US011464514B2

( 12) United States Patent ( 10) Patent No .: US 11,464,514 B2

Yates et al . (45 ) Date of Patent : Oct. 11 , 2022
( 54 ) MOTORIZED SURGICAL STAPLING ( 56 ) References Cited
SYSTEM INCLUDING A SENSING ARRAY
U.S. PATENT DOCUMENTS
( 71 ) Applicant: Cilag GmbH International , Zug ( CH ) 66,052 A 6/1867 Smith
662,587 A 11/1900 Blake
( 72 ) Inventors: David C. Yates, Morrow , OH (US ); (Continued )
Frederick E. Shelton , IV , Hillsboro,
OH (US ); James R. Giordano , FOREIGN PATENT DOCUMENTS
Milford , OH (US )
AU 2012200594 Al 2/2012
( 73 ) Assignee : Cilag GmbH International , Zug ( CH ) AU 2012203035 Al 6/2012

( * ) Notice : Subject to any disclaimer, the term of this (Continued )

patent is extended or adjusted under 35 OTHER PUBLICATIONS
U.S.C. 154 ( b ) by 44 days.
“ ATM - MPLS Network Interworking Version 2.0 , af -aic - 0178.001 ”
( 21) Appl . No .: 17 /018,047 ATM Standard , The ATM Forum Technical Committee, published
Aug. 2003 .
( 22 ) Filed : Sep. 11 , 2020 ( Continued )
( 65 ) Prior Publication Data Primary Examiner — Nathaniel C Chukwurah
US 2021/0059669 A1 Mar. 4 , 2021
( 57 ) ABSTRACT
Related U.S. Application Data A surgical stapling system for treating tissue of a patient is
( 63 ) Continuation of application No. 14/ 930,826 , filed on disclosed . The surgical stapling system comprises an end
Nov. 3 , 2015 , now Pat . No. 10,779,822 , which is a effector, a firing member, motor, a RF transceiver config
(Continued ) ured to transmit RF signals, and a sensing array . The end
effector comprises an elongate channel, an anvil rotatable
( 51 ) Int . Cl . relative to the elongate channel from an open position
A61B 17/072 ( 2006.01 ) toward aa closed position , and a staple cartridge removably
A61B 34/00 ( 2016.01 ) positioned in the elongate channel. The staple cartridge
( Continued ) comprises a plurality of staples removably stored therein .
( 52) U.S. Cl . The firing member is movable between an unfired position
CPC A61B 17/07207 ( 2013.01 ) ; A61B 18/1482 and a fired position . The staples are deployed from the staple
( 2013.01 ) ; A61B 34/30 ( 2016.02 ) ; cartridge based on the firing member being moved toward
the fired position . The motor is configured to drive the firing
( Continued ) member toward the fired position . The sensing array is
( 58 ) Field of Classification Search configured to sense compression of the tissue , properties of
CPC A61B 17/07207 ; A61B 18/1482 , A61B the tissue , and a presence of metallic elements within the
34/30 ; A61B 34/37 ; A61B 34/71 ; A61B tissue .
34/76 ; A61B 90/98
See application file for complete search history . 19 Claims , 127 Drawing Sheets
24

60 mm 64
516 570 -500 500 -500 500
2

...............
1
570
.......... |

500
576
MUX

574 RF
GENERATOR
578

CONTROLLER
 US 11,464,514 B2
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Related U.S. Application Data D120,434 S 5/1940 Gold

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U.S. Patent Oct. 11 , 2022 Sheet 1 of 127 US 11,464,514 B2

10

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U.S. Patent Oct. 11 , 2022 Sheet 3 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 6 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 7 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 11 of 127 US 11,464,514 B2

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[ 7

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U.S. Patent Oct. 11 , 2022 Sheet 13 of 127 US 11,464,514 B2

342
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U.S. Patent Oct. 11 , 2022 Sheet 14 of 127 US 11,464,514 B2

368 364
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U.S. Patent Oct. 11 , 2022 Sheet 15 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 16 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 18 of 127 US 11,464,514 B2

-24
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U.S. Patent Oct. 11 , 2022 Sheet 19 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 24 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 26 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 27 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 28 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 31 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 40 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 41 of 127 US 11,464,514 B2

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U.S. Patent Oct. 11 , 2022 Sheet 42 of 127 US 11,464,514 B2

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