The disclosure relates to surgical instruments and, more particularly, to a safety cut-off circuit and a powered surgical tack applier instrument including a safety cut-off circuit.
Various surgical procedures require instruments capable of applying fasteners to tissue to form tissue connections or to secure objects to tissue. For example, during hernia repair it is often desirable to fasten a mesh to tissue. In certain hernias, such as direct or indirect inguinal hernias, a part of the intestine protrudes through a defect in the abdominal wall to form a hernial sac. The defect may be repaired using an open surgery procedure in which a relatively large incision is made and the hernia is closed outside the abdominal wall by suturing. The mesh is attached with sutures over the opening in the abdominal wall to provide reinforcement. However, this may also be accomplished through the use of minimally invasive surgical fasteners such as, e.g., surgical tacks.
Following the surgical procedure, some surgical instruments may be reprocessed for reuse, while others are disposable.
The disclosure relates to surgical instruments and, more particularly, to a safety cut-off circuit and a powered surgical tack applier instrument including a safety cut-off circuit.
In accordance with an aspect, a safety cut-off circuit for a surgical instrument includes a positive terminal and a negative terminal, the negative terminal being grounded, a fuse coupled in series to the positive terminal of the power supply, a liquid detection circuit coupled in parallel to the fuse and the negative terminal of the power supply, and a voltage regulator operably coupled to the liquid detection circuit and the positive terminal of the power supply via the fuse. Power supplied to the voltage regulator is cut-off when liquid comes into contact with the liquid detection circuit.
The fuse is configured to blow when liquid contacts the liquid detection circuit. In an aspect, the fuse includes an amperage rating greater than an amperage rating required to operate the safety cut-off circuit.
In an aspect, the liquid detection circuit is coupled to the fuse via a first trace and to the voltage regulator via a second trace and the first trace is of a lower gauge relative to the second trace.
In an aspect, the liquid detection circuit includes water detection traces. In an aspect, the liquid detection circuit includes an interlaced comb structure.
In an aspect, the safety cut-off circuit includes a transistor coupled in parallel to the safety cut-off circuit and configured to be selectively triggered to create a short circuit and blow the fuse. An amperage capacity of the transistor may be higher than an amperage capacity of the fuse. In an aspect, the transistor includes a logic pin coupled to a microcontroller for selectively triggering the transistor to create the short circuit and blow the fuse. The transistor may be triggered to create the short circuit and blow the fuse when at least one of an end of useable life is detected, liquid is detected elsewhere in the surgical instrument remote from the liquid detection circuit, or erroneous behavior or signals are detected from at least one other electrical component of the surgical instrument. The at least one other electrical component may include a motor or a power source.
In an aspect, the safety cut-off circuit includes a resettable fuse coupled in series to the fuse, wherein an amperage rating of the resettable fuse is less than an amperage rating of the fuse. The safety cut-off circuit may further include a first transistor and a second transistor, wherein an amperage capacity of the first transistor is greater than an amperage capacity of the fuse and an amperage capacity of the second transistor is greater than an amperage capacity of the resettable fuse. In an aspect, the second transistor includes a logic pin coupled to a microcontroller for selectively triggering the second transistor to create a short circuit and blow the resettable fuse.
In another aspect of the disclosure, a safety cut-off circuit for a surgical instrument includes a power supply including a positive terminal and a negative terminal, the negative terminal being grounded, a fuse coupled in series to the positive terminal of the power supply, at least one of a liquid detection circuit or a transistor coupled in parallel to the fuse and the negative terminal of the power supply, a voltage regulator operably coupled to at least one of the liquid detection circuit or the transistor and the positive terminal of the power supply via the fuse. Power supplied to the voltage regulator is cut-off when at least one of liquid comes into contact with the liquid detection circuit or the transistor is caused to short circuit the safety cut-off circuit and blow the fuse.
In yet another aspect of the disclosure, a powered surgical instrument includes a handle assembly, an articulation lever assembly, an elongate member, and a safety cut-off circuit operably coupled to at least one of the handle assembly, the articulation lever assembly, or the elongate member. The handle assembly includes an actuation assembly including a motor, an actuation rod having a first end operatively coupled to an output shaft of the motor for concomitant rotation therewith, and an actuation switch configured to actuate the motor. The articulation lever assembly includes an articulation rod and an articulation lever operatively coupled with the articulation rod. The safety cut-off circuit includes a power supply including a positive terminal and a negative terminal, the negative terminal being grounded, a fuse coupled in series to the positive terminal of the power supply, a liquid detection circuit coupled in parallel to the fuse and the negative terminal of the power supply, and a voltage regulator operably coupled to the liquid detection circuit and the positive terminal of the power supply via the fuse. Power supplied to the voltage regulator is cut-off when liquid comes into contact with the liquid detection circuit.
