CN103313670A - 具有充电站和无线通信的外科器械 - Google Patents

具有充电站和无线通信的外科器械 Download PDF

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Publication number
CN103313670A
CN103313670A CN2011800640106A CN201180064010A CN103313670A CN 103313670 A CN103313670 A CN 103313670A CN 2011800640106 A CN2011800640106 A CN 2011800640106A CN 201180064010 A CN201180064010 A CN 201180064010A CN 103313670 A CN103313670 A CN 103313670A
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China
Prior art keywords
external device
surgical instruments
communicator
information
equipment according
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CN2011800640106A
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CN103313670B (zh
Inventor
K·L·豪泽
D·W·普莱斯
G·M·蒙森
H·杰恩
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Ethicon Endo Surgery Inc
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Ethicon Endo Surgery Inc
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Abstract

本发明公开了一种装置，所述装置包括具有柄部组件的电动外科器械。所述装置还包括定位在所述柄部组件内的通信装置。所述通信装置能够操作以与电动外科器械的至少一部分通信。所述装置还包括与所述通信装置进行无线通信的外部装置。所述外部装置能够操作以从所述通信装置接收信息，并且所述外部装置能够操作以提供可视输出给使用者。

Description

具有充电站和无线通信的外科器械
Kevin L.Houser
Daniel W.Price
Gavin M.Monson
Hitesh Jain
优先权
本专利申请要求2010年11月5日提交的名称为“Energy-BasedSurgical Instruments”的美国临时申请序列号61/410,603的优先权，其公开内容以引用方式并入本文。本专利申请同时要求2011年5月19日提交的名称为“Energy-Based Surgical Instruments”的美国临时申请序列号61/487,846的优先权，其公开内容以引用方式并入本文。本专利申请同时要求2011年10月18日提交的名称为“SURGICAL INSTRUMENT WITHCHARGING STATION AND WIRELESS COMMUNICATION”的美国非临时申请序列号13/275,547的优先权，其公开内容以引用方式并入本文。
背景技术
在一些情况下，内窥镜式外科器械可优于传统的开放式外科器械，因为较小的切口可减少术后恢复时间和并发症。因此，一些内窥镜式外科器械可适于将远侧端部执行器通过套管针的插管设置在所需手术部位处。这些远侧端部执行器（例如，直线切割器、抓紧器、切割器、缝合器、施夹钳、进入装置、药物/基因治疗递送装置、以及使用超声、射频、激光等的能量递送装置）可以多种方式接合组织，以达到诊断或治疗的效果。内窥镜式外科器械可包括轴，所述轴位于端部执行器和由临床医生操纵的手柄部分之间。这种轴可允许插入到所需深度并向轴线旋转，由此有利于将端部执行器定位在患者体内。
内窥镜式外科器械的实例包括公开于下述专利中的那些：2006年4月13日公布的名称为“Tissue Pad Use with an Ultrasonic Surgical Instrument”的美国专利公布2006/0079874，其公开内容以引用方式并入本文；2007年8月16日公布的名称为“Ultrasonic Device for Cutting and Coagulating”的美国专利公布2007/0191713，其公开内容以引用方式并入本文；2007年12月6日公布的名称为“Ultrasonic Waveguide and Blade”的美国专利公布2007/0282333，其公开内容以引用方式并入本文；2008年8月21日公布的名称为“Ultrasonic Device for Cutting and Coagulating”的美国专利公布2008/0200940，其公开内容以引用方式并入本文；2011年1月20日公布的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国专利公布2011/0015660，其公开内容以引用方式并入本文；2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for SealingTissue”的美国专利6,500,176，其公开内容以引用方式并入本文；以及2011年4月14日公布的名称为“Surgical Instrument Comprising First andSecond Drive Systems Actuatable by a Common Trigger Mechanism”的美国专利公布2011/0087218，其公开内容以引用方式并入本文。