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    • 专利摘要:
    "SURGICAL INSTRUMENT HAVING AN ENERGY CONTROL CIRCUIT". The present invention relates to various embodiments relating to a surgical instrument equipped with a motor for cutting and fixing tissue. The instrument may comprise an end effector (104) which comprises a first claw member and a second claw member (112). The second claw member can be coupled to move relative to the first claw member from an open position, where the claw members are separated from one another, to a closed position. The end effector may also comprise a firing bar (108) positioned to fire upon translation within the end effector when the first and second claw members are in the closed position. Additionally, the surgical instrument may comprise a guide device (130), a claw actuator (120) and a control circuit. The drive device can be mechanically coupled to the trigger bar. The claw driver can be mechanically coupled to the end effector such that actuation of the claw actuator causes the second claw member to revolve towards the first claw member. The control circuit (1200) may comprise a trigger switch (220), a claw switch (1206), a locking device (1208) and a limit switch (1204). The trigger switch can be configured to be in electrical communication with the power source (506) to power the triggering device and in electrical communication with the triggering device. The claw switch may be in mechanical communication with the claw driver. The locking device may be in electrical communication with the clamp switch, power supply, and actuating device. The limit switch may be in electrical communication with the locking device. Additionally, the trip switch can be electrically connected to, by actuation, connect the power supply to the drive device by means of a first connection comprising the locking device and the trip switch. Additionally, the limit switch may be electrically connected to, upon detection of an end of a trigger bar travel, cause a change in the state of the locking device to break the first connection between the power supply and the switching device. drive.
    公开号:BR112013007867A2
    申请号:R112013007867-7
    申请日:2011-09-27
    公开日:2021-04-20
    发明作者:Richard L. Leimbach；Richard F. Schwemberger；Brett E. Swensgard
    申请人:Ethicon Endo-Surgery, Inc.；
    IPC主号:
    专利说明:

    Invention Patent Descriptive Report for "SURGICAL INSTRUMENT HAVING AN ENERGY CONTROL CIRCUIT".
    BACKGROUND 5 Traditionally, surgical devices have been operated manually, with the force to fire and/or manipulate the instruments provided directly by the physician. An increasing number of surgical instruments, however, are motor-equipped surgical instruments, where the force to fire and/or manipulate the instrument is provided by an automated device, such as an electric motor, pneumatic or hydraulic device, etc. Examples of motor-equipped surgical instruments may include, for example, cutters, tweezers, and/or staplers. Such motor-equipped instruments relieve the instrument designer of the need to limit the amount of force required to fire to what can reasonably be supplied by a human physician. Motor-equipped instruments can also be used more easily by smaller physicians and/or physicians with less physical strength. A significant challenge of motor-equipped instruments, however, is the lack of feedback to the physician. When a physician uses a manual surgical instrument, the physician is able to know the status of the instrument based on the amount of force the physician has already supplied to the instrument, the position of the actuator or other device for receiving force from the physician, etc. . In an instrument equipped with an engine, however, this feedback may be absent. Consequently, there is a need to compensate for this lack of feedback from motor-equipped instruments.
    DRAWINGS Aspects of the various modalities are presented with particularity in the appended claims. The various modalities, however, with regard to both the organization and the methods of operation, together with the advantages thereof, can be better understood with reference to the description given below, considered in conjunction with the attached drawings as the follow: Figure 1 shows a modality of a surgical stapling and cutting instrument with a trigger function equipped with an electric motor. Figure 2 shows an embodiment of an edge trigger of the instrument of figure 1. Figures 3 and 4 show additional views of an embodiment of a trigger bar of the instrument of figure 1. Figure 5 illustrates an alternative embodiment of a 10-end trigger that has a trigger bar on an intermediate pin. Figure 6 illustrates a side sectional view of an embodiment of the surgical instrument of Figure 1. Figure 7 illustrates an exploded view of an embodiment of the surgical instrument showing various components thereof. Figure 8 illustrates a side sectional view. A view of an embodiment of the surgical instrument of Figure 1 to show the features of the component not shown in the side sectional view of Figure 6. Figure 9 illustrates an inside view of an embodiment of the surgical instrument of Figure 1. Figure 10 illustrates a partial cross-sectional view of one embodiment of the surgical instrument of Figure 1 with various components removed for clarity, showing the operation of the retraction lever.
    Figures 11 and 12 illustrate an embodiment of a cam locking the surgical instrument of Figure 1 during various states of operation.
    Figures 13 to 15 show various modes of the locking cam of figures 11 and 2 and an intermediate gear during three stages of operation. Figure 16 depicts an embodiment of the end driver of the instrument of Figure 1 in an open position, as a result of a retracted closing fit, with a staple cartridge installed in the elongated channel.
    Figure 17 shows a modality of the implementation portion of the surgical stapling and cutting instrument of figure 1 in disassembled form. Figure 18 shows an embodiment of the end driver of the instrument of figure 1 with a portion of the staple cartridge removed.
    Figure 19 depicts the end driver of figure 18 with the entire staple cartridge removed. Figure 20 depicts a mode of the end trigger of the instrument of figure 1 closed in a tissue clamping position with the trigger bar not being fired.
    Figure 21 depicts an embodiment of the upper surface of the staple cartridge shown in Figure 16 with the firing bar in its proximal position, without firing.
    Figure 22 depicts one embodiment of the end driver of the instrument of Figure 1 near the pivot showing that the elongated channel has opposing slanted portions to thereby work in conjunction with the anvil and prevent tissue from becoming trapped in the end driver. in.
    Figure 23 illustrates an embodiment of the end driver of the instrument of Figure 1 with tissue present between the staple cartridge and the anvil.
    Figures 24 to 26 illustrate an embodiment of the end trigger of the instrument of figure 1 in various stages of firing.
    Figures 27 to 29 schematically illustrate an embodiment of a battery unit and a portion of the instrument of Figure 1 showing the attachment and detachment of the battery unit to the instrument.
    Figure 30 illustrates a graph of the voltage level of one embodiment of the battery pack of Figures 27, 28, and 29 over time, as measured from the fixture time to the instrument of Figure 1. Figure 31 shows an embodiment of a simplified circuit diagram of an embodiment of a battery unit comprising a drain.
    Fig. 32 is an embodiment of a simplified circuit diagram of an embodiment of a battery unit comprising a first drain and a second drain.
    Figures 33 to 36 are perspective views of one embodiment of a battery unit.
    Figures 37 and 38 illustrate cross-sectional views of one embodiment of the battery unit of Figures 33 to 36 including a translatable drain 10.
    Figures 39 to 42 show multiple views of a battery dock embodiment.
    Figure 43 is a perspective view of an embodiment of the translatable drain of Figures 37 and 38. Figure 44 illustrates an embodiment of the battery unit of Figures 33 to 36 attached to a battery dock with various components omitted for larger size. clarity.
    Figures 45 and 46 illustrate an embodiment of a battery unit with various components omitted for clarity. Figures 47 and 48 illustrate an embodiment of a battery unit with several components omitted for clarity.
    Fig. 49 is a perspective view of an embodiment of the single cell battery unit.
    Figures 50 and 51 show internal views of the battery unit of figure 49 during various stages of operation, with various components omitted for clarity.
    Figure 52 illustrates an embodiment of a control circuit that can control a connection between the battery unit or other power source and the motor or other drive device to trigger the instrument of Figure 1. Figure 53 illustrates an embodiment of the control circuit of figure 52 with switches and additional features.
    Fig. 54 is a flowchart showing an embodiment of a process flow showing the firing of the instrument of Fig. 1 using the control circuit as shown in Fig. 53. Fig. 55 illustrates a perspective view of a plate embodiment. circuit for implementing the control circuit of Fig. 52 or 53, coupled to the battery dock of Fig. 36. Fig. 56 illustrates a cross-sectional view of one embodiment of the instrument of Fig. 1 showing the emergency access door key. Fig. 57 illustrates another cross-sectional view of an embodiment of the instrument of Fig. 1 showing the claw wrench. Fig. 58 illustrates another cross-sectional view of an embodiment of the instrument of Fig. 1 showing the key in stroke position. Fig. 59 illustrates another cross-sectional view of an embodiment of the instrument of Fig. 1 showing the switch at the end of a reverse motor stroke.
    DESCRIPTION Several modalities are aimed at surgical instruments that have control circuitry for implementing an electronic lock. For example, the control circuit may comprise one or more latching devices such as a latching relay, a transistor, etc. Surgical devices may comprise an end actuator having first and second claw members, where at least one of the claw members is translatable (e.g., hingedly or otherwise) toward the other. Surgical instruments may also have a trigger bar that is translatable through the end driver when the claw members are closed (e.g. hinged towards each other). The end trigger grip members can serve to staple the fabric. When the fabric is stapled, the trigger bar can act on the fabric. In various embodiments, distal movement of the trigger bar can cause tissue cutting and/or fixation. For example, the firing bar can define a cutting edge or razor to cut tissue stapled between the claw members. In addition, for example, the trigger bar can guide a wedge or other mechanism to guide the staples through the tissue stapled between the claw members.
    According to various embodiments, the trigger bar can be guided by a drive device such as, for example, an electric motor, a pneumatic or hydraulic device, etc.
    The trigger device can be connected to a power source such as a battery and/or connected to an external source of electrical power such as a wall socket.
    Figure 1 shows an embodiment of a surgical stapling and cutting instrument 10 102 with an electrical trigger feature.
    The modality illustrated is an endoscopic instrument and, in general, the instrument 102 modalities described here are endoscopic surgical cutting and fixation instruments.
