to battery pack, and wherein Surgical operation progress data is stored in the memory of charging operations platform.
The combination of embodiment 70- embodiments 69, its surgery progress data include time organizing user at one day The statistics possibility of surgical operation is performed with shank module.
The combination of embodiment 71- embodiments 63,64,65,66,67,68,69 or 70, wherein charging operations platform include being used for Battery pack is fixed to the device of charging operations platform automatically when in the unripe shank module for surgical operation of battery pack.
The combination of embodiment 72- embodiments 71, wherein the device bag for battery pack to be fixed to charging operations platform automatically Screw is included, the screw is screwed into battery pack when being inserted into by battery pack in charging operations platform to activate.
The combination of embodiment 73- embodiments 71 or 72, wherein the dress for battery pack to be fixed to charging operations platform automatically Put the linear actuators also included for actuation screw.
The combination of embodiment 74- embodiments 63,64,65,66,67,68,69,70,71,72 or 73, wherein charging operations platform Including the display for showing the charging status information on battery pack.
The combination of embodiment 75- embodiments 63,64,65,66,67,68,69,70,71,72,73 or 74, wherein charging behaviour Making platform includes being used for carrying out quickly the first battery pack when charging operations platform receives the quick charge user input of battery pack The device of charging.
The combination of embodiment 76- embodiments 75, wherein charging operations platform are included for unripe for outer in battery pack Battery pack is fixed to the device of charging operations platform automatically when in the shank module of section's operation.
Embodiment 77- surgical procedures, including surgical operation is performed to patient with surgical instruments by clinician, this is outer Section's apparatus includes being connected to the shank module of detachable shaft module, and wherein shank module can by removable between surgery average of operation periods Rechargeable battery set is powered, and wherein battery pack includes the memory of the charge data and discharge data for storage battery group; Battery pack between surgery average of operation periods after use by it from shank module removal;After the removing step, battery pack is put Put in charging operations platform to be recharged to battery pack;After step is placed, downloaded by charging operations platform and come from battery The charging and discharging data of the memory of group;And after download step, based on being stored in filling in the memory of battery pack Electric data and discharge data at least one of are charged and discharged by charging operations platform to battery pack.
The surgical procedures of embodiment 78- embodiments 77, wherein battery pack include multiple battery units, and wherein locate Reason also includes:After download step, based on the charge data and discharge data that are stored in battery pack memory and it is based on Rebalancing standard determines whether battery unit should be rebalanced by charging operations platform, and it is determined that battery pack should be performed During the rebalancing of battery unit, battery unit is rebalanced by charging operations platform.
The surgical procedures of embodiment 79- embodiments 77 or 78, after download step, in response to quick charge user The reception of input, quick charge is carried out to battery pack.
The surgical procedures of embodiment 80- embodiments 77,78 or 79, after step is placed, when battery pack is not ready to Battery pack is fixed to charging operations platform automatically when being used in the shank module of surgical operation.
Embodiment 81- is combined, and the combination includes that the shank module of detachable shaft module can be attached to for holding jointly Row surgical operation, be connectable to the removable rechargeable battery pack of shank module between surgery average of operation periods to shank Module provides electrical power, and for battery pack from shank module removal and when being inserted into charging operations platform to battery pack The charging operations platform to be charged, wherein charging operations platform are included when charging operations platform receives the quick charge for battery pack The circuit of quick charge is carried out when user inputs to battery pack.
The combination of embodiment 82- embodiments 81, wherein charging operations platform include the charged state for showing battery pack Display.
The combination of embodiment 83- embodiments 81 or 82, wherein charging operations platform include user interface, and user passes through the user Quick charge user is input to charging operations platform by interface.
The combination of embodiment 84- embodiments 83, wherein user interface include the button on charging operations platform, and the button can Actuating is inputted with providing quick charge user to charging operations platform.
The combination of embodiment 85- embodiments 81,82,83 or 84, wherein the circuit for carrying out quick charge to battery pack Include the circuit of the charging pattern for changing battery pack.