另外，这些外科工具可包括无线换能器，例如公开于2009年6月4日公布的名称为“Cordless Hand-held Ultrasonic Cautery Cutting Device”的美国专利公布2009/0143797中的无线换能器，其公开内容以引用方式并入本文。另外，外科器械可用于或者可适用于机器人辅助的外科手术场景，例如公开于2004年8月31日公布的名称为“Robotic Surgical Tool with UltrasoundCauterizing and Cutting Instrument”的美国专利6,783,524中的机器人辅助的外科手术场景，其公开内容以引用方式并入本文。
尽管已研制出若干系统和方法并用于外科器械，但据信在本发明人之前还无人研制出或使用所附权利要求中描述的发明。
附图说明
虽然在说明书之后提供了特别指出和清楚地要求保护本发明的权利要求书，但是据信通过对下面某些实施例的描述并结合附图可以更好地理解本发明，附图中类似的附图标号表示相同元件，其中：
图1示出了具有内部电源的示例性医疗装置的示意图；
图2示出了具有内部电源的示例性医疗装置的透视图；
图3示出了具有外部装置的示例性外科器械的图解视图；
图4示出了具有存储器单元的示例性外科器械的侧面局部剖视图；
图5示出了具有外部控件的示例性外科器械的侧面图解视图；
图6示出了与图5所示的外科器械一起使用的示例性脚踏板的侧视图；
图7示出了与图5所示的外科器械一起使用的示例性外部控件的透视图；
图8示出了具有监视器和示例性充电器单元的示例性外科器械的透视图；
图9示出了图8所示的示例性充电器单元的正面透视图；
图10示出了图8所示的示例性充电器单元的侧视图；
图11示出了具有示例性充电站的示例性外科器械的透视图；
图12示出了电池门打开的如图11所示的外科器械的背面透视图；以及
图13示出了电池门关闭的如图11所示的外科器械的背面透视图。
附图并非意在以任何方式进行限制，并且可以预期本发明的各种实施例能够以多种其它方式来执行，包括那些不必在附图中示出的方式。附图并入本说明书中并构成其一部分，示出了本发明的若干方面，并与具体实施方式一起用于说明本发明的原理；然而，应当理解，本发明不限于所示出的明确布置方式。
具体实施方式
以下对本发明某些实例的描述不应用于限制本发明的范围。通过以下举例说明设想用于实施本发明的最佳方式之一的描述，本发明的其它例子、特征、形态、实施例和优点对于本领域技术人员将变得显而易见。正如将会意识到的，本发明可以具有其它不同且显而易见的方面，这些都未脱离本发明。例如，尽管各种。因此，附图和描述应被认为在实质上是示例性的，而不是限制性的。
应当理解，本文使用的术语“近側”和“远側”是相对于紧握手持件组件的临床医生而言的。因此，端部执行器相对于较近的手持件组件而言处于远侧。还应当理解，为方便和清晰起见，本文根据临床医生紧握手持件组件的情况也使用诸如“顶部”和“底部”之类的空间术语。然而，外科器械在多个取向和位置中使用，并且这些术语并非旨在进行限制，也并非绝对的。
I.与可插入或可回收部件一起使用的医疗装置
图1以图解方块图的形式示出了示例性医疗装置和/或外科器械10的各部件。如图所示，医疗装置10包括控制模块12、电源14和端部执行器16。仅仅示例性的电源14可包括镍氢电池、锂离子电池（例如，棱柱状电芯型锂离子电池等）、镍铬电池或者任何其它类型的电源，参考本文的教导内容，这对本领域的普通技术人员而言可能是显而易见的。控制模块12可包括微处理器、专用集成电路（ASIC）、存储器、印刷电路板（PCB）、存储装置（例如固态驱动器或硬盘）、固件、软件或者任何其它合适的控制模块部件，参考本文的教导内容，这对本领域的普通技术人员而言将是显而易见的。控制模块12和电源14通过诸如缆线和/或电路板中的迹线等的电连接件22联接，以将电力从电源14传递到控制模块12。或者，电源14有选择地联接到控制模块12。这允许电源14从医疗装置10拆下并移除，还可允许电源14容易地进行再充电或者回收以用于重新消毒和再利用，诸如根据本文的各种教导内容。除此之外或作为另外一种选择，控制模块12可被移除以用于维护、测试、更换或其它目的，参考本文的教导内容，这对本领域的普通技术人员而言将是显而易见的。
端部执行器16通过另一个电连接件22联接到控制模块12。端部执行器16能够执行医疗装置10的期望的功能。仅以举例的方式，此类功能可包括烧灼组织、消融组织、切割组织、超声振动、缝合组织或者针对医疗装置10的任何其它期望的任务。端部执行器16因此可包括主动结构，诸如超声刀、一对夹紧钳口、尖锐小刀、缝合驱动组件、单极射频电极、一对双极射频电极、加热元件和/或各种其它部件。端部执行器16还能够从医疗装置10移除，以用于维护、测试、替换或任何其它目的，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在一些型式中，端部执行器16是模块化的，使得医疗装置10可以与不同类型的端部执行器一起使用（例如，如序列号为61/410,603的美国临时申请所教导的等）。根据医疗装置10的目的，可提供端部执行器16的各种其它构型以用于各种不同的功能，参考本文的教导内容，这对本领域的普通技术人员而言将是显而易见的。相似地，参考本文的教导内容，能够从电源14接收电力的其它类型的医疗装置10的部件对本领域的普通技术人员而言将是显而易见的。