    It should be noted, however, that under other modalities, the instrument may be a non-endoscopic surgical cutting and fixation instrument, such as a laparoscopic or open surgical instrument.
    The instrument 102 may comprise an end driver 104 which is operable to staple and cut tissue in response to control operations performed by a physician wielding a portion of cable 106. Figure 2 shows an embodiment of the end driver. - 20 mm 104 of instrument 102. According to various embodiments, instrument 102 can use a trigger mechanism or electronic beam trigger bar 108 that can control the spacing of tip driver 104. For example, a first claw member, or elongated channel 110, and a second hingedly translateable claw member or anvil 112 may be held at a spacing that ensures effective stapling and cutting.
    The instrument 102 may comprise the handle portion 106 and an implementing portion 114. The implementing portion 114 may be connected to the handle portion 106 and may comprise an axle 116 terminating distally in the end driver 104. handle portion 106 may comprise a pistol grip 118. A closure trigger 120 may be positioned so that a physician can pivotally withdraw the closure trigger 120 toward the pistol handle 118 to cause clipping or closure. of the anvil 112 toward the elongated channel 110 of the end driver 104. A trigger driver 122 can be positioned beyond the lock driver 120 and can be pivotally pushed by the clinician to cause clipping and cutting. of the fabric stapled to the end trigger
    104. As described below, the stapling and cutting of the stapled fabric by the end driver 104 can be powered by an electric motor. It will be understood that the terms "proximal" and "distal" are used in the present invention with reference to a physician wielding an instrument handle. In this way, end driver 104 is distal to the most proximal portion of handle 106. It will further be recognized that, for convenience and clarity, spatial terms such as "vertical" and "horizontal" are used in the present invention in relation to the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and absolute. In use, the clinician may trigger the close trigger 120 first. For example, when satisfied with the positioning of the end trigger 104, the physician may retract the closing trigger 120 to the fully closed and locked position adjacent the pistol grip 118. The physician may then trigger the trigger trigger 122 to initiate motor cutting and stapling of fabric held between anvil 112 and elongated channel 110. For example, firing bar 108 may be equipped with motor for cutting fabric and guiding staples, for example, as described below in this specification. When the physician removes pressure from the trigger 122, the trigger bar 108 can be returned to the pre-trigger position shown in Fig. 2. The physician may trigger a release button 124 on the handle portion 106 to release the 30 close driver 120. The doctor can then release the close driver, thereby releasing anvil 112 and elongated channel 110 to revolve to the position shown in figure 2. :LN
    Referring again to Figure 1, shaft 116 may comprise a frame 126 secured by a closure socket 128. A firing guide member 130 may be positioned on frame 126 and may extend from cable portion 106 there. firing bar 108. Guide member 130 may comprise a single component, or may be made of multiple components.
    Frame 126 can connect cable portion 106 to end driver 104. With closure fitting 128 proximally withdrawn by closure driver 120 as shown in Figures 1 and 2, anvil 112 can open with springs. , pivoting 10 from elongated channel 110 and translating proximally to closure socket 128. Elongated channel 110 can receive a clip cartridge 132 which can be responsive to trigger bar 108 to guide the clips into contact formation with the anvil 112. It will be appreciated that while a readily replaceable staple cartridge 132 is advantageously described herein, a staple cartridge 132 consistent with the various embodiments may be permanently affixed to or integrated with the elongated channel 110, e.g. of end trigger 104 is replaced after each shot. Figures 3 and 4 show additional views of one embodiment of the firing bar 108. As illustrated in Figures 2 to 4, the firing bar 108 can include three vertically spaced pins that control the spacing of the end driver 104 during firing.
    An upper pin 134 can be used to enter an anvil pocket 136 proximal to the pivot between anvil 112 and elongated channel 110. When fired with anvil 112 closed, the top pin 134 can advance distally in a longitudinal slit of anvil 138 extending distally through anvil 112. In various embodiments, small upward deflections in anvil 112 can be overcome by a downward force exerted on anvil 112 by upper pin 134. The bar Firing 108 may also include a lower pin or trigger bar cap 140 which can upwardly engage a channel slot 142 in the outer channel.
    cattle 110, thus working in conjunction with top pin 134 to pull anvil 112 and elongated channel 110 together, in case there is excess tissue stapled between them.
    The firing bar 108 may also comprise an intermediate pin 144 which can pass through a firing guide slot 146 formed in a lower surface of the cartridge 132 and an upper surface of the elongated channel 110. intermediate pin 144 can start to guide the clamps as described below.
    Intermediate pin 144, sliding against elongated channel 110, can resist the tendency of end driver 104 to be compressed at its distal end.
    To illustrate an advantage of the intermediate pin 144, Figure 5 illustrates an alternative embodiment of an end driver 148 that has a trigger bar 150 without an intermediate pin.
    As shown in Figure 5, the end driver 148 is allowed to compress at its distal end, which may tend to impair the desired staple formation.
    Returning to Figures 2 to 4, the firing bar 108 may comprise a cutting edge 152 shown distally between the upper and intermediate pins 134, 144. When the end driver 104 is fired, the cutting edge 152 may traversing a vertical slit 20 154 proximally shown in the cartridge 132 to cut the staple tissue present between the anvil 112 and the elongate channel 110. The affirmative positioning of the trigger bar 108 relative to the elongate channel 110 and the anvil 112 may improve the likelihood of a more effective cut.
    The affirmative vertical spacing provided by the electronic beam trigger bar 108 may be adequate for the limited size available for endoscopic devices.
    In addition, the electronic beam firing bar 108 can make it possible to manufacture an anvil 112 with a curvature imparting a vertical deflection at its distal end, similar to the position shown in Figure 5. This curved anvil 112 can help to achieve this. a desirable gap in end driver 104 even with an anvil 112 that is reduced in thickness, which may thus be more suited to the size limitations of an endoscopic device.
    The electronic beam firing bar 108 can enable even more applications, specifically in combination with a range of staple cartridge configurations.
    For example, a physician might select a gray staple cartridge that produces a 0.025 mm tissue gap, a white staple cartridge that produces a 0.04 mm tissue gap, a blue cartridge that produces a 0.06 mm fabric gap or a green cartridge that produces a 0.102 mm fabric gap.
    The vertical height of each respective staple cartridge in combination with the length of the staples and an integrated wedge hammer (as described in detail below) can predetermine that desired tissue thickness with the anvil 112 properly vertically spaced by the Electronic beam firing bar 108. Figures 6 to 9 illustrate various internal components of the handle portion 106 of one embodiment of surgical instrument 102. For example, Figure 6 illustrates a cross-sectional side view of one embodiment of surgical instrument 102. Figure 7 illustrates an exploded view of one embodiment of surgical instrument 102 showing a portion of the components thereof.
    Figure 8 illustrates a side sectional view of an embodiment of surgical instrument 102 that is shallower than the section of Figure 6 to show component features not shown in the side sectional view of Figure 6. Figure 9 illustrates a internal view of one embodiment of surgical instrument 102. Referring to Figures 6 to 9, handle portion 106 may be comprised of first and second base sections 156 and 158, which may be molded of a polymeric material such as polycarbonate. - chido with glass.
    In the first and second base sections 156, 158 may be the first and second frame sections 160, 162. A rotary knob 164 may have a hole 166 extending completely therethrough to interconnect and rotate the implementing portion 114 around 30 of its longitudinal axis.
    Rotary knob 164 may include an inwardly projecting protrusion 168 that extends along at least a portion of hole 166. Projecting protrusion 168 is received in a longitudinal slot.
    nal 170 formed in a proximal portion of closure socket 128 such that rotation of knob 164 causes rotation of closure socket 128. It will be appreciated that protrusion 168 may further extend through frame 126 and into contact with a portion of firing guide member 130 to also cause it to rotate.
    In this way, the end actuator 104 can rotate with the knob 164. A proximal end 172 of the frame 126 may proximally traverse the knob 164 and may be provided with a circumferential notch 174 that is engaged by members of opposing 10 channel clamps 176 extending respectively from frame sections 160 and 162. Channel clamping members 176 extending from frame sections 160, 162 may serve to secure frame 126 to cable portion 106 so that the frame 126 does not move longitudinally with respect to the handle portion 106. The closing actuator 120 may have a handle section 178, a lever section 180 and an intermediate section 182. A hole 184 may be extend through the intermediate section 182. A cylindrical support element 186 can pass through the hole 184 to pivotally mount the closing driver 120 to the cable portion 106 (e.g., through the sections. es of structure 160, 162). A second cylindrical support member 188 may pass through a hole 190 of the trigger 122 to pivotally mount the trigger 122 to the handle portion 106. A closure head 192 may be housed in the handle portion 25 106 to it reciprocates the movement itself and serves to transfer movement from the closing actuator 120 to the closing fitting 128. The closing head 192 can be coupled to the cable portion 106 through respective frame portions 160, 162. - the proximal end 194 of the closing socket 128 is provided with a flange 196 which is fitted into a receiving recess 198 formed in the head 192. A distal end of the head 192 can be coupled to a secondary head 200 by means of of a biasing member such as a spring 202. A proximal end of the head 192 may define an orifice 204 for receiving a link 206. A proximal end of the link 206 can be coupled to the closure driver 120. for example, link 206 may comprise a hole for receiving pin 188_5. , link 206 can be pushed distally, causing corresponding distal movement of secondary head 200, compressing spring 202 to tilt head proximally and, in turn, pushing head 192 and the housing. closure 128 distally.
