SURGICAL CLIP APPLIER

• US 20130172910A1
• Filed: 11/12/2012
• Published: 07/04/2013
• Est. Priority Date: 12/29/2011
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Malkowski, Jaroslaw T.
• Application Number:
  US13/674,134
• Publication Number:
  US 20130172910A1
• Time in Patent Office: Days
• US Class Current: 606/143
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• 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 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• 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: A61B 2090/0814 Preventing re-use

Abstract

A surgical clip applier is provided including a walking beam reciprocally disposed within a channel assembly and overlying a clip carrier, the walking beam being operatively connected to at least one handle for reciprocal movement upon actuation of the at least one handle, the walking beam including a plurality of distally oriented ramps extending into the clip channel; and a clip follower slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips, the clip follower being configured and adapted for selective engagement with the distally oriented ramps of the clip carrier and the distally oriented ramps of the walking beam, wherein the clip follower is configured and adapted to urge the plurality of clips, in a distal direction relative to the clip carrier, upon reciprocal movement of the walking beam.

Claims

1. A surgical clip applier, comprising:

a housing;

at least one handle pivotably connected to the housing;

a channel assembly extending distally from the housing;

a clip carrier disposed within the channel assembly defining a channel, the clip carrier including a plurality of distally oriented ramps extending into the clip channel;

a plurality of clips slidably disposed within the channel of the clip carrier;

a walking beam reciprocally disposed within the channel assembly and overlying the clip carrier, the walking beam being operatively connected to the at least one handle for reciprocal movement upon actuation of the at least one handle, the walking beam including a plurality of distally oriented ramps extending into the clip channel; and

a clip follower slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips, the clip follower being configured and adapted for selective engagement with the distally oriented ramps of the clip carrier and the distally oriented ramps of the walking beam, wherein the clip follower is configured and adapted to urge the plurality of clips, in a distal direction relative to the clip carrier, upon reciprocal movement of the walking beam.

2. The clip applier according to claim 1, wherein the distally oriented ramps of the walking beam are configured to selectively engage a first aperture defined in the clip follower and urge the clip follower distally upon distal movement of the walking beam, and wherein the distally oriented ramps of the clip carrier are configured to selectively engage a second aperture defined in the clip follower a stop proximal movement of the clip follower upon proximal movement of the walking beam.

3. The clip applier according to claim 1, further comprising a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly adapted to accommodate a clip therein and being operable to effect formation of a clip in response to movement of the at least one handle.

4. The clip applier according to claim 3, further comprising a clip pusher bar reciprocally positioned within at least one of the housing and the channel assembly, the pusher bar having a first end operatively connected to the at least one handle and a second end defining a pusher, the pusher bar being movable away from the pair of jaws as the at least one handle is actuated by an initial amount in order move the pusher behind a distal-most clip stored in the channel of the clip carrier, and said pusher bar being configured and adapted to move towards the jaws as the at least one handle is returned to a home position to move the distal-most clip between the jaws.

5. The clip applier according to claim 4, wherein the clip pusher bar is connected to the walking beam, wherein axial translation of the clip pusher bar results in concomitant axial translation of the walking beam.

6. The clip applier according to claim 5, wherein the clip pusher bar and the walking beam are configured and connected to one another such that a delay is provided between the axial translation of the clip pusher bar and the axial translation of the walking beam.

7. The clip applier according to claim 4, further comprising a drive linkage system configured to proximally move the pusher bar upon an actuation of the at least one handle, and configured to distally move the pusher bar upon a subsequent release of the at least one handle.

8. The clip applier according to claim 7, further comprising a drive channel translatably slidably disposed within at least one of the housing and the channel assembly, the drive channel having a first end operatively connected to the at least one handle and a second end configured and dimensioned to selectively engage said pair of jaws to effectuate closure of the pair of jaws;

the drive channel being moved towards the jaw assembly as the at least one handle is moved in a first direction to move the second end of the drive channel against the pair of jaws to close the pair of jaws;

the drive channel being moved away from the jaw assembly as the at least one handle is moved in a second direction, opposite the first direction, to move the second end of the drive channel away from the jaw assembly to allow the pair of jaws to open.

9. The clip applier according to claim 8, wherein the drive linkage system includes:

a distal linkage member having a first end pivotally connected to the pusher bar; and

a crank member pivotally supported in the housing, the crank member being substantially L-shaped and having a first leg pivotally connected to a second end of the distal linkage member, and having a second leg slidably connected in an actuate channel formed in the drive channel,

wherein distal movement of the drive channel causes the second leg of the crank member to slidably translate through the arcuate slot, thereby causing the crank member to rotate, thereby causing the first leg to rotate, thereby causing the distal linkage member to move proximally, and thereby causing the pusher bar to move proximally.

10. The clip applier according to claim 1, wherein the clip follower functions as a lockout when the clip follower is advanced by the walking beam to a position between the pair of jaws.

11. The clip applier according to claim 10, wherein when the clip follower is positioned between the pair of jaws, the clip follower prevents the pair of jaws from completely closing and thus prevents the clip applier from completing a full closing stroke.

12. The clip applier according to claim 1, further comprising a clip counter plate slidably supported in the channel assembly, wherein the clip counter plate is configured and adapted to display a change in status of the clip applier upon each complete actuation of the at least one handle.

13. The clip applier according to claim 12, wherein the clip counter plate includes a series of discrete indicia, wherein a selected one of the plurality of discrete indicia is discernable from the remainder of the discrete indicia.

14. The clip applier according to claim 13, wherein each indicia of the plurality of discrete indicia relates to a corresponding quantity of clips of the plurality of clips contained in the clip applier.

15. The clip applier according to claim 14, wherein the clip counter plate defines a series of recesses formed in a first surface thereof, and wherein the walking beam includes a tab extending from a surface thereof and being dimensioned for receipt in each of the series of recesses formed in the clip counter plate,

wherein as the walking beam moves, the tab engages the clip counter plate to move the clip counter plate and change the selected one of the plurality of discrete indicia that is discernable from the remainder of the discrete indicia.

16. The clip applier according to claim 15, wherein the discernable discrete indicia is visible through the clip channel.

17. The clip applier according to claim 1, further comprising a clip counter plate slidably supported in the channel assembly, the clip counter plate including indicia visible through the channel assembly, wherein the indicia corresponds to a quantity of clips loaded in the clip applier, wherein the clip counter plate is moved to decrement the indicia upon each firing of the clip applier resulting in the indicia corresponding to a quantity of clips of the plurality of clips remaining after the firing of the clip applier.

18. A surgical clip applier, comprising:

a housing;

at least one handle pivotably connected to the housing;

a channel assembly extending distally from the housing;

a clip carrier disposed within the channel assembly defining a channel, the clip carrier including a plurality of distally oriented ramps extending into the clip channel;

a plurality of clips slidably disposed within the channel of the clip carrier;

a walking beam reciprocally disposed within the channel assembly and overlying the clip carrier, the walking beam being operatively connected to the at least one handle for reciprocal movement upon actuation of the at least one handle; and

a clip pusher bar reciprocally positioned within at least one of the housing and the channel assembly, the pusher bar having a first end operatively connected to the at least one handle and a second end defining a pusher, the pusher bar being movable away from the pair of jaws as the at least one handle is actuated by an initial amount in order move the pusher behind a distal-most clip stored in the charnel of the clip carrier, and said pusher bar being configured and adapted to move towards the jaws as the at least one handle is returned to a home position to move the distal-most clip between the jaws.

19. The clip applier according to claim 18, further comprising a clip follower slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips, the clip follower being configured and adapted for selective engagement with the clip carrier and the walking beam, wherein the clip follower is configured and adapted to urge the plurality of clips, in a distal direction relative to the clip carrier, upon reciprocal movement of the walking beam.