The combination of embodiment 86- embodiments 81,82,83,84 or 85, wherein the electricity of the charging pattern for changing battery pack Road includes being connected to the pressure regulator of battery pack, and is connected to the charge controller circuit of pressure regulator.
The combination of embodiment 87- embodiments 81,82,83,84,85 or 86, wherein for carrying out quick charge to battery pack Circuit include the charge storage devices of charging operations platform, and the electric charge being wherein stored on charge storage devices is used for electricity Pond group is charged.
The combination of embodiment 88- embodiments 87, wherein charge storage devices include ultracapacitor.
The combination of embodiment 89- embodiments 88, wherein charging operations platform also include be used for by the first battery power discharge to surpass The circuit of level capacitor.
The combination of embodiment 90- embodiments 87,88 or 89, wherein charge storage devices include one inside charging operations platform Individual or multiple battery units.
The combination of embodiment 91- embodiments 87,88 or 89, wherein charge storage devices include more inside charging operations platform Individual battery unit, and the circuit for being wherein used to carry out battery pack quick charge includes being used for multiple battery units The circuit that battery pack is charged.
The combination of embodiment 92- embodiments 91, plurality of battery cells in series connection.
The combination of embodiment 93- embodiments 91 or 92, plurality of battery unit are connected as parallel-current source.
The combination of embodiment 94- embodiments 81,82,83,84,85,86,87,88,89,90,91,92 or 93, wherein charging Operating desk also includes being used for the circuit to internal multiple battery units by the first battery power discharge.
The combination of embodiment 95- embodiments 81,82,83,84,85,86,87,88,89,90,91,92,93 or 94, wherein Battery pack includes the first battery pack, and wherein charging operations platform includes the first charging socket and is used to receive the first battery pack, with to the One battery pack is charged, and the second charging socket is used to receive the second battery pack, to be charged to the second battery pack, and And the circuit for being wherein used to carry out the first battery pack quick charge includes being used for the electric charge pair with being stored in the second battery pack The circuit that first battery pack is charged.
The combination of embodiment 96- embodiments 95, wherein charging operations platform also include being used for the first battery power discharge to the The circuit of two battery packs.
The combination of embodiment 97- embodiments 95 or 96, wherein charging operations platform include being used to show the first battery pack and the The display of the charged state of two battery packs.
Embodiment 98- embodiments 81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96 or 97 By battery pack when combination, wherein charging operations platform include being used in the unripe shank module for surgical operation of battery pack The automatic device for being fixed to charging operations platform.
Embodiment 99- surgical instrument systems, including for performing the shank module of surgical operation, it is connectable to shank mould Block between surgery average of operation periods to shank module for providing the removable rechargeable battery pack of electrical power, and for electricity The charging operations platform that pond group is charged, wherein charging operations platform include being used for carrying out shank module under two operating conditions The circuit of charging:In the first operating condition, battery pack charges from a power source, and in a second operating condition, battery Group charges from a power source and secondary power source, so as in surgical operation there is an urgent need to battery pack in the case of to battery pack Carry out quick charge.
The surgical instrument system of embodiment 100- embodiments 99, wherein secondary power source include being connectable to shank module Removable, charging the second battery pack.
Embodiment 101- equipment, including the shank module of detachable shaft module can be attached to for common execution surgery The shank module that operation, wherein shank module include being used to store shank module uses the shank module storage circuit of data, And the inspection operation platform of shank module, wherein inspection operation platform bag are connected to when shank module uses not in surgical operation Include true for coming based on the shank module being stored in the memory of shank module using data and based on maintenance recommended standard Determine the inspection operation platform processor circuit that one or more maintenances of shank module are suggested.
The equipment of embodiment 102- embodiments 101, wherein inspection operation platform also include and inspection operation platform processor circuit The display of communication, and wherein display is used to show the information suggested on one or more maintenances.