    Distal movement of closure socket 128 can cause pivotal translational movement of anvil 112 distally and toward elongated channel 110 of end driver 104 and proximal movement causes closure as described below. As the closing trigger 120 is pushed toward the pistol grip 118, the lever portion 180 of the trigger 120 may convert distally.
    When the lock trigger 120 is fully pulled against the pistol grip 118, the claw lock wrench 124 may revolve around the 20 claw lock pin 208 to lock the lock trigger 120 in the locked position.
    For example, claw lock switch 124 can be biased by a spring (not shown) to revolve around pin 208. The doctor can unlock lock actuator 120, for example, by actuating the claw lock switch 124, causing it to revolve around claw locking pin 208 (clockwise as shown in figures 6 and 8). This may allow the closure driver 120 to return to the open position, causing the closure socket to move proximally and rotating the anvil 112 proximally and away from the elongated channel 110 of the end driver 104, as per Described below. 30 As the closure trigger 120 is moved towards the pistol grip 118, its intermediate section 182 can be pulled proximally, causing the trigger trigger 122 to also move proximally to its "shooting" position. ". When in firing position, firing trigger 122 may be situated at an angle of approximately 450 to pistol grip 118. To trigger instrument 102, the physician may first deactivate firing trigger 5 210 safety. safety 210 may be hingedly coupled to closure trigger 120 around a pin 212. A distal portion of safety 210 may be received in a cavity 214 of trigger 122, preventing trigger 122 from being engaged. . The clinician can disable safety 210 by removing it from cavity 214 and rotating safety 210 proximally. This may allow the clinician to trigger trigger 122. Trigger 122 can be biased to a off position by a tilting element such as a spring 216 (figure 9). When actuated (eg against the force of spring 216), the trigger 15 of firing 122 can be rotated clockwise as shown in figure 9. A contactor portion 218 of the trigger can activate a trigger switch 220, e.g. by means of a driver 221, which can initiate firing of instrument 102. Actuation of driver switch 220 can activate a motor 222. Motor 222 can be coupled to a gearbox 224 comprising a housing 226 and the set of gears
    228. Gearbox 224 can down-gear motor 222. In an example modality, motor 222 can rotate at 106,000 RPM, while gearbox 224 can have a ratio of 509 to 1. An intermediate gear 230 can be coupled to output 25 of gearbox 224. Idler gear 230 can be in mechanical communication with drive gear 232. Drive gear 232 can be rotated about a drive shaft 234. One element of tilt as a spring 236 can tilt drive gear 232 and/or drive shaft 234 so that drive gear 232 is in mechanical communication with a gear face 240 of a rack 238. 238 can be coupled to firing guide element 130 which may ultimately be in mechanical communication with firing bar 108. Consequently, rotation of motor 222 can cause rotation of gearbox 224, leading to rotation.of intermediate gears 230 and drive 232. Rotation of drive gear 232 can result in distal or proximal movement of rack 238, drive element 130, and drive bar 108. Distal and proximal movement of drive bar 108 can cause instrument 102 to fire, for example, as described hereinafter. When the instrument is triggered, the rack 238 can be transposed distally. An upper face of gear 242 of rack 238 can be coupled to a claw latch 244, causing claw latch 244 to transpose distally around a pivot pin 246. In its distal position, the claw latch 244 may contact the claw wrench 124, preventing its disengagement, as described above. In this way, the clinician can avoid mechanically releasing the claw wrench 124 while the instrument 102 is in the triggered position (for example, the trigger bar 108 is extended distally). In accordance with various embodiments, surgical instrument 102 may comprise mechanisms that allow a physician to disable motor 222 and manually disengage trigger bar 108. For example, instrument 102 may comprise an emergency access port.
    248. Access door 248 can be coupled to a key, as described below, so that when the clinician opens access door 248, electrical power to motor 222 can be cut off. Below access port 25 248, device 102 may comprise a manual retraction lever
    250. The retract lever 250 can be rotated around a pin 252. A locking cam 254 can also be rotated around the pin
    252. After the clinician has opened and/or removed access door 248, the clinician can pull retract lever 250. This may cause lever 250 to rotate around pin 252 (clockwise as shown in figure 9 and counterclockwise as shown in figure 6). Initially, the locking cam 254 can rotate with the retract lever
    250. As locking cam 254 rotates, a locking arm 256 of cam 254 may contact an upper surface 258 of drive gear 232, forcing the bias of spring 236 to push drive gear 232 downward. and out of contact 5 with a gear face 240 of rack 238. This may disengage motor 222 from rack 238, drive element 130 and drive bar 108. When locking cam 254 is rotated by a By predetermined amount, locking arm 256 can lock drive gear 232, preventing reverse rotation of locking cam 254. Figures 10 through 15 illustrate additional details of the operation of locking cam 254. Figure 10 illustrates a partial view in cross-section of an embodiment of the surgical instrument of Fig. 102 with various components removed for clarity, showing operation 15 of retraction lever 250. In Fig. 10, the rack 238 is shown in cross section.
    Figures 11 and 12 illustrate an embodiment of the locking cam 254 during various states of operation.
    The locking cam 254 may comprise a structural portion 260. The locking arm 256 is rotatable, or otherwise flexed, with respect to the structural portion 260 about a joint portion 262. The joint portion 262 may comprise, for example, a live joint.
    In one embodiment, the structural part 260 and the locking arm 256 may be a unit formed from a single piece of material.
    The locking cam 254 can define a clearance 264 that allows the locking arm 256 to rotate toward the structural part 260. The locking arm 256 may have a tooth 266 that is received by a notch 268 in the structural part 260. their respective outer peripheries, the structural part 260 may have a first contact surface 270 and the locking arm 256 may have a second contact surface 272. In the closed position (Fig. 11), the first contact surface 270 may be generally aligned with the second contact surface 272 so that the outer periphery of the locking cam 254 has a generally continuous cam surface.
    In the open position (figure 12),
    locking arm 256 pivots away from frame 260 to increase clearance 264. A gap 258 is created between first contact surface 270 and second contact surface 272_ Now with reference to figures 10, 11 and 12, by rotating lever 250 in the direction indicated by arrow 274, locking cam 254 is rotated and the second outer surface 272 of locking arm 256 first contacts an upper surface 258 of intermediate gear 230 - As a result of this contact, the locking arm 256 can be rotated towards the structural part 260 to create a generally continuous angle.
    As locking cam 254 continues to rotate, second contact surface 272 and then first contact surface 270 exert force on idler gear 230 to overcome the changing force applied by spring 236. idler gear 230 is pushed in the direction indicated by arrow 275 15 as lever 250 is rotated in the direction indicated by arrow 274. The movement of idler gear 230 can decouple it from gear face 240 of rack 260 allowing rack 260 transposes freely.
    When the locking arm 256 clears the upper surface 258 of the idler gear 230, it can rotate to the open position (figure 12) to lock the locking cam 254 in place.
    When in the open position, the locking cam 254 can be prevented from rotating in the direction indicated by arrow 276 (figure 10) due to the engagement of the locking arm 256 with the idler gear 230. Figures 13 to 15 show various modes of the 25-lock cam 254 and an idler gear 230 during three stages of operation.
    Several components have been removed and/or simplified for clarity.
    As illustrated, the locking cam 254 can be fabricated from a single piece of material.
    The locking cam 254 comprises a locking arm 256 which is pivotal with respect to a structural part 260. Figure 13 shows an embodiment of the locking cam 254 in an unengaged position.
    In this position, a distal portion 278 of the locking arm 256 is separated from the frame portion 260.
    As illustrated in Figure 14, when the locking cam 254 is rotated in the direction indicated by arrow 274, the locking arm 256 is withdrawn to the structural part 260 to create a generally continuous periphery comprising the locking arm 256 and the part. structural 260. As the locking cam 254 contacts a top face 258 of the intermediate gear 230, the gear 230 may move in the direction indicated by the arrow 280. As the locking cam 254 continues to rotating in the direction indicated by arrow 274, locking arm 256 eventually passes over drive shaft 234. As shown in Figure 15, when distal portion 278 of locking arm 256 separates from frame 260 , it engages idler gear teeth 230 to lock locking cam 254 in an engaged position.
    Consequently, in various embodiments, while the locking cam 254 can be produced from a single piece of material, it can function as two parts (eg a cam and a locking mechanism Referring now to Figure 6, the retract lever 250 may also comprise a ratchet arm 282 pivotable about a ratchet pin 284. As the retract lever 250 is pulled, a tooth portion 286 of the ratchet arm 282 may contact gear top face 242 of rack 238. Additional rotation of ratchet lever 250 may cause tooth 286 to exert a proximally directed force on rack 238, causing the drive element 130 and the drive bar 108 25 extend proximally.
    Further lifting of retract lever 250 may disengage tooth portion 286 from gear top face 242, allowing the clinician to replace retract lever 250 to its original position without causing corresponding distal movement of rack 238. Further proximal movement of rack 126, drive element 130, and drive bar 108 can be achieved by further lifting retract lever 250, repeating the process described above.