本例的医疗装置10包括触发器18和传感器20，但是应当理解此类部件仅仅是可选的。触发器18通过电连接件22联接到控制模块12和电源14。触发器18能够有选择地将电力从电源14传递到端部执行器16（和/或传递到医疗装置10的某些其它部件），以在进行手术时激活医疗装置10。传感器20也通过电连接件22联接到控制模块12并且能够在手术期间向控制模块12提供各种信息。仅以举例的方式，此类构型可包括感测端部执行器16处的温度或者确定端部执行器16的摆动速率。来自传感器20的数据可通过控制模块12处理，以实现功率至端部执行器16的递送（例如在反馈回路等中）。根据医疗装置10的目的，可提供传感器20的各种其它构型，参考本文的教导内容，这对本领域的普通技术人员而言将是显而易见的。当然，和本文所述的其它部件一样，医疗装置10可以具有不止一个传感器20，或者如果需要，传感器20可被省略。
图2示出了医疗装置10可采取的仅示例性的形式。具体地，图2示出了包括电源110、控制模块120、外壳130、端部执行器140、以及电连接件150的医疗装置100。在本例中，电源110内置于医疗装置100的外壳130内。作为另外一种选择，电源110可仅仅部分地伸入外壳130并可选择性地附接于外壳130的部分。在另一种示例性构型中，外壳130的部分可伸入电源110，并且电源110可选择性地附接于所述外壳130的部分。电源110也能够与医疗装置100分开并与控制模块120或电连接件150脱离。因此，电源110在某些型式中可与医疗装置100完全分离。诸如根据本文的各种教导内容显而易见的是，这可允许电源110被移除以进行再充电或回收以用于重新消毒和再利用。在再充电后，或者初次充电后，可将电源110插入或重新插入医疗装置100并固定到外壳130或外壳130内。当然，医疗装置100也可允许电源110在仍处于外壳130内，或换句话讲仍相对于外壳130联接时进行充电和/或再充电。
还应当理解，控制模块120可被移除以用于维护、测试、替换或任何其它目的，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，端部执行器140还能够从医疗装置100移除以用于维护、测试、替换或其它目的，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。尽管已描述了示例性医疗装置100的某些构型，但根据本文的教导内容，可构造医疗装置100的各种其它方式对于本领域的普通技术人员而言将是显而易见的。
仅以举例的方式，本文涉及的医疗装置10,100和/或任何其它医疗装置可根据下述美国专利的至少部分教导内容进行构造：美国专利5,980,510、美国专利6,500,176、美国专利6,783,524、美国专利7,112,201、美国专利7,125,409、美国专利7,169,146、美国专利7,186,253、美国专利7,189,233、美国专利7,220,951、美国专利7,309,849、美国专利7,311,709、美国专利7,354,440、美国专利7,381,209、美国专利7,416,101、美国专利7,738,971、美国公布2006/0079874、美国公布2007/0191713、美国公布2007/0282333、美国公布2008/0200940、美国公布2009/0143797、美国公布2009/0209990、美国公布2010/0069940、美国公布2011/0015660、美国专利公布2011/0087218、美国专利申请13/151,181、和/或美国临时专利申请序列号61/410,603。这些文件中的每一个的公开内容均全文以引用方式并入本文。
另外应当理解，本文所述的教导内容、表达方式、实施例、实例等中的任何一个或多个可与本文所述的其它教导内容、表达方式、实施例、实例等中的任何一个或多个相结合。因此下述教导内容、表达方式、实施例、实例等不应视为彼此隔离。根据本文的教导内容，其中本文的教导内容可结合的各种合适方式对于本领域的普通技术人员而言将是显而易见的。这种修改形式和变化形式旨在包括在权利要求书的范围之内。
II.示例性射频通信装置
在一些情况下，期望给和/或从医疗装置10,100提供信息的无线通信。例如，此类信息可涉及医疗装置10,100的特征、医疗装置10,100的操作、医疗装置10,100的外科环境和/或其它信息。此类信息可被存储和/或呈现给医疗装置10,100的使用者，使得使用者可实时接收反馈。可提供和实现此类无线通信的方法的各种实例将在下文中详细讨论，同时附加的实例根据本文的教导内容，对于本领域的普通技术人员而言将是显而易见的。应当理解，下述教导内容可很容易地结合到医疗装置10,100和本文引用的各种参考文献中教导的装置中。
图3示出了具有与传输组件320连接的柄部组件310的示例性外科器械300。在本例中，外科器械300还包括定位在柄部组件310内的通信装置330。外科器械300还通过通信装置330与外部装置340通信。在示例性的型式中，外科器械300通过射频通信与外部装置340进行通信，但是根据本文的教导内容，可使用的任何合适的通信装置对本领域的普通技术人员而言将是显而易见的。例如，可使用蓝牙通信、Wi-Fi或任何其它合适的通信。还应当理解，可使用软件握手来检验外科器械300和外部装置340被授权进行相互通信和/或将外科器械300与外部装置340匹配。在某些其它示例性的型式中，外科器械300和外部装置340能够操作以主要基于临近性在相互间建立通信，使得外科器械300只是尝试连接附近的装置，诸如外部装置340。例如，通信装置330可周期性地和/或持续性地广播信号，直到外部装置340响应。相反，外部装置340可广播，直到通信装置330响应。
