JP2021519166A - 適応性制御システムを備える外科用器具 - Google Patents
適応性制御システムを備える外科用器具 Download PDFInfo
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- A61B2017/07214—Stapler heads
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- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- A61B2018/00404—Blood vessels other than those in or around the heart
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- A61B2090/0807—Indication means
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Abstract
Description
本願は、2019年3月21日出願の米国仮特許出願第62/821,677号、発明の名称「SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE CONTROL SYSTEM」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2019年2月19日出願の米国仮特許出願第62/807,310号、発明の名称「METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS」、2019年2月19日出願の米国仮特許出願第62/807,319号、発明の名称「SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS」、及び2019年2月19日出願の米国仮特許出願第62/807,309号、発明の名称「SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS」の利益を主張するものであり、これらの開示の全内容は、参照により本明細書に組み込まれる。本出願は、2018年3月30日出願の米国仮特許出願第62/650,887号、発明の名称「SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES」の利益を主張するものであり、この開示の全内容は、参照により本明細書に組み込まれる。本出願は、2018年3月28日出願の米国仮特許出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、2018年3月28日出願の米国特許仮出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、2018年3月28日出願の米国特許仮出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、2018年3月28日出願の米国特許仮出願第62/649,309号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、2018年3月28日出願の米国特許仮出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、2018年3月28日出願の米国特許仮出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED−GREEN−BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、2018年3月28日出願の米国特許仮出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、2018年3月28日出願の米国特許仮出願第62/649,333号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、2018年3月28日出願の米国特許仮出願第62/649,327号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、2018年3月28日出願の米国特許仮出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、2018年3月28日出願の米国特許仮出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、2018年3月28日出願の米国特許仮出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、2018年3月28日出願の米国特許仮出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、及び2018年3月28日出願の米国特許仮出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」の利益を主張するものであり、これらの開示の全内容は、参照により本明細書に組み込まれる。
−米国仮特許出願第16/281,658号、発明の名称「METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS」、
−米国特許出願第16/281,675号、発明の名称「SURGICAL STAPLERS WITH ARRANGEMENTS FOR MAINTAINING A FIRING MEMBER THEREOF IN A LOCKED CONFIGURATION UNLESS A COMPATIBLE CARTRIDGE HAS BEEN INSTALLED THEREIN」、
−米国特許出願第16/281,685号、発明の名称「SURGICAL INSTRUMENT COMPRISING CO−OPERATING LOCKOUT FEATURES」、
−米国特許出願第16/281,693号、発明の名称「SURGICAL STAPLING ASSEMBLY COMPRISING A LOCKOUT AND AN EXTERIOR ACCESS ORIFICE TO PERMIT ARTIFICIAL UNLOCKING OF THE LOCKOUT」、
−米国特許出願第16/281,704号、発明の名称「SURGICAL STAPLING DEVICES WITH FEATURES FOR BLOCKING ADVANCEMENT OF A CAMMING ASSEMBLY OF AN INCOMPATIBLE CARTRIDGE INSTALLED THEREIN」、
−米国特許出願第16/281,707号、発明の名称「STAPLING INSTRUMENT COMPRISING A DEACTIVATABLE LOCKOUT」、
−米国特許出願第16/281,741号、発明の名称「SURGICAL INSTRUMENT COMPRISING A JAW CLOSURE LOCKOUT」、
−米国特許出願第16/281,762号、発明の名称「SURGICAL STAPLING DEVICES WITH CARTRIDGE COMPATIBLE CLOSURE AND FIRING LOCKOUT ARRANGEMENTS」、
−米国特許出願第16/281,660号、発明の名称「SURGICAL STAPLE CARTRIDGE WITH FIRING MEMBER DRIVEN CAMMING ASSEMBLY THAT HAS AN ONBOARD TISSUE CUTTING FEATURE」、
−米国特許出願第16/281,666号、発明の名称「SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS」、
−米国特許出願第16/281,672号、発明の名称「SURGICAL STAPLING DEVICES WITH ASYMMETRIC CLOSURE FEATURES」、
−米国特許出願第16/281,678号、発明の名称「ROTARY DRIVEN FIRING MEMBERS WITH DIFFERENT ANVIL AND CHANNEL ENGAGEMENT FEATURES」、及び
−米国特許出願第16/281,682号、発明の名称「SURGICAL STAPLING DEVICE WITH SEPARATE ROTARY DRIVEN CLOSURE AND FIRING SYSTEMS AND FIRING MEMBER THAT ENGAGES BOTH JAWS WHILE FIRING」。
−米国仮特許出願第62/807,310号、発明の名称「METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS」、
−米国仮特許出願第62/807,319号、発明の名称「SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS」、及び
−米国仮特許出願第62/807,309号、発明の名称「SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS」。
−米国特許出願第16/220,281号、発明の名称「SURGICAL INSTRUMENT WITH A HARDWARE−ONLY CONTROL CIRCUIT」、
−米国特許出願第16/220,301号、発明の名称「SURGICAL INSTRUMENT WITH ACOUSTIC−BASED MOTOR CONTROL」、
−米国特許出願第16/220,313号、発明の名称「SURGICAL INSTRUMENT COMPRISING A PLURALITY OF DRIVE SYSTEMS」、
−米国特許出願第16/220,296号、発明の名称「SURGICAL INSTRUMENT COMPRISING A CONTROL CIRCUIT」、
−米国特許出願第16/220,309号、発明の名称「SURGICAL INSTRUMENTS COMPRISING BUTTON CIRCUITS」、
−米国特許出願第16/220,318号、発明の名称「SURGICAL INSTRUMENT COMPRISING A CONTROL SYSTEM THAT USES INPUT FROM A STRAIN GAGE CIRCUIT」、
−米国特許出願第16/220,273号、発明の名称「SURGICAL INSTRUMENT WITH A SENSING ARRAY」、及び
−米国特許出願第16/220,280号、発明の名称「SURGICAL INSTRUMENT WITH ENVIRONMENT SENSING」。
−米国特許仮出願第62/778,571号、発明の名称「SURGICAL INSTRUMENT SYSTEMS」、
−米国特許仮出願第62/778,572号、発明の名称「SURGICAL INSTRUMENT SYSTEMS」、及び
−米国特許仮出願第62/778,573号、発明の名称「SURGICAL INSTRUMENT SYSTEMS」。
