Endoscopic reposable surgical clip applier

• US 10,426,489 B2
• Filed: 09/15/2017
• Issued: 10/01/2019
• Est. Priority Date: 11/01/2016
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baril, Jacob
• Primary Examiner(s): Shi, Katherine M
• Application Number:
  US15/705,363
• Publication Number:
  US 20180116675A1
• Time in Patent Office: 746 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence

Abstract

A reposable surgical clip applier includes a handle assembly and an endoscopic assembly that is selectively connectable to and in mechanical communication with the handle assembly. The endoscopic assembly includes a shaft assembly having an outer tube defining a longitudinal axis extending therealong and a pair of transverse channels formed therein, a pusher bar slidably supported within the outer tube, and a spindle assembly slidably supported within the outer tube. A proximal portion of the pusher bar is received within the pair of transverse channels. A surface of the spindle supports a fin that is in selective engagement with a proximal portion of the pusher bar such that during a distal advancement of the spindle, the fin urges the pusher bar in a distal direction.

Claims

1. A reposable surgical clip applier, comprising:

a handle assembly; and

an endoscopic assembly selectively connectable to and in mechanical communication with the handle assembly, the endoscopic assembly including a shaft assembly having;

an outer tube defining a longitudinal axis extending therealong and a pair of transverse channels formed therein;

a pusher bar slidably supported within the outer tube, wherein a proximal portion of the pusher bar is received within the pair of transverse channels; and

a spindle assembly slidably supported within the outer tube, a surface of the spindle supporting a fin that is in selective engagement with a proximal portion of the pusher bar,

wherein during a distal advancement of the spindle, the fin urges the pusher bar in a distal direction.

2. The reposable surgical clip applier according to claim 1, wherein each of the pair of transverse channels defines a substantially U-shaped profile.

3. The reposable surgical clip applier according to claim 2, wherein a proximal portion of each of the pair of transverse channels defines a first portion that extends in an orthogonal orientation with respect to the longitudinal axis of the outer tube.

4. The reposable surgical clip applier according to claim 3, wherein each of the pair of transverse channels defines a second portion adjacent to the first portion, the second portion extending in a parallel orientation relative to the longitudinal axis of the outer tube.

5. The reposable surgical clip applier according to claim 4, wherein during an initial distal advancement of the spindle, the pusher bar translates in a horizontal direction within the second portion of the pair of transverse channels.

6. The reposable surgical clip applier according to claim 5, wherein during continued distal advancement of the spindle, the pair of transverse channels cams the pusher bar in a direction away from the longitudinal axis of the outer tube to follow the oblique orientation of the third portion of the pair of transverse channels.

7. The reposable surgical clip applier according to claim 6, wherein when the pusher bar is in a distal most position, the fin disengages from the pusher bar, permitting the spindle to advance in a distal direction separate from the pusher bar.

8. The reposable surgical clip applier according to claim 4, wherein each of the pair of transverse channels defines a third portion adjacent to the second portion, the third portion defining an oblique angle with respect to the longitudinal axis of the outer tube.

9. The reposable surgical clip applier according to claim 1, wherein the pusher bar includes a transverse pin disposed on a proximal portion thereof, the transverse pin configured to slidably engage the pair of transverse channels.

10. The reposable surgical clip applier according to claim 1, wherein a proximal portion of the pusher bar defines an arm forming an oblique angle with respect to a second longitudinal axis defined by the pusher bar.

11. The reposable surgical clip applier according to claim 1, further comprising a biasing element, a first end of the biasing element being coupled to the pusher bar and a second end of the biasing element being coupled to the outer tube, wherein the biasing element is configured to bias the pusher bar in a proximal direction.

12. An endoscopic assembly for use with a reposable surgical clip applier, the endoscopic assembly comprising:

an outer tube defining a longitudinal axis extending therealong, and a pair of transverse channels formed therein;

a pusher bar slidably supported within the outer tube, wherein a proximal portion of the pusher bar is received within the pair of transverse channels; and

a spindle assembly slidably supported within the outer tube, a surface of the spindle supporting a fin that is in selective engagement with a proximal portion of the pusher bar,

wherein during a distal advancement of the spindle, the fin urges the pusher bar in a distal direction.

13. The endoscopic assembly according to claim 12, wherein each of the pair of transverse channels defines a substantially U-shaped profile.

14. The endoscopic assembly according to claim 13, wherein a proximal portion of each of the pair of transverse channels defines a first portion that extends in an orthogonal orientation with respect to the longitudinal axis of the outer tube.

15. The endoscopic assembly according to claim 14, wherein each of the pair of transverse channels defines a second portion adjacent to the first portion, the second portion extending in a parallel orientation relative to the longitudinal axis of the outer tube.

16. The endoscopic assembly according to claim 15, wherein each of the pair of transverse channels defines a third portion adjacent to the second portion, the third portion defining an oblique angle with respect to the longitudinal axis of the outer tube.

17. The endoscopic assembly according to claim 12, wherein the pusher bar includes a transverse pin disposed on a proximal portion thereof, the transverse pin configured to slidably engage the pair of transverse channels.

18. The endoscopic assembly according to claim 12, wherein a proximal portion of the pusher bar defines an arm forming an oblique angle with respect to a second longitudinal axis defined by the pusher bar.

19. The endoscopic assembly according to claim 12, further comprising a biasing element, a first end of the biasing element being coupled to the pusher bar and a second end of the biasing element being coupled to the outer tube, wherein the biasing element is configured to bias the pusher bar in a proximal direction.

20. The endoscopic assembly according to claim 12, wherein when the pusher bar is in a distal most position, the fin disengages from the pusher bar, permitting the spindle to advance in a distal direction separate from the pusher bar.