外科器械300的通信装置330与控制单元380通信，所述控制单元可包括微处理器或任何其它合适的计算芯片，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。应当理解，控制单元380通过使用传感器与外科器械900的许多或全部工作部件通信，所述传感器能够操作以测量与外科器械900的功能性/操作相关联的参数。因此，控制单元380能够操作以监控外科器械900的操作并记录外科器械900的各种诊断读数。诊断读数可与通信装置330通信；和/或在某些型式中，正如下文中将要进一步详细讨论的，与存储器卡通信以存储。除诊断信息之外，应当理解，还可记录外科器械300的识别信息。此外，还可记录有关外科器械300操作的信息。例如，使用外科器械300后，控制单元380能够操作以确定操作是否成功。根据本文的教导内容，其它合适条数的信息对于本领域的普通技术人员而言将是显而易见的。
外部装置340包括具有使用者控件360和视频输出370的控制台350。视频输出370可包括液晶显示屏，LED液晶显示屏，和/或触摸屏，或任何其它合适的能够操作以向使用者显示信息的屏幕，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。使用者控件360包括视频输出370旁的触控按钮，但是在某些其它示例性的型式中，使用者控件360可包括嵌入视频输出370中的软键。在某些型式中，使用者控件360以触摸屏的形式被结合到视频输出370中。根据本文的教导内容，用于使用者控件360的其它合适的部件和构型对本领域的普通技术人员而言将是显而易见的。使用者控件360能够操作以改变视频输出370的显示，以向视频输出370显示不同的信息。此外，使用者控件360能够操作以简单地改变视频输出370的格式来以例如不同类型面部或不同颜色显示信息。在某些仅示例性的型式中，外部装置340可包括软件，所述软件被结合到智能手机诸如iPhone或任何其它合适的移动装置中。
在某些型式中，通信装置330与外部装置340单向通信，使得信息仅从外科器械300的通信装置330传递给外部装置340。例如，在外科器械300的使用过程中如果发生任何错误，可从外科器械300以无线方式发送错误代码给外部装置340。此外，任何其它有关的诊断信息可从外科器械300发送到外部装置340，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。一旦错误代码发送给外部装置340，则外部装置340可输出错误代码给视频输出370，以便使用者读出错误代码。在某些型式中，也可输出错误代码的对应说明。此外，控制台350能够操作以输出声音警告。声音警告可包括用于发生的任何错误的一般性警告，或者在其它示例性的型式中，声音警告可包括对应于特定警告的具体声音，使得使用者只通过听警告就能够断定发生了什么错误（如果有的话）。视频输出370可进一步操作以输出完整的有关外科器械300的各个部件的诊断报告，使得使用者能够区分外科器械300的各个部件的型式、功能性、标识等信息。在其它示例性的型式中，当错误代码发送给外部装置350时，外部装置350能够操作以发送错误代码信息给制造商或任何其它合适的地点来用于报告或诊断目的。外部装置350能够操作以使用例如蜂窝、WiFi、调制解调器通信或任何其它合适的通信装置来发送错误代码信息，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，除了错误代码之外，外部装置350也能够操作以基于外部装置350发送的错误代码来发送上下文故障诊断指令，以使使用者能够纠正错误。
如果发送外科器械300的标识给外部装置340，应当进一步理解，对应于外科器械300型号的用户手册可被输出至视频输出370，并使用使用者控件360操纵。此外，外部装置340能够操作以向使用者显示相对于各个部件（而不是整个用户手册）的有用信息。
应当理解，通信装置330可包括射频通信模块，所述射频通信模块能够操作以双向通信的方式与外部装置340接合，使得通信装置330可发送信息和/或命令给外部装置340，并且外部装置340可发送信息和/或命令给通信装置330。应当理解，在双向通信设置中，单向通信的所有特征均可实现。此外，诊断指令可通过通信装置330发送给外科器械300，所述诊断指令可包括记录外科器械300内具体传感器读数的指令或任何其它合适的指令；根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在其它示例性的型式中，使用者能够在外部装置340上选择使用者特征，然后将其发送给外科器械300以定制外科器械300的功能。例如，使用者可为外科器械300上的按钮建立定制的最大和最小设置。在某些型式中，使用者可使用外部装置340来指示使用外科器械300执行的手术类型。外部装置340可使用该信息选择性地启用/禁用某些功能，参数和/或外科器械300中的诊断信息。例如，外科器械300的最大功率水平、在外科器械300的各种功率水平下的刀片的振幅、和/或提供给外科器械300的功率模式可基于使用者选择的手术来确定。
在某些型式中，可将外科器械300的软件/固件修订发送给外科器械300，所述修订能够操作以修正外科器械300的各个功能。例如，当外部装置340通过通信装置330与外科器械300通信时，外科器械300可发送固件/软件版本信息给外部装置340。外部装置340可通过互联网与计算机或远程位点通信，然后可检查外科器械300的固件版本是否是最新的版本。如果存在较新的固件/软件版本，则外部装置340可自动发送更新的软件给外科器械300。作为另外一种选择，外部装置340可发送指令，该指令提示使用者在发送更新的软件给外科器械300之前确认接收软件更新的意向。应当理解，此类软件可被传递给具体实施的控制单元380或给任何其它合适的部件。另一些仅示例性的型式可包括从外部装置340发送给控制单元380的指令，所述外部装置能够操作以启用和禁用外科器械300的功能。例如，指令能够操作以仅允许外科器械300使用一定的次数。此外，指令可防止外科器械300在特定时间之外被使用。根据本文的教导内容，启用和禁用各部件的其它合适的变型对于本领域的普通技术人员将是显而易见的。在某些型式中，外部装置340能够操作以发送自动化诊断和/或故障诊断命令给外科器械300。例如，使用者可按压外部装置340上的键，所述外部装置能够操作以发送指示给外科器械300，其中使用者可执行一套预定义的指令和/或例程，以使使用者能够诊断和/或检查外科器械300的任何问题。
