# US 2017/0281172 A1 · Surgical stapling system comprising a display including a re-orientable display field

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- Number: US 2017/0281172 A1
- Document ID: US20170281172A1
- Status: Published application
- Kind: A1
- Application number: 15/089,326
- Filed: 2016-04-01
- Published: 2017-10-05
- Earliest claimed: 2016-04-01
- Assignees: Ethicon Endo-Surgery, Inc.
- Applicants: Ethicon Endo-Surgery, LLC
- Inventors: Frederick E. Shelton, IV; Jason L. Harris; Adam D. Hensel
- Web page: https://patentgrep.com/patent/US20170281172A1

## CPC

- A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- 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 17/0686: {having a forming anvil staying below the tissue during stapling}
- A61B 17/07207: {the staples being applied sequentially}
- A61B 17/105: {Wound clamp magazines (for packaging sharps A61B50/3001)}
- A61B 17/115: Staplers for performing anastomosis, e.g. in a single operation
- A61B 17/1155: {Circular staplers comprising a plurality of staples}
- A61B 17/32: Surgical cutting instruments ({A61B18/042 takes precedence; suture cutters A61B17/0467;} implements for ligaturing and cutting {A61B17/122, A61B17/12; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133})
- A61B 17/3211: Surgical scalpels, knives; Accessories therefor
- A61B 17/0644: {penetrating the tissue, deformable to closed position}
- A61B 17/07292: {Reinforcements for staple line, e.g. pledgets}
- A61B 17/29: Forceps for use in minimally invasive surgery
- A61B 17/320092: {with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw}
- A61B 90/37: {Surgical systems with images on a monitor during operation}
- A61B 2017/00017: {Electrical control of surgical instruments}
- A61B 2017/00022: {Sensing or detecting at the treatment site}
- A61B 2017/00115: {with audible or visual output}
- A61B 2017/00128: {related to intensity or progress of surgical action}
- A61B 2017/00199: {with a console, e.g. a control panel with a display}
- A61B 2017/00305: {Constructional details of the flexible means}
- A61B 2017/00367: {Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like}
- A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids}
- A61B 2017/00407: {Ratchet means}
- A61B 2017/00424: {ergonomic, e.g. fitting in fist}
- A61B 2017/0046: {with a releasable handle; with handle and operating part separable}
- A61B 2017/00464: {for use with different instruments}
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)}
- A61B 2017/00734: {battery operated}
- A61B 2017/00818: {Treatment of the gastro-intestinal system}
- A61B 2017/00946: {malleable}
- A61B 2017/00964: {composite}
- A61B 2017/07214: {Stapler heads}
- A61B 2017/07221: {curved}
- A61B 2017/07228: {Arrangement of the staples}
- A61B 2017/07235: {containing different staples, e.g. staples of different shapes, sizes or materials}
- A61B 2017/07242: {achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes}
- 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 2017/2903: {transferring rotary motion}
- A61B 2017/2905: {flexible}
- A61B 2017/291: {the position of the handle being adjustable with respect to the shaft}
- A61B 2017/2912: {transmission of forces to actuating rod or piston}
- A61B 2017/292: {connection of actuating rod to handle, e.g. ball end in recess}
- A61B 2017/2922: {toggle linkages}
- A61B 2017/2923: {Toothed members, e.g. rack and pinion}
- A61B 2017/2927: {the angular position of the head being adjustable with respect to the shaft}
- A61B 2017/2932: {Transmission of forces to jaw members}
- A61B 2017/2946: {Locking means}
- A61B 2090/034: {abutting on parts of the device itself}
- A61B 2090/08021: {of the patient or his organs}
- 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}
- A61B 2090/0814: {Preventing re-use}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A surgical instrument, comprising a handle and an end effector configured to perform a tissue-treating function. The end effector comprises a distal head comprising a rotatable jaw and an end effector frame comprising a longitudinal end effector axis. The surgical instrument further comprises means for rotating the distal head relative to the end effector frame, a display, and means for adjusting the contents of the display in relation to the rotation of the distal head.

## Claims

### Claim 1

A surgical instrument, comprising:
a handle;
a shaft comprising a longitudinal shaft axis;
an end effector configured to perform a tissue-treating function, wherein said end effector comprises:
an end effector frame comprising a longitudinal end effector axis; and
a jaw rotatably coupled to said end effector frame;
an actuator configured to actuate said tissue-treating function;
a rotation joint rotatably connecting said end effector to said shaft;
an electric motor operably coupled to said end effector frame, wherein said electric motor is configured to rotate said end effector about said longitudinal end effector axis between a first end effector orientation and a second end effector orientation;
a processor configured to evaluate the orientation of said end effector; and
a display in communication with said processor, wherein said display is configured to:
display information regarding said tissue-treating function in a first display orientation when said end effector is in said first orientation; and
display information regarding said tissue-treating function in a second display orientation when said end effector is in said second orientation.