The details of one or more aspects of the disclosure are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the techniques described in this disclosure will be apparent from the description and drawings, and from the claims.
Various aspects of the disclosure are described hereinbelow with reference to the drawings, which are incorporated and constitute a part of this specification, wherein:
Aspects of the disclosed surgical instrument and its components are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein, the term “distal,” as is conventional, will refer to that portion of the instrument, apparatus, device, or component thereof which is farther from the user, while the term “proximal” will refer to that portion of the instrument, apparatus, device, or component thereof which is closer to the user. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail.
In electrically powered laparoscopic surgical devices, there often is a need to permanently disable electronic components due to an event occurring during a product's life. Manufacturers may choose to permanently disable electronics as a means of mitigating patient and surgeon hazard in the event of liquid ingress or to ensure that devices are not used beyond their known safe useful life. In both instances disabling the electronic components would allow the device to “fail safe.”
Following the surgical procedure, some surgical instruments may be reprocessed for reuse, while others are disposed of. A need exists for disabling surgical instruments that are to be disposed of in order to inhibit their reuse beyond their useful life and for ensuring the safety of the clinician and patient in the event of a faulty condition.
This disclosure provides electronic solutions to address the above-noted concerns. Multiple aspects using either liquid detection circuits (e.g., interlaced comb circuits) or one or more transistors to create short circuits combined with board-mounted fuses are described. The use of passive components that fail due to liquid ingress or other fault conditions ensures that if the microcontroller logic of the surgical instrument or signals become compromised, the device will still safely be able to turn itself off.
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The loading unit 30 includes an outer tube 32 defining a lumen (not shown), a spiral or coil 36 fixedly disposed within the outer tube 32, and an inner tube 38 rotatably disposed within the coil 36. The inner tube 38 defines a lumen therethrough, and includes a first portion 38a and a splined second portion 38b. The second portion 38b of the inner tube 38 is slotted, defining a pair of tines 38b1 and a pair of channels 38b2. The second portion 38b of the inner tube 38 is configured to support the plurality of surgical tacks 10 within the inner tube 38. In particular, the surgical tacks 10 are loaded into the loading unit 30 such that the pair of opposing threaded sections 112a of the surgical tacks 10 extend through respective channels 38b2 of the second portion 38b of the inner tube 38 and are slidably disposed within the groove of the coil 36, and the pair of tines 38b1 of the second portion 38b of the inner tube 38 are disposed within the pair of slotted sections 116a of the surgical tack 10. In use, as the inner tube 38 is rotated about a longitudinal axis “X-X” thereof, relative to the coil 36, the pair of tines 38b1 of the inner tube 38 transmits the rotation to the surgical tacks 10 and advance the surgical tacks 10 distally as the head threads 114a of the surgical tacks 10 engage with the coil 36.
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In use, the loading unit 30 is operatively mounted to a distal end of the elongate member 50. The loading unit 30 is introduced into a target surgical site while in the non-articulated condition. The clinician may remotely articulate loading unit 30 relative the longitudinal axis “X-X” to access the surgical site. Specifically, the clinician may slide the engaging portion 364 of the articulation lever 360 along the engaging surface 204 of the housing 202. As the articulation rod 310 is displaced axially, the loading unit 30 is moved to an articulated orientation relative to the central longitudinal axis “X-X”. Furthermore, the clinician may position the surgical mesh “M” adjacent the surgical site. Once the surgical mesh “M” is properly positioned on the surgical site, the clinician may trigger the actuation switch 404 to eject a surgical tack 10 through the mesh “M” and into tissue “T”. While the articulation rod 310 is configured for axial displacement, it is further contemplated that an actuation rod 1310 may be rotatably supported by a rotor 1370 such that the actuation rod 1310 outputs an axial rotation which may be utilized by the loading unit 30 to effect articulation thereof, as can be appreciated with reference to
Aspects of safety cut-off circuits for use with powered surgical instruments such as the surgical tack applier described above are illustrated in
The fuse 1407 includes an amperage rating greater than an amperage rating required to operate the safety cut-off circuit 1400. The liquid detection circuit 1411 may include water detection traces and/or an interlaced comb structure.