尽管本例设想了通信装置330和外部装置340之间的射频通信，但应当理解，通信装置330和外部装置340之间的任何合适的通信方法均可使用。此外，预期通信装置330和外部装置340可相对于彼此远距离设置，其中通信装置330和外部装置340之间为蜂窝通信或某种形式的基本上远程通信。在通信装置330和外部装置340之间为蜂窝通信的型式中，中间蜂窝塔和/或其它通信点可用于在通信装置330和外部装置340之间传送信息。在另一些仅示例性的型式中，应当理解，通信装置330和外部装置340可通过诸如USB或以太网缆线的硬件连接件通信。
III.示例性存储器单元
图4示出了具有柄部组件410和工作末端420的示例性外科器械400，所述外科器械可包括例如具有端部执行器的传输组件。外科器械400还包括控制单元480和存储器单元430。应当理解，外科器械400可根据或类似于有关外科器械/医疗装置10,100的教导内容进行构造。
存储器单元430可包括与控制单元480通信的固定存储器或可移除的存储器。存储器单元430可包括可移除的或固定的闪存卡。在存储器单元430相对于柄部组件410固定的某些型式中，应当理解，柄部组件410可包括与存储器单元430进行有线/无线通信的端口。本例包括插入存储器槽432中的可移除的存储器。控制单元480能够操作以在使用过程中监控外科器械400的操作，并将与外科器械400的使用有关的信息写入存储器单元430。此类信息可包括外科器械400的技术规范，包括操作的次数、上次使用的详情、组成外科器械400的各个部件使用过程中的规范。在有关外科器械400的使用和/或诊断信息被写入存储器单元430之后，存储器单元430信息可下载下来以发送给制造商。因此，如果在外科器械400的使用过程中发生任何错误，制造商或任何其它合适的一方可能能够使用从存储器单元430收集的信息来诊断任何潜在的问题。在其它示例性的型式中，可将整个存储器单元430运送给制造商进行诊断。因此，应当理解，在这两种情况的任何一个中，制造商或任何其它合适的支持小组可能能够诊断外科器械400，而无需将整个外科器械400送回给制造商。应当理解，外科器械400可充分装备有传感器，以便于外科器械400的操作被写入存储器单元430。因此，存储器单元430可作为外科器械400的操作的“黑匣子”，可在之后用于诊断和/或分析外科器械400的操作。
存储器单元430还可加载有使用者优选信息，使得当存储器单元430与外科器械400连接时，外科器械400的控制单元480能够操作以根据使用者优选数据配置外科器械400。此类使用者优选信息可包括外科器械400的最大和最小设置，以及外科器械400执行的具体手术。可使用的其它合适合适类型的使用者优选信息，根据本文的教导内容，对于本领域的普通技术人员而言将是显而易见的。
IV.外科器械的示例性远程激活
图5示出了具有柄部组件510和工作末端520的示例性外科器械500，所述外科器械可包括例如具有端部执行器的传输组件。外科器械500可类似于或根据医疗装置和/或外科器械10,100进行构造，其还包括控制单元580和与外部控件540无线通信的通信装置530。图6示出了外部控件540可采取的仅仅示例性形式。具体地，图6示出了包括脚踏开关的外部控件640，所述脚踏开关具有主体642、天线644和踏板646。天线644能够操作以发送信号给通信装置530。主体642包括用于外部控件640的稳定外壳，所述主体可包括加重底部，使得踏板646可在不影响总体外部控件640的稳定性的情况下被压下。踏板646的致动能够操作以从外部控件640发送指令信号给外科器械500。例如，压下踏板646可改变功率水平、速度、开/关状态、或任何其它外科器械500的属性，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。图7示出了外部控件540可采取的另一个示例性形式。具体地，图7示出了外部控件740，所述外部控件具有包括使用者控件748和电量表746的主体742。如同图6中所示的示例性的型式，外部控件740能够操作以通过天线744发送指令给外科器械500。另外，图7的天线744能够操作以接收信号，所述信号可包括有关外科器械500的功率使用的信息。使用者控件748可包括硬件按钮，或液晶显示屏上的软键，所述液晶显示屏能够操作以确定要发送给外科器械500的指令。例如，使用者控件748能够操作以设置外科器械500的功率水平。在另一些型式中，使用者控件748能够操作以设置外科器械500的操作模式，所述设置可包括在切割模式和凝结模式之间选择。在本例中的电量表746包括对应于外科器械500的具体功率水平的一系列数字指示器，所述数字指示器能够操作以通知使用者外科器械500的当前功率水平。尽管本例将数字指示器用于电量表746，但应当理解，可使用任何合适的指示器，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。例如，电量表746可包括条形表、圆形表、或任何其它合适的指示器。
V.具有充电器单元的示例性电池组
图8-10示出了与外科器械800和腹腔镜监视器820结合使用的示例性充电器单元810。在本例中，充电器单元810包括主体822、夹具部分814、插头812、显示器816和通信模块818。如图9中的主体822的正面所示，主体822为矩形，但是应当理解，主体822可使用任何合适的形状，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。如图10中通过主体822的侧视图所示，夹具部分814包括朝向彼此偏压的一对钳口，使得夹具部分814能够操作以夹持腹腔镜监视器820。夹具部814能够操作以夹持任何合适的表面或构件，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。插头812能够操作以将充电器单元810连接至壁装电源插座，并从电源插座获得功率以给容纳在充电器单元810内的可再充电电池再充电。在本例中，插头812能够操作以折叠到形成在主体822内的凹槽中。然而，应当理解，插头812可以固定而不需向内折叠。