The equipment of embodiment 103- embodiments 101 or 102, wherein maintenance recommended standard is stored in the inspection of inspection operation platform Look into operating desk memory, and wherein inspection operation platform processor circuit and inspection operation platform memory communication.
The equipment of embodiment 104- embodiments 101,102 or 103, wherein shank module include and shank module storage electricity The shank module handler circuit of road communication, and wherein when shank module is connected to inspection operation platform, shank resume module Device circuit communicates with inspection operation platform processor circuit so that the use data from shank module storage are downloaded to inspection Operating desk.
The equipment of embodiment 105- embodiments 101,102,103 or 104, wherein shank module using data include be selected from The group of lower every data:On the data of the quantity of the surgical operation that is related to shank module, on what is carried out by shank module The data of the quantity of device percussion, on the data of the power consumed during the device of shank module fires, in shank The data of power being subjected to during the device percussion of module, in the whole life-span of shank module by the electronic horse of shank module Up to the data of the energy of consumption, and on shank module rotary drive system gear backlash data.
The equipment of embodiment 106- embodiments 101,102,103,104 or 105, wherein one or more maintenance suggestions include Rebuild the suggestion of shank module.
The equipment of embodiment 107- embodiments 101,102,103,104,105 or 106, wherein one or more maintenances are suggested Including the suggestion for the one or more parts for lubricating shank module.
The equipment of embodiment 108- embodiments 101,102,103,104,105,106 or 107, wherein one or more maintenances It is recommended that the suggestion of one or more parts including checking shank module.
Embodiment 109- equipment, including the shank module of detachable shaft module can be attached to for common execution surgery The shank module that operation, wherein shank module include being used to store shank module uses the shank module storage circuit of data, And for based on the shank module being stored in the memory of shank module using data and based on maintenance recommended standard come Determine the shank module handler circuit that one or more maintenances of shank module are suggested.
The equipment of embodiment 110- embodiments 109, wherein shank module also include and shank module handler circuit communication Display, and wherein display is used to show the information suggested on one or more maintenances.
The equipment of embodiment 111- embodiments 109 or 110, wherein shank module are included selected from the following using data The group of data:On the data of the quantity of the surgical operation that is related to shank module, on the device percussion carried out by shank module Quantity data, on the data of power consumed during the device of shank module fires, on the dress in shank module The data for the power being subjected to during percussion are put, on what is consumed in the whole life-span of shank module by the electro-motor of shank module The data of energy, and on shank module rotary drive system gear backlash data.
Embodiment 112- embodiments 109,110, or 111 equipment, wherein one or more, which are repaired, suggests including rebuilding handle The suggestion of portion's module.
The equipment of embodiment 113- embodiments 109,110,111 or 112, wherein one or more maintenances are suggested including rebuilding The suggestion of shank module.
The equipment of embodiment 114- embodiments 109,110,111,112 or 113, wherein one or more maintenance suggestions include Lubricate the suggestion of one or more parts of shank module.
The equipment of embodiment 115- embodiments 109,110,111,112,113 or 114, wherein one or more maintenances are suggested Including the suggestion for the one or more parts for checking shank module.
Embodiment 116- surgical instrument systems, it includes shank, and the shank includes battery compartment and electric DC motor, can The battery being positioned at removing in battery compartment, wherein battery are configured to provide direct current power to electric DC motor; And power supply adaptor, the power supply adaptor include being removably positioned in plug in battery compartment, instead of battery and from inserting The rope of head extension, wherein rope are configured to power being sent to plug from power source.Surgical instrument system also includes AC-to DC power supply changeover device, it is configured to the alternating electromotive force supplied from power source being converted to direct current power.
The surgical instrument system of embodiment 117- embodiments 116, wherein AC-to DC power supply changeover device are positioned at plug In.
The surgical instrument system of embodiment 118- embodiments 116 or 117, wherein battery include battery case, wherein plug Including plug body, and wherein battery case is similar to plug body.