    Figure 17 shows an embodiment of the implement portion 114 of the surgical stapling and cutting instrument 102 in disassembled form. The staple cartridge 132 is shown to be composed of a cartridge body 304, a wedge hammer 306, single and double drives 308, staples 310, and a cartridge tray 312. When assembled, the cartridge tray 312 holds. the wedge hammer 306, the single and double actuators 308 and the clamps 310 inside the car body ITOI«•II
    The elongated channel 110 may have a proximally placed locking cavity 314 that receives a channel anchoring member 316 at the distal end of the frame 126 for attaching the end driver 104 to the handle portion 106. The elongated channel 110 may also have an anvil cam slot 316 which pivotally receives an anvil pivot 318 from anvil 112. Closure fitting 128 15 surrounding frame 126 may include a distally presented tab 320 which engages a anvil feature 324 adjacent but distal to the pivot of the anvil 318 on the anvil 112 to thereby effect the opening and closing of the anvil 112. 20 stops 326 by pins 328, which, in turn, is pivotally and proximally secured to metal drive rod 330. Trigger bar 108 is guided to a distal end of the frame by a guide. m slots 332 inserted in it. With specific reference to Figure 18, a portion of staple cartridge 132 is removed to expose portions of elongated channel 110, such as recesses 300, 302 and to expose some components of staple cartridge 132 in their unfired position. In particular, the cartridge body 304 (shown in Figure 17) has been removed. Wedge hammer 306 is shown in its proximal, unfired position with a drive block 334 in contact with intermediate pin 144 (not shown in Figure 18) of firing bar 108. Wedge hammer 306 is in sliding contact lengthwise in the cartridge tray 312 and includes wedges 308 that urge up single and dual drives 308 as wedge hammer 306 moves distally.
    Clamps 310 (not shown in Figure 18) placed over actuators 308 are thus forced upward by contact with the anvil forming pockets 290 on anvil 112 to form closed clamps.
    Also shown is channel slot 142 in elongated channel 110 which is aligned with vertical slot 154 in staple cartridge 132. Figure 19 depicts end driver 104 of Figure 18 with the entire staple cartridge 132 removed to show pin intermediate 144 of the fire bar 108 as well as the portion of the elongated channel 110 removed adjacent the channel slot 142 to expose the fire bar cover 140. In addition, portions of the shaft 116 are removed to expose a proximal portion of the trigger bar 108. By projecting down the anvil 112 near the pivot, a pair of opposing tissue stops 346 15 can prevent tissue from being positioned too far from the end driver 104 during clamping.
    Figure 20 depicts an embodiment of end driver 104 closed in a tissue pinch position with trigger bar 108 without being fired.
    Top pin 134 is shown in pocket 20 of anvil 136, aligned vertically with anvil slot 138 for distal longitudinal movement of firing bar 108 during firing.
    Intermediate pin 144 can be positioned to push wedge hammer 306 distally so that wedge 308 sequentially contacts and lifts dual drivers 308 and respective clips 310 to form contact with clips forming pockets 290 on the bottom surface 288 of the anvil 112. In accordance with various embodiments, the end driver 104 can implement a mechanical locking mechanism.
    The mechanical locking mechanism may prevent instrument 102 from firing twice without reloading a new 30 staple cartridge 132. For example, it will be appreciated that firing instrument 102 without a loaded staple cartridge present may cause the fabric is cut but not closed.
    Locking can be implemented in any suitable way.
    For example, trigger bar 108, upon retraction in the proximal direction, can be exchanged for elongated channel 110 or other component so that upper pin 134 is no longer in alignment with anvil slot 138, preventing for the trigger bar 5 108 to move distally (for example, a re-shoot). Installation of a new staple cartridge 132 in the elongated channel 110 can break the firing bar 108, aligning the top pin 134 with the anvil slot 138 and allowing re-firing.
    It will be appreciated that any suitable mechanism in the end driver or in the handle 106 can be used to implement a mechanical lock.
    Figure 21 depicts an embodiment of the upper surface 294 of the staple cartridge 132 with the firing bar 108 in its proximal position, without firing.
    Stapler apertures 292 are disposed on either side of vertical slot 154 in staple cartridge 132. Figure 22 depicts one embodiment of end driver 104 near the pivot showing that elongated channel 110 has opposing slanted portions 348 to thereby work in conjunction with fabric stops 346 of anvil 112 and prevent fabric from getting caught in end driver 104. Dual drivers 308 and their relationship to clips 310 are also shown in more detail. Figures 24 through 26 illustrate an embodiment of the end trigger 104 at various stages of firing.
    In use, the surgical stapling and cutting instrument 102 can be used to cut and staple tissue.
    In Figures 1 and 2, instrument 102 is shown in its initial position, having a fully loaded, non-firing staple cartridge 132 fitted to the distal end of elongated channel 110. Both actuators 120, 122 are pushed and the end driver 104 is opened, as would be common after insertion of the end driver 104 through a trocar or other opening into a body cavity.
    The instrument 102 can then be manipulated by the physician so that the tissue 340 to be stapled and cut is positioned between the staple cartridge 132 and the anvil 112. Figure 23 illustrates the end driver 104, according to one embodiment. , with tissue 340 present between staple cartridge 132 and anvil 112. Next, the clinician moves closure driver 120 proximally until it is positioned directly adjacent to pistol grip 118, securing the portion. of cable 106 in the closed and clamped position.
    The retracted firing bar 108 shown in Fig. 24 on the tip driver 104 may not prevent the selective opening and closing of the end driver 104, but may remain within the anvil pocket 136. With the anvil 112 closed and stapled, firing bar 108 can be aligned for firing through end driver 104. Specifically, top pin 134 can be aligned with anvil slot 138 and elongated channel 110 can be affirmatively engaged around the slot. - of the channel 142 by the intermediate pin 144 and the trigger bar cover 140. 15 After tissue clamping, the physician can move the trigger 122 proximally causing the trigger bar 108 to move distally to the end driver 104, shown in Figure 25. Specifically, the intermediate pin 144 enters the staple cartridge 132 through the firing guide slot 146 to trigger the firing of the staples 310 through of mart wedge link 306 toward anvil 112. The lower pin, or firing bar cover 140, works in conjunction with intermediate pin 144 to slideably position the firing bar 108 cutting edge 152 for cutting the fabric.
    The two pins 140, 144 also position the upper pin 134 of the firing bar 108 in the longitudinal anvil slot 138 of the anvil 112, affirmatively maintaining the spacing between the anvil 112 and the elongated channel 110 along the distal firing movement.
    The clinician can continue to move the trigger 122 until it is proximal to the close trigger 120 and the pistol grip 118. With this, all the tips of the clamps 310 can be bent as a result of their engagement with the anvil 112, as shown in figure 26. The firing bar cover 140 can be secured against a baffle stop.
    firing port 342 protruding toward the distal end of channel slit 142. The cutting edge 152 may have completely traversed the tissue. The process is completed by releasing the trigger trigger.
    122. Releasing firing trigger 122 can, as described hereinafter, cause motor 222 to reverse its rotation, causing firing bar 108 to retract. - to lower the claw wrench 124 (for example, while simultaneously pressing the closing actuator 120). This can open the end driver 104. Referring again to Figure 1, the handle 106 of the instrument 102 can house at least one battery unit 506. The battery unit 506 can comprise a single battery or a plurality of batteries. - you would have arranged in a series and/or parallel configuration. Cable 502 may comprise a battery dock 508 to which battery unit 506 may be attached. Battery dock 508 may be any structure suitable for coupling battery unit 506 to instrument 102. For example, battery dock 508 may be or comprise a cavity in handle 106 configured to receive at least a portion of battery unit 506 , as illustrated. In other embodiments, battery dock 508 can be implemented using a variety of other structures. In one embodiment, battery dock 508 may comprise a column that is received by battery unit 506. In one embodiment, pistol grip 120 may comprise battery dock 508. In any event, as per discussed in more detail below, battery dock 508 may comprise a protruding portion for interacting with battery unit 506 upon attachment of battery unit 506 to cable 502. Once attached, battery unit 506 may be electrically connected and can supply power to the motor 222 of the instrument 102. Figures 27 to 29 schematically illustrate an embodiment 30 of the battery unit 506 and a portion of the instrument 102 showing the attachment and detachment of the battery unit 506 from the instrument 102. The battery unit 506 may comprise a drain 512 that completes au-
    automatically a circuit in the battery unit 506 by attaching to the instrument 102. The drain can serve to slowly reduce the charge of the battery unit 506 over time.
    When the battery unit 506 has been sufficiently drained, it can be disposed of as non-hazardous waste, for example.
    Battery unit 506 may comprise a voltage source 510. In one embodiment, voltage source 510 is a lithium battery and comprises at least one cell selected from the group consisting of a CR123 cell and a CR2 cell. It should be considered that any suitable voltage source can be used.
    Battery unit 10 506 may also comprise a drain 512 that can be electrically coupled to voltage source 510 when a switch 516 is closed.
    Battery unit 506 and instrument 102 each comprise electrically conductive contacts 518, 520, respectively, which are brought into contact by attaching battery unit 506 to instrument 102. Figure 27 illustrates the battery in a non-conductive position. fixed.
    Switch 516 is in an open position and voltage source 510 may be in a fully charged condition.
    Figure 28 illustrates the battery unit 506 in a fixed position.
    The conductive contacts 518 of the battery unit 506 are in electrical communication with the contacts 520 of the instrument, thus allowing the battery unit 506 to supply power to the circuit 514 (figure 46). In the fixed position, switch 516 can be moved to the closed position to electrically bond voltage source 510 to drain 512. Energy will flow from voltage source 510 through drain 512 during instrument operation.
    In other words, drain 512 will be draining the load from voltage source 510 concurrently as battery unit 506 supplies operational power to instrument 102. As discussed in more detail below, a portion of instrument 102 may physically interact with drain 512 during attachment of battery unit 506 to instrument 102 to transition switch 516 from open state to closed state.
    Figure 29 illustrates the 506 battery unit in an unsecured position.
