# US 11,259,799 B2 · Interface systems for use with surgical instruments

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- Number: US 11,259,799 B2
- Document ID: US11259799B2
- Status: Granted
- Kind: B2
- Application number: 16/585,883
- Filed: 2019-09-27
- Published: 2020-06-11
- Granted: 2022-03-01
- Earliest claimed: 2014-03-26
- Assignees: Cilag GmbH International
- Applicants: Ethicon LLC
- Inventors: Mark D. Overmyer; Brett E. Swensgard; Shane R. Adams; Thomas W. Lytle, IV; Richard L. Leimbach; Frederick E. Shelton, IV; Kevin L. Houser
- Web page: https://patentgrep.com/patent/US11259799B2

## CPC

- A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00})
- A61B 17/07207: {the staples being applied sequentially}
- A61B 34/25: {User interfaces for surgical systems}
- A61B 90/98: using electromagnetic means, e.g. transponders
- G05B 19/05: Programmable logic controllers, e.g. simulating logic interconnections of signals according to ladder diagrams or function charts
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 40/63: for local operation
- G16H 40/67: for remote operation
- A61B 2017/00017: {Electrical control of surgical instruments}
- A61B 2017/00115: {with audible or visual output}
- A61B 2017/00123: {and automatic shutdown}
- A61B 2017/00199: {with a console, e.g. a control panel with a display}
- A61B 2017/00212: {using remote controls}
- A61B 2017/00221: {with wireless transmission of data, e.g. by infrared radiation or radiowaves}
- A61B 2017/00225: {Systems for controlling multiple different instruments, e.g. microsurgical systems}
- A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids}
- A61B 2017/0046: {with a releasable handle; with handle and operating part separable}
- A61B 2017/00482: {with a code}
- A61B 2017/2927: {the angular position of the head being adjustable with respect to the shaft}
- A61B 2034/2048: {using an accelerometer or inertia sensor}
- A61B 2090/065: {for measuring contact or contact pressure}
- A61B 2090/0805: {automatically, e.g. by means of magnetic, optical or photoelectric detectors}
- A61B 2090/0807: {Indication means}
- A61B 2090/0808: {for indicating correct assembly of components, e.g. of the surgical apparatus}
- A61B 2090/0811: {for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument}
- G05B 2219/14018: IN, plc and comparator, error detector, backup, standby plc, switch, update OUT
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- Y10T 29/49826: Assembling or joining
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G05B: CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS (systems for controlling or regulating non-electric variables G05D; systems for regulating electric or magnetic variables G05F; control devices or systems insofar as characterised by mechanical features only G05G)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- Y10T: TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION

## Abstract

A surgical instrument for use by an operator in a surgical procedure includes an elongate shaft, an end effector extending from the elongate shaft, and a control system. The end effector is articulatable relative to the elongate shaft between a home state position and an articulated position. The control system includes a processor and a memory coupled to the processor to store program instructions. The processor can alert the operator when the end effector reaches the home state position from the articulated position.

## Claims

### Claim 1

A surgical system, comprising:
a housing orientable between a plurality of housing orientations;
an end effector orientable between a plurality of end effector orientations;
an actuation system configured to effect a function of the surgical system;
a display configurable between a plurality of display configurations; and
a processor configured to adjust:
a configuration of the display based on an orientation of the housing;
a first output of the actuation system based on an orientation of the housing; and
a second output of the actuation system based on an orientation of the end effector.

### Claim 2 (depends on 1)

The surgical system of claim 1, wherein the end effector comprises a first jaw and a second jaw, wherein the plurality of end effector orientations comprises:
an open orientation, wherein the first jaw is spaced apart from the second jaw; and
a closed orientation, wherein the first jaw is positioned near the second jaw to capture tissue therebetween.

### Claim 3 (depends on 2)

The surgical system of claim 2, wherein the plurality of end effector orientations comprises an articulated orientation and an unarticulated orientation.