The surgical instrument system of embodiment 119- embodiments 116,117 or 118, wherein shank include one in battery compartment Group shank electric contact piece, wherein battery include being configured to the engagement shank electricity when battery is positioned in battery compartment and connect One Battery pack electric contact piece of contact element, and wherein plug includes being configured to when plug is positioned in battery compartment Engage one group of plug electric contact piece of shank electric contact piece.
The surgical instrument system of embodiment 120- embodiments 116,117,118 or 119, wherein shank wrap in battery compartment First group of shank electric contact piece and second group of shank electric contact piece are included, wherein battery includes being configured to be positioned in battery A Battery pack electric contact piece of first group of shank electric contact piece is engaged when in battery compartment, and wherein plug includes being constructed Into one group of plug electric contact piece that second group of shank electric contact piece can be engaged when plug is positioned in battery compartment.
The surgical instrument system of embodiment 121- embodiments 116,117,118,119 or 120, wherein AC-to DC power supply Converter is positioned in shank, and is electrically connected with second group of shank electric contact piece.
The surgical instrument system of embodiment 122- embodiments 116,117,118,119,120 or 121, in addition to multiple axle groups Part, wherein each shaft assembly can be selectively engaged with shank.
The surgical instrument system of embodiment 123- embodiments 122, wherein at least one shaft assembly include nail bin.
Embodiment 124- surgical instrument systems, including shank, the shank include battery compartment and electric DC motor;Power supply Adapter, the power supply adaptor include the battery being positioned in battery compartment, and wherein battery includes at least one battery unit, electricity Connector and the rope that can be engaged with electric connector, wherein rope are configured to from power source delivering power.The surgery Device system also includes AC-to DC power supply changeover device, and it is configured to change the alternating electromotive force supplied from power source For direct current power, and direct current power is fed to electric DC motor.
The surgical instrument system of embodiment 125- embodiments 124, in addition to battery circuit, wherein at least one battery list Member, AC-to DC power supply changeover device and electric connector are disposed in series in battery circuit so that when rope and electric connector connect During conjunction, at least one battery unit and power source can supply power to electric DC motor.
The surgical instrument system of embodiment 126- embodiments 124, in addition to the first battery circuit section, wherein the first battery is electric Section includes at least one battery unit;Second battery circuit section, wherein the second battery circuit section includes AC-to DC power supply Converter;And the switch of positioning in the battery, wherein switch can be cut between first switch state and second switch state Change, in the first switch state, at least one battery unit can supply electric power to electric DC motor, and power supply can not be to Electric DC motor supplies electric power;In the second switch state, at least one battery unit can not supply to electric DC motor Electric power is answered, and power supply can supply electric power to electric DC motor.
The surgical instrument system of embodiment 127- embodiments 126, wherein switch is biased into first switch state.
Insertion in the surgical instrument system of embodiment 128- embodiments 126 or 127, wherein rope to battery electric connector Switch is switched to second switch state from first switch state.
The surgical instrument system of embodiment 129- embodiments 128, in addition to be configured to make switch return to first The biasing member of on off state.
The surgical instrument system of embodiment 130- embodiments 126,127 or 128, second switch shape is being placed in wherein switching First switch state can not be returned to after state.
The surgical instrument system of embodiment 131- embodiments 124,125,126,127,128,129 or 130, in addition to it is multiple Shaft assembly, wherein each shaft assembly can be selectively engaged with shank.
The surgical instrument system of embodiment 132- embodiments 131, wherein at least one shaft assembly include nail bin.
Embodiment 133- surgical instrument systems, it includes shank, and the shank includes shank shell, is positioned in shank shell Shank battery unit, shank circuit, wherein shank battery unit be configured to shank circuit supply power;And with The shank electric connector of shank circuit communication.Surgical instrument system also includes the supplement battery that can be selectively engaged with shank, Wherein supplement the battery case that battery includes to engage with shank shell, battery circuit, the supplement being positioned in battery case Battery unit, wherein supplement battery unit is configured to supply power to battery circuit;And connected with battery circuit Battery electric connector, wherein when supplement battery is engaged so that battery circuit is positioned to shank circuit communication with shank, battery Electric connector can engage with shank electric connector.
