ENDOSCOPIC REPOSABLE SURGICAL CLIP APPLIER

• US 20190053808A1
• Filed: 07/10/2018
• Published: 02/21/2019
• Est. Priority Date: 08/15/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baril, Jacob C., Creston, Brian J., Czernik, Roman, Zammataro, Thomas A., Dinino, Matthew A.
• Granted Patent: US 10,786,263 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

A hub assembly for use with an endoscopic assembly of a reposable surgical clip applier includes an outer housing defining a channel therethrough, a driver gear slidably disposed within the channel, a transmission gear slidably and rotatably supported within the channel, and a display gear slidably and rotatably supported within the channel. Each of the driver gear, transmission gear, and display gear is configured for reciprocal movement within the channel. Distal advancement of the driver gear causes a corresponding distal advancement of the transmission gear and distal advancement of the transmission gear causes a corresponding distal advancement of the display gear. The transmission gear is caused to the rotated in a first direction during each distal advancement of the driver gear and the display gear is caused to be rotated in the first direction during a predetermined distal advancement of the transmission gear.

Claims

1. A hub assembly for use with an endoscopic assembly of a reposable surgical clip applier, the hub assembly comprising:

an outer housing defining proximal and distal end surfaces, the proximal and distal end surfaces defining a channel therethrough;

a driver gear slidably supported within the channel;

a transmission gear slidably and rotatably supported within the channel; and

a display gear slidably and rotatably supported within the channel, each of the driver gear, transmission gear, and display gear configured for reciprocal movement within the channel,

wherein distal advancement of the driver gear causes a corresponding distal advancement of the transmission gear and distal advancement of the transmission gear causes a corresponding distal advancement of the display gear,

wherein the transmission gear is caused to be rotated in a first direction during each distal advancement of the driver gear and the display gear is caused to be rotated in a second direction during a predetermined distal advancement of the transmission gear.

2. The hub assembly according to claim 1, wherein a portion of the channel defines a pair of opposed bosses having an upper portion and a lower portion.

3. The hub assembly according to claim 2, wherein the driver gear defines a plurality of teeth on a distal portion thereof.

4. The hub assembly according to claim 3, wherein the transmission gear defines a plurality of teeth on a proximal portion thereof, the plurality of teeth configured to selectively engage the plurality of teeth of the driver gear to cause rotation of the transmission gear in the first direction during engagement therewith.

5. The hub assembly according to claim 4, wherein the plurality of teeth of the transmission gear is configured to engage the upper portion of the pair of opposed bosses to further rotate the transmission gear in the first direction.

6. The hub assembly according to claim 5, wherein the transmission gear defines a pair of opposed teeth on a distal portion thereof.

7. The hub assembly according to claim 6, wherein the display gear defines a first plurality of teeth on a proximal portion thereof configured to engage the lower portion of the pair of opposed bosses, wherein engagement between the first plurality of teeth and the lower portion of the pair of opposed bosses causes rotation of the display gear in the second direction during a predetermined proximal retraction of the display gear corresponding to the predetermined distal advancement of the transmission gear.

8. The hub assembly according to claim 7, wherein the display gear defines a second plurality of teeth on the proximal portion thereof, the second plurality of teeth disposed radially inward of predetermined teeth of the first plurality of teeth and configured to selectively engage the pair of opposed teeth of the transmission gear.

9. The hub assembly according to claim 8, wherein the second plurality of teeth define a pair of teeth corresponding to the pair of teeth of the transmission gear.

10. The hub assembly according to claim 1, wherein an outer surface of the display gear defines a plurality of portions having a contrasting color.

11. The hub assembly according to claim 10, wherein the outer housing defines a plurality of windows therethrough, wherein a greater portion of each of the plurality of portions having a contrasting color is visible through each window of the plurality of windows after each predetermined distal advancement of the transmission gear.

12. The hub assembly according to claim 9, wherein each engagement of the plurality of teeth of the driver gear with the plurality of teeth of the transmission gear causes the transmission gear to rotate 1/24^th of a rotation in the first direction.

13. The hub assembly according to claim 12, wherein each engagement of the plurality of teeth of the transmission gear with the upper portion of the pair of opposed bosses causes the transmission gear to rotate a further 1/24^th of a rotation in the first direction.

14. The hub assembly according to claim 13, wherein predetermined distal advancement of the transmission gear corresponds to ½

of a rotation of the transmission gear.

15. The hub assembly according to claim 14, wherein the display gear is configured to rotate 1/24^th of a rotation in the second direction during engagement of the second plurality of teeth of the display gear with the pair of opposed teeth of the transmission gear.

16. The hub assembly according to claim 15, wherein the first plurality of teeth of the display gear engage the lower portion of the pair of opposed bosses during proximal translation thereof after the predetermined distal advancement of the transmission gear, wherein engagement of the first plurality of teeth of the display gear and the lower portion of the pair of opposed bosses causes the display gear to rotate a further 1/24^th of a rotation in the second direction.

17. The hub assembly according to claim 1, further including a display gear biasing element interposed between a distal surface of the display gear and a proximal facing surface defined by the channel, the display gear biasing element configured to bias the display gear in a proximal direction.

18. The hub assembly according to claim 1, further including a spindle translatably supported within the channel, the spindle in selectively communication with the driver gear.

19. The hub assembly according to claim 18, further including an overstroke mechanism disposed within a distal portion of the channel.

20. The hub assembly according to claim 19, wherein the overstroke mechanism is in mechanical communication with the spindle, the overstroke mechanism configured to permit an overextension of the spindle and inhibit damage to a pair of jaws associated with the endoscopic assembly.