ENDOSCOPIC SURGICAL CLIP APPLIER INCLUDING COUNTER ASSEMBLY

• US 20180228567A1
• Filed: 01/05/2018
• Published: 08/16/2018
• Est. Priority Date: 02/14/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baril, Jacob C., Calavan, Brandon L., Dinino, Matthew A.
• Granted Patent: US 10,660,725 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

A counter assembly is supported in a handle assembly of a clip applier. The counter assembly includes a counting mechanism, a ratchet mechanism, and an actuator. The counting mechanism is positioned to rotate within the handle assembly and includes indicia visible through the handle assembly. The ratchet mechanism is rotationally coupled to the counting mechanism and prohibits multidirectional rotation of the counting mechanism. The actuator includes a protrusion projecting therefrom. The actuator is positioned to translate between a proximal position and a distal position, wherein the protrusion of the actuator engages the counting mechanism to rotate the counting mechanism, in a first direction, to adjust the indicia of the counting mechanism, which is visible through the handle assembly. In the proximal position, the protrusion of the actuator is disposed proximal of the counting mechanism. In the distal position, the protrusion of the actuator is disposed distal of the counting mechanism.

Claims

1. A surgical clip applier, comprising:

a handle assembly;

an elongated tubular member extending distally from the handle assembly;

a rack bar translatably supported in the handle assembly;

a counter assembly supported in the handle assembly and including;

a counting mechanism positioned to rotate within the handle assembly, the counting mechanism including indicia visible through the handle assembly;

a ratchet mechanism rotationally coupled to the counting mechanism, the ratchet mechanism prohibiting multidirectional rotation of the counting mechanism; and

an actuator supported on the rack bar for translation therewith, the actuator including a protrusion projecting therefrom, the actuator positioned to translate between a proximal position and a distal position, wherein the protrusion of the actuator engages the counting mechanism to rotate the counting mechanism, in a first direction, to adjust the indicia of the counting mechanism, visible through the handle assembly, wherein in the proximal position, the protrusion of the actuator is disposed proximal of the counting mechanism, and, in the distal position, the protrusion of the actuator is disposed distal of the counting mechanism.

2. The surgical clip applier of claim 1, further including a plurality of surgical clips disposed within the elongated tubular member, wherein the indicia of the counting mechanism indicates a remaining number of the plurality of surgical clips.

3. The surgical clip applier of claim 1, wherein the counter assembly further comprises a housing, the housing defining a window through which the indicia of the counting mechanism is visible during use of the surgical clip applier.

4. The surgical clip applier of claim 3, wherein the counting mechanism further includes a counter wheel including a plurality of actuation features circumferentially positioned thereabout, and a plurality of inner teeth formed circumferentially about an aperture defined through the counter wheel, wherein the indicia is disposed circumferentially about the counter wheel.

5. The surgical clip applier of claim 4, wherein the ratchet mechanism comprises:

a turning cap including a plurality of teeth circumferentially positioned thereabout;

a shaft extending from the turning cap, the shaft including a pair of radially projecting protrusions; and

a spring supported on the shaft of the ratchet mechanism.

6. The surgical clip applier of claim 5, wherein the ratchet mechanism is positioned within the counter wheel of the counting mechanism, wherein the plurality of inner teeth of the counting mechanism are selectively engaged with the plurality of teeth of the ratchet mechanism.

7. The surgical clip applier of claim 6, wherein the housing of the counter assembly defines an aperture therein, the aperture defining an outer transverse cross-sectional profile that is complimentary to an outer transverse cross-sectional profile of the shaft and the pair of protrusions.

8. The surgical clip applier of claim 7, wherein the engagement of the plurality of inner teeth of the counting mechanism and the plurality of teeth of the ratchet mechanism, together with the positioning of the shaft including the pair of protrusions within the aperture of the housing, prohibits multidirectional rotation of the counting mechanism.

9. The surgical clip applier of claim 2, wherein the indicia includes a plurality of numbers to indicate the remaining number of surgical clips of the plurality of surgical clips.

10. The surgical clip applier of claim 2, wherein the indicia includes a color to indicate the remaining number of surgical clips of the plurality of surgical clips.

11. The surgical clip applier of claim 3, further including a blocking mechanism coupled to the housing of the counter assembly, the blocking mechanism hindering rotation of the counting mechanism after a set number of rotations.

12. The surgical clip applier of claim 1, wherein the actuator flexes when the actuator translates between the proximal position and the distal position as the protrusion thereof engages the counting mechanism and moves distally or proximally beyond the counting mechanism.

13. The surgical clip applier of claim 1, wherein the actuator provides a tactile or audible feedback to a user upon the actuator unflexing while translating between the proximal position and the distal position.

14. A surgical clip applier, comprising:

a handle assembly;

a rack bar translatably supported in the handle assembly;

a counter assembly supported in the handle assembly and including;

a housing defining an aperture having a non-circular profile;

a counting mechanism positioned to rotate within the handle assembly including indicia, the counting mechanism visible through the handle assembly;

a ratchet mechanism rotationally coupled to the counting mechanism, the ratchet mechanism including a shaft having a pair of radially projecting protrusions, the aperture of the housing configured to receive the shaft including the pair of protrusions, wherein the positioning of the shaft within the non-circular aperture of the housing inhibits multidirectional rotation of the counting mechanism; and

an actuator supported on the rack bar for translation therewith, the actuator including a protrusion projecting therefrom, the actuator positioned to translate between a proximal position and a distal position, wherein the protrusion of the actuator engages the counting mechanism to rotate the counting mechanism, in a first direction, to adjust the indicia of the counting mechanism, visible through the handle assembly, wherein in the proximal position, the protrusion of the actuator is disposed proximal of the counting mechanism, and, in the distal position, the protrusion of the actuator is disposed distal of the counting mechanism.

15. The surgical clip applier of claim 14, wherein the counting mechanism further includes a counter wheel including a plurality of actuation features circumferentially positioned thereabout, and a plurality of inner teeth formed circumferentially about an aperture defined through the counter wheel, wherein the indicia is disposed circumferentially about the counter wheel.

16. The surgical clip applier of claim 15, wherein the ratchet mechanism comprises:

a turning cap including a plurality of teeth circumferentially positioned thereabout; and

a spring supported on the shaft of the ratchet mechanism.

17. The surgical clip applier of claim 16, wherein the ratchet mechanism is positioned within the counter wheel of the counting mechanism, wherein the plurality of inner teeth of the counting mechanism are selectively engaged with the plurality of teeth of the ratchet mechanism.

18. The surgical clip applier of claim 17, wherein the engagement of the plurality of inner teeth of the counting mechanism and the plurality of teeth of the ratchet mechanism, together with the positioning of the shaft including the pair of protrusions within the non-circular aperture of the housing, prohibits multidirectional rotation of the counting mechanism.

19. The surgical clip applier of claim 14, wherein the actuator provides a tactile or audible feedback to a user upon the actuator unflexing while translating between the proximal position and the distal position.

20. The surgical clip applier of claim 14, wherein the actuator flexes when the actuator translates between the proximal position and the distal position, as the protrusion thereof engages the counting mechanism and moves distally or proximally beyond the counting mechanism.