The surgical instrument system of embodiment 134- embodiments 133, wherein shank shell include grip, and wherein electric Pond shell includes being configured to the socket for receiving grip.
The surgical instrument system of embodiment 135- embodiments 133 or 134, wherein shank also include can in first position and The connector cover moved between the second place, in the first position, connector cover prevents to contact with the accident of shank electric connector, In the second place, connector cover allows battery electric connector to engage shank electric connector.
The surgical instrument system of embodiment 136- embodiments 135, wherein battery case are configured in supplement battery Moving connector lid between the first position and the second position when being engaged with shank.
The surgical instrument system of embodiment 137- embodiments 133,134,135 or 136, in addition to multiple shaft assemblies, wherein Each shaft assembly can be selectively engaged with shank.
The surgical instrument system of embodiment 138- embodiments 137, wherein at least one shaft assembly include nail bin.
Embodiment 139- surgical instruments, including shell, motor, could attach to the battery component of the shell of surgical instruments, should Battery component includes being configured to the battery unit that kinetic force is provided to motor, and battery case includes being configured to The support housing of battery unit can be supported, and is configured to absorb the impact absorbing member of the vibrations provided by impact Part, wherein impact-absorbing element are configured to the fold when impact is applied into impact-absorbing element.
The surgical instruments of embodiment 140- embodiments 139, wherein impact-absorbing element are interchangeable.
The surgical instruments of embodiment 141- embodiments 139 or 140, wherein impact-absorbing element include being configured to permit Perhaps impact-absorbing element is attached to the attachment arrangement of battery component with snap fit.
The surgical instruments of embodiment 142- embodiments 141, wherein attachment arrangement include adhesive.
The surgical instruments of embodiment 143- embodiments 141 or 142, wherein battery case also include perforate, and wherein attached Connection device includes being configured to wedge the projection that fit system is received by the perforate in battery case.
Surgical instruments of the embodiment 144- according to embodiment 139,140,141,142 or 143, wherein impact absorbing member Part includes cell structure.
The surgical instruments of embodiment 145- embodiments 139,140,141,142,143 or 144, wherein working as impact-absorbing element During fold, impact-absorbing element deforms along inward direction, and this has still allowed for battery pack afterwards by impact in impact-absorbing element Part is attached to the shell of surgical instruments.
Surgical instruments of the embodiment 146- according to embodiment 139,140,141,142,143,144 or 145, wherein when When impact is more than threshold force, impact-absorbing element fold.
The surgical instruments of embodiment 147- embodiments 139,140,141,142,143,144,145 or 146, wherein battery pack Part also includes multiple corners, and wherein battery case also includes multiple impact-absorbing elements, and plurality of impact-absorbing element It is positioned in each corner portion.
The surgical instruments of embodiment 148- embodiments 147, wherein battery case include being configured to electric energy from electricity Pool unit is sent to the electric contact piece of motor and the bottom surface associated with electric contact piece, wherein each impact-absorbing element includes The bottom surface of battery case is extended beyond to protect the end sections of electric contact piece.
The surgical instruments of embodiment 149- embodiments 148 or 149, wherein each impact-absorbing element includes bottom and top End, and wherein battery component also includes the impact absorbing lid for being positioned at the top end of impact-absorbing element.
Embodiment 150- is used for the battery component being used together with surgical instruments, and the battery component includes battery unit;Electricity Contact, the electric contact piece are configured to the electric energy that will be provided when battery component is attached to surgical instruments by battery unit It is sent to surgical instruments;First shell, first shell are configured to support battery unit;Second housing, this is outside second Shell is configured to accommodate the first shell;And the impact absorbing layer between the first shell and second housing is positioned at, wherein Impact absorbing layer includes cell structure.