    In one embodiment, the switch 516 remains in the closed position to continue to drain the voltage source 510 even after the cell ment unit 610, 611 may be lithium batteries.
    The first and second array of cells 610, 611 may each have a plurality of separate cells 610a, 610b, 611a, 611b arranged in a parallel formation.
    For example, the first and second array of cells 610, 5 611 may each be 6 VDC and arranged in a series configuration to produce 12 VDC at contacts 618 of battery unit 616 when fully charged.
    Cells 610a, 610b, 611a, 611b, however, may be electrically connected to one another in series or parallel, or any other combination thereof.
    The number of cells 610a, 10 610b, 611a, 611b can be chosen to reduce the risk of fire resulting from the battery pack 616. For example, the number of connected cells can be selected so that the accumulated energy is available for an arc or short is less than the energy required to ignite common gasket and/or shipping materials.
    According to the various modalities, this value can be defined by the appropriate government regulations.
    In one embodiment, the drain 612 may comprise a first resistive element 622 and a second resistive element 624. It should be noted that, in some embodiments, the battery unit 616 may comprise, for example, multiple drains 612 each. having more or less than two resistive elements or another circuit.
    In the illustrated embodiment, the first resistive element 622 is coupled via a first anode 626 and a first cathode 628 of the first array of cells 610 via a first switch 630. The first resistive element 624 can be coupled via a second anode 632 and a second cathode 634 of the second cell array 611 via a second key 636. The first and second keys 630, 636 can be closed by attaching the battery unit 616 to the surgical instrument 102 to initiate draining the first and second grouping of cells 30 610, 611. The value of resistive elements used by drain 612 may vary based on the implementation.
    In one modality, the first element
    The 622 resistive has a resistance in the range of about 90 ohms to about 110 ohms.
    In one embodiment, the first resistive element 622 has a resistance in the range of about 97 ohms to about 104 ohms.
    In one embodiment, resistive element 622 is 102.9 ohms and has a power rating of 1 watt.
    The determination of the required resistance is based at least partially on the capacity of the voltage source, the voltage level of the voltage source and the time length of the desired drainage curve.
    For example, in one mode the battery capacity of the first 610 cell array is 1400 mAh, the voltage level is 106 VDC, and the target drain time is 24 hours.
    Dipping 1400 mAh for 24 hours produces a current of 0.0582 A.
    Using Ohm's law, 6V divided by 0.582A produces a resistance of 102.9 ohms.
    With a current of 0.583 and a resistance of 102.9 ohms, the energy dissipated by the resistor is 350 W.
    It should be considered that different voltage levels, battery capacities and desired discharge time will result in different resistance values.
    Figure 32 is a simplified circuit diagram of an embodiment of a battery unit 716 comprising a first drain 712 and a second drain 713. The battery unit 716 can be attached to an instrument 102, for example, by of its contacts 718. In this embodiment, the battery unit 716 comprises a first array of cells 710, a second array of cells 711, and a third cell 714. The first drain 712 comprises a first resistive element 722 and a second resistive element 724. Second drain 713 comprises a third resistive element 726. Resistive elements 722, 724, 726 are coupled to respective cells via switches 730, 736 and 738. Switches 730, 736 and 738 may be closed by attaching the battery unit 716 to the surgical instrument 102 so as to initiate the draining of the first and second array of cells 610, 611 and the third cell 716. The resistance of the third resist element ivo 726 may be similar to or different from the resistances of the first and second resistive element 722, 724. As described above, the resistance of the third resistive element 726 may at least partially depend on the voltage of the third cell 714 and the characteristics of the curve. drainage desired.
    Figures 33 to 36 are perspective views of one embodiment of a battery unit 506 implementing the layout of the battery unit 616 shown in Figure 31. The battery unit 506 may comprise a compartment 802 defining an interior cavity. 810. While inner cavity 810 is illustrated in a central portion of housing 802, it should be noted that inner cavity 810 can be positioned in any suitable location.
    The 802 compartment may be covered by a cover 804 which can be secured to the 802 compartment using one or more mechanical latches 806, 808. Figure 34 illustrates one embodiment of the battery unit 506 with the cover 804 removed to show a plurality of cells 812 therein.
    Any suitable number and/or type of 812 cells can be used.
    For example, cells CR123 15 and/or CR2 can be used.
    Figure 35 illustrates an embodiment of the battery unit 506 with a portion of the housing 802 removed to reveal the cells 812. Figure 36 illustrates an embodiment of the battery unit, with a portion of the housing 802 removed as in Figure 35. Figure 36 shows the battery unit 506 from one side 890 positioned to face distally when the battery unit 506 is installed in the surgical device 102. The interior cavity 810 is visible as a pair of contacts 886, 888 in electrical communication with the various cells 812. Figures 37 and 38 illustrate cross-sectional views of an embodiment of the battery unit 506 including a translatable drain 812. inside the inner cavity 810 in the directions of arrow 815. Figure 37 shows drain 812 in an open position and figure 38 shows drain 812 in a closed position.
    Drain 812 may comprise at least two contacts 816, 818. When drain 812 is in the open position, a portion of contacts 816, 818 may touch a non-conductive portion of housing 802 such as fingers 820, 822. According to In various embodiments, contacts 816, 818 can be biased to exert a force against fingers 820, 822 to resist movement of drain 812 in the direction of arrows 815. Also, in some embodiments, fingers 820 , 822 may define one or more protrusions or diminished portions as shown in figures 37 and 38. The battery unit 506 may also comprise one or more electrodes, such as the first electrode 824 and the second electrode 826 The first and second electrodes 824 and 826 can each be electrically coupled to a cathode or anode of cells contained within the battery unit 506. In the closed position (figure 38), contacts 816, 818 are in electrical connection with electrodes 824, 826, 10 allowing the s the voltage source is discharged through the drain
    812. As discussed in more detail below, drain 812 can be translated from the open to the closed position when attaching the battery unit 506 to a surgical instrument. Fig. 43 is a perspective view of an embodiment of drain 812 in accordance with a non-limiting embodiment. Contacts 816, 818 of drain 812 may be mated to a base portion 830 of drain
    812. Similarly, contacts 836, 838 of drain 812 can be coupled to base portion 830 of drain 812. According to various embodiments, contacts 816, 818 can be electrically connected to each other 20 through a resistive element (not shown) mounted on a circuit board 832. Similarly, contacts 836, 838 can be electrically connected to each other through a resistive element mounted on a circuit board 832. As illustrated, contacts 816, 818, 836, 838 can have a flex or bend to tilt the contacts toward an outward position when they are internally compressed. Additionally, in one embodiment, the distal end of each of the contacts 816, 818, 836, 838 may have an inwardly facing section. The base portion 830 may comprise a contact surface 840 that engages the instrument when the battery unit 506 is attached to the instrument. 30 Through this coupling, the drain 812 can be translated in relation to the compartment 802. Figures 39 to 42 show multiple views of one embodiment.
    of a battery dock 850. The battery dock 850 can be positioned inside the cable 106 of the instrument 102 and can receive the battery unit
    506. For example, battery dock 850 may comprise a protruding element or bulkhead 858. Battery dock 850 may be positioned within base sections 156, 158 and, in some embodiments, may be coupled to frame sections 160 162 so that the protruding member 858 extends proximally. The battery pack 506 can be installed in the device 102 by pushing it distally against the battery dock 850. The protruding member 858 of the battery dock 850 10 can extend into the outer cavity 810 of the battery pack 506. The contacts 882, 884 of battery dock 850 may also extend to inner cavity 810 of battery unit 506. Within the cavity, contacts 882, 884 of battery dock 850 may be in electrical communication with contacts 886, 888 of the battery unit 506 (figure 36). When the 15 contacts 886, 888 of the battery unit 506 come into contact with the contacts 882, 884 of the battery dock 850, the battery unit 506 can be in electrical communication with the instrument 102. Figure 44 illustrates one embodiment of battery unit 506 attached to battery dock 850. For clarity, several components have been removed. Referring now to Figures 37, 38, 43 and 44 as well as Figures 39 to 42, battery dock 850 is shown with its protruding member 858 sized to be received by cavity 810 (figure 33) of battery unit 506 Before fixing, drain 812 can be in the open position (figure 37). During attachment of the battery unit 506 to the battery dock 850, the protruding element 858 is inserted into the cavity 810 and the battery unit 506 is moved relative to the battery dock 850 in the direction indicated by arrow 862. Eventually the distal end 860 of protruding member 858 contacts contact surface 840 of drain 812. As the user continues to attach battery unit 506, drain 812 is translated relative to housing 802 in the direction indicated by arrow 864, and moves to the closed position (figure 38). In this position, the battery unit 506 begins to slowly drain.
    When the battery unit 506 is removed from the battery dock 850, the drain 812 can remain in the position shown in figure 38. In this way, the cells (not shown) of the battery unit 506 can drain any remaining charge per a resistive element, either before or during disposal.
    It should be noted that the transferable discharge drain of the battery unit is not limited to the implementation illustrated in Figure 44. Figures 45 and 46, for example, illustrate an embodiment of the battery unit 900 and the drain 912 with various components removed for clarity.
    The drain 912 is translatable between an open position (figure 45) and a closed position (figure 46). In the open position, contacts 916, 918 are coupled to non-conductive portions of a housing 920, 922, respectively.
    The drain 912 can travel on a rail 914 when it translates between the open position and the closed position.
    Figure 46 shows battery pack 900 in a closed position after a pump 958 has translated drain 912 in the direction indicated by arrow 964. Pump 958 may be a component of a battery dock of a surgical instrument, for example.
