ENDOSCOPIC SURGICAL CLIP APPLIER

• US 20180235637A1
• Filed: 11/03/2015
• Published: 08/23/2018
• Est. Priority Date: 11/03/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Xu, Shunhong, Zhao, Kun, Tan, Yuandong
• Granted Patent: US 10,702,279 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 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod

Abstract

A reposable surgical instrument includes a handle assembly (100) and an endoscopic assembly (200, 300, 400, 500, 600, 700) releasably engagable with the handle assembly (100). The handle assembly (100) includes a housing (110), a drive bar (132) supporting a ratchet pawl (142), and a trigger (122) coupled to the housing (110) and the drive bar (132). The endoscopic assembly (200, 300, 400, 500, 600, 700) includes a proximal hub (210, 310, 410, 510, 610, 710) including a ratchet rack (215, 415, 515, 615), an elongated shaft (220, 340, 420) extending from the proximal hub (210, 310, 410, 510, 610, 710) and supporting an end effector assembly(350) at a distal end (344) thereof, and a drive assembly (230, 320, 430) operably coupled to the end effector assembly (350). In use, movement of the trigger (122) from an un-actuated position towards an actuated position translates the drive bar (132) from a proximal position towards a distal position to engage the ratchet pawl (142) with the ratchet rack (215, 415, 515, 615) such that further distal translation of the drive bar (132) towards the distal position incrementally urges the drive assembly (230, 320, 430) from the un-fired position towards the fired position.

Claims

1. A reposable surgical instrument, comprising:

a handle assembly, including;

a housing;

a drive bar slidably supported within the housing;

a trigger pivotably connected to the housing and operably coupled to the drive bar such that movement of the trigger relative to the housing from an un-actuated position to an actuated position translates the drive bar from a proximal position to a distal position;

a ratchet pawl pivotably supported on the drive bar; and

a receiver assembly extending from the housing and configured to releasably engage an endoscopic assembly therein; and

a first endoscopic assembly configured for ratcheting use, the first endoscopic assembly including;

a proximal hub insertable into and releasably engagable within the receiver assembly, the proximal hub including a ratchet rack disposed therein, the ratchet rack defining a plurality of ratchet teeth;

an elongated shaft extending distally from the proximal hub;

an end effector assembly supported at a distal end of the elongated shaft; and

a drive assembly including an inner shaft slidably disposed within the proximal hub and the elongated shaft and defining proximal and distal ends, the distal end of the inner shaft operably coupled to the end effector assembly such that movement of the inner shaft from an un-fired position to a fired position effects manipulation of the end effector assembly,

wherein, with the proximal hub releasably engaged within the receiver assembly, initial translation of the drive bar from the proximal position towards the distal position moves the ratchet pawl into engagement with the ratchet rack and the drive bar into abutment with the drive assembly such that further distal translation of the drive bar towards the distal position incrementally urges the inner shaft from the un-fired position towards the fired position as the ratchet pawl is incrementally advanced along the ratchet rack in successive engagement with the ratchet teeth thereof.

2. The reposable surgical instrument according to claim 1, wherein, prior to engagement of the ratchet pawl with the ratchet rack, the drive bar is permitted to return proximally, thereby returning the inner shaft towards the un-fired position.

3. The reposable surgical instrument according to claim 1, wherein, with the ratchet pawl engaged with the ratchet rack, the drive bar is inhibited from return proximally, thereby inhibiting the inner shaft from returning towards the un-fired position.

4. The reposable surgical instrument according to claim 1, wherein, once the inner shaft reaches the fired position, the ratchet pawl clears the ratchet rack and is disengaged therefrom.

5. The reposable surgical instrument according to claim 4, wherein, with the ratchet pawl cleared and disengaged from the ratchet rack, the drive bar is permitted to return proximally, thereby returning the inner shaft towards the un-fired position.

6. The reposable surgical instrument according to claim 1, wherein the drive assembly of the first endoscopic assembly further includes a plunger operably engaged with the proximal end of the inner shaft, wherein the drive bar is configured to abut the plunger and urge the plunger distally to thereby urge the inner shaft from the un-fired position towards the fired position.

7. The reposable surgical instrument according to claim 6, wherein the plunger is configured to translate together with the inner shaft from the un-fired position to the fired position, and wherein the plunger is further configured to translate distally independently of the inner shaft and relative thereto from the fired position to an end position.