The battery component of embodiment 151- embodiments 150, wherein impact absorbing layer include foam-like material.
The battery component of embodiment 152- embodiments 150 or 151, wherein cell structure include multiple units, multiple units Including the interior unit with inner plane wall, wherein inner plane wall is orientated at least substantially parallel to the first shell;With outerplanar The outer unit of wall, wherein outerplanar wall are arranged essentially parallel to second housing orientation.
The battery component of embodiment 153- embodiments 150,151 or 152, wherein battery component also include impact absorbing lid, Impact absorbing lid includes outer grid and interior grid, wherein outer grid is finer and close than interior grid.
The battery component of embodiment 154- embodiments 150,151,152 or 153, wherein impact absorbing layer include multiple dampings Element.
Embodiment 155- is used for the battery component being used together with surgical instruments, and the battery component includes being configured to The battery unit of power is provided to surgical instruments;And shell, the shell include heat reflection housing, heat dissipating layer and are positioned at scattered Compressible stratum between thermosphere and heat reflection housing, wherein compressible stratum be configured to the expansion in response to battery unit and Bending.
The battery component of embodiment 156- embodiments 155, wherein compressible stratum are further constructed to dissipate by heat Reflect housing and absorb Impact energy.
The battery component of embodiment 157- embodiments 155 or 156, wherein compressible stratum include cell structure.
The battery component of embodiment 158- embodiments 157, wherein cell structure are limited by heat reflection housing and heat dissipating layer Closure cell structure.
The battery component of embodiment 159- embodiments 155,156,157 or 158, wherein heat reflection housing have the first heat swollen Swollen coefficient, wherein heat dissipating layer have the second thermal coefficient of expansion, and wherein the first thermal coefficient of expansion is less than the second thermal coefficient of expansion.
The complete disclosure of documents below is each incorporated by herein accordingly:
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It is filed in entitled " the END EFFECTORS FOR A SURGICAL CUTTING of on 2 15th, 2008 AND STAPLING INSTRUMENT " U.S. Patent Application Serial Number 12/031,873, it is now United States Patent (USP) 7,980,443;
Entitled " MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT " U.S. Patent Application Serial Number 12/235,782, it is now United States Patent (USP) 8,210,411;
Entitled " POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM " U.S. Patent Application Serial Number 12/249,117, it is now special for the U.S. Profit 8,608,045;
It is filed in entitled " the MOTOR-DRIVEN SURGICAL CUTTING on December 24th, 2009 INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY " U.S. Patent application Sequence number 12/647,100, it is now United States Patent (USP) 8,220,688;
It is filed in September, the 2012 entitled " STAPLE CARTRIDGE " U.S. Patent Application Serial Number of 29 days 12/893,461, it is now United States Patent (USP) 8,733,613;
Entitled " SURGICAL STAPLING INSTRUMENT " the United States Patent (USP) Shen submitted on 2 28th, 2011 Please sequence number 13/036,647, be now United States Patent (USP) 8,561,870;
Entitled " SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS " U.S. Patent Application Serial Number 13/118,241, is now U.S. Patent Application Publication 2012/0298719;
It is filed in entitled " the ARTICULATABLE SURGICAL INSTRUMENT on June 15th, 2012 COMPRISING A FIRING DRIVE " U.S. Patent Application Serial Number 13/524,049, is now U.S. Patent Application Publication 2013/0334278;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS on March 13rd, 2013 SENSOR SYSTEM " U.S. Patent Application Serial Number 13/800,025;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS on March 13rd, 2013 SENSOR SYSTEM " U.S. Patent Application Serial Number 13/800,067;
It is filed in entitled " the SURGICAL CUTTING AND FASTENING on January 31st, 2006 INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM " U.S. Patent Application Publication 2007/ 0175955;And
It is filed in entitled " the SURGICAL STAPLING INSTRUMENT WITH AN on April 22nd, 2010 ARTICULATABLE END EFFECTOR " U.S. Patent Application Publication 2010/0264194, it is now United States Patent (USP) 8,308, 040。
Although describing the various embodiments of device with reference to some disclosed embodiments herein, can also implement pair Many modifications and variations of these embodiments.In addition, in the case where disclosing the material for some parts, it can be used His material.In addition, according to multiple embodiments, single part can be replaced by multiple parts, and multiple parts also can by for Single part is changed to, to perform given one or more functions.Above-mentioned embodiment and the claims below are intended to contain Cover all such modifications and variations.