    In one embodiment, the battery dock comprises a cavity that is sized to receive the battery unit 900 and the pump 958 is positioned within the cavity.
    In the closed position, contacts 916, 918 are in electrical contact with electrodes 924, 926. The drain 912 may comprise a printed circuit board 932 to which at least one resistive element is mounted using a surface mount. or an orifice connection, for example. Figures 47 and 48 illustrate a battery unit 1000 according to another non-limiting embodiment.
    Several components have been omitted for clarity.
    The battery unit 1000 can comprise a drain 1012 that can be translated between an open position (figure 47) and a closed position (figure 48). The battery unit 1000 30 may also comprise a first electrode 1024 with a contact 1025 and a second electrode 1026 with a contact 1027. Electrodes 1024, 1026 may be in contact with cells (not shown) of the battery unit
    1000. In the open position, contacts 1016, 1018 of drain 1012 are not mated to contacts 1025, 1027 of electrodes 1024, 1026. Drain 1012 can travel on a rail 1014 when translated between the open position and the closed position.
    Figure 48 shows the battery unit 1000 in a closed position after a pump 1058 has translated drain 1012 in the direction indicated by arrow 1064. Pump 1058 may be a component of a battery dock of a surgical instrument, for example.
    In the closed position, contacts 1016, 1018 of drain 1012 are in electrical contact with contacts 1025, 1027 of electrodes 1024, 1026. Drain 1012 may comprise a printed circuit board 1032 that includes at least one resistive element.
    In some embodiments, contacts 1016, 1018 themselves may comprise resistive elements.
    In fact, resistive elements can be elements of any suitable resistance value and any suitable mechanical configuration. Fig. 49 is a perspective view of one embodiment of the battery unit 1100. Figs. 50 and 51 and show internal views of the battery unit of Fig. 1100 during various stages of operation, with various components removed for clarity.
    The battery unit 1100 has a cell 1102 and an outer compartment 1104 that defines a cavity 1110. The outer compartment 1104 may be non-conductive and have conductive contacts to supply power to the circuitry of a surgical instrument when the battery unit 1100 is fixed to a surgical instrument.
    In one embodiment, the battery unit 1100 is received by a cavity in a pistol grip portion of a surgical instrument.
    The battery unit 1100 comprises a drain 1112 which is translatable between an open position (figure 50) and a closed position (figure 51). In one embodiment, drain 1112 has first and second contacts 1116, 1118 that are coupled to a circuit board 1132. Circuit board 1132 may include, for example, at least one resistive element.
    In some embodiments, circuit board 1132 includes additional circuitry.
    Battery unit 1100 comprises a first electrode 1124 coupled to an anode of cell 1102 and a second electrode coupled to a cathode of cell 1102. Before battery unit 1100 is attached to an instrument, drain 1112 is in the open position (figure 50). In the illustrated embodiment, the first contact 1116 is electrically coupled to the first electrode 1124 and the second contact 1118 is resting on, or otherwise in contact with, a non-conductive finger 1120. As the battery unit 1100 is attached to an instrument, a protruding portion 1158 of the instrument may be received by cavity 1110 and may contact drain 1112 to actuate drain 1112 in the direction indicated by arrow 1164. In the closed position (figure 51), the first contact 1116 is electrically coupled to first electrode 1124 and second contact 1118 is electrically coupled to second electrode 1126. In this position, a closed circuit is created that allows cell 1102 to discharge energy through drain 1112. Additional battery units are disclosed in the co-owned patent application Serial No. US 121884,995, 15 entitled "POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES", filed a on September 17, 2010 and incorporated herein by reference in its entirety.
    Still other additional modalities of battery units are disclosed in the patent application of the same property with serial number US 121884,838, entitled "SURGICAL 20 INSTRUMENTS AND BATTERIES FOR SURGICAL INSTRUMENTS", filed on September 17, 2010 and also incorporated herein in full, by way of reference.
    According to various embodiments, electrical connection of battery unit 506 or other power source to motor 222 can initiate a trigger of instrument 102. Fig. 52 illustrates one embodiment of a control circuit 1200 that can control a connection between the battery unit 506 or other power supply and the motor 222 or other drive device to trigger the instrument 102. According to various embodiments, the control circuit 1200 can be implemented with 30 components in one PC board 1202 shown in Figure 7. Control circuit 1200 may comprise various switches and other components to control the connection between battery unit 506 and motor 222. Battery unit 506 is shown with a positive electrode 1212 and a negative electrode 1210. Similarly, motor 222 is shown with a positive terminal 1216 and a negative terminal 1214. It will be appreciated that the polarity of circuit 1200 could be reversed, for example. it, based on other design considerations.
    Control circuit 1200 may comprise a trigger switch 220 (also shown in Figure 9), which may be in mechanical communication with trigger trigger 120 (e.g., via trigger 221). The control circuit 1200 may also comprise a 1204 reverse motor/limit switch and a 1206 jaw switch. The 1204 reverse motor limit switch can be actuated when the firing bar 108 reaches the end of its course (eg, at or near the most distal position). In addition, in accordance with various embodiments, the reverse motor limit switch 1204 may be manually actuated by the clinician prior to the end of the trigger bar travel 108 to abort and/or reverse the firing of instrument 102. A clamp switch 1206 may be actuated when the end driver 104 is closed (for example, the anvil 112 and the elongated channel 110 are brought into contact with each other) and also when the end driver 104 is opened.
    The 1208 clamp relay can also be a component of the 1200 circuit. According to various embodiments, the 1208 relay can be a non-solid state relay (eg a mechanical relay, an electromagnetic relay, etc.). ). This can allow instrument 102 to be subjected to gamma sterilization, as well as other sterilization techniques that have the potential to damage solid state components.
    It will be understood, however, that the clamping relay 1208 can be, in various embodiments, replaced by any type of switching device including, for example, a field effect transistor (FET), bipolar junction transistor (BJT) , etc.
    Also, in some embodiments, the 1208 relay can be replaced with a micro-30 processor.
    When the instrument is ready for use (for example, a staple cartridge 132 is loaded into the elongated channel 110), the cir-
    The 1200 control circuit can be configured as shown in figure 52. The 1204 reverse motor/limit switch can be wired between 1 and 3, creating an electrical connection between the positive electrode 1212 of the battery and the positive terminal 1216 of the motor 222 The 1208 relay may be in a closed state. For example, an electrical connection can be made between pins 4 and 5 of relay 1208. Trip switch 220 can be connected between points 1 and 3, creating an electrical connection between positive electrode 1212 of battery 506 and negative terminal 1214 of motor 222. Since both terminals 1214, 1216 of motor 222 are connected to a single electrode 1212 of battery 506, motor 222 may not run. The clinician can initiate a trigger operation by triggering trigger trigger 122 which, via trigger 221, can cause trigger switch 220 to transition to a second state where points 1 and 3 are connected. This can create an electrical connection to negative terminal 15 1214 of motor 222 and negative electrode 1210 of battery 506 (for example, via points 1 and 2 of trip switch 220 and pins 4 and 5 of relay 1208. This can cause motor 222 to rotate forward. For example, the motor can rotate gearbox 224, idler gear 230, drive gear 232, and rack 238 to finally push firing bar 108 When the trigger bar 108 reaches the end of its travel, the limit switch 1204 can transition from the position shown in figure 52 to a position where the points 1 and 2 of the switch 1204 are connected. pin 3 of relay 1208 to negative electrode 1210 of battery 25 506 (eg, via pin 4-5 connection of relay 1208). This, in turn, can energize relay 1208, causing removal of the electrical connection between pins 4 and 5 and the generation of an electrical connection between pins 5 and
    6. When the clinician releases the trigger 122, the trigger switch can revert to the state shown in figure 52. This can cause the motor 222 to be connected to the battery 506 with a reverse polarity. For example, positive terminal 1216 of motor 222 can be connected to negative electrode 1210 of battery 506 via switch 1204 and relay
    1208 (eg by pins 5 and 6). Negative terminal 1214 of motor 222 can be connected to positive electrode 1212 of battery 506 via trigger switch 220. As a result, motor 222 can rotate in reverse, pulling trigger bar 108 proximally by means of of gear box 5 224, idler gear 230, drive gear 232, and rack 238. On completion of tripping operation, relay 1208 may be in a state in which there is no electrical connection between pins 4 and 5. In this state, instrument 102 may not fire again (eg motor 222 may not be connected to battery 506 with correct polarity to cause forward rotation). According to various embodiments, a 1206 jaw wrench can be positioned to energize relay 1208 (eg by pulling pin 1 low) to transition relay 1208 back to the initial state having an electrical connection between pins 4 and 5. This may allow instrument 102 to fire again.
    Clamp wrench 1206 may be in mechanical communication with a portion of the drive train driven by closing driver 120 to close anvil 114 against elongated channel 110. For example, claw wrench 1206 may be in mechanical communication with the claw latch 244 described above.
    When anvil 114 is closed against elongated channel 110 (for example, when claw latch 244 is engaged), switch 1206 may be in the position shown in figure 52, resulting in an electrical connection between points 1 and 3 of switch 1206. When Clamp Latch 244 is disengaged, Clamp Switch 1206 can be configured to create an electrical connection between points 1 and 2, energizing relay 1208 as described.
    Accordingly, after instrument 102 is triggered, circuit 1200 can be configured to prevent motor 222 from operating in the forward direction until end trigger 104 is reopened.
