Surgical clip applier

• US 10,004,502 B2
• Filed: 10/14/2015
• Issued: 06/26/2018
• Est. Priority Date: 12/09/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Malkowski, Jaroslaw T., Shaw, Kenneth
• Primary Examiner(s): Orkin, Alexander
• Application Number:
  US14/882,535
• Publication Number:
  US 20160030045A1
• Time in Patent Office: 986 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a plurality of clips loaded in the clip carrier; a drive channel translatably supported in the housing and the channel assembly, the drive channel being translated upon actuation of the at least one handle; and a counter mechanism supported in the housing, the counter mechanism including indicia visible through the housing, wherein the indicia corresponds to a quantity of clips loaded in the clip applier, wherein the indicia decrements upon each firing of the clip applier resulting in a reduction in the quantity of clips remaining of the plurality of clips.

Claims

1. A surgical clip applier, comprising:

a housing;

a drive channel translatably supported in the housing; and

a counter mechanism supported in the housing and including;

a counter dial rotatably supported in the housing, the counter dial including a first face and an opposing second face, the first face defining indicia visible through the housing and the second face defining a bore therein, the bore including a perimetrical array of uni-directional teeth;

a counter clutch engagably nested in the bore defined in second face of the counter dial and operatively coupled to the drive channel, the counter clutch including at least one resilient finger extending tangentially therefrom and configured to rotatably engage the uni-directional teeth of the bore to rotate the counter dial in a single direction relative to the drive channel; and

a ratchet mechanism including a rack member and a ratchet pawl, the rack member translatably supported in the housing, operatively coupled to the drive channel and including a plurality of ratchet teeth, the ratchet pawl supported in the housing and configured to engage the plurality of ratchet teeth to restrict translation of the rack member relative to the housing;

a clip carrier; and

a plurality of clips loaded in the clip carrier;

wherein when the drive channel is translated in a first direction relative to the housing, the counter clutch is configured to rotate in a first direction relative to the drive channel such that the at least one resilient finger of the counter clutch engages the uni-directional teeth of the bore to rotate the counter dial in the first direction relative to the drive channel, and wherein when the drive channel is translated in a second direction relative to the housing, the counter clutch is configured to rotate in a second direction relative to the drive channel such that the at least one resilient finger of the counter clutch disengages from the uni-directional teeth of the bore and the counter dial is not rotated in the second direction relative to the drive channel.

2. The surgical clip applier according to claim 1, wherein the counter mechanism includes a latch member configured to contact and selectively engage the counter dial, wherein the latch member permits rotation of the counter dial in the first direction relative to the drive channel and inhibits rotation of the counter mechanism in the second direction relative to the drive channel.

3. The surgical clip applier according to claim 2, wherein the counter dial includes a first rim defining a plurality of grooves formed around an outer periphery thereof and a second rim defining a lockout groove formed in an outer periphery thereof, wherein the latch member is configured to contact and selectively engage the plurality of grooves formed on the outer periphery of the first rim.

4. The surgical clip applier according to claim 3, wherein the rack member includes a first edge and an opposing second edge, the first edge defining the plurality of ratchet teeth and the second edge defining a notch.

5. The surgical clip applier according to claim 4, further including:

a lock out member supported in the housing, the lock out member having a body portion defining a first catch and a second catch, the first catch configured to engage the lock out groove formed in the second rim of the counter dial and the second catch configured to engage the notch defined on the second edge of the rack member; and

a lock out spring resiliently biased to maintain the first catch of the lock out member in contact with the outer periphery of the second rim of the counter dial,

wherein as the counter dial is rotated in the first direction relative to the drive channel, the first catch of the lock out member is brought into registration with the lock out groove when a final clip of the plurality of clips has been fired to inhibit further rotation of the counter dial in the first direction relative to the drive channel.

6. The surgical clip applier according to claim 5, wherein when the final clip of the plurality of clips has been fired and the first catch of the lock out member is brought into registration with the lock out groove, the second catch of the lock out member is brought into registration with the notch defined on the second edge of the rack member such that the rack member is prevented from translating relative to the housing.

7. The surgical clip applier according to claim 6, further including at least one handle pivotably connected to the housing, the at least one handle configured to actuatably translate the drive channel, wherein when the second catch of the lock out member is brought into registration with the notch defined on the second edge of the rack member, the at least one handle is prevented from actuation.

8. The surgical clip applier according to claim 7, wherein the lock out groove of the counter dial is associated with the indicia on the first face of the counter dial indicating that the final clip of the plurality of clips has been fired.

9. The surgical clip applier according to claim 8, wherein the indicia on the first face of the counter dial indicating that the final clip of the plurality of clips has been fired is represented by a number “

zero.”

10. A surgical clip applier, comprising:

a housing;

a clip carrier;

a plurality of clips loaded in the clip carrier;

a drive channel translatably supported in the housing;

a counter mechanism supported in the housing and including;

a ratchet mechanism including a rack member and a ratchet pawl, the rack member translatably supported in the housing, operatively coupled to the drive channel and including a plurality of ratchet teeth, the ratchet pawl supported in the housing and configured to engage the plurality of ratchet teeth to restrict translation of the rack member relative to the housing;

a counter dial rotatably supported in the housing, the counter dial including a recess having a circular array of uni-directional teeth; and

a counter clutch rotatably nested in the recess defined in the counter dial and operatively coupled to the drive channel, the counter clutch configured to rotatably engage the uni-directional teeth of the recess to rotate the counter dial in a single first direction relative to the drive channel;

wherein the counter clutch includes at least one resilient finger extending tangentially therefrom and configured to rotatably engage the uni-directional teeth of the recess of the counter dial in the first direction relative to the drive channel, and wherein when the drive channel is translated in a first direction relative to the housing, the counter clutch is configured to rotate in the first direction relative to the drive channel such that the counter dial is rotated in the first direction relative to the drive channel; and

a lock out member supported in the housing and resiliently biased to maintain contact with the counter dial as the counter dial rotates in the first direction relative to the drive channel to urge a portion of the lock out member into engagement with a portion of the counter dial to inhibit translation of the drive channel relative to the housing, wherein when a final clip of the plurality of clips is fired, the lock out member is configured to engage the counter dial to inhibit further rotation of the counter dial in the first direction relative to the drive channel.

11. The surgical clip applier according to claim 10, wherein when the drive channel is translated in a second direction relative to the housing, the counter clutch is configured to rotate in a second direction relative to the drive channel such that the at least one resilient finger of the counter clutch disengages from the uni-directional teeth of the recess of the counter dial and the counter dial is not rotated in the second direction relative to the drive channel.

12. The surgical clip applier according to claim 10, wherein the counter dial includes a first face and an opposing second opposing face, the first face defining indicia visible through the housing and the second face defining the recess therein.

13. The surgical clip applier according to claim 12, wherein the counter dial includes a lockout groove formed in an outer periphery thereof, wherein when the lock out member is brought into registration with the lock out groove, the counter dial is prevented from rotating in the first direction relative to the drive channel.