Device disclosed in this invention can be designed to be handled after being intended for single use, or they can be designed to be It is nonexpondable.However, in either case, described device can be repaired, to make again after use at least once With.Repairing may include any combination of following steps:Provision for disengagement, specific component is then cleaned or replaces, and then again Assembling.Specifically, detachable apparatus, and optionally replace or remove in any combination any amount of device Specific component or part.After cleaning and/or replacing particular elements, device can be re-assemblied, so as to subsequent repairing Use at multiple facility or just used before surgical operation by operating team.It will be apparent to one skilled in the art that prosthetic device It can be dismantled using various technologies, clean/replace and re-assembly.The use of such technology and the prosthetic device of gained Within the scope of application.
Preferably, invention as described herein will be handled before surgical operation.First, new or used apparatus is obtained, And if necessary, cleaned.Then apparatus can be sterilized.In a kind of disinfection technology, apparatus is placed on closure And in the container such as plastics or TYVEK bag of sealing.Then container and apparatus are placed on can penetrate the container radiation field it is all In γ radiation, X ray or high energy electron.The bacterium in apparatus and in container is killed in radiation.Then can be by sterilized apparatus It is stored in sterile chamber.Sealing container makes apparatus keep sterile, until it is opened in medical facilities.
Although the present invention has been described as having exemplary design, the present invention can enter in the spirit and scope of the disclosure One step is modified.Therefore, the application is intended to any modification, purposes or remodeling using its general principles.
By reference in full or any patent, announcement or other open materials for being partly incorporated herein only simultaneously The material entered in the existing definition described in the disclosure, statement or the afoul scope of other open materials with not being incorporated herein.Cause This, and under necessary degree, the disclosure being expressly recited herein replaces any conflict being herein incorporated by reference Material.It is any it is said that be herein incorporated by reference but with it is as described herein it is existing definition, statement or other open materials mutually rush Prominent any material or part thereof, under the degree for only not producing conflict between the material and existing open material being incorporated to simultaneously Enter herein.

Claims (20)

1. a kind of surgical device, including:
Shank module including attachment part, wherein detachable shaft module can be attached to the attachment part for holding jointly Row surgical operation, and wherein described shank module includes:
For driving the rotary drive system of the detachable shaft module;
The rotary drive system is connected to for providing the electro-motor of power for the rotary drive system;
One or more sensors;And
The shank module handler circuit to be communicated with one or more of sensors and the electro-motor, wherein the shank Module handler circuit is programmed for:
Control the electro-motor;
The end-of-life parameter of the shank module is followed the trail of based on the input from one or more of sensors;And
Maintain the counting of the end-of-life parameter.
2. surgical device according to claim 1, in addition to the device with the shank module handler circuit communication, use Take the life-span whole when the counting for determining the end-of-life parameter in the shank module handler circuit reaches threshold value Stop is made.
3. surgical device according to claim 2, wherein including display for the described device for taking end-of-life to act Device, the display show the surgical device information for indicating that the end-of-life parameter reaches the threshold value to user.
4. surgical device according to claim 3, wherein the display shows the counting.
5. surgical device according to claim 3, wherein the display shows cue mark, the cue mark instruction Reach the remaining usage quantity of the threshold value foregoing description shank module.
6. surgical device according to claim 2, wherein for taking the described device that end-of-life acts to include being used for The device of the shank module is disabled for subsequent surgical operation.
7. surgical device according to claim 6, wherein including being used for for disabling the described device of the shank module Disable the device of the operation of the electro-motor.