    This can prevent the clinician from accidentally re-firing instrument 102 before end driver 104 is opened to install a new staple cartridge 132. According to various embodiments, instrument 102 may comprise a mechanical locking device on addition to the tra-
    Relay va implemented by circuit 1200. Circuit 1200, as described here, however, may prevent the clinician from driving instrument 102 into mechanical lockout. This can prevent wear and tear of the instrument 102 and can also prevent the physician from becoming confused when the device is in a mechanically locked state. Figure 53 illustrates a control circuit mode 1200 with additional switches and features. For example, circuit 1200 as shown in Fig. 53 may further comprise an emergency access door or rescue door key 1218. The emergency access door key 1218 may be in mechanical communication with the door access door 248. For example, when emergency access door 248 is in place, key 1204 can be closed, as shown in figure 53. When emergency access door 248 is removed, key 1204 can be opened, creating an open circuit with respect to the negative terminal of the battery 506. The switch in travel position 1220 can be wired to switch a resistive element 1222 in and out of the circuit 1200 based on the position of the bus. shooting
    108. The resistive element may be a single resistor or a network of resistors connected in series, parallel (as shown), or any suitable configuration. When resistive element 1222 is switched in circuit 1200, the current supplied to motor 222 can be reduced. This can reduce the speed and torque provided by the motor 222. In addition, the control circuit 1200 as illustrated in figure 53 may comprise a PTC or other 1224 thermal fuse element to break a connection 25 between the motor 222 and the battery 506 if excessive heat is generated (eg by resistive element 1222). Fig. 54 is a flowchart showing an embodiment of a process flow 1301 showing firing of instrument 102 using control circuit 1200 as illustrated in Fig. 53. At 1300, instrument 102 may be ready to fire. For example, switches 1218, 1206, 1220, 220, 1204 and relay 1208 can be configured as illustrated in Table 1 below:
    Table 1 Pin/Point Connection Switch Emergency Access Door 1218 1 to 2 Gramo 1206 1 to 2 Stroke Position (1220) 1 to 2 Trigger (220) 1 to 3 Limit Switch / Motor Steering (1204) 1 to 3 Relay 120$ 4a5 At 1302, the doctor can trigger trip trigger 122. This can cause trip switch 220 to close, creating a connection between points 1 and 2 of switch 220. Accordingly, positive terminal 5 of motor 222 may be connected to positive electrode 1212 of the battery 506 by means of the limit switch/steer of the motor 1204. The negative terminal 1214 of the motor 222 can be connected to the negative electrode 1210 of the battery 506 by means of the thermal fuse element 1224, of the relay element. 1222 and the connection between pins 4 and 5 of the relay.
    This can cause 10 rotation of motor 222, resulting in distal movement of trigger bar 108 (eg via gearbox 224, idler gear 230, drive gear 232, and rack 238). As resistive element 1222 is electrically connected between motor 222 and battery 506, the current supplied to motor 222 can be reduced.
    This, in turn, can reduce the speed and/or torque provided by motor 222 while resistive element 1222 is active.
    At 1304, firing bar 108 may pass a predetermined position in its firing course.
    This can cause travel position switch 1220 to open, causing a connection between points 1 and 2 of switch 1220. This, in turn, can place resistive element 1222, thermal fuse 1224 and the relay 1208 out-of-circuit, allowing full current to be supplied to motor 222. The predetermined position on the tripping course, in various embodiments, can be a point after which mechanical lockout is no longer possible and/or probable.
    For example, the resistive element 1222 can be used to limit current to the motor.
    222 during the portion of the firing stroke where the firing bar 108 or drive train element may encounter a mechanical lock.
    This can limit damage to the drive train or other component of device 102 if mechanical lockup is encountered.
    When the possibility of encountering a mechanical lock passes, the 1220 stroke position switch can be actuated to turn off the resistive element 1222, allowing full power to be supplied to the motor 222 (for example, to cut tissue) . The trigger bar 108 can reach the end of its travel (for example, at or near its most distal position) at 1306. At this point, the motor 1204 limit/steer switch can be actuated, causing is connected between points 1 and 2. In this way, the negative terminal 1216 of the motor 222 can be electrically connected to the positive electrode 1210 of the battery 506 by means of the trip switch.
    Pin 3 of relay 15 1208 can also be electrically connected to negative electrode 1210 of battery 506, energizing relay 1208 and breaking the connection between relay pins 4 and 5. When the clinician releases trigger 122 at 1308, the trigger switch 220 can also be triggered, causing it to be connected between points 1 and 2. This can cause the negative terminal 20 1214 of the motor to be electrically connected to the positive electrode 1212 of the battery 506. , the direction of rotation of motor 222 can be reversed, causing motor 222 to return to the trigger bar in its initial, proximal position (eg, via gearbox 224, drive gear 232 and rack 238). 25 Similar to the mode described above, when relay 1208 is open (eg the connection between pins 4 and 5 is broken), it may not be possible to rotate motor 222 forward to fire fire bar 108 until the switch jaw 1206 is actuated (eg, opening end actuator 104). In this way, the clinician can prevent the instrument 102 from re-firing before opening the end trigger 104, e.g., to load a new staple cartridge 132. Also, similar to the above-described modality, the clinician can abort a tripping stroke by manually switching the 1204 motor direction limit switch to the state where points 1 and 2 are connected, causing circuit 1200 and instrument 102 to behave as described above in relation to 1306 and 1308. Figures 55 to 59 show the orientation and operation of various modes of switches 1218, 1206, 1220, 220 and 1204 described above. Figure 55 illustrates a perspective view of an embodiment of circuit board 1202 coupled to the battery dock of Figure 850. Circuit board 1202 and battery dock 850, as shown, may be positioned within cable 106. of instrument 102, for example, as shown in Figure 7. Figure 55 shows, on circuit board 1202, emergency access door switch 1218, claw switch 1206, stroke position switch 1220, switch of the actuator 220 and the motor-steer end switch 1204. Fig. 56 illustrates a cross-sectional view of one embodiment of the instrument 102 showing the emergency access door switch.
    1218. Key 1218 may comprise an actuator 1304, which may have springs. Emergency access door 248, as shown, may comprise an arm 1302. Arm 1302 may be positioned under actuator 1304 of switch 1218. When emergency access door 248 is removed, arm 1302 may be removed from under the actuator 1304, changing the state of the key 1218. Fig. 57 illustrates another cross-sectional view of an embodiment of the instrument 102 showing the jaw wrench 1206. The jaw wrench 1206 may comprise an actuator 1306. The actuator 1306 may be positional 25 so that the state of the switch 1206 changes when the clip release button 124 is pressed to unlock the tip driver 104. Fig. 58 shows another cross-sectional view of one embodiment of the instrument 102 showing the key in travel position 1220. The key in travel position 1220 may comprise an actuator 1308 and an actuator lever 1310. The actuator lever 1310 may travel an upper surface of the rack 238. Accordingly the one with several modal-
    ties, rack 238 may define a notched cutout 1312 along its top surface. The toothed cutout 1312 may be positioned longitudinally on the rack so that the actuating lever 1310 of the key 1220 falls into the toothed cutout 1312 at the predetermined position of the firing stroke referred to with respect to Fig. 54. Alternatively, it will be appreciated that the rack 238 may comprise a protrusion positioned to be in contact with the trigger at the predetermined portion of the firing stroke. Fig. 59 illustrates another cross-sectional view of an embodiment of instrument 102 showing the motor/end limit switch 1204. The jaw switch 1204 may comprise an actuator 1322. The actuator 1322 may be activated by a reverse motor button external 1320 or by rack 238 as it reaches the distal end of its travel (for example, indicating the end of travel of the trigger bar 108). For example, rack 238 may comprise a protrusion 1324 which contacts actuator 1322 of key 1204. Additionally, for example rack 238 may comprise a toothed cutout or cavity (not shown) positioned to be in contact with driver 1322 at the distal end of the rail path 238. 20 Although the device described here shows the rotary motion of the motor 222 being translated in longitudinal motion on the cable 106 (eg, via rack 238 and bar of firing 108), it will be understood that instruments according to various embodiments can perform such translation outside the cable, for example, on the shaft, or on the end driver itself. For example, in some embodiments, a rotary drive shaft (not shown) may extend all or part of the way through shaft 114 of cable 106 to end driver.
    104. The various keys described here can be used in this mode. For example, the various keys described here can be positioned 30 to be actuated in the same relation to the firing bar 108 position as described herein.
    Go
    While the present invention has been illustrated by the description of various embodiments, and although the illustrative embodiments have been described in considerable detail, it is not Applicants' intention to restrict or in any way limit the scope of the appended claims to such details.
    Additional advantages and modifications may prove readily available to those skilled in the art.
    In another example, although the electronic trigger beam 108 has advantages over a cutting and stapling instrument 102 employed endoscopically, a similar electronic beam can be used in other clinical procedures.
    It is generally accepted that endoscopic procedures are more common than laparoscopic procedures.
    Consequently, the present invention was discussed in terms of endoscopic procedures and apparatus.
    However, terms such as "endoscopic" are not to be interpreted to limit the present invention to a surgical stapling and sectioning instrument for use only in conjunction with an endoscopic tube (i.e., a cannula or trocar). Rather, it is believed that the present invention may find use in any procedure where access is limited to a small incision, including, but not limited to, laparoscopic procedures as well as open procedures.