### Claim 4 (depends on 3)

The surgical system of claim 3, further comprising a firing member movable within the end effector between a home position and a fired position.

### Claim 5 (depends on 4)

The surgical system of claim 4, wherein the actuation system comprises a home actuator, wherein the second output of the actuation system is based on an actuation of the home actuator, and wherein the home actuator is configured to move the end effector towards the unarticulated orientation based on the end effector being in the open orientation.

### Claim 6 (depends on 5)

The surgical system of claim 5, wherein the home actuator is configured to move the firing member towards the home position based on the end effector being in the closed orientation.

### Claim 7 (depends on 5)

The surgical system of claim 5, further comprising a lockout configured to prevent the firing member from moving toward the fired position based on an absence of a staple cartridge within the end effector.

### Claim 8 (depends on 7)

The surgical system of claim 7, wherein the display is configured to inform a user that the home actuator is available to move the firing member toward the home position based on an activation of the lockout.

### Claim 9 (depends on 1)

The surgical system of claim 1, wherein the plurality of end effector orientations comprises a first articulated orientation and a second articulated orientation.

### Claim 10 (depends on 9)

The surgical system of claim 9, wherein the actuation system comprises an articulation actuator, wherein the first output of the actuation system is based on an actuation of the articulation actuator, and wherein the articulation actuator is configured to move the end effector towards the first articulated orientation based on the housing being in a first housing orientation.

### Claim 11 (depends on 10)

The surgical system of claim 10, wherein the articulation actuator is configured to move the end effector towards the second articulated orientation based on the housing being in a second housing orientation.

### Claim 12

A surgical system, comprising:
an end effector configurable between an open configuration and a closed configuration;
an articulation system configured to articulate the end effector between a first articulated position on a first side of a longitudinal axis and a second articulated position on a second side of the longitudinal axis; and
a housing, comprising:
a display configurable between a first orientation and a second orientation, wherein the display is configurable in the first orientation based on the housing being in a first position, and wherein the display is configurable in the second orientation based on the housing being in a second position; and
a switch, configured to:
articulate the end effector towards the first articulated position based the housing being in the first position; and
articulate the end effector towards the second articulated position based on the housing being in the second position.

### Claim 13 (depends on 12)

The surgical system of claim 12, wherein the switch is a first switch, wherein the surgical system further comprises a second switch, wherein the second switch is configured to:
articulate the end effector towards the second articulated position based on the housing being in the first position; and
articulate the end effector towards the first articulated position based on the housing being in the second position.

### Claim 14 (depends on 12)

The surgical system of claim 12, further comprising a home switch configured to move the end effector toward an unarticulated position.

### Claim 15 (depends on 14)

The surgical system of claim 14, wherein the surgical system comprises a firing system comprising a firing member, wherein the firing member is configured to move within the end effector between an unfired position and a fired position.

### Claim 16 (depends on 15)

The surgical system of claim 15, wherein the home switch is configured to move the firing member towards the unfired position.

### Claim 17 (depends on 16)

The surgical system of claim 16, wherein the home switch is configured to move the firing member towards the unfired position based on a sensor determining the end effector is in the closed configuration, and wherein the home switch is configured to move the end effector toward the unarticulated position based on the sensor determining the end effector is in the open configuration.

### Claim 18 (depends on 15)

The surgical system of claim 15, further comprising a lockout configured to prevent the firing member from moving toward the fired position based on an absence of a staple cartridge within the end effector.

### Claim 19 (depends on 18)

The surgical system of claim 18, wherein the display is configured to inform a user that the home switch is available to move the firing member toward the unfired position based on an activation of the lockout.

### Claim 20

A surgical system, comprising:
a housing rotatable between a plurality of housing positions;
an end effector configurable between a plurality of end effector configurations;
a control system configured to effect a function of the surgical system;
a display orientable between a plurality of display orientations; and
a processor configured to adjust:
an orientation of the display based on a position of the housing;
a first output of the control system based on a position of the housing; and
a second output of the control system based on a configuration of the end effector.