在某些型式中，充电器单元810能够操作以可移除地容纳并为一个或多个给外科器械800供电的电池再充电。例如，一个可再充电电池可用于外科器械800中，而另一个可再充电电池在充电器单元810中充电/保持。一旦外科器械800中的电池的电力耗尽，可用充电器单元810中完全充好电的电池替换，并且充电器单元810可开始给电力耗尽的电池充电。由于可再充电电池被存储在充电器单元810中，因此应当理解，可再充电电池也可用于给充电器单元810的电功能件供电。例如，在充电器单元810未与插头812联接或插头812未与壁装电源插座联接的情况下，充电器单元810可依靠其中的一个或多个电池来运行。此类电池可以是与给外科器械800供电的电池相同的电池，或可为专用备用电池。在充电器单元810具有专用备用电池的型式中，此类备用电池还可用于给外科器械800的一个或多个电池再充电。作为具有专用备用电池的充电器单元810的另一个型式，当充电器单元810未与插头812联接时，或者当插头812未与壁装电源插座联接时，充电器单元810可仅靠备用电池来运行，而不同时给外科器械的电池充电。参考本文的教导内容，其它合适的方案对于本领域的普通技术人员而言将是显而易见的。
通信模块818能够操作以无线方式与外科器械800通信。因此，通信模块818能够操作以从外科器械800发送和接收数据，所述数据可包括来自外科器械800的各种诊断读数。充电器单元810于是能够操作以从外科器械800输出信息给显示器816。显示器816可包括液晶显示屏，所述液晶显示屏能够操作以显示诊断信息和/或有关外科器械800操作的信息。显示器816可输出有关外科器械800的状态信息、警示、故障诊断帮助和建议、组织反馈指示器、与外科器械800的性能相关的信息、电池和/或外科器械800功率的最小值和最大值、充电器单元810或外科器械800的功率激活信息、组织厚度信息、循环完成指示器、刀片热度信息和/或任何其它合适的信息，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。例如，显示器816可用于显示外科器械800的当前功率水平，或可用于显示外科器械800的内部操作的图形表示，使得使用者能够使用显示器816在外科手术过程中监控外科器械800。腹腔镜监视器820能够操作以在外科手术进行时观察手术部位。通过将充电器单元810的夹具部分814附接到腹腔镜监视器820，应当理解，使用者可在监控与充电器单元810上的外科器械800有关的诊断信息的同时，观察外科手术的实时视图。
在一些示例性的型式中，应当理解充电器单元810还可包括重力传感器，所述重力传感器能够操作以检测充电器单元810的方向，使得充电器单元810可在维持对于使用者来说可读的方向的同时，保持水平或垂直的方向。在其它示例性的型式中，充电器单元810可包括USB或其它硬件端口，所述硬件端口能够操作以将充电器单元810连接至外部装置以更新充电器单元810的软件。在其它示例性的型式中，更新的软件可以无线的方式传递给充电器单元810以更新充电器单元810的固件或其它软件。
VI.示例性无线发电站
图11-13示出了具有柄部组件928的示例性外科器械900，所述柄部组件具有能够操作以容纳可再充电电池924的电池仓926。应当理解，外科器械900可根据上述与医疗装置10,100有关的教导内容和/或本文引用的参考文献的任何一个的教导内容进行构造。图11示出了外科手术中使用的且与充电站910通信的外科器械900。充电站910包括再充电容器912、发生器932和平台934。在本例中，再充电隔室912设置在发生器932之上，但是任何合适的构型均可使用。例如，再充电容器912可设置在发生器932的旁边，发生器932之下，或可与发生器932结合到单个外壳中。根据本文的教导内容，其它合适的构型对于本领域的普通技术人员而言将是显而易见的。
再充电容器912包括能够操作以保持多个电池924的电池仓922。再充电容器912还包括封盖914以选择性地覆盖电池仓922。电池仓922包括能够操作以保持电池924的矩形容器，尽管应当理解任何其它合适的形状均可使用。尽管本例的再充电容器912仅有单排电池仓922，但应当理解再充电容器可包括多排电池仓922。电池仓922的底座包括多个电池槽938，其中每个槽938能够操作以容纳电池924。槽938能够使得一旦电池924被充分插入槽938，该槽938发出啪的一声或提供其它形式的反馈。槽938被隔开，使得电池924可被单个地夹持并从槽938中移除，不会因为使用者移除电池924而导致给邻近电池924施加应力或不需要的力。
槽938可与灯940一同使用，诸如能够操作以基于电池924的充电状态以不同颜色点亮的LED灯。在某些示例性的型式中，灯940可邻近槽938定位。例如，如果附接到槽938的电池924没有充电，则灯940可亮起红灯。如果附接到槽938的电池924当前正在充电，槽938可亮起黄灯；如果电池924已充满电，槽938可亮起绿灯。根据本文的教导内容，其它合适的构型对于本领域的普通技术人员而言将是显而易见的。例如，除了不同颜色的灯940外，数字指示器或任何其它合适的指示器可用于指示电池924的相对充电状态和/或关于电池924的其它信息。
