US 12,433,589 B2
Learned triggers for adaptive control of surgical stapling systems
Frederick E. Shelton, IV, Hillsboro, OH (US); Shane R. Adams, Lebanon, OH (US); Nicholas J. Ross, Franklin, OH (US); Kevin M. Fiebig, Cincinnati, OH (US); Matthew D. Cowperthwait, Cincinnati, OH (US); and Taylor W. Aronhalt, Loveland, OH (US)
Assigned to Cilag GmbH International, Zug (CH)
Filed by Cilag GmbH International, Zug (CH)
Filed on Oct. 13, 2023, as Appl. No. 18/379,763.
Prior Publication US 2025/0120711 A1, Apr. 17, 2025
Int. Cl. A61B 17/072 (2006.01); A61B 17/00 (2006.01)
CPC A61B 17/07207 (2013.01) [A61B 2017/00398 (2013.01); A61B 2017/07214 (2013.01); A61B 2017/07271 (2013.01)] 19 Claims
OG exemplary drawing
 
1. A surgical system for use in a surgical procedure to perform sequential firings of staple cartridges, the sequential firings including a first firing that deploys first staples into a first tissue portion from a first staple cartridge, and a second firing that deploys second staples into a second tissue portion from a second staple cartridge, the surgical system comprising:
an end effector, comprising:
a first jaw; and
a second jaw movable relative to the first jaw to transition the end effector from an open configuration to a closed configuration;
a motor;
a drive shaft operably coupled to the motor, wherein the motor is to motivate the drive shaft to effect a firing motion at the end effector; and
a control circuit coupled to the motor, wherein the control circuit is to:
monitor a parameter indicative of a tissue response associated with the first firing, wherein the tissue response is a first tissue response assessed during a first segment of the first firing;
assess the tissue response based on the parameter;
implement a first adjustment to an output of the motor based on the first tissue response during the first segment of the first firing;
implement a second adjustment to the output of the motor during a second segment of the first firing, wherein the second segment is distal to the first segment, and wherein the second adjustment is based on an effectiveness of the first adjustment; and
adjust an operational parameter associated with the second firing based on the tissue response during the first firing.