During operation, power supplied to the voltage regulator 1409 is cut off when liquid comes into contact with the liquid detection circuit 1411. In particular, in the event of water or other liquid ingress into the surgical instrument that could corrupt the logic and signals of the microcontroller or other component of the surgical instrument, the power supply 1401 becomes short circuited due to detection of liquid by liquid detection circuit 1411. This creates a very high current draw in excess of what is required to operate the surgical instrument or circuit normally and causes fuse 1407 to blow. In aspects, first trace 1413, illustrated to the right of the liquid detection circuit 1411 in
Unlike safety cut-off circuit 1400, the liquid detection circuit 1511 of safety cut-off circuit 1500 is optional and may be removed from the circuit. Additionally, safety cut-off circuit 1500 includes a transistor 1513 coupled in parallel to the safety cut-off circuit 1500 which is configured to be selectively triggered to create a short circuit and blow the fuse 1507. The amperage capacity of the transistor 1513 is higher than an amperage capacity of the fuse 1507 to ensure that the fuse 1507 will blow before any damage is incurred on the transistor 1513 or any other components of the circuit and surgical instrument.
The transistor 1513 of the safety cut-off circuit 1500 includes a logic pin 1513a coupled to a microcontroller for selectively triggering the transistor 1513 to create the short circuit and blow the fuse 1507. The transistor 1513 is triggered to create the short circuit and blow the fuse 1507 when an end of useable life of the surgical instrument is detected, for example, for single use devices, upon completion of use of the surgical instrument. In an aspect, transistor 1513 is triggered to create the short circuit when liquid is detected elsewhere in the surgical instrument, not local to the liquid detection circuit 1511. Additionally or alternatively, when erroneous behavior or signals are detected from another component of the surgical instrument (e.g., another circuit in the surgical instrument, a motor, a power source, etc.), transistor 1513 may also be triggered by a microcontroller to blow fuse 1507.
Safety cut-off circuit 1600 includes a power supply 1601, a fuse 1607a, a resettable fuse 1607b, a liquid detection circuit 1611, a first transistor 1613, a second transistor 1615, and a voltage regulator 1409. The power supply 1601 includes a positive terminal 1603 and a negative terminal 1605 with the negative terminal 1605 being grounded, for example, to a chassis of a surgical instrument. The fuse 1607a is coupled in series to the positive terminal 1603 of the power supply 1601 and the resettable fuse 1607b is coupled in series with the fuse 1607a. The first transistor 1613 is coupled in parallel, between the fuse 1607a and the resettable fuse 1607b. The liquid detection circuit 1611 is coupled in parallel to the resettable fuse 1607b and the negative terminal 1605 of the power supply 1601. The second transistor 1615 is coupled in parallel after the liquid detection circuit 1611. The voltage regulator 1609 is operably coupled to the liquid detection circuit 1611 and the positive terminal 1603 of the power supply 1601 via the fuse 1607a and the resettable fuse 1607b.
The liquid detection circuit 1411 may include water detection traces and/or an interlaced comb structure. The fuse 1607a and/or resettable fuse 1607b includes an amperage rating greater than an amperage rating required to operate the safety cut-off circuit 1600. Additionally, an amperage rating of the resettable fuse 1607b is less than an amperage rating of the fuse 1607a, such that the resettable fuse 1607b will blow before the fuse 1607a blows, or without the fuse 1607a blowing at all. Additionally, an amperage capacity of the first transistor 1613 is greater than an amperage capacity of the fuse 1607a and an amperage capacity of the second transistor 1615 is greater than an amperage capacity of the resettable fuse 1607b.
The first transistor 1613 includes a logic pin 1613a coupled to a microcontroller for selectively triggering the first transistor 1613 to create a short circuit and blow the fuse 1607a. Such an occurrence will permanently disable the safety cut-off circuit and protect the components of the surgical instrument. The second transistor 1615 includes a logic pin 1615a coupled to a microcontroller for selectively triggering the second transistor 1615 to create a short circuit and blow the resettable fuse 1607b. Such an occurrence of blowing the resettable fuse 1607b via the second transistor 1615 does not impact the fuse 1607a, and only temporarily disables the operation of the safety cut-off circuit 1600. Upon resetting the resettable fuse 1607b, the safety cut-off circuit 1600 functions normally.