8. The reposable surgical instrument according to claim 7, wherein the drive assembly of the first endoscopic assembly includes first and second springs, the second spring defining a spring constant greater than that of the first spring such that the first spring is compressed upon translation of the plunger together with the inner shaft from the un-fired position to the fired position, and such that the second spring is compressed upon translation of the plunger distally independently of the inner shaft and relative thereto from the fired position to the end position.

9. The reposable surgical instrument according to claim 7, wherein translation of the drive bar from the proximal position to the distal position defines an actuation stroke length of the handle assembly, wherein translation of the inner shaft from the un-fired position to the fired position defines a firing stroke length of the first endoscopic assembly that is smaller than the actuation stroke length of the handle assembly, and wherein translation of the plunger from the fired position to the end position enables completion of the actuation stroke of the handle assembly after completion of the firing stroke of the first endoscopic assembly.

10. The reposable surgical instrument according to claim 1, wherein the end effector assembly of the first endoscopic assembly includes first and second jaw members, and wherein movement of the inner shaft of the drive assembly of the first endoscopic assembly from the un-fired position to the fired position moves the first and second jaw members from an open position to a closed position.

11. The reposable surgical instrument according to claim 10, wherein the first and second jaw members are configured to receive a surgical clip therebetween, and wherein moving the first and second jaw members from the open position to the closed position forms the surgical clip.

12. The reposable surgical instrument according to claim 1, further comprising:

a second endoscopic assembly configured for non-ratcheting use, the second endoscopic assembly including;

a proximal hub insertable into and releasably engagable within the receiver assembly;

an elongated shaft extending distally from the proximal hub;

an end effector assembly supported at a distal end of the elongated shaft; and

a drive assembly including an inner shaft slidably disposed within the proximal hub and the elongated shaft and defining proximal and distal ends, the distal end of the inner shaft operably coupled to the end effector assembly such that movement of the inner shaft from an un-fired position to a fired position effects manipulation of the end effector assembly,

wherein, with the proximal hub of the second endoscopic assembly releasably engaged within the receiver assembly, translation of the drive bar from the proximal position to the distal position moves the drive bar into abutment with the drive assembly to thereby continuously urge the inner shaft from the un-fired position towards the fired position.

13. The reposable assembly according to claim 12, wherein, with the proximal hub of the second endoscopic assembly releasably engaged within the receiver assembly the ratchet pawl remains idle during translation of the drive bar between the proximal and distal positions.

14. The reposable assembly according to claim 12, wherein, with the proximal hub of the second endoscopic assembly releasably engaged within the receiver assembly, the drive bar is permitted to return proximally, thereby returning the inner shaft towards the un-fired position at any point during distal translation of the drive bar.

15. The reposable surgical instrument according to claim 12, wherein the end effector assembly of the second endoscopic assembly includes first and second jaw members, and wherein movement of the inner shaft of the drive assembly of the second endoscopic assembly from the un-fired position to the fired position moves the first and second jaw members from an open position to a closed position.

16. The reposable surgical instrument according to claim 15, wherein the first and second jaw members of the second endoscopic assembly are configured to receive a surgical clip therebetween, and wherein moving the first and second jaw members from the open position to the closed position forms the surgical clip.

17. The reposable surgical instrument according to claim 12, wherein the drive assembly of the second endoscopic assembly further includes a plunger operably engaged with the proximal end of the inner shaft, wherein the drive bar is configured to abut the plunger and urge the plunger distally to thereby urge the inner shaft from the un-fired position towards the fired position.

18. The reposable surgical instrument according to claim 17, wherein the plunger is configured to translate together with the inner shaft from the un-fired position to the fired position, and wherein the plunger is further configured to translate distally independently of the inner shaft and relative thereto from the fired position to an end position.

19. The reposable surgical instrument according to claim 18, wherein the drive assembly of the second endoscopic assembly includes first and second springs, the second spring defining a spring constant greater than that of the first spring such that the first spring is compressed upon translation of the plunger together with the inner shaft from the un-fired position to the fired position, and such that the second spring is compressed upon translation of the plunger distally independently of the inner shaft and relative thereto from the fired position to the end position.

20. The reposable surgical instrument according to claim 18, wherein translation of the drive bar from the proximal position to the distal position defines an actuation stroke length of the handle assembly, wherein translation of the inner shaft from the un-fired position to the fired position defines a firing stroke length of the second endoscopic assembly that is smaller than the actuation stroke length of the handle assembly, and wherein translation of the plunger from the fired position to the end position enables completion of the actuation stroke of the handle assembly after completion of the firing stroke of the second endoscopic assembly.