ENDOSCOPIC SURGICAL CLIP APPLIER

• US 20180116676A1
• Filed: 09/15/2017
• Published: 05/03/2018
• Est. Priority Date: 11/01/2016
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Williams, Justin
• Granted Patent: US 10,492,795 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0804 Counting number of instruments used; Instrument detectors
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A ratchet assembly for use with an apparatus for applying surgical clips to body tissue includes a pawl and a biasing element. The pawl is slidably supported within a handle portion of the apparatus. The biasing element is supported by the handle portion and is in mechanical communication with the pawl. The biasing element has a biasing force configured to bias the pawl towards the rack such that the rack is permitted to translate in a distal direction, but is selectively inhibited from translating in a proximal direction until the rack is in a distal-most position. When the rack is urged in a proximal direction, the pawl exerts a force on the biasing element. When the force exerted on the biasing element is greater than the biasing force, the biasing element deflects allowing the pawl to disengage from the rack and permit the rack to translate in a proximal direction.

Claims

1. An apparatus for applying surgical clips to body tissue, comprising:

a handle portion; and

a trigger rotatably coupled to the handle portion, the handle portion including;

a rack slidably supported within the handle portion and in mechanical communication with the trigger, the rack configured to translate from a first, proximal position, to a second, distal position;

a pawl slidably and rotatably supported within the handle portion, the pawl being in selective engagement with the rack; and

a biasing element supported by the handle portion and in mechanical communication with the pawl, the biasing element having a biasing force configured to bias the pawl towards the rack such that the rack is permitted to translate in a distal direction, but is selectively inhibited from translating in a proximal direction until the rack is in the second, distal position,

wherein actuation of the trigger in a proximal direction causes the rack to translate in a distal direction and actuation of the trigger in a distal direction urges the rack in a proximal direction and causes the pawl to exert a force on the biasing element, wherein when the force exerted on the biasing element is greater than the biasing force, the biasing element deflects allowing the pawl to disengage from the rack and permit the rack to translate in a proximal direction to the first, proximal position.

2. The apparatus of claim 1, wherein the rack defines a plurality of ratchet teeth on a surface thereof.

3. The apparatus of claim 2, wherein the pawl defines a tooth configured to selectively engage the plurality of ratchet teeth.

4. The apparatus of claim 3, wherein the pawl defines a slot therethrough extending in a direction from the tooth towards a surface defined opposite the tooth.

5. The apparatus of claim 4, wherein the biasing element biases the pawl toward the rack such that the tooth of the pawl engages the plurality of ratchet teeth of the ratchet to selectively inhibit proximal translation of the rack.

6. The apparatus of claim 5, wherein the pawl is slidably and rotatably supposed on a shaft disposed on the handle portion.

7. The apparatus of claim 6, further including a second biasing element that is disposed within the slot of the pawl and that is interposed between the shaft of the handle portion and a portion of the slot of the pawl, the second biasing element configured to exert additional biasing force on the pawl towards the rack.

8. The apparatus of claim 3, wherein the handle portion defines a slot therein, the slot configured to slidably receive a shaft therein, wherein the pawl is rotatably supported on the shaft.

9. The apparatus of claim 8, further including a second biasing element that is disposed within the slot of the handle portion, the second biasing element interposed between the shaft and a portion of the slot to exert an additional biasing force on the shaft towards the rack such that the tooth of the pawl selectively engages the plurality of ratchet teeth of the ratchet to selectively inhibit proximal translation of the rack.

10. The apparatus of claim 9, wherein actuation of the trigger in a distal direction urges the rack in a proximal direction and causes the pawl to exert a force that is greater than the biasing forces of the first and second biasing elements and causes the pawl to translate in a direction away from the rack, wherein continued actuation of the trigger in the distal direction causes the pawl to change its engagement with the rack and permits the rack to translate in a proximal direction to the first, proximal position.

11. A ratchet assembly for use with an apparatus for applying surgical clips to body tissue, comprising:

a pawl slidably supported within a handle portion of the apparatus for applying surgical clips to body tissue; and

a biasing element supported by the handle portion of the apparatus and in mechanical communication with the pawl, the biasing element having a biasing force configured to bias the pawl towards the rack such that the rack is permitted to translate in a distal direction, but is selectively inhibited from translating in a proximal direction until the rack is in a distal-most position,

wherein when the rack is urged in a proximal direction, the pawl exerts a force on the biasing element, wherein when the force exerted on the biasing element is greater than the biasing force, the biasing element deflects allowing the pawl to disengage from the rack and permit the rack to translate in a proximal direction.

12. The ratchet assembly of claim 11, wherein the rack defines a plurality of ratchet teeth on a surface thereof.

13. The ratchet assembly of claim 12, wherein the pawl defines a tooth configured to selectively engage the plurality of ratchet teeth.

14. The ratchet assembly of claim 13, wherein the pawl defines a slot therethrough extending in a direction from the tooth towards a surface defined opposite the tooth.

15. The ratchet assembly of claim 14, wherein the biasing element biases the tooth of the pawl into engagement with the plurality of ratchet teeth of the ratchet to selectively inhibit proximal translation of the rack.

16. The ratchet assembly of claim 15, wherein the pawl is slidably and rotatably supposed on a shaft disposed on the handle portion of the apparatus for applying surgical clips to body tissue.

17. The ratchet assembly of claim 16, further including a second biasing element that is disposed within the slot of the pawl and that is interposed between the shaft of the handle portion of the apparatus for applying surgical clips to body tissue and a portion of the slot of the pawl, the second biasing element configured to exert additional biasing force on the pawl towards the rack.

18. The ratchet assembly of claim 13, wherein the pawl is rotatably supported on a shaft, the shaft slidably received within a slot defined in the handle portion of the apparatus for applying surgical clips to body tissue.

19. The ratchet assembly of claim 18, further including a second biasing element that is disposed within the slot of the handle portion of the apparatus for applying surgical clips to body tissue, the second biasing element interposed between the shaft and a portion of the slot to exert additional biasing force on the shaft towards the rack such that the tooth of the pawl selectively engages the plurality of ratchet teeth of the ratchet to selectively inhibit proximal translation of the rack.

20. The ratchet assembly of claim 19, wherein when the rack is urged in a proximal direction, the rack causes the pawl to exert a force that is greater than the biasing forces of the first and second biasing elements and causes the pawl to translate in a direction away from the rack, wherein further urging of the rack in a proximal direction causes the pawl to change its engagement with the rack and permits the rack to translate in a proximal direction.