覆盖电池仓922的封盖914包括附接到电池仓922后部的铰接盖。此外，封盖922由半透明或透明材料构造而成，使得电池924充电时使用者可看见再充电容器912的内部。通过封盖922观察电池924，使用者无需打开再充电容器912即可确定电池924的充电状态。尽管本例包括用作封盖914的铰接盖，但应当理解，可使用封盖914的其它构型，诸如扣盖、滑盖等或任何其它合适的型式，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
再充电容器912的正面包括显示器面板936，所述显示器面板能够操作以给使用者提供各种信息，包括电池924的充电水平。其它示例性信息可包括显示电池仓922中电池924的总数以及再充电容器912的开/关状态。可在面板936上显示任何其它合适信息，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。显示器面板936可与灯940同时使用或替代灯使用。
再充电容器912经由通信缆线918与发生器932联接，所述通信缆线插入发生器932的通用端口939。通信缆线918能够操作以从发生器932传送电力以及操作指令给再充电容器912。通信缆线918还可从再充电容器912发送数据给发生器932。在本例中，缆线918在再充电容器912中选择性回缩。具体地，当回缩时，缆线918可被牵拉以从再充电容器912延伸。再充电容器912包括回缩按钮917，按下该回缩按钮可将延伸的缆线918回缩进再充电容器912。弹力构件可将缆线918偏压至回缩位置。当然，缆线918的回缩性仅仅是可选的。
发生器932使用电源线916与电源（例如壁装电源插座等）联接。因此，电源线916也能够操作以给发生器932传送电力，从而给再充电容器912传送电力以对电池924再充电。发生器932包括能够操作以显示发生器932的状态的发生器面板920。通用端口939被示出为经由缆线918从再充电容器912接受连接，然而应当理解，通用端口939也能够操作以从超声外科器械和射频电外科器械接受连接。发生器932因此也能够操作以直接传送电力给超声外科器械和射频电外科器械。例如，发生器932可与本文引用的任何一个参考文献中教导的任何一个其它类型的器械兼容。通用端口939可包括RFID芯片读出器，所述读出器能够操作以读出包含在插入通用端口939中的缆线插头中的RFID芯片。此后，发生器932可确定插入通用端口939中的装置的标识，并确定适当指令和/或电力参数以正确操作插入的装置。根据本文的教导内容，识别插入发生器932中装置的其它合适方法对于本领域的普通技术人员而言将是显而易见的。
在某些型式中，再充电单元912可与网络连接（例如互联网等），使得存储在与再充电单元912相关联的任何存储器单元中的信息通过网络发送。此类信息可包括与电池924、外科器械900、网络等有关的信息；并且可发送给使用者、医院或制造商等等。再充电单元912还可包括键盘和/或其它合适的输入装置，使得使用者可以使用以给再充电单元912提供指令以对电池924充电和/或用来命令从再充电单元912和至再充电单元912的信息发送。应当理解，发生器932不必一定包括在此类通信中。
应当理解，再充电容器912能够操作以给发生器932发送信息，所述信息包括电池充电水平信息和发生器932的识别信息或任何合适的信息，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。发生器面板920能够操作以显示从再充电容器912传递的信息和/或任何其它合适的信息，根据本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。如果超声器械或基于射频的器械直接连接至发生器932，超声和/或基于射频的器械能够发送有关超声和/或基于射频的器械的操作信息和/或状态信息，所述信息可全部或部分地输出到发生器面板920。仅以举例的方式，发生器932和相关部件可根据2011年4月14日公布的名称为“Surgical Generator for Ultrasonic and Electrosurgical Devices,”的美国专利申请公开2011/0087212的教导内容进行配置，其公开内容以引用方式并入本文。尽管本例示出了发生器932，但应当理解，在某些型式中，发生器932可被移除，使得再充电站912只是直接插入墙中。
此外，预期再充电容器912可以无线方式与外科器械900通信，使得外科器械900能够操作以给再充电容器912传递信息，根据本文的教导内容，有关外科器械900的诊断和/或状态信息或任何其它信息对于本领域的普通技术人员来说是合适的。例如，外科器械900可给再充电容器912发送与包含在外科器械900中的电池924的充电状态相关的信息。当外科器械900中的电池924的充电水平降到阈值以下时，再充电容器912可给使用者提供声音和/或视觉警示，从而提醒使用者更换电池924。应当理解，外科器械900发送的任何信息也可输出给发生器932以显示在发生器面板912上和/或供发生器932进行其它处理。应当理解，发生器932可用于显示有关外科器械900的信息，如同发生器932直接连接至外科器械900一样。
当电池924可以即刻使用时，图12显示通过打开电池门930并投入电池924来使电池924投入外科器械900的柄部组件928中。在某些示例性的型式中，电池924可具有非对称的形状，其中柄部组件928具有互补形状，使得电池924只能在一个方向上落入柄部组件928中。电池924可由例如技术人员或外科医生用消过毒的手操纵，使得替换电池924不损害柄部组件928的无菌性。图13示出了关闭的电池门930和可以即刻使用的外科器械900。
应当理解，所述以引用方式并入本文中的任何专利、出版物或其它公开材料，无论是全文或部分，仅在并入的材料与本公开中给出的定义、陈述或其它公开材料不冲突的范围内并入本文。由此，在必要的程度下，本文所明确阐述的公开内容将取代以引用方式并入本文的任何相冲突材料。如果据述以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分，仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。
