ENDOSCOPIC SURGICAL CLIP APPLIER

• US 20160338699A1
• Filed: 08/01/2016
• Published: 11/24/2016
• Est. Priority Date: 08/29/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Sorrentino, Gregory, Whitfield, Kenneth H.
• Granted Patent: US 10,682,135 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding

Abstract

An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

Claims

1-16. -16. (canceled)

17. A clip follower for use with an apparatus for application of surgical clips to body tissue, comprising:

a body portion defining first and second surfaces, the body portion including;

a first tab projecting from the first surface; and

a second tab projecting from the second surface; and

a lock-out plate supported on the first surface of the body portion, the lock-out plate defining a resilient tail extending therefrom, wherein a first window is defined through the resilient tail, the first window configured to receive a catch of a pusher bar of the apparatus for application of surgical clips following a firing of a final surgical clip, thereby preventing movement of the pusher bar in a proximal direction.

18. The clip follower according to claim 17, wherein the first tab projects upwardly and proximally from the first surface of the clip follower.

19. The clip follower according to claim 17, wherein the second tab projects downwardly and proximally from the second surface of the clip applier.

20. The clip follower according to claim 17, wherein the first tab is formed from a resilient material.

21. The clip follower according to claim 17, wherein the second tab is formed from a resilient material.

22. The clip follower according to claim 17, wherein each of the first and second tabs is formed from a resilient material.

23. The clip follower according to claim 17, wherein the lock-out plate is integrally formed with the body portion.

24. The clip follower according to claim 17, wherein the lock-out plate is separate and distinct from the body portion, the lock-out plate being fixedly supported on the clip follower.

25. The clip follower according to claim 24, wherein the lock-out plate defines a plurality of resilient fingers configured to engage the body portion of the clip follower.

26. The clip follower according to claim 17, wherein the body portion defines a first lumen and the first tab is disposed within the first lumen.

27. The clip follower according to claim 26, wherein the body portion defines a second lumen and the second tab is disposed within the second lumen.

28. The clip follower according to claim 17, wherein the lock-out plate defines a second window, the second window configured to receive a portion of the second tab therethrough.

29. The clip follower according to claim 17, wherein the clip follower is configured to be disposed proximally of a plurality of surgical clips disposed within the apparatus for application of surgical clips.

30. The clip follower according to claim 17, wherein the first tab is configured to be engaged by an advancer plate of the apparatus for application of surgical clips as the advancer plate is moved distally to move the clip follower distally to an incrementally advanced position, whereby the plurality of surgical clips are also concomitantly moved to a respective incrementally advanced position.

31. The clip follower according to claim 30, wherein the second tab is configured to engage a stop feature as the advancer plate is moved proximally, whereby the clip follower is held in the incrementally advanced position thereof.

32. The clip follower according to claim 31, wherein the stop feature is defined by a clip carrier of the apparatus for application of surgical clips.

33. The clip follower according to claim 17, wherein the lock-out tab is configured to be biased against a surface of the pusher bar such that following the firing of the final surgical clip, the lock-out tab of the clip follower is in registration with a catch window defined in the pusher bar, and whereby the first window of the lock-out tab is moved into axial alignment with a travel path of the proximally extending catch of the pusher bar to receive the proximally extending catch of the pusher bar.

34. The clip follower according to claim 17, wherein a distal portion of the body portion defines a channel through the first and second surfaces.

35. The clip follower according to claim 17, wherein a proximal portion of the first surface defines a relief configured to receive a portion of the resilient tail of the lock-out plate.

36. The clip follower according to claim 17, wherein the resilient tail extends upwardly and rearwardly from the first surface of the body portion.