### Claim 2 (depends on 1)

The surgical instrument of claim 1, wherein said second end effector orientation is rotated 90 degrees from said first end effector orientation, and wherein said second display orientation is rotated 90 degrees from said first display orientation when said end effector is in said second end effector orientation.

### Claim 3 (depends on 1)

The surgical instrument of claim 1, wherein said second display orientation tracks said second end effector orientation.

### Claim 4 (depends on 1)

The surgical instrument of claim 1, wherein said end effector is rotatable 360 degrees about said longitudinal end effector axis.

### Claim 5 (depends on 1)

The surgical instrument of claim 1, wherein said processor selects said second display orientation from a discrete set of display orientations such that the selected second orientation most closely corresponds to the orientation of said end effector.

### Claim 6 (depends on 1)

The surgical instrument of claim 1, wherein said longitudinal end effector axis is collinear with said longitudinal shaft axis.

### Claim 7 (depends on 1)

The surgical instrument of claim 1, further comprising an articulation joint configured to permit said end effector to articulate about said articulation joint.

### Claim 8 (depends on 7)

The surgical instrument of claim 7, wherein said end effector comprises a distal end, and wherein said rotation joint is positioned closer to said distal end than said articulation joint.

### Claim 9 (depends on 1)

The surgical instrument of claim 1, wherein said display is on said shaft.

### Claim 10 (depends on 1)

The surgical instrument of claim 1, wherein said display is on said handle

### Claim 11 (depends on 1)

The surgical instrument of claim 1, wherein said end effector comprises a staple cartridge comprising staples removably stored therein.

### Claim 12

A surgical instrument, comprising:
a handle;
a shaft comprising a longitudinal shaft axis;
an end effector configured to perform a tissue-treating function, wherein said end effector comprises:
a distal head comprising a rotatable jaw;
an end effector frame comprising a longitudinal end effector axis; and
an actuator configured to actuate said tissue-treating function;
a rotation joint rotatably connecting said distal head to said end effector;
an electric motor operably coupled to said distal head, wherein said electric motor is configured to rotate said distal head about said longitudinal end effector axis between a first distal head orientation and a second distal head orientation;
a processor configured to evaluate the orientation of said distal head; and
a display in communication with said processor, wherein said display is configured to:
display information regarding said tissue-treating function in a first display arrangement when said distal head is in said first orientation; and
display information regarding said tissue-treating function in a second display arrangement when said distal head is in said second orientation.

### Claim 13 (depends on 12)

The surgical instrument of claim 12, wherein said second distal head orientation is rotated 90 degrees from said first distal head orientation, and wherein said second display arrangement is rotated 90 degrees from said first display arrangement when said distal head is in said second distal head orientation.

### Claim 14 (depends on 12)

The surgical instrument of claim 12, wherein said second display arrangement tracks said second distal head orientation.

### Claim 15 (depends on 12)

The surgical instrument of claim 12, wherein said distal head is rotatable 360 degrees about said longitudinal end effector axis.

### Claim 16 (depends on 12)

The surgical instrument of claim 12, wherein said processor selects said second display arrangement from a discrete set of display arrangements such that the selected second arrangement most closely corresponds to the orientation of said distal head.

### Claim 17 (depends on 12)

The surgical instrument of claim 12, wherein said longitudinal end effector axis is collinear with said longitudinal shaft axis.

### Claim 18 (depends on 12)

The surgical instrument of claim 12, further comprising an articulation joint configured to permit said end effector to articulate about said articulation joint.

### Claim 19 (depends on 18)

The surgical instrument of claim 18, wherein said rotation joint is positioned closer to said distal head than said articulation joint.

### Claim 20 (depends on 12)

The surgical instrument of claim 12, wherein said display is on said shaft.

### Claim 21 (depends on 12)

The surgical instrument of claim 12, wherein said distal head comprises a staple cartridge comprising staples removably stored therein.

### Claim 22

A surgical instrument, comprising:
a handle;
an end effector configured to perform a tissue-treating function, wherein said end effector comprises:
a distal head comprising a rotatable jaw; and
an end effector frame comprising a longitudinal end effector axis;
means for rotating said distal head relative to said end effector frame;
a display; and
means for adjusting the contents of said display in relation to the rotation of said distal head.

### Claim 23 (depends on 22)

The surgical instrument of claim 22, wherein said distal head comprises a staple cartridge comprising staples removably stored therein.