    In yet another example, although an illustrative cable portion 106 described herein is manually operated by a physician, it is consistent with aspects of the invention in all or some of the functions of a cable portion to be provided with energy (eg pneumatic, hydraulic, electromechanical, ultrasonic, etc.). In addition, the controls for each of these functions can be manually presented on a cable portion or be remotely controlled (eg wireless remote control, automatic remote console, etc.). It should be understood that at least some of the figures and descriptions presented here have been simplified to illustrate elements that are relevant to a clear understanding of the description, while eliminating, for clarity purposes, other elements.
    Elements versed in the technique will recognise, however, that these and other elements may be de-
    desirable.
    However, due to the fact that such elements are well known in the art and due to the fact that they do not facilitate a better understanding of the description, a discussion of such elements is not provided here. 5 While several modalities have been described, it will be apparent, however, that various modifications, alterations and adaptations of these modalities can occur to individuals versed in the technique with obtaining some or all of the advantages of the description.
    For example, according to various embodiments, a single component can be replaced by multiple components, and multiple components can be replaced by a single component, to perform one or more particular functions.
    This order is therefore intended to cover all such modifications, alterations and adaptations without departing from the scope and spirit of the description as defined by the appended claims. 15 Any patent, publication or other descriptive material, in whole or in part, which is said to be incorporated into the present invention by way of reference, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other descriptive material presented in this specification.
    Accordingly, and to the extent necessary, the description as explicitly stated herein supersedes any conflicting material incorporated herein by reference.
    Any material, or portion thereof, which is hereby incorporated by reference into the present invention, but which conflicts with existing definitions, statements, or other descriptive materials set forth herein will be incorporated herein only to the extent that none conflict will arise between the embodied material and the existing description material.
    权利要求:
    Claims (25)
    [1]
    1. Motor-equipped surgical instrument for cutting and securing tissue, the instrument comprising: an end driver comprising: a first claw member; a second claw member coupled to move relative to the first claw member from an open position, where the claw members are separated from one another, to a closed position; and a firing bar positioned to fire upon translation within the end effector when the first and second claw members are in the closed position; and a drive device mechanically coupled to the trigger bar; and a claw actuator mechanically coupled to the end effector such that actuation of the claw actuator causes the second claw member to revolve toward the first claw member; a control circuit, wherein the control circuit comprises: a trigger switch configured to be in electrical communication with the power source to power the actuating device and in electrical communication with the actuating device; a claw switch in mechanical communication with the claw actuator; 25 a locking device in electrical communication with the claw wrench, power supply and actuating device; and a limit switch in electrical communication with the locking device; and wherein the trigger key is electrically connected to, by actuation, connect the power supply to the trigger device by means of a first connection comprising the locking device and the trigger key;
    balai in which the limit switch is electrically connected to, upon detection of an end of a trigger bar travel, cause a change in the state of the locking device to interrupt the first connection between the power source and the device 5 triggering.
    [2]
    2. Surgical instrument according to claim 1, wherein the claw switch is mechanically and electrically connected, by releasing the claw trigger, to energize the relay to re-establish the connection between the power supply and the actuation device_ 10
    [3]
    The surgical instrument of claim 1, wherein the first claw member is shaped to receive a staple cartridge and the second claw member defines at least one staple pocket for receiving and forming a staple.
    [4]
    The surgical instrument of claim 3, wherein the trigger bar is in mechanical communication with a staple driver to push the staple driver distally after firing.
    [5]
    The surgical instrument of claim 1, wherein the trigger bar comprises a cutting edge. 20
    [6]
    The surgical instrument of claim 1, further comprising a translatable support distally and proximally within the handle, wherein the support is in mechanical communication with the trigger bar, wherein the support defines at least a face with gears. 25
    [7]
    A surgical instrument as claimed in claim 6, wherein the drive device is positioned to rotate a gear in mechanical communication with the support.
    [8]
    8. The surgical instrument of claim 7, wherein rotational movement of the drive device and gear 30 in a first direction causes the support and trigger bar to translate distally, and wherein rotational movement of the device shifting and gearing in a second direction causes the bracket and trigger bar to translate proximally.
    [9]
    The surgical instrument of claim 6, wherein the holder defines a protrusion, and wherein the limit switch comprises an actuator positioned to contact the protrusion to actuate the limit switch when the holder reaches a position that indicates the end of the trigger bar's travel.
    [10]
    The surgical instrument of claim 6, wherein the control circuit further comprises a stroke position switch positioned to actuate when the trigger bar 10 reaches a predetermined position; and a resistive element in electrical communication with the travel position switch, wherein the travel position switch is electrically connected to electrically change the resistive element between the power source and the drive device until it is actuated in response to the driving bar. trigger reaching the predetermined position.
    [11]
    The surgical instrument of claim 10, wherein the stroke position switch comprises an actuator, and wherein the holder defines a cavity positioned to receive the stroke position switch actuator for actuating the stroke position switch. course when the trigger bar reaches the predetermined position.
    [12]
    The surgical instrument of claim 1, wherein the handle further comprises a mechanically positioned claw latch to lock the second claw member against the first claw member. 25
    [13]
    A surgical instrument as claimed in claim 12, wherein the claw wrench comprises an actuator positioned to be actuated upon release of the claw lock.
    [14]
    A surgical instrument according to claim 1, wherein the control circuit further comprises an emergency access door switch 30 coupled to an emergency access door of the handle so that opening the emergency access door turn on the emergency access door switch to break an electrical connection to the power source.
    [15]
    The surgical instrument of claim 1, wherein the locking device is a relay.
    [16]
    The surgical instrument of claim 15, 5 wherein the relay is a latching relay.
    [17]
    17. The surgical instrument of claim 1, wherein the relay is at least one of a mechanical relay and an electromagnetic relay.
    [18]
    18. A motor-equipped surgical instrument for cutting and fixing tissue, the instrument comprising: an end driver comprising: a first claw member; a second claw coupled to revolve relative to the first claw member; and 15 a firing bar positioned to fire by translating distally within the end effector when the first and second claw members are pivoted to a closed position; and a handle, wherein the handle comprises: a claw actuator mechanically coupled to the end effector such that actuation of the claw actuator causes the second claw member to revolve toward the first claw member; a trigger trigger; a drive device mechanically coupled to the trigger bar at least distally; and a control circuit, wherein the control circuit comprises: a trigger switch in electrical communication with a power supply to power the actuating device and in electrical communication with the actuating device, and in mechanical communication with the actuator shooting; a claw switch in mechanical communication with the claw actuator; a travel position switch positioned to actuate when the trigger bar reaches a predetermined position; a resistive element in electrical communication with the travel position switch 5; a relay in electrical communication with the clamp switch, power supply and actuation device; and a limit switch in electrical communication with the relay; and 10 wherein the trigger switch is electrically connected so that actuation of the trigger trigger connects the power supply to the trigger device by means of a first connection comprising the relay and the trigger switch; wherein the limit switch is electrically connected 15 to, upon detection of an end of a trip bar travel, energize the relay and break the first connection between the power source and the drive device; and wherein actuation of the stroke position switch causes the resistive element to be electrically isolated from at least one of the power supply and the drive device_
    [19]
    The surgical instrument of claim 18, wherein the control circuit further comprises an emergency access door key coupled to an emergency access door of the handle such that opening the emergency access door turn on the emergency access door switch to break an electrical connection to the power source.
    [20]
    The surgical instrument of claim 18, further comprising a support translatable distally and proximally within the handle, wherein the support is in mechanical communication with the trigger bar, wherein the support defines at least a face with gears.
    [21]
    21. A surgical instrument according to claim 20.
    wherein the drive device is positioned to rotate a gear in mechanical communication with the support.
    [22]
    The surgical instrument of claim 20, wherein the stroke position switch comprises an actuator, and wherein the holder defines a cavity positioned to receive the stroke position switch actuator for actuating the position switch. of course when the trigger bar reaches the predetermined position.
    [23]
    23. The surgical instrument of claim 18, wherein the control circuit further comprises a thermal fuse 10 electrically connected between the power source and the drive device when the resistive element is electrically connected between the power source and the drive device.
    [24]
    The surgical instrument of claim 18, wherein the relay is a latching relay. 15
    [25]
    25. The surgical instrument of claim 18, wherein the relay is at least one of a mechanical relay and an electromagnetic relay.
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    同族专利:
    公开号 | 公开日
    US20140236184A1|2014-08-21|
    EP2621362A1|2013-08-07|
    CA2813383C|2019-10-01|
    AU2011307329A1|2013-05-02|
    JP5922132B2|2016-05-24|
    AU2011307329B2|2014-03-06|
    US20120080477A1|2012-04-05|
    RU2013119926A|2014-11-20|
    US20210000470A1|2021-01-07|
    WO2012044597A1|2012-04-05|
    US9687236B2|2017-06-27|
    CN103237507B|2016-05-04|
    JP2013541986A|2013-11-21|
    RU2586310C2|2016-06-10|
    US10695062B2|2020-06-30|
    US8695866B2|2014-04-15|
    US20180000483A1|2018-01-04|
    CN103237507A|2013-08-07|
    CA2813383A1|2012-04-05|
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    法律状态:
    2021-05-04| B06F| Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]|
    2021-05-11| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]|
    2021-11-16| B06A| Patent application procedure suspended [chapter 6.1 patent gazette]|
    2022-02-08| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|
    优先权:
    申请号 | 申请日 | 专利标题
    US12/896,381|2010-10-01|
    US12/896,381|US8695866B2|2010-10-01|2010-10-01|Surgical instrument having a power control circuit|
    PCT/US2011/053393|WO2012044597A1|2010-10-01|2011-09-27|Surgical instrument having a power control circuit|
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