本发明的一些实施例可在传统的内窥镜检查和开放性手术器械以及机器人辅助手术中得到应用。例如，本领域普通技术人员将认识到，本文的各种教导内容可与2004年8月31日公布的名称为“Robotic Surgical Toolwith Ultrasound Cauterizing and Cutting Instrument”的美国专利6,783,524的各种教导内容相结合，其公开内容以引用方式并入本文。
本文所公开的实施例装置可设计为使用一次后丢弃，也可设计为供多次使用。在上述任一或两种情况下，都可对这些实施例进行修复，以便在使用至少一次后重复使用。修复可包括以下步骤的任意组合：拆卸装置、然后清洗或更换特定部件和随后进行重新组装。具体地讲，可以拆卸装置的实施例，并且可选择性地以任何组合形式来更换或拆除装置的任意数量的特定部件或零件。在清洗和/或更换特定零件时，装置的实施例可在修复设施中重新组装或者在即将进行外科手术前由外科手术团队重新组装，以供随后使用。本领域的技术人员将会知道，修复装置时可利用多种技术进行拆卸、清洗/更换和重新组装。这些技术的使用以及所得的修复装置均在本发明的范围内。
仅以举例的方式，可对本文所述的实施例在外科手术前进行处理。首先，可获取新的或用过的器械，并根据需要进行清洗。然后可对器械进行消毒。在一种消毒技术中，将该装置置于闭合并密封的容器中，例如塑料或TYVEK袋中。然后可将容器和器械置于可穿透该容器的辐射场（例如γ辐射、X射线或高能电子）中。辐射可将器械上和容器中的细菌杀死。然后可将消毒后的器械保存在消毒容器中。该密封容器可将器械保持在无菌状态，直到在医疗设施中打开该容器。还可使用本领域已知的任何其它技术对装置消毒，所述技术包括（但不限于）β辐射或γ辐射、环氧乙烷或蒸汽消毒。
已经示出和描述了本发明的多个实施方案，可由本领域普通技术人员进行适当修改来实现本文描述的方法和系统的进一步改进而不偏离本发明的范围。已经提及了若干此类潜在的修改形式，并且其它修改形式对于本领域的技术人员而言将显而易见。例如，上面讨论的例子、实施例、几何形状、材料、尺寸、比率、步骤等均是示例性的而非必需的。因此，本发明的范围应根据下面的权利要求书考虑，并且应理解为不限于说明书和附图中示出和描述的结构和操作细节。

Claims (20)

1.一种设备，包括：
(a)电动外科器械，所述电动外科器械包括柄部组件；
(b)通信装置，所述通信装置定位在柄部组件内，其中所述通信装置能够与所述电动外科器械的至少一部分通信；以及
(c)外部装置，其中所述通信装置能够以无线方式发送信息给所述外部装置，其中所述外部装置能够接收并处理来自所述通信装置的信息，其中所述外部装置能够提供可视输出给使用者。
2.根据权利要求1所述的设备，其中发送给所述外部装置的所述信息包括关于所述外科器械的识别信息。
3.根据权利要求1所述的设备，其中发送给所述外部装置的所述信息包括关于所述外科器械的状态信息。
4.根据权利要求1所述的设备，其中所述外部装置还能够发送信息给所述通信装置。
5.根据权利要求4所述的设备，其中所述外部装置能够发送更新的软件给所述通信装置。
6.根据权利要求4所述的设备，其中所述外部装置能够发送使用者偏好给所述通信装置。
7.根据权利要求4所述的设备，其中所述外部装置能够发送指令给所述通信装置，所述通信装置能够操作以修改所述电动外科器械的功能。
8.根据权利要求1所述的设备，其中所述通信装置和所述外部装置通过射频通信进行通信。
9.根据权利要求1所述的设备，其中所述柄部组件包括能够移除的存储器单元。
10.根据权利要求1所述的设备，其中所述外部装置包括能够操作以保持可再充电电池的充电器单元。
11.根据权利要求10所述的设备，其中所述充电器单元能够夹持到腹腔镜监视器上。
12.根据权利要求11所述的设备，其中所述充电器单元包括LCD显示器，所述LCD显示器能够操作以显示与所述外科器械相关联的信息。
13.根据权利要求1所述的设备，其中所述外部装置包括脚踏开关，所述脚踏开关能够操作以控制所述外科器械。
14.根据权利要求1所述的设备，其中所述外部装置能够显示功率表，所述功率表能够操作以显示所述外科器械的功率水平。
15.根据权利要求1所述的设备，其中所述外部装置包括充电站。
16.一种设备，包括：
(a)电动外科器械；
(b)通信装置，所述通信装置定位在所述电动外科器械内；以及
c)外部装置，所述外部装置能够操作以保持至少一个可再充电电池，其中所述外部装置与所述通信装置通信，其中所述外部装置能够显示从所述通信装置接收到的与所述电动外科器械相关联的信息，其中所述外部装置能够对所述至少一个可再充电电池再充电。
17.根据权利要求16所述的设备，其中所述外部装置包括视觉指示器，所述视觉指示器能够操作以显示所述至少一个可再充电电池的充电状态。
18.根据权利要求16所述的设备，还包括与所述至少一个可再充电电池通信的存储器单元，其中所述存储器单元能够操作以发送信息给所述外部装置和从所述外部装置接收信息。
19.根据权利要求16所述的设备，其中所述外部装置能够以无线方式与所述通信装置通信。
20.一种在外科手术过程中使用电动外科器械、容纳在所述外科器械内的通信装置以及和所述通信装置进行无线通信的外部装置给使用者提供信息的方法，所述方法包括：
(a)在外科手术中使用所述外科器械；
(b)从所述外科器械发送信息给所述通信装置；
(c)从所述通信装置以无线方式发送信息给所述外部装置；以及
(d)用所述外部装置给所述使用者显示信息。
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