−米国特許出願第16/172,130号、発明の名称「CLIP APPLIER COMPRISING INTERCHANGEABLE CLIP RELOADS」、
−米国特許出願第16/172,066号、発明の名称「CLIP APPLIER COMPRISING A MOVABLE CLIP MAGAZINE」、
−米国特許出願第16/172,078号、発明の名称「CLIP APPLIER COMPRISING A ROTATABLE CLIP MAGAZINE」、
−米国特許出願第16/172,087号、発明の名称「CLIP APPLIER COMPRISING CLIP ADVANCING SYSTEMS」、
−米国特許出願第16/172,094号、発明の名称「CLIP APPLIER COMPRISING A CLIP CRIMPING SYSTEM」、
−米国特許出願第16/172,128号、発明の名称「CLIP APPLIER COMPRISING A RECIPROCATING CLIP ADVANCING MEMBER」、
−米国特許出願第16/172,168号、発明の名称「CLIP APPLIER COMPRISING A MOTOR CONTROLLER」、
−米国特許出願第16/172,164号、発明の名称「SURGICAL SYSTEM COMPRISING A SURGICAL TOOL AND A SURGICAL HUB」、及び
−米国特許出願第16/172,303号、発明の名称「METHOD FOR OPERATING A POWERED ARTICULATING MULTI−CLIP APPLIER」。
−米国特許出願第16/172,328号、発明の名称「METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS」、
−米国特許出願第16/172,280号、発明の名称「METHOD FOR PRODUCING A SURGICAL INSTRUMENT COMPRISING A SMART ELECTRICAL SYSTEM」、
−米国特許出願第16/172,219号、発明の名称「METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS」、
−米国特許出願第16/172,248号、発明の名称「METHOD FOR COMMUNICATING WITH SURGICAL INSTRUMENT SYSTEMS」、
−米国特許出願第16/172,198号、発明の名称「METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS」、及び
−米国特許出願第16/172,155号、発明の名称「METHOD OF HUB COMMUNICATION WITH SURGICAL INSTRUMENT SYSTEMS」。
−米国特許出願第16/112,129号、発明の名称「SURGICAL SUTURING INSTRUMENT CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER」、
−米国特許出願第16/112,155号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER」、
−米国特許出願第16/112,168号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A NON−CIRCULAR NEEDLE」、
−米国特許出願第16/112,180号、発明の名称「ELECTRICAL POWER OUTPUT CONTROL BASED ON MECHANICAL FORCES」、
−米国特許出願第16/112,193号、発明の名称「REACTIVE ALGORITHM FOR SURGICAL SYSTEM」、
−米国特許出願第16/112,099号、発明の名称「SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE ELECTRICAL SYSTEM」、
−米国特許出願第16/112,112号、発明の名称「CONTROL SYSTEM ARRANGEMENTS FOR A MODULAR SURGICAL INSTRUMENT」、
−米国特許出願第16/112,119号、発明の名称「ADAPTIVE CONTROL PROGRAMS FOR A SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE」、
−米国特許出願第16/112,097号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING BATTERY ARRANGEMENTS」、
−米国特許出願第16/112,109号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING HANDLE ARRANGEMENTS」、
−米国特許出願第16/112,114号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS」、
−米国特許出願第16/112,117号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING LOCKOUT MECHANISMS」、
−米国特許出願第16/112,095号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A LOCKABLE END EFFECTOR SOCKET」、
−米国特許出願第16/112,121号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SHIFTING MECHANISM」、
−米国特許出願第16/112,151号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION」、
−米国特許出願第16/112,154号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A BIASED SHIFTING MECHANISM」、
−米国特許出願第16/112,226号、発明の名称「SURGICAL INSTRUMENTS COMPRISING AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES」、
−米国特許出願第16/112,062号、発明の名称「SURGICAL DISSECTORS AND MANUFACTURING TECHNIQUES」、
−米国特許出願第16/112,098号、発明の名称「SURGICAL DISSECTORS CONFIGURED TO APPLY MECHANICAL AND ELECTRICAL ENERGY」、
−米国特許出願第16/112,237号、発明の名称「SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE」、
−米国特許出願第16/112,245号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT」、
−米国特許出願第16/112,249号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM」、
−米国特許出願第16/112,253号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE FIRING CONTROL」、及び
−米国特許出願第16/112,257号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT」。
−米国特許仮出願第62/665,129号、発明の名称「SURGICAL SUTURING SYSTEMS」、
−米国仮特許出願第62/665,139号、発明の名称「SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS」、
−米国仮特許出願第62/665,177号、発明の名称「SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS」、
−米国仮特許出願第62/665,128号、発明の名称「MODULAR SURGICAL INSTRUMENTS」、
−米国仮特許出願第62/665,192号、発明の名称「SURGICAL DISSECTORS」、及び
−米国仮特許出願第62/665,134号、発明の名称「SURGICAL CLIP APPLIER」。
−米国特許出願第15/908,021号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
−米国特許出願第15/908,012号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
−米国特許出願第15/908,040号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
−米国特許出願第15/908,057号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
−米国特許出願第15/908,058号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
−米国特許出願第15/908,143号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
−米国仮特許出願第62/578,793号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
−米国仮特許出願第62/578,804号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
−米国仮特許出願第62/578,817号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
−米国仮特許出願第62/578,835号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
−米国仮特許出願第62/578,844号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
−米国仮特許出願第62/578,855号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
−米国仮特許出願第62/611,341号、発明の名称「INTERACTIVE SURGICAL PLATFORM」、
−米国仮特許出願第62/611,340号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS」、及び
−米国仮特許出願第62/611,339号、発明の名称「ROBOT ASSISTED SURGICAL PLATFORM」。
−米国仮特許出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