During operation, power supplied to the voltage regulator 1609 is cut off when liquid comes into contact with the liquid detection circuit 1611, when first transistor 1613 is caused to blow fuse 1607a, or when second transistor 1615 is caused to blow resettable fuse 1607b. In particular, in the event of water or other liquid ingress into the surgical instrument that could corrupt the logic and signals of the microcontroller or other component of the surgical instrument, the power supply 1601 becomes short circuited due to detection of liquid by liquid detection circuit 1611. This creates a very high current draw in excess of what is required to operate the surgical instrument or circuit normally and causes fuse 1607a and/or resettable fuse 1607b to blow.
Safety cut-off circuit includes two additional components for disabling power. As described above, microcontroller logic can selectively trigger a transistor (e.g., first transistor 1613 or second transistor 1615) on the board that creates a short circuit to blow resettable fuse 1607b, to temporarily remove power, or blow fuse 1607a, to permanently remove power. The microcontroller could be programmed to do this for any number of reasons. The first transistor 1613 or second transistor 1615 can be triggered by microcontroller to create the short circuit and blow the fuse 1607a and/or the resettable fuse 1607b when an end of useable life of the surgical instrument is detected, for example, for single use devices, upon completion of use of the surgical instrument. In an aspect, the first transistor 1613 and/or the second transistor 1615 is triggered to create the short circuit when liquid is detected elsewhere in the surgical instrument, not local to the liquid detection circuit 1611. Additionally or alternatively, when erroneous behavior or signals are detected from another component of the surgical instrument (e.g., another circuit in the surgical instrument, a motor, a power source, etc.), the first transistor 1613 may also be triggered by a microcontroller to blow fuse 1607a and/or the second transistor 1615 may be triggered by a microcontroller to blow resettable fuse 1607b.
Persons skilled in the art will understand that the structures and methods specifically described herein and shown in the accompanying figures are non-limiting exemplary aspects, and that the description, disclosure, and figures should be construed merely as exemplary of particular aspects. It is to be understood, therefore, that the disclosure is not limited to the precise aspects described, and that various other changes and modifications may be effected by one skilled in the art without departing from the scope or spirit of the disclosure.
Additionally, the elements and features shown or described in connection with certain aspects may be combined with the elements and features of certain other aspects without departing from the scope of the disclosure, and that such modifications and variations are also included within the scope of the disclosure. Accordingly, the subject matter of the disclosure is not limited by what has been particularly shown and described.
It should be understood that various aspects disclosed herein may be combined in different combinations than the combinations specifically presented in the description and accompanying drawings. It should also be understood that, depending on the example, certain acts or events of any of the processes or methods described herein may be performed in a different sequence, may be added, merged, or left out altogether (e.g., all described acts or events may not be necessary to carry out the techniques). In addition, while certain aspects of this disclosure are described as being performed by a single module or unit for purposes of clarity, it should be understood that the techniques of this disclosure may be performed by a combination of units or modules associated with, for example, a medical device.
In one or more examples, the described techniques may be implemented in hardware, software, firmware, or any combination thereof. If implemented in software, the functions may be stored as one or more instructions or code on a computer-readable medium and executed by a hardware-based processing unit. Computer-readable media may include non-transitory computer-readable media, which corresponds to a tangible medium such as data storage media (e.g., RAM, ROM, EEPROM, flash memory, or any other medium that can be used to store desired program code in the form of instructions or data structures and that can be accessed by a computer).
Instructions may be executed by one or more processors, such as one or more digital signal processors (DSPs), general purpose microprocessors, application specific integrated circuits (ASICs), field programmable logic arrays (FPGAs), or other equivalent integrated or discrete logic circuitry. Accordingly, the term “processor” as used herein may refer to any of the foregoing structure or any other physical structure suitable for implementation of the described techniques. Also, the techniques could be fully implemented in one or more circuits or logic elements.
The present application claims the benefit of and priority to U.S. Provisional Application Ser. No. 62/945,951, filed on Dec. 10, 2019, the entire contents of which are incorporated herein by reference.
Number | Date | Country | |
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62945951 | Dec 2019 | US |