SURGICAL CLIP APPLIER RATCHET MECHANISM

• US 20110218553A1
• Filed: 05/19/2011
• Published: 09/08/2011
• Est. Priority Date: 04/14/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Huitema, Thomas W., Koch, Robert L. JR.
• Granted Patent: US 8,328,822 B2
• Time in Patent Office: Days
• US Class Current: 606/142
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.

Claims

1. A surgical clip applier, comprising:

an elongate shaft;

opposed jaws disposed on a distal end of the elongate shaft and movable between an open position and a closed position;

an actuation assembly extending through the elongate shaft and coupled to the opposed jaws such that the actuation assembly is configured to move the opposed jaws between the open and closed positions; and

a pawl and ratchet operatively associated with the actuation assembly, the ratchet having a notch positioned between a plurality of teeth and an end tooth;

wherein, when the pawl is engaged with the plurality of teeth the ratchet limits movement of the actuation assembly to a distal direction, and when the pawl is disposed within the notch the ratchet allows the actuation assembly to be selectively moved in both the distal direction and an opposite proximal direction such that the actuation assembly can move the jaws from a partially closed position directly to a fully open position without first being moved to a fully closed position.

2. The surgical clip applier of claim 1, wherein the pawl is pivotally disposed about a fixed pivot point.

3. The surgical clip applier of claim 1, wherein the plurality of teeth are adapted to prevent rotation of the pawl relative thereto, and the end tooth is adapted to allow rotation of the pawl relative thereto.

4. The surgical clip applier of claim 1, wherein the plurality of teeth have a size that is less than a size of the end tooth.

5. The surgical clip applier of claim 1, wherein the pawl is configured to emit an audible sound upon engagement of the pawl with the plurality of teeth, and wherein the pawl is configured to emit a different audible sound upon engagement of the pawl with the end tooth.

6. A pawl and ratchet assembly for use with a surgical clip applier having an elongate shaft, opposed jaws disposed on a distal end thereof, and an actuation assembly for opening and closing the opposed jaws, the pawl and ratchet assembly comprising:

a pawl disposed within a housing and configured to rotate about a fixed pivot point within the housing; and

a ratchet disposed within the housing and operatively associated with the actuation assembly, the ratchet being configured to move relative to the housing such that the ratchet is in engagement with the pawl when the jaws are moved between a fully open position and a fully closed position, and the pawl and ratchet being configured to allow movement of the opposed jaws from a partially closed position directly to a fully open position without first being moved to a fully closed position.

7. The pawl and ratchet assembly of claim 6, wherein the pawl and ratchet are configured to emit different audible sounds.

8. The pawl and ratchet assembly of claim 6, wherein the ratchet has a notch positioned between a plurality of teeth and an end tooth.

9. The pawl and ratchet assembly of claim 8, wherein, when the pawl is engaged with the plurality of teeth the ratchet limits movement of the actuation assembly to a distal direction, and when the pawl is disposed within the notch the ratchet allows the actuation assembly to be selectively moved in both the distal direction and an opposite proximal direction.

10. The pawl and ratchet assembly of claim 8, wherein the plurality of teeth prevent rotation of the pawl to limit movement of the pawl to a first direction when the pawl is engaged with the plurality of teeth, and the notch allows free rotation of the pawl to allow selective movement of the pawl from the notch in the first direction and in a second opposition direction when the pawl is disposed within the notch.

11. The pawl and ratchet assembly of claim 8, wherein the plurality of teeth have a size that is less than a size of the end tooth.

12. A surgical clip applier, comprising:

an elongate member having opposed jaws formed on a distal end thereof and movable between a fully open position and a fully closed position;

an actuation assembly extending through the elongate shaft for controlling movement of the opposed jaws between the fully open position and the fully closed position; and

a rotatable pawl and a ratchet operatively associated with the actuation assembly, the ratchet being configured to move with the actuation assembly against the pawl as the actuation assembly moves the jaws between a fully open position and a fully closed position.

13. The surgical clip applier of claim 12, wherein the rotatable pawl is rotatably disposed about a fixed pivot point.

14. The surgical clip applier of claim 12, wherein the ratchet is configured to allow the jaws to move from a partially closed position directly to a fully open position without first moving to the fully closed position.

15. The surgical clip applier of claim 12, wherein the pawl and ratchet are configured to emit at least two different audible sounds.

16. The surgical clip applier of claim 12, wherein the ratchet has a plurality of teeth that engage with the pawl when the jaws are moved from a fully opened position to a partially closed position, a notch that receives the pawl when the jaws are in a partially closed position, and an end tooth that engages the pawl when the jaws are in a fully closed position.