−米国仮特許出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
−米国仮特許出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
−米国仮特許出願第62/649,309号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
−米国仮特許出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
−米国仮特許出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED−GREEN−BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、
−米国仮特許出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
−米国仮特許出願第62/649,333号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
−米国仮特許出願第62/649,327号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
−米国仮特許出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、
−米国仮特許出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、
−米国仮特許出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国仮特許出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、及び
−米国仮特許出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」。
−米国特許出願第15/940,641号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
−米国特許出願第15/940,648号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES」、
−米国特許出願第15/940,656号、発明の名称「SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES」、
−米国特許出願第15/940,666号、発明の名称「SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS」、
−米国特許出願第15/940,670号、発明の名称「COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS」、
−米国特許出願第15/940,677号、発明の名称「SURGICAL HUB CONTROL ARRANGEMENTS」、
−米国特許出願第15/940,632号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
−米国特許出願第15/940,640号、発明の名称「COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS」、
−米国特許出願第15/940,645号、発明の名称「SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT」、
−米国特許出願第15/940,649号、発明の名称「DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME」、
−米国特許出願第15/940,654号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
−米国特許出願第15/940,663号、発明の名称「SURGICAL SYSTEM DISTRIBUTED PROCESSING」、
−米国特許出願第15/940,668号、発明の名称「AGGREGATION AND REPORTING OF SURGICAL HUB DATA」、
−米国特許出願第15/940,671号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
−米国特許出願第15/940,686号、発明の名称「DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE」、
−米国特許出願第15/940,700号、発明の名称「STERILE FIELD INTERACTIVE CONTROL DISPLAYS」、
−米国特許出願第15/940,629号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
−米国特許出願第15/940,704号、発明の名称「USE OF LASER LIGHT AND RED−GREEN−BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、
−米国特許出願第15/940,722号、発明の名称「CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO−CHROMATIC LIGHT REFRACTIVITY」、及び
−米国特許出願第15/940,742号、発明の名称「DUAL CMOS ARRAY IMAGING」。
−米国特許出願第15/940,636号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
−米国特許出願第15/940,653号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS」、
−米国特許出願第15/940,660号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
−米国特許出願第15/940,679号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET」、
−米国特許出願第15/940,694号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION」、
−米国特許出願第15/940,634号、発明の名称「CLOUD−BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
−米国特許出願第15/940,706号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、及び
−米国特許出願第15/940,675号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」。
−米国特許出願第15/940,627号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,637号、発明の名称「COMMUNICATION ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,642号、発明の名称「CONTROLS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,676号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,680号、発明の名称「CONTROLLERS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,683号、発明の名称「COOPERATIVE SURGICAL ACTIONS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、
−米国特許出願第15/940,690号、発明の名称「DISPLAY ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」、及び
−米国特許出願第15/940,711号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT−ASSISTED SURGICAL PLATFORMS」。
−米国仮特許出願第62/650,887号、発明の名称「SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES」、
−米国仮特許出願第62/650,877号、発明の名称「SURGICAL SMOKE EVACUATION SENSING AND CONTROLS」、
−米国仮特許出願第62/650,882号、発明の名称「SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」、及び
−米国仮特許出願第62/650,898号、発明の名称「CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS」。
−米国特許仮出願第62/659,900号、発明の名称「METHOD OF HUB COMMUNICATION」。
−米国仮特許出願第62/750,529号、発明の名称「METHOD FOR OPERATING A POWERED ARTICULATING MULTI−CLIP APPLIER」、
−米国仮特許出願第62/750,539号、発明の名称「SURGICAL CLIP APPLIER」、及び
−米国仮特許出願第62/750,555号、発明の名称「SURGICAL CLIP APPLIER」。
−米国特許第5,403,312号、発明の名称「ELECTROSURGICAL HEMOSTATIC DEVICE」、1995年4月4日に発行、
−米国特許第7,000,818号、発明の名称「SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS」、2006年2月21日に発行、
−米国特許第7,422,139号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK」、2008年9月9日に発行、
−米国特許第7,464,849号、発明の名称「ELECTRO−MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS」、2008年12月16日に発行、
−米国特許第7,670,334号、発明の名称「SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR」、2010年3月2日に発行、
−米国特許第7,753,245号、発明の名称「SURGICAL STAPLING INSTRUMENTS」、2010年7月13日に発行、
−米国特許第8,393,514号、発明の名称「SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE」、2013年3月12日に発行、
−米国特許出願第11/343,803号、発明の名称「SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES」、現在は米国特許第7,845,537号、
