Trigger lockout device for clip applying instrument

• US 7,419,495 B2
• Filed: 08/25/2005
• Issued: 09/02/2008
• Est. Priority Date: 08/25/2005
• Status: Active Grant

• Current Assignee: Microline Surgical, Inc. (Hoya Corporation)
• Original Assignee: Microline PENTAX, Inc. (Hoya Corporation)
• Inventors: Aliski, Peter, Menn, Pavel, Manetakis, Emmanuel
• Primary Examiner(s): Manahan; Todd E.
• Assistant Examiner(s): GETTMAN, CHRISTINA DANIELLE
• Application Number:
  US11/210,832
• Publication Number:
  US 20070049948A1
• Time in Patent Office: 1,104 Days
• Field of Search: 2271751-1754, 606/139, 606/142
• US Class Current: 606/143
• CPC Class Codes: A61B 17/1222 Packages or dispensers therefor clip magazines incorporated in a clip-applying instrument A61B17/128; for surgical articles A61B50/30
• 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 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• 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

Abstract

A trigger lockout device for a clip applying instrument. The lockout device includes a displaceable slider actuable by squeezing a trigger slidable in first and second directions a longitudinal axial direction within the barrel, and a block disposed within the barrel. When a first number of clips have not been applied and when the trigger is squeezed, the slider slidably engages and displaces the block and slides along a path in the axial direction to retrieve a clip of the first number of clips, and to insert the clip into the pair of jaws, and when a second number or none of the clips have not been applied, the slider engages the block to substantially prevent the slider from sliding along the path in at least one of the first or second directions such that the triggery cannot be unsqueezed.

Claims

1. A trigger lockout device for a clip applying instrument, the clip applying instrument having a squeezable trigger, a barrel having a plurality of serially-installed clips therein, and a pair of jaws operatively connected to the trigger and configured to crimp a clip of the plurality of serially-installed clips, the lockout device comprising:

a displaceable slider operatively connected to and actuable by squeezing and unsqueezing the trigger such that said slider is slidable in opposite directions along a longitudinal axial direction of the barrel;

a block disposed within the barrel; and

a sliding member slidable along the axial direction and having a first section having at least one aperture, and a second section, said sliding member configured such that;

when a first number of the plurality of serially-installed clips have not been applied and when the trigger is squeezed and unsqueezed, said sliding member distally slides along the axial direction, and said slider slidably engages and displaces said block into the at least one aperture of said first section of said sliding member and slides along a path in the axial direction to retrieve a clip of the first number of the plurality of serially-installed clips, and to insert the clip into the pair of jaws; and

when a second number of the plurality of serially-installed clips have not been applied, the second number being between and including zero and a number less than the first number, said slider engages said block such that said block abuts said second section of said sliding member and is not displaced into the at least one aperture of said first section, and such that the abutment of said block and said second section substantially prevents said slider from sliding along the path in at least one of the opposite directions such that the trigger substantially cannot be unsqueezed.

2. The lockout device according to claim 1, wherein when the second number of the plurality of serially-installed clips have not been applied, said slider engages said block to substantially prevent said slider from sliding along the path in either of the opposite directions such that the trigger substantially cannot be squeezed or unsqueezed.

3. The lockout device according to claim 1, wherein:

the sliding member is a ladder member having a plurality of rungs comprising said first section, and having a solid surface comprising said second section, the ladder member being slidable in the axial direction to engage a rearmost clip of the plurality of serially-installed clips;

wherein;

when the first number of the plurality of serially-installed clips have not been applied, said slider displaces said block between rungs of the ladder member and out of the path;

when the second number of the plurality of serially-installed clips have not been applied, the solid surface prevents said slider from being displaced, such that the slider engages said block to substantially prevent said slider from sliding along the path in at least one of the opposite directions such that the trigger substantially cannot be unsqueezed.

4. The lockout device according to claim 3, wherein:

the instrument further has a spine substantially axially disposed within the barrel, the spine having an aperture configured to accept the insertion of a portion of said block therein;

said slider is slidable along the path against an underside the spine;

said block is connected to the underside of the spine; and

the ladder member is slidable in the axial direction above the spine.

5. The lockout device according to claim 4, further comprising a flexible rod which connects said block to the spine.

6. The lockout device according to claim 1, wherein said slider comprises a tooth engageable with said block.

7. The lockout device according to claim 6, wherein at least one of said tooth or said slider has an angled engagement surface.

8. The lockout device according to claim 3, wherein:

the ladder member and the plurality of serially-installed clips are disposed within a cartridge that is removable from and insertible into the barrel; and

said slider disengages from said block when the cartridge is removed from the barrel.

9. A method for operating a clip applying instrument, the clip applying instrument having a squeezable trigger, a barrel having a block and plurality of serially-installed clips therein, a slider disposed within the barrel and operatively connected to and actuable by squeezing and unsqueezing the trigger, a sliding member having a first section having at least one aperture, and a second section, said sliding member disposed within the barrel, and a pair of jaws operatively connected to the trigger, the method comprising:

squeezing the trigger to proximally slide the slider along a path in a generally longitudinal axial direction in relation to the barrel;

releasing the trigger to distally slide the slider and the sliding member along the path such that the slider engages and displaces the block into the at least one aperture of the first section of the sliding member;

inserting a clip of the plurality of clips between the pair of jaws;

again squeezing the trigger to crimp the clip between the pair of jaws and to again proximally slide the slider along the path; and

again releasing the trigger such that the slider engages the block such that said block abuts the second section of the sliding member and is not displaced into the at least one aperture of the first section, and such that the abutment of the block and the second section substantially prevents the slider from sliding in at least one of the proximal or distal directions and such that the trigger substantially cannot be unsqueezed.

10. The method according to claim 9, wherein said again releasing the trigger further comprises the slider engaging the block to substantially prevent the slider from sliding in the proximal and distal directions.

11. The method according to claim 9, wherein:

the sliding member is a ladder member having a plurality of rungs at the first section, and a solid surface at the second section, the method further comprising;

said squeezing the trigger further comprises sliding the ladder member in the axial direction and engage a rearmost clip of the plurality of serially-installed clips;

said releasing the trigger further comprises displacing, with the slider, the block between rungs of the ladder member and out of the path; and

said again releasing the trigger further comprises preventing, with the solid surface, the slider from being displaced, such that the slider engages the block to substantially prevent the slider from sliding along the path in at least one of the opposite directions such that the trigger substantially cannot be unsqueezed.

12. The method according to claim 11, wherein:

the instrument further has a spine substantially axially disposed within the barrel, the spine having an aperture;

the slider slides along the path against an underside the spine;

the block is connected to the underside of the spine;

the ladder member slides in the axial direction above the spine; and

said releasing the trigger further comprises displacing at least a portion of the block through the aