ENDOSCOPIC SURGICAL CLIP APPLIER

• US 20160296236A1
• Filed: 06/21/2016
• Published: 10/13/2016
• Est. Priority Date: 03/26/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitfield, Kenneth H., Sorrentino, Gregory
• Granted Patent: US 10,363,045 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

An apparatus for application of surgical clips includes a lockout system selectively engagable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction.

Claims

1-14. -14. (canceled)

15. An apparatus for application of surgical clips to body tissue, the apparatus comprising:

a shaft assembly including an upper housing and a lower housing, the shaft assembly having;

first and second jaw members mounted adjacent a distal end portion of the shaft assembly and movable between a spaced-apart position and an approximated position;

a wedge plate positioned adjacent the first and second jaw members and configured for selective interposition therebetween to move the first and second jaw members to the spaced-apart position;

a drive channel positioned adjacent the first and second jaw members and configured for selective camming of the first and second jaw members to move the first and second jaw members to the approximated position; and

a wedge plate rack mechanism operatively interposed between a channel of the lower housing and the drive channel, the wedge plate rack mechanism including;

a wedge plate rack operatively coupled to the wedge plate such that a distal movement of the wedge plate rack is translated into a distal movement of the wedge plate and a proximal movement of the wedge plate rack is translated into a proximal movement of the wedge plate; and

a gear engaged with the wedge plate rack and the drive channel such that a distal movement of the drive channel is translated into the proximal movement of the wedge plate rack and a proximal movement of the drive channel is translated into the distal movement of the wedge plate rack, wherein distal movement of the drive channel engages a camming surface of the first and second jaw members to move the first and second jaw members to the approximated position to form a surgical clip therebetween and wherein proximal movement of the drive channel engages the distal movement of the wedge plate to interpose the wedge plate between the first and second jaw members such that the first and second jaw members are in the spaced-apart position.

16. The apparatus according to claim 15, wherein the gear includes at least one first tooth in operative engagement with the wedge plate rack and at least one second tooth in operative engagement with the drive channel.

17. The apparatus according to claim 15, wherein the wedge plate is slidably supported in the shaft assembly and includes a distal end configured and dimensioned for placement between the first and second jaw members when the drive channel is in a proximal position.

18. The apparatus according to claim 15, further comprising a drive bar partially disposed within the shaft assembly, the drive bar being longitudinally movable in response to actuation of a trigger.

19. The apparatus according to claim 18, wherein a shoulder of the drive bar abuts a proximal end of the drive channel such that a distal movement of the drive bar results in the distal movement of the drive channel.

20. The apparatus according to claim 15, further comprising a biasing member disposed between a proximal end portion of the wedge plate rack and a stub extending from the channel of the lower housing thereby biasing the wedge plate rack in a distal direction.

21. The apparatus according to claim 15, wherein the wedge plate rack includes a pocket on an upper surface thereof, the pocket configured to locate a projection extending from the wedge plate such that the wedge plate rack and the wedge plate are movable in the same direction.

22. The apparatus according to claim 16, wherein the wedge plate rack includes a rack portion configured to engage the at least one first tooth of the gear.

23. The apparatus according to claim 16, wherein a side wall of the drive channel defines a cut-out configured to permit the drive channel to cam against the at least one second tooth of the gear.

24. The apparatus according to claim 20, wherein the biasing member is a compression spring.

25. An apparatus for application of surgical clips to body tissue, the apparatus comprising:

a shaft assembly;

first and second jaw members extending from a distal end portion of the shaft assembly, the first and second jaw members movable between a spaced-apart position and an approximated position;

a drive channel positioned adjacent the first and second jaw members and configured to move the jaw members to the approximated position when the drive channel is in a distal position;

a wedge plate slidably supported in the shaft assembly, the wedge plate including a distal portion configured and dimensioned for placement between the first and second jaw members when the drive channel is in a proximal position and the first and second jaw members are in the spaced-apart position; and

a wedge plate rack mechanism supported in the shaft assembly, the wedge plate rack mechanism including,

a gear operatively coupled to the wedge plate and engaged with the drive channel such that a distal displacement of the drive channel is translated by the gear into a proximal displacement of the wedge plate and a proximal displacement of the drive channel is translated by the gear into a distal displacement of the wedge plate, wherein the proximal displacement of the wedge plate withdraws the distal portion of the wedge plate from between the first and second jaw members such that the first and second jaw members are capable of being moved to the approximated position to form a surgical clip therebetween and wherein the distal displacement of the wedge plate rack moves the distal portion of the wedge plate between the first and second jaw members such that the first and second jaw members are in the spaced-apart position.

26. The apparatus according to claim 25, further comprising a wedge plate rack slidably disposed within the shaft assembly, the wedge plate rack having a body portion, a rack extending distally from the body portion, a tail extending proximally from the body portion, and a stem extending from a bottom surface of the body portion.

27. The apparatus according to claim 26, wherein the wedge plate rack includes a pocket on an upper surface of the body portion, the pocket configured to locate a projection extending from the wedge plate such that the wedge plate rack and the wedge plate are movable in the same direction.

28. The apparatus according to claim 27, wherein the gear is pivotably connected to a lower housing of the shaft assembly and engaged with the wedge plate rack such that rotation of the gear in a first direction results in a proximal displacement of the wedge plate rack and rotation of the gear in a second direction results in a distal displacement of the wedge plate rack, wherein the proximal displacement of the wedge plate rack moves the body portion in a proximal direction such that the distal end of the wedge plate is withdrawn from between the first and second jaw members and a distal displacement of the wedge plate rack moves the body portion in a distal direction such that the distal end of the wedge plate is reintroduced between the first and second jaw members.

29. The apparatus according to claim 25, wherein a plurality of surgical clips are disposed within the shaft assembly.

30. The apparatus according to claim 28, wherein the wedge plate rack mechanism is operatively interposed between a channel of the lower housing and the drive channel.

31. The apparatus according to claim 26, wherein the gear includes at least one first tooth in operative engagement with the rack of the wedge plate rack and at least one second tooth in operative engagement with the drive channel.

32. The apparatus according to claim 28, wherein the gear translates the distal displacement of the drive channel into the proximal displacement of the wedge plate rack and the proximal displacement of the drive channel into the distal displacement of the wedge plate rack.

33. The apparatus according to claim 30, further comprising a biasing member disposed between the body portion of the wedge plate rack and a stub extending from the channel of the lower housing thereby biasing the wedge plate rack in a distal direction.

34. The apparatus according to claim 33, wherein the biasing member is a compression spring.

35. The apparatus according to claim 31, wherein a side wall of the drive channel defines a cut-out configured to permit the drive channel to cam against the at least one second tooth of the gear.