−米国特許出願第12/031,573号、発明の名称「SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES」、2008年2月14日に出願、
−米国特許出願第12/031,873号、発明の名称「END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT」、2008年2月15日に出願、現在は米国特許第7,980,443号、
−米国特許出願第12/235,782号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING INSTRUMENT」、現在は米国特許第8,210,411号、
−米国特許出願第12/235,972号、発明の名称「MOTORIZED SURGICAL INSTRUMENT」、現在は米国特許第9,050,083号、
−米国特許出願第12/249,117号、発明の名称「POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM」、現在は米国特許第8,608,045号、
−2009年12月24日に出願された米国特許出願第12/647,100号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY」、現在は米国特許第8,220,688号、
−米国特許出願第12/893,461号、発明の名称「STAPLE CARTRIDGE」、2012年9月29日に出願、現在は米国特許第8,733,613号、
−米国特許出願第13/036,647号、発明の名称「SURGICAL STAPLING INSTRUMENT」、2011年2月28日に出願、現在は米国特許第8,561,870号、
−米国特許出願第13/118,241号、発明の名称「SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS」、現在は米国特許第9,072,535号、
−2012年6月15日に出願された、米国特許出願第13/524049号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE」、現在は、米国特許第9,101,358号、
−2013年3月13日付けで出願された米国特許出願第13/800,025号、発明の名称「STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM」、現在は、米国特許第9,345,481号、
2013年3月13日に出願された米国特許出願第13/800,067号、発明の名称「STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM」、現在は米国特許出願公開第2014/0263552号、
−米国特許出願公開第2007/0175955号、発明の名称「SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM」、2006年1月31日に出願、及び
−米国特許出願公開第2010/0264194号、発明の名称「SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR」、2010年4月22日に出願、現在は米国特許第8,308,040号。
(1) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する各前記ステープル成形ポケットの電気トレースであって、前記モータ制御システムは、前記ステープルが前記ステープル成形ポケットを逃したときを検出するように構成され、前記ステープルが前記ステープル成形ポケットを逃したときに、前記モータ制御システムが前記電気モータを減速させるように構成されている、電気トレースと、を含む、アンビル顎部と、を備える外科用器具。
(2) 前記モータ制御システムは、第2の前記ステープルがステープル成形ポケットを逃したことを前記モータ制御システムが検出すると、いっそう更に前記電気モータを減速させるように構成されている、実施態様1に記載の外科用器具。
(3) 前記モータ制御システムは、第3の前記ステープルがステープル成形ポケットを逃したことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、実施態様2に記載の外科用器具。
(4) 前記アンビル顎部が、組織圧縮面と、前記組織圧縮面に取り付けられた可撓性基材とを更に備え、前記電気トレースが前記可撓性基材に埋め込まれている、実施態様1に記載の外科用器具。
(5) 前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータを減速させるように構成されている、実施態様1に記載の外科用器具。
(7) 前記モータ制御システムは、第3の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、実施態様6に記載の外科用器具。
(8) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する電気回路であって、前記モータ制御システムは、前記ステープルが前記電気回路を介して前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、電気回路と、を備える、アンビル顎部と、を備える、外科用器具。
(9) 前記モータ制御システムは、第2の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、いっそう更に前記電気モータを減速させるように構成されている、実施態様8に記載の外科用器具。
(10) 前記モータ制御システムは、第3の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、実施態様9に記載の外科用器具。
(12) 前記電気回路は、前記ステープルが前記ステープル成形ポケットに入ったかどうかを検出するように構成されたホール効果センサを備える、実施態様9に記載の外科用器具。
(13) 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成されたパルス幅変調制御回路を含む、実施態様9に記載の外科用器具。
(14) 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成された周波数変調制御回路を含む、実施態様9に記載の外科用器具。
(15) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する電気回路であって、前記ステープルが前記ステープル発射ストローク中に前記カートリッジ本体から排出されるときに前記ステープルが前記電気回路と接触するように、前記ステープルが前記電気回路と位置合わせされ、前記モータ制御システムは、所定の数の前記ステープルが前記電気回路を介して前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記所定の数の前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、電気回路と、を備える、アンビル顎部と、を備える、外科用器具。
(17) 前記フレックス回路が、前記電気回路を前記モータ制御システムと電気的に通信させるように配置するよう構成された電気コネクタを含む、実施態様16に記載の外科用器具。
(18) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、前記ステープル成形ポケットが、前記ステープルの第1の脚部を受容するように構成された第1の成形カップと、前記ステープルの第2の脚部を受容するように構成された第2の成形カップと、を備える、ステープル成形ポケットと、
前記モータ制御システムと通信する第1の電気回路であって、前記第1の電気回路が前記第1の成形カップ内に延在し、前記モータ制御システムは、前記ステープルの前記第1の脚部が前記ステープル発射ストローク中に適切に変形されているかを検出するように構成されている、第1の電気回路と、
前記モータ制御システムと通信する第2の電気回路であって、前記第2の電気回路が前記第2の成形カップ内に延在し、前記モータ制御システムは、前記ステープルの前記第2の脚部が前記ステープル発射ストローク中に適切に変形されているかを検出するように構成され、前記モータ制御システムは、前記第1の脚部及び前記第2の脚部の1つが適切に成形されていないことを前記モータ制御システムが検出すると、前記電気モータを減速させるように構成されている、第2の電気回路と、を備える、アンビル顎部と、を備える、外科用器具。
(19) 前記ステープルの前記第1の脚部及び前記第2の脚部の両方が適切に成形されていないときに、モータ制御システムが前記電気モータをいっそう更に減速させるように構成されている、実施態様18に記載の外科用器具。
(20) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、近位ステープル、中間ステープル、及び遠位ステープルを含む、ステープルと、を含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの近位群であって、各前記近位ステープル成形ポケットは、前記近位ステープルを変形させるように構成され、前記モータ制御システムは、所定の数の前記近位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、近位群と、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの中間群であって、各前記中間ステープル成形ポケットは、前記中間ステープルを変形させるように構成され、前記中間群は、前記近位群に対して遠位であり、前記モータ制御システムは、所定の数の前記中間ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、中間群と、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの遠位群であって、各前記遠位ステープル成形ポケットは、前記遠位ステープルを変形させるように構成され、前記遠位群は、前記中間群に対して遠位であり、前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、遠位群と、を含む、アンビル顎部と、を含む、外科用器具。
(22) 前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第3の速度に減速させるように構成され、前記第3の速度が前記第1の速度及び前記第2の速度と異なる、実施態様21に記載の外科用器具。
(23) 前記モータ制御システムは、所定の数の前記中間ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第1の速度に減速させるように構成され、前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第2の速度に減速させるように構成され、前記第1の速度は、前記第2の速度とは異なる、実施態様20に記載の外科用器具。
(24) 前記近位ステープルが第1の構成を含み、前記中間ステープルが第2の構成を含み、前記遠位ステープルが第3の構成を含み、前記第1の構成、前記第2の構成、及び前記第3の構成が異なる、実施態様20に記載の外科用器具。
(25) 前記近位ステープルが第1の構成を含み、前記中間ステープルが第2の構成を含み、前記遠位ステープルが第3の構成を含み、前記第1の構成、前記第2の構成、及び前記第3の構成が同じである、実施態様20に記載の外科用器具。
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、近位ステープル及び遠位ステープルを含む、ステープルと、を含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの近位ゾーンであって、各前記近位ステープル成形ポケットが、前記近位ステープルを変形させるように構成されている、近位ゾーンと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの遠位ゾーンであって、各前記遠位ステープル成形ポケットは、前記遠位ステープルを変形させるように構成され、前記遠位ゾーンは、前記近位ゾーンに対して遠位であり、前記モータ制御システムは、前記近位ステープルと前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、遠位ゾーンと、を含む、アンビル顎部と、を備える、外科用器具。
(27) 前記近位ステープルが第1の構成を有し、前記遠位ステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が異なる、実施態様26に記載の外科用器具。
(28) 前記近位ステープルが第1の構成を有し、前記遠位ステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が同じである、実施態様26に記載の外科用器具。
(29) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、第1のステープルの長手方向列及び第2のステープルの長手方向列を含む、ステープルと、を備える、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記第1のステープルを変形させるように構成された第1のステープル成形ポケットの長手方向列と、
前記ステープル発射ストローク中に前記第2のステープルを変形させるように構成された第2のステープル成形ポケットの長手方向列と、を含む、アンビル顎部と、
第1のステープルが前記アンビル顎部に接して不恰好となったときを検出し、第2のステープルが前記アンビル顎部に接して不恰好となったときを検出するための手段であって、前記手段が前記モータ制御システムと通信し、前記モータ制御システムは、前記第1のステープル及び前記第2のステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を含む、外科用器具。
(30) 前記第1のステープルが第1の構成を有し、前記第2のステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が異なる、実施態様29に記載の外科用器具。
(32) 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、ステープル発射システムと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットを備えるアンビル顎部であって、各前記ステープル成形ポケットは、前記ステープルを変形させるように構成されている、アンビル顎部と、
前記ステープルが前記アンビル顎部に接して不恰好となったときを検出し、前記ステープルが前記アンビル顎部を逃したときを検出するための手段であって、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させ、前記ステープルが前記アンビル顎部を逃したときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を備える、外科用器具。
(33) 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成されたパルス幅変調制御回路を含む、実施態様32に記載の外科用器具。
(34) 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成された周波数変調制御回路を含む、実施態様32に記載の外科用器具。
(35) 前記モータ制御システムは、前記電気モータによって引き込まれた前記電流のスパイクを検出し、前記検出された電流スパイクの大きさを、予期された電流スパイクの大きさと比較し、前記検出された電流スパイクの大きさと前記予期された電流スパイクの大きさとの間の差が所定の閾値を超える場合、前記電気モータを減速させるように構成された電流センサ回路を備える、実施態様32に記載の外科用器具。
(37) 前記モータ制御システムは、3つの連続した検出された電流スパイクが前記所定の閾値を超えた後に前記電気モータを減速させるように構成されている、実施態様35に記載の外科用器具。
(38) 前記モータ制御システムは、第1の検出された電流スパイクが第1の予期された電流スパイクを上回る第1の閾値を超え、第2の検出された電流スパイクが、第2の予期された電流スパイクを上回る第2の閾値を超えた後に、前記電気モータを減速するよう構成されている、実施態様35に記載の外科用器具。
(39) 前記第1の予期された電流スパイク及び前記第2の検出された電流スパイクが異なる大きさを有する、実施態様38に記載の外科用器具。
(40) 前記第1の閾値が、前記第2の閾値とは異なる、実施態様38に記載の外科用器具。
第1の顎部と、
第2の顎部であって、前記第1の顎部が、前記第2の顎部に対して回転可能である、第2の顎部と、
組織切断システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、組織切断システムと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットを備えるアンビル顎部であって、各前記ステープル成形ポケットは、前記ステープルを変形させるように構成されている、アンビル顎部と、
前記ステープルが前記アンビル顎部に接して不恰好となったときを検出し、前記ステープルが前記アンビル顎部を逃したときを検出するための手段であって、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させ、前記ステープルが前記アンビル顎部を逃したときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を備える、外科用器具。
(42) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータに動作可能に連結された閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータに動作可能に連結された切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記切断部材が前記駆動モータによって組織切断ストロークにわたって移動可能であり、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断し、前記外科用器具が、第2の組織切断ストロークを実行するように再利用可能である、切断部材と、を備える、組織切断システムと、
前記閉鎖モータ及び前記駆動モータと通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。
(43) 前記モータ制御システムが、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるために、前記組織切断ストロークと比較して、前記第2の組織切断ストローク中に前記顎部閉鎖ストロークを増加させるように構成されている、実施態様42に記載の外科用器具。
(44) 前記モータ制御システムが、前記第2の組織切断ストローク中に前記駆動モータの速度を低下させるように構成されている、実施態様43に記載の外科用器具。
(45) 前記外科用器具が、第3の組織切断ストロークを実行するために再利用可能であり、前記モータ制御システムが、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記第3の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加するように構成されている、実施態様42に記載の外科用器具。
(47) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータにより駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記切断部材が前記駆動モータによって組織切断ストロークにわたって移動可能であり、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断し、前記外科用器具が、後続の組織切断ストロークを実行するように再利用可能である、切断部材と、を備える、組織切断システムと、
前記閉鎖モータ及び前記駆動モータと通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記後続の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。
(48) 前記モータ制御システムが、前記後続の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるために、前記組織切断ストロークと比較して、前記後続の組織切断ストローク中に前記顎部閉鎖ストロークを増加させるように構成されている、実施態様47に記載の外科用器具。
(49) 前記モータ制御システムが、前記後続の組織切断ストローク中に前記駆動モータの速度を低下させるように構成されている、実施態様48に記載の外科用器具。
(50) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記組織切断ストローク中に前記切断部材によって加えられる前記切断力を検出するための検出手段と、
前記閉鎖モータ、前記駆動モータ、及び前記検出手段と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記検出手段が所定の閾値を上回る前記切断力の増加を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。
(52) 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、実施態様51に記載の外科用器具。
(53) 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、実施態様52に記載の外科用器具。
(54) 前記検出手段が、前記駆動モータによって引き込まれた前記電流を検出するように構成された電流センサを備える、実施態様50に記載の外科用器具。
(55) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記組織切断ストローク中に前記切断部材によって加えられる前記切断力を感知するよう構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路によって感知された前記切断力を切断力プロファイルと比較するように構成され、前記モータ制御システムが前記切断力プロファイルを上回る前記感知された切断力の増加を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。
(57) 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、実施態様55に記載の外科用器具。
(58) 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、実施態様57に記載の外科用器具。
(59) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記第1の顎部と前記第2の顎部との中間に位置付けられた植え込み式の付属物の存在を検出するように構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路が前記第1の顎部と前記第2の顎部の中間にある植え込み式の付属物の存在を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。
(60) 前記第1の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、実施態様59に記載の外科用器具。
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、実施態様59に記載の外科用器具。
(62) 前記第1の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、実施態様59に記載の外科用器具。
(63) 前記第2の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、実施態様59に記載の外科用器具。
(64) 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、実施態様59に記載の外科用器具。
(65) 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、実施態様64に記載の外科用器具。
(67) 前記電極が、前記第1の顎部に位置付けられている、実施態様66に記載の外科用器具。
(68) 前記センサ回路が、前記植え込み式の付属物の近くに位置付けられるように構成された電極を備える、実施態様59に記載の外科用器具。
(69) 前記第1の顎部が、ステープル成形ポケットを含むアンビルを含み、前記電極が、前記ステープル成形ポケットに位置付けられている、実施態様68に記載の外科用器具。
(70) 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記第1の顎部と前記第2の顎部との中間に位置付けられた植え込み式の付属物の存在を検出するように構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路が前記第1の顎部と前記第2の顎部の中間にある植え込み式の付属物の存在を検出すると、前記駆動モータ及び前記組織切断ストロークの速度を低下させるように構成されている、モータ制御システムと、を備える、外科用器具。
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、実施態様70に記載の外科用器具。
(72) 前記第2の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、実施態様70に記載の外科用器具。
(73) 前記第1の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、実施態様70に記載の外科用器具。
(74) 前記第2の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、実施態様70に記載の外科用器具。
(75) 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、実施態様70に記載の外科用器具。
(77) 前記センサ回路が、前記植え込み式の付属物と接触するように構成された電極を備える、実施態様70に記載の外科用器具。
(78) 前記電極は、前記第1の顎部に位置付けられている、実施態様77に記載の外科用器具。
(79) 前記センサ回路が、前記植え込み式の付属物の近くに位置付けられるように構成された電極を備える、実施態様70に記載の外科用器具。
(80) 前記第1の顎部が、ステープル成形ポケットを含むアンビルを含み、前記電極が、前記ステープル成形ポケットに位置付けられている、実施態様79に記載の外科用器具。
Claims (80)
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する各前記ステープル成形ポケットの電気トレースであって、前記モータ制御システムは、前記ステープルが前記ステープル成形ポケットを逃したときを検出するように構成され、前記ステープルが前記ステープル成形ポケットを逃したときに、前記モータ制御システムが前記電気モータを減速させるように構成されている、電気トレースと、を含む、アンビル顎部と、を備える外科用器具。 - 前記モータ制御システムは、第2の前記ステープルがステープル成形ポケットを逃したことを前記モータ制御システムが検出すると、いっそう更に前記電気モータを減速させるように構成されている、請求項1に記載の外科用器具。
- 前記モータ制御システムは、第3の前記ステープルがステープル成形ポケットを逃したことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、請求項2に記載の外科用器具。
- 前記アンビル顎部が、組織圧縮面と、前記組織圧縮面に取り付けられた可撓性基材とを更に備え、前記電気トレースが前記可撓性基材に埋め込まれている、請求項1に記載の外科用器具。
- 前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータを減速させるように構成されている、請求項1に記載の外科用器具。
- 前記モータ制御システムは、第2の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、いっそう更に前記電気モータを減速させるように構成されている、請求項5に記載の外科用器具。
- 前記モータ制御システムは、第3の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、請求項6に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する電気回路であって、前記モータ制御システムは、前記ステープルが前記電気回路を介して前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、電気回路と、を備える、アンビル顎部と、を備える、外科用器具。 - 前記モータ制御システムは、第2の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、いっそう更に前記電気モータを減速させるように構成されている、請求項8に記載の外科用器具。
- 前記モータ制御システムは、第3の前記ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータを停止するように構成されている、請求項9に記載の外科用器具。
- 前記ステープルが、前記ステープル発射ストローク中に前記電気回路に接触するように構成されている、請求項9に記載の外科用器具。
- 前記電気回路は、前記ステープルが前記ステープル成形ポケットに入ったかどうかを検出するように構成されたホール効果センサを備える、請求項9に記載の外科用器具。
- 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成されたパルス幅変調制御回路を含む、請求項9に記載の外科用器具。
- 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成された周波数変調制御回路を含む、請求項9に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、各前記ステープル成形ポケットが、前記ステープルを変形させるように構成されている、ステープル成形ポケットと、
前記モータ制御システムと通信する電気回路であって、前記ステープルが前記ステープル発射ストローク中に前記カートリッジ本体から排出されるときに前記ステープルが前記電気回路と接触するように、前記ステープルが前記電気回路と位置合わせされ、前記モータ制御システムは、所定の数の前記ステープルが前記電気回路を介して前記アンビル顎部に接して不恰好となったときを検出するように構成され、前記モータ制御システムは、前記所定の数の前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、電気回路と、を備える、アンビル顎部と、を備える、外科用器具。 - 前記アンビルが金属フレームを含み、前記ステープル成形ポケットが前記金属フレームに画定され、前記電気回路が、前記金属フレームに取り付けられたフレックス回路の一部である、請求項15に記載の外科用器具。
- 前記フレックス回路が、前記電気回路を前記モータ制御システムと電気的に通信させるように配置するよう構成された電気コネクタを含む、請求項16に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットであって、前記ステープル成形ポケットが、前記ステープルの第1の脚部を受容するように構成された第1の成形カップと、前記ステープルの第2の脚部を受容するように構成された第2の成形カップと、を備える、ステープル成形ポケットと、
前記モータ制御システムと通信する第1の電気回路であって、前記第1の電気回路が前記第1の成形カップ内に延在し、前記モータ制御システムは、前記ステープルの前記第1の脚部が前記ステープル発射ストローク中に適切に変形されているかを検出するように構成されている、第1の電気回路と、