20. The clip applier according to claim 19, wherein the walking beam includes a plurality of distally oriented ramps extending into the clip channel, wherein the distally oriented ramps of the walking beam are configured to selectively engage a first aperture defined in the clip follower and urge the clip follower distally upon distal movement of the walking beam, and wherein the distally oriented ramps of the clip carrier are configured to selectively engage a second aperture defined in the clip follower a stop proximal movement of the clip follower upon proximal movement of the walking beam.

21. The clip applier according to claim 18, further comprising a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly adapted to accommodate a clip therein and being operable to effect formation of a clip in response to movement of the at least one handle.

22. The clip applier according to claim 18, wherein the clip pusher bar is connected to the walking beam, wherein axial translation of the clip pusher bar results in concomitant axial translation of the walking beam.

23. The clip applier according to claim 22, wherein the clip pusher bar and the walking beam are configured and connected to one another such that a delay is provided between the axial translation of the clip pusher bar and the axial translation of the walking beam.

24. The clip applier according to claim 18, further comprising a drive linkage system configured to proximally move the pusher bar upon an actuation of the at least one handle, and configured to distally move the pusher bar upon a subsequent release of the at least one handle.

25. The clip applier according to claim 24, further comprising a drive channel translatably slidably disposed within at least one of the housing and the channel assembly, the drive channel having a first end operatively connected to the at least one handle and a second end configured and dimensioned to selectively engage said pair of jaws to effectuate closure of the pair of jaws;

the drive channel being moved towards the jaw assembly as the at least one handle is moved in a first direction to move the second end of the drive channel against the pair of jaws to close the pair of jaws;

the drive channel being moved away from the jaw assembly as the at least one handle is moved in a second direction, opposite the first direction, to move the second end of the drive channel away from the jaw assembly to allow the pair of jaws to open.

26. The clip applier according to claim 25, wherein the drive linkage system includes:

a distal linkage member having a first end pivotally connected to the pusher bar; and

a crank member pivotally supported in the housing, the crank member being substantially L-shaped and having a first leg pivotally connected to a second end of the distal linkage member, and having a second leg slidably connected in an actuate channel formed in the drive channel,

wherein distal movement of the drive channel causes the second leg of the crank member to slidably translate through the arcuate slot, thereby causing the crank member to rotate, thereby causing the first leg to rotate, thereby causing the distal linkage member to move proximally, and thereby causing the pusher bar to move proximally.

27. The clip applier according to claim 19, wherein the clip follower functions as a lockout when the clip follower is advanced by the walking beam to a position between the pair of jaws.

28. The clip applier according to claim 27, wherein when the clip follower is positioned between the pair of jaws, the clip follower prevents the pair of jaws from completely closing and thus prevents the clip applier from completing a full closing stroke.

29. The clip applier according to claim 18, further comprising a clip counter plate slidably supported in the channel assembly, wherein the clip counter plate is configured and adapted to display a change in status of the clip applier upon each complete actuation of the at least one handle.

30. The clip applier according to claim 29, wherein the clip counter plate includes a series of discrete indicia, wherein a selected one of the plurality of discrete indicia is discernable from the remainder of the discrete indicia.

31. The clip applier according to claim 30, wherein each indicia of the plurality of discrete indicia relates to a corresponding quantity of clips of the plurality of clips contained in the clip applier.

32. The clip applier according to claim 31, wherein the clip counter plate defines a series of recesses formed in a first surface thereof, and wherein the walking beam includes a tab extending from a surface thereof and being dimensioned for receipt in each of the series of recesses formed in the clip counter plate,

wherein as the walking beam moves, the tab engages the clip counter plate to move the clip counter plate and change the selected one of the plurality of discrete indicia that is discernable from the remainder of the discrete indicia.

33. The clip applier according to claim 32, wherein the discernable discrete indicia is visible through the clip channel.

34. The clip applier according to claim 18, further comprising a clip counter plate slidably supported in the channel assembly, the clip counter plate including indicia visible through the channel assembly, wherein the indicia corresponds to a quantity of clips loaded in the clip applier, wherein the clip counter plate is moved to decrement the indicia upon each firing of the clip applier resulting in the indicia corresponding to a quantity of clips of the plurality of clips remaining after the firing of the clip applier.