# US 11,998,192 B2 · Adaptive control of surgical stapling instrument based on staple cartridge type > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,998,192 B2 - Document ID: US11998192B2 - Status: Granted - Kind: B2 - Application number: 17/718,826 - Filed: 2022-04-12 - Published: 2022-11-10 - Granted: 2024-06-04 - Earliest claimed: 2021-05-10 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Jason M. Rector; Frederick E. Shelton, IV; Ryan W. McGhee; Sean J. Moser; Jason L Harris; Shashi S. Pathak - Web page: https://patentgrep.com/patent/US11998192B2 ## CPC - A61B 17/0644: {penetrating the tissue, deformable to closed position} - A61B 17/064: Surgical staples, {i.e. penetrating the tissue} - A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously - A61B 17/07207: {the staples being applied sequentially} - A61B 17/07292: {Reinforcements for staple line, e.g. pledgets} - A61B 17/105: {Wound clamp magazines (for packaging sharps A61B50/3001)} - A61B 50/20: Holders specially adapted for surgical or diagnostic appliances or instruments (drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02) - A61B 50/3001: {for sharps} - A61B 50/33: Trays - A61B 90/98: using electromagnetic means, e.g. transponders - A61L 2/02: using physical processes - A61L 2/16: using chemical substances - A61L 2/232: layered or coated - A61L 31/022: {Metals or alloys} - A61L 31/028: {Other inorganic materials not covered by A61L31/022 - A61L31/026} - A61L 31/042: {Polysaccharides} - A61L 31/048: {obtained by reactions only involving carbon-to-carbon unsaturated bonds (A61L31/041 takes precedence)} - A61L 31/08: Materials for coatings - A61L 31/082: {Inorganic materials} - A61L 31/10: Macromolecular materials - A61L 31/148: {Materials at least partially resorbable by the body} - A61L 31/16: Biologically active materials, e.g. therapeutic substances {(A61L31/047 takes precedence)} - A61N 5/1027: {Interstitial radiation therapy} - A61B 17/0686: {having a forming anvil staying below the tissue during stapling} - A61B 90/92: coded with colour - A61B 90/94: coded with symbols, e.g. text - A61B 2017/00004: {(bio)absorbable, (bio)resorbable or resorptive} - A61B 2017/00017: {Electrical control of surgical instruments} - A61B 2017/00022: {Sensing or detecting at the treatment site} - A61B 2017/00084: {Temperature} - A61B 2017/00115: {with audible or visual output} - A61B 2017/00119: {alarm; indicating an abnormal situation} - A61B 2017/00221: {with wireless transmission of data, e.g. by infrared radiation or radiowaves} - A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/00526: {Methods of manufacturing} - A61B 2017/0053: {Loading magazines or sutures into applying tools} - A61B 2017/00845: {of moving parts with respect to each other} - A61B 2017/00849: {with respect to tissue, e.g. hollow organs} - A61B 2017/00853: {low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)} - A61B 2017/00889: {antimicrobial, disinfectant} - A61B 2017/00893: {pharmaceutically effective} - A61B 2017/00938: {hydrophobic} - A61B 2017/0688: {Packages or dispensers for surgical staplers} - A61B 2017/07228: {Arrangement of the staples} - A61B 2017/07235: {containing different staples, e.g. staples of different shapes, sizes or materials} - A61B 2017/07257: {characterised by its anvil} - A61B 2017/07264: {characterised by its staple forming cavities, e.g. geometry or material} - A61B 2017/07271: {characterised by its cartridge} - A61B 2017/07278: {characterised by its sled or its staple holder} - A61B 2017/07285: {characterised by its cutter} - A61B 2050/0065: {Peelable cover} - A61B 2050/3004: {containing desiccant means, e.g. desiccant pouches} - A61B 2050/314: {Flexible bags or pouches} - A61B 2090/038: {during shipment} - A61B 2090/0807: {Indication means} - A61B 2090/0809: {Indication of cracks or breakages} - A61L 2103/15: Laboratory, medical or dentistry appliances, e.g. catheters or sharps - A61L 2103/23: {Containers other than laboratory or medical, e.g. bottles or mail} - A61L 2300/252: Polypeptides, proteins, e.g. glycoproteins, lipoproteins, cytokines - A61L 2400/10: Materials for lubricating medical devices - A61L 2420/04: Coatings containing a composite material such as inorganic/organic, i.e. material comprising different phases - A61N 2005/1087: {Ions; Protons} - A61N 2005/1098: {Enhancing the effect of the particle by an injected agent or implanted device} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61L: METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES (preservation of bodies or disinfecting characterised by the agents employed A01N; preserving, e.g. sterilising, food or foodstuffs A23; preparations for medical, dental or toiletry purposes A61K) - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract A method and apparatus of adaptively controlling a surgical stapling instrument are disclose. The method includes identifying a staple cartridge type, configuring the surgical stapling instrument based on the identified staple cartridge, and adaptively controlling, by a control circuit, operation/functionality of the surgical stapling instrument based on the configuration of the surgical stapling instrument loaded with the identified staple cartridge type. The apparatus includes a control circuit including a microcontroller and a memory coupled to the microcontroller. The memory stores machine executable instructions that when executed by the microcontroller cause the microcontroller to execute the above method. ## Claims ### Claim 1 A method of adaptively controlling a surgical stapling instrument, the method comprising: identifying a staple cartridge type from a plurality of predetermined staple cartridge types such that the identified staple cartridge type comprises staples having a material property that is different from a material property of staples of another predetermined staple cartridge type of the plurality of staple cartridge types; configuring the surgical stapling instrument based on the material property of the