前記モータ制御システムと通信する第2の電気回路であって、前記第2の電気回路が前記第2の成形カップ内に延在し、前記モータ制御システムは、前記ステープルの前記第2の脚部が前記ステープル発射ストローク中に適切に変形されているかを検出するように構成され、前記モータ制御システムは、前記第1の脚部及び前記第2の脚部の1つが適切に成形されていないことを前記モータ制御システムが検出すると、前記電気モータを減速させるように構成されている、第2の電気回路と、を備える、アンビル顎部と、を備える、外科用器具。 - 前記ステープルの前記第1の脚部及び前記第2の脚部の両方が適切に成形されていないときに、モータ制御システムが前記電気モータをいっそう更に減速させるように構成されている、請求項18に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、近位ステープル、中間ステープル、及び遠位ステープルを含む、ステープルと、を含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの近位群であって、各前記近位ステープル成形ポケットは、前記近位ステープルを変形させるように構成され、前記モータ制御システムは、所定の数の前記近位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、近位群と、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの中間群であって、各前記中間ステープル成形ポケットは、前記中間ステープルを変形させるように構成され、前記中間群は、前記近位群に対して遠位であり、前記モータ制御システムは、所定の数の前記中間ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、中間群と、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの遠位群であって、各前記遠位ステープル成形ポケットは、前記遠位ステープルを変形させるように構成され、前記遠位群は、前記中間群に対して遠位であり、前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、遠位群と、を含む、アンビル顎部と、を含む、外科用器具。 - 前記モータ制御システムは、所定の数の前記近位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第1の速度に減速させるように構成され、前記モータ制御システムは、所定の数の前記中間ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第2の速度に減速させるように構成され、前記第1の速度は、前記第2の速度とは異なる、請求項20に記載の外科用器具。
- 前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第3の速度に減速させるように構成され、前記第3の速度が前記第1の速度及び前記第2の速度と異なる、請求項21に記載の外科用器具。
- 前記モータ制御システムは、所定の数の前記中間ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第1の速度に減速させるように構成され、前記モータ制御システムは、所定の数の前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出したときに、前記電気モータ及び前記ステープル発射ストロークを第2の速度に減速させるように構成され、前記第1の速度は、前記第2の速度とは異なる、請求項20に記載の外科用器具。
- 前記近位ステープルが第1の構成を含み、前記中間ステープルが第2の構成を含み、前記遠位ステープルが第3の構成を含み、前記第1の構成、前記第2の構成、及び前記第3の構成が異なる、請求項20に記載の外科用器具。
- 前記近位ステープルが第1の構成を含み、前記中間ステープルが第2の構成を含み、前記遠位ステープルが第3の構成を含み、前記第1の構成、前記第2の構成、及び前記第3の構成が同じである、請求項20に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、近位ステープル及び遠位ステープルを含む、ステープルと、を含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材とを備える、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの近位ゾーンであって、各前記近位ステープル成形ポケットが、前記近位ステープルを変形させるように構成されている、近位ゾーンと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成された近位ステープル成形ポケットの遠位ゾーンであって、各前記遠位ステープル成形ポケットは、前記遠位ステープルを変形させるように構成され、前記遠位ゾーンは、前記近位ゾーンに対して遠位であり、前記モータ制御システムは、前記近位ステープルと前記遠位ステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、遠位ゾーンと、を含む、アンビル顎部と、を備える、外科用器具。 - 前記近位ステープルが第1の構成を有し、前記遠位ステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が異なる、請求項26に記載の外科用器具。
- 前記近位ステープルが第1の構成を有し、前記遠位ステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が同じである、請求項26に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルであって、第1のステープルの長手方向列及び第2のステープルの長手方向列を含む、ステープルと、を備える、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、ステープル発射システムと、
アンビル顎部であって、
前記ステープル発射ストローク中に前記第1のステープルを変形させるように構成された第1のステープル成形ポケットの長手方向列と、
前記ステープル発射ストローク中に前記第2のステープルを変形させるように構成された第2のステープル成形ポケットの長手方向列と、を含む、アンビル顎部と、
第1のステープルが前記アンビル顎部に接して不恰好となったときを検出し、第2のステープルが前記アンビル顎部に接して不恰好となったときを検出するための手段であって、前記手段が前記モータ制御システムと通信し、前記モータ制御システムは、前記第1のステープル及び前記第2のステープルが前記アンビル顎部に接して不恰好となったことを前記モータ制御システムが検出すると、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を含む、外科用器具。 - 前記第1のステープルが第1の構成を有し、前記第2のステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が異なる、請求項29に記載の外科用器具。
- 前記第1のステープルが第1の構成を有し、前記遠位ステープルが第2の構成を有し、前記第1の構成及び前記第2の構成が同じである、請求項29に記載の外科用器具。
- 外科用器具であって、
カートリッジ顎部であって、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルとを含む、カートリッジ顎部と、
ステープル発射システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、ステープル発射システムと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットを備えるアンビル顎部であって、各前記ステープル成形ポケットは、前記ステープルを変形させるように構成されている、アンビル顎部と、
前記ステープルが前記アンビル顎部に接して不恰好となったときを検出し、前記ステープルが前記アンビル顎部を逃したときを検出するための手段であって、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させ、前記ステープルが前記アンビル顎部を逃したときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を備える、外科用器具。 - 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成されたパルス幅変調制御回路を含む、請求項32に記載の外科用器具。
- 前記モータ制御システムが、前記電気モータの前記速度を制御するように構成された周波数変調制御回路を含む、請求項32に記載の外科用器具。
- 前記モータ制御システムは、前記電気モータによって引き込まれた前記電流のスパイクを検出し、前記検出された電流スパイクの大きさを、予期された電流スパイクの大きさと比較し、前記検出された電流スパイクの大きさと前記予期された電流スパイクの大きさとの間の差が所定の閾値を超える場合、前記電気モータを減速させるように構成された電流センサ回路を備える、請求項32に記載の外科用器具。
- 前記モータ制御システムは、2つの連続した検出された電流スパイクが前記所定の閾値を超えた後に前記電気モータを減速させるように構成されている、請求項35に記載の外科用器具。
- 前記モータ制御システムは、3つの連続した検出された電流スパイクが前記所定の閾値を超えた後に前記電気モータを減速させるように構成されている、請求項35に記載の外科用器具。
- 前記モータ制御システムは、第1の検出された電流スパイクが第1の予期された電流スパイクを上回る第1の閾値を超え、第2の検出された電流スパイクが、第2の予期された電流スパイクを上回る第2の閾値を超えた後に、前記電気モータを減速するよう構成されている、請求項35に記載の外科用器具。
- 前記第1の予期された電流スパイク及び前記第2の検出された電流スパイクが異なる大きさを有する、請求項38に記載の外科用器具。
- 前記第1の閾値が、前記第2の閾値とは異なる、請求項38に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、前記第1の顎部が、前記第2の顎部に対して回転可能である、第2の顎部と、
組織切断システムであって、
電気モータと、
前記電気モータと通信するモータ制御システムであって、前記電気モータの速度を制御するように構成されている、モータ制御システムと、
前記電気モータによってステープル発射ストロークにわたって移動可能であり、前記ステープルを前記カートリッジ本体から排出する発射部材と、を含む、組織切断システムと、
前記ステープル発射ストローク中に前記ステープルを変形させるように構成されたステープル成形ポケットを備えるアンビル顎部であって、各前記ステープル成形ポケットは、前記ステープルを変形させるように構成されている、アンビル顎部と、
前記ステープルが前記アンビル顎部に接して不恰好となったときを検出し、前記ステープルが前記アンビル顎部を逃したときを検出するための手段であって、前記モータ制御システムは、前記ステープルが前記アンビル顎部に接して不恰好となったときに、前記電気モータ及び前記ステープル発射ストロークを減速させ、前記ステープルが前記アンビル顎部を逃したときに、前記電気モータ及び前記ステープル発射ストロークを減速させるように構成されている、手段と、を備える、外科用器具。 - 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータに動作可能に連結された閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータに動作可能に連結された切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記切断部材が前記駆動モータによって組織切断ストロークにわたって移動可能であり、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断し、前記外科用器具が、第2の組織切断ストロークを実行するように再利用可能である、切断部材と、を備える、組織切断システムと、