8. surgical device according to claim 6, wherein including being used for for disabling the described device of the shank module Prevent the device battery pack of charging being arranged in the shank module.
9. surgical device according to claim 2, wherein the end-of-life parameter is selected from the group for including following item:
The percussion quantity that the shank module is carried out;
It is related to the quantity of the surgical operation of the shank module;
Quantity of the detachable shaft module to the attachment of the shank module;
The quantity of the sterilizing of the shank module;And
Removable battery pack to the attachment of the shank module quantity, wherein the removable battery pack be used in surgical operation Period provides electrical power to the shank module.
10. surgical device according to claim 9, wherein the end-of-life parameter calculates according to function, the letter Several inputs includes the percussion quantity of the shank module progress and the quantity for the surgical operation for being related to the shank module.
11. surgical device according to claim 10, wherein the function is by using for different detachable shaft modules Different weights coefficient calculate the end-of-life parameter.
12. surgical device according to claim 2, wherein the detachable shaft module includes the end with firing member Actuator, the firing member traverses haul distance in percussion, and wherein described end-of-life parameter includes the shank The use parameter of module, it is described it is expected using parameter instruction in the haul distance of the firing member by the shank mould Difference between power and the actual power applied by the shank module that block applies.
13. surgical device according to claim 2, wherein the end-of-life parameter is gone out including the shank module The number of bacterium.
14. surgical device according to claim 13, wherein the shank module includes and the shank module handler The sterilizing sensor of circuit communication, the sterilizing sensor are activated when protectiveness sterilizing lid is attached to the shank module.
15. surgical device according to claim 14, wherein the sterilizing sensor is included in the protectiveness sterilizing lid It is attached to the switch being activated during the shank module.
16. surgical device according to claim 2, in addition to:
Inspection operation platform, wherein the shank module be connectable to the inspection operation platform for the surgical operation it After check the shank module, wherein the inspection operation platform includes:
When the shank module is connected to the inspection operation platform via data connection and the shank module handler circuit The inspection operation platform processor circuit of communication;And
The inspection operation platform display to be communicated with the inspection operation platform processor circuit, wherein when the shank module is connected to During the inspection operation platform, the inspection operation platform display shows the information on the shank module.
17. a kind of surgical device, including:
Shank module, the shank module can be attached to detachable shaft module and perform surgical operation, wherein institute for common Stating shank module includes:
It can be activated to drive the rotary drive system of the detachable shaft module;
The rotary drive system is connected to for providing the electro-motor of power for the rotary drive system;And
Based on the end-of-life parameter that the shank module is followed the trail of by the number being activated based on the rotary drive system Several devices.
18. surgical device according to claim 17, wherein the counting for following the trail of the end-of-life parameter Described device includes processor circuit and memory, wherein the memory storage by the computing device to follow the trail of the handle The program code of the counting of the end-of-life parameter of portion's module.
19. surgical device according to claim 17, wherein the shank module is battery-powered by can be removed, and its In be used to follow the trail of the described device of the counting of the end-of-life parameter of the shank module and be also based on removable battery Group is connected to the number of the shank module.
20. surgical device according to claim 17, in addition to for keeping the shank module during sterilizing program Sterilization tray, wherein the described device of the counting of the end-of-life parameter for following the trail of the shank module includes Counter on the sterilization tray, the counter make described when the shank module is placed in the sterilization tray Count and be incremented by.
CN201680012646.9A 2015-02-27 2016-02-18 Surgical apparatus configured to track end-of-life parameters Expired - Fee Related CN107427301B (en)

Applications Claiming Priority (3)

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US14/633,562 US10159483B2 (en) 2015-02-27 2015-02-27 Surgical apparatus configured to track an end-of-life parameter
US14/633,562 2015-02-27
PCT/US2016/018415 WO2016137809A1 (en) 2015-02-27 2016-02-18 Surgical apparatus configured to track an end-of-life parameter

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