identified staple cartridge; and adaptively controlling, by a control circuit, operation/functionality of the surgical stapling instrument based on the configuration of the surgical stapling instrument loaded with the identified staple cartridge type. ### Claim 2 (depends on 1) The method of claim 1, comprising identifying the staple cartridge type by a sensor coupled to the control circuit. ### Claim 3 (depends on 2) The method of claim 2, comprising configuring the surgical stapling instrument by the control circuit. ### Claim 4 (depends on 2) The method of claim 2, further comprising communicating the identified staple cartridge type from the sensor to the control circuit. ### Claim 5 (depends on 1) The method of claim 1, wherein one of the identified staple cartridge and said another predetermined staple cartridge comprises bioabsorbable staples and the other of the identified staple cartridge and said another predetermined staple cartridge comprises non-bioabsorbable staples, and wherein configuring the surgical stapling instrument based on the material property of the identified staple cartridge comprises configuring the surgical staple instrument based on bioabsorption of staples of the identified staple cartridge. ### Claim 6 (depends on 1) The method of claim 1, comprising adaptively clamping an anvil of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 7 (depends on 1) The method of claim 1, comprising adaptively firing the surgical stapling instrument based on the identified staple cartridge type. ### Claim 8 (depends on 1) The method of claim 1, further comprising preventing incompatibility of operation of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 9 (depends on 1) The method of claim 1, further comprising adapting the use-case of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 10 (depends on 1) The method of claim 1, further comprising indicating special waste stream, disposal, or lifecycle pathway of the staple cartridge based on the identified staple cartridge type. ### Claim 11 (depends on 1) The method of claim 1, further comprising adapting limits or operation/functionality of algorithms executed by the control circuit based on the identified staple cartridge type. ### Claim 12 A surgical stapling instrument comprising: a control circuit comprising a microcontroller and a memory coupled to the microcontroller, the memory storing machine executable instructions that when executed by the microcontroller cause the microcontroller to: identify a staple cartridge type from a plurality of predetermined staple cartridge types such that the identified staple cartridge type comprises staples having a material property that is different from a material property of staples of another predetermined staple cartridge type of the plurality of staple cartridge types; configure the surgical stapling instrument based on the material property of the identified staple cartridge; and adaptively control operation/functionality of the surgical stapling instrument based on the configuration of the surgical stapling instrument loaded with the identified staple cartridge type. ### Claim 13 (depends on 12) The surgical stapling instrument of claim 12, further comprising a sensor coupled to the control circuit, wherein the sensor is configured to identify the staple cartridge type. ### Claim 14 (depends on 12) The surgical stapling instrument of claim 12, wherein the memory includes a firing control program configured to be modified based on one or more bioabsorbable components of the plurality of predetermined staple cartridge types such that the control circuit is configured to: configure speed, wait periods, load forces, closure forces, or firing forces, and/or combinations thereof, of the surgical stapling instrument based on a bioabsorbable component present in the identified staple cartridge type; and adaptively control the speed, wait periods, load forces, closure forces, or firing forces, and/or combinations thereof, of the surgical stapling instrument based on the bioabsorbable component present in the identified staple cartridge type. ### Claim 15 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to adaptively clamp an anvil of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 16 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to fire the surgical stapling instrument based on the identified staple cartridge type. ### Claim 17 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to prevent incompatibility of operation of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 18 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to adapt the use-case of the surgical stapling instrument based on the identified staple cartridge type. ### Claim 19 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to indicate special waste stream, disposal, or lifecycle pathway of the staple cartridge based on the identified staple cartridge type. ### Claim 20 (depends on 12) The surgical stapling instrument of claim 12, wherein the control circuit is configured to adapt limits or operation/functionality of algorithms executed by the control circuit based on the identified staple cartridge type. ### Claim 21 (depends on 12) The surgical stapling instrument of claim 12, wherein the memory includes a firing control program configured to be modified based on presence of bioabsorbable staples and/or a bioabsorbable buttress of a staple cartridge of the plurality of predetermined staple cartridge types such that the microcontroller is configured to: implement a first adjustment to the firing control program based on the presence of a bioabsorbable staple; implement a second adjustment the firing control program based on the presence of a bioabsorbable buttress; and implement a third adjustment to the firing control program based on the presence of both a bioabsorbable staple and a bioabsorbable buttress, wherein the first adjustment, the second adjustment, and the third adjustments are different from each other.