前記閉鎖モータ及び前記駆動モータと通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記モータ制御システムが、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるために、前記組織切断ストロークと比較して、前記第2の組織切断ストローク中に前記顎部閉鎖ストロークを増加させるように構成されている、請求項42に記載の外科用器具。
- 前記モータ制御システムが、前記第2の組織切断ストローク中に前記駆動モータの速度を低下させるように構成されている、請求項43に記載の外科用器具。
- 前記外科用器具が、第3の組織切断ストロークを実行するために再利用可能であり、前記モータ制御システムが、前記第2の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記第3の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加するように構成されている、請求項42に記載の外科用器具。
- 前記モータ制御システムが、前記第3の組織切断ストローク中に前記顎部閉鎖ストロークを増加させ、前記第3の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、請求項45に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータにより駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記切断部材が前記駆動モータによって組織切断ストロークにわたって移動可能であり、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断し、前記外科用器具が、後続の組織切断ストロークを実行するように再利用可能である、切断部材と、を備える、組織切断システムと、
前記閉鎖モータ及び前記駆動モータと通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力と比較して、前記後続の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記モータ制御システムが、前記後続の組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるために、前記組織切断ストロークと比較して、前記後続の組織切断ストローク中に前記顎部閉鎖ストロークを増加させるように構成されている、請求項47に記載の外科用器具。
- 前記モータ制御システムが、前記後続の組織切断ストローク中に前記駆動モータの速度を低下させるように構成されている、請求項48に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記組織切断ストローク中に前記切断部材によって加えられる前記切断力を検出するための検出手段と、
前記閉鎖モータ、前記駆動モータ、及び前記検出手段と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記検出手段が所定の閾値を上回る前記切断力の増加を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記モータ制御システムが、前記組織切断ストローク中に前記顎部閉鎖ストロークを増加させ、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、請求項50に記載の外科用器具。
- 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、請求項51に記載の外科用器具。
- 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、請求項52に記載の外科用器具。
- 前記検出手段が、前記駆動モータによって引き込まれた前記電流を検出するように構成された電流センサを備える、請求項50に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記組織切断ストローク中に前記切断部材によって加えられる前記切断力を感知するよう構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路によって感知された前記切断力を切断力プロファイルと比較するように構成され、前記モータ制御システムが前記切断力プロファイルを上回る前記感知された切断力の増加を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記モータ制御システムが、前記組織切断ストローク中に前記顎部閉鎖ストロークを増加させ、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、請求項55に記載の外科用器具。
- 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、請求項55に記載の外科用器具。
- 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、請求項57に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記第1の顎部と前記第2の顎部との中間に位置付けられた植え込み式の付属物の存在を検出するように構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路が前記第1の顎部と前記第2の顎部の中間にある植え込み式の付属物の存在を検出すると、前記組織切断ストローク中に前記第1の顎部によって加えられる前記クランプ圧力を増加させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記第1の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、請求項59に記載の外科用器具。 - 前記第2の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、請求項59に記載の外科用器具。 - 前記第1の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、請求項59に記載の外科用器具。
- 前記第2の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、請求項59に記載の外科用器具。
- 前記モータ制御システムは、前記顎部閉鎖ストロークが増加すると、前記駆動モータの速度を低下させるように構成されている、請求項59に記載の外科用器具。
- 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、請求項64に記載の外科用器具。
- 前記センサ回路が、前記植え込み式の付属物と接触するように構成された電極を備える、請求項59に記載の外科用器具。
- 前記電極が、前記第1の顎部に位置付けられている、請求項66に記載の外科用器具。
- 前記センサ回路が、前記植え込み式の付属物の近くに位置付けられるように構成された電極を備える、請求項59に記載の外科用器具。
- 前記第1の顎部が、ステープル成形ポケットを含むアンビルを含み、前記電極が、前記ステープル成形ポケットに位置付けられている、請求項68に記載の外科用器具。
- 外科用器具であって、
第1の顎部と、
第2の顎部であって、顎部閉鎖ストローク中に、前記第1の顎部が、クランプ解除位置からクランプ位置へと前記第2の顎部に向かって移動可能である、第2の顎部と、
閉鎖システムであって、
閉鎖モータと、
前記閉鎖モータにより駆動可能な閉鎖部材であって、前記閉鎖モータによって前記顎部閉鎖ストロークにわたって移動可能であり、前記第1の顎部を前記クランプ位置に移動させ、前記第1の顎部と前記第2の顎部との間に捕捉された組織にクランプ圧力を加える、閉鎖部材と、を備える、閉鎖システムと、
組織切断システムであって、
駆動モータと、
前記駆動モータによって駆動可能な切断部材であって、前記第1の顎部が前記クランプ位置に移動された後に、前記第1の顎部と前記第2の顎部との間に捕捉された前記組織を切断するために、前記駆動モータによって組織切断ストロークにわたって移動可能である、切断部材と、を備える、組織切断システムと、
前記第1の顎部と前記第2の顎部との中間に位置付けられた植え込み式の付属物の存在を検出するように構成されたセンサ回路と、
前記閉鎖モータ、前記駆動モータ、及び前記センサ回路と通信するモータ制御システムであって、前記モータ制御システムが、前記閉鎖モータ及び前記駆動モータの動作を制御するように構成され、前記モータ制御システムは、前記センサ回路が前記第1の顎部と前記第2の顎部の中間にある植え込み式の付属物の存在を検出すると、前記駆動モータ及び前記組織切断ストロークの速度を低下させるように構成されている、モータ制御システムと、を備える、外科用器具。 - 前記第1の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、請求項70に記載の外科用器具。 - 前記第2の顎部に位置付けられているステープルカートリッジを更に備え、前記ステープルカートリッジが、
カートリッジ本体と、
前記カートリッジ本体に取り外し可能に格納されたステープルと、
前記カートリッジ本体に取り外し可能に取り付けられた植え込み式の付属物と、を備える、請求項70に記載の外科用器具。 - 前記第1の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、請求項70に記載の外科用器具。
- 前記第2の顎部に解放可能に取り付けられた植え込み式の付属物を更に備える、請求項70に記載の外科用器具。
- 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成されたパルス幅変調回路を備える、請求項70に記載の外科用器具。
- 前記モータ制御システムが、前記駆動モータの前記速度を制御するように構成された周波数変調回路を備える、請求項70に記載の外科用器具。
- 前記センサ回路が、前記植え込み式の付属物と接触するように構成された電極を備える、請求項70に記載の外科用器具。
- 前記電極は、前記第1の顎部に位置付けられている、請求項77に記載の外科用器具。
- 前記センサ回路が、前記植え込み式の付属物の近くに位置付けられるように構成された電極を備える、請求項70に記載の外科用器具。
- 前記第1の顎部が、ステープル成形ポケットを含むアンビルを含み、前記電極が、前記ステープル成形ポケットに位置付けられている、請求項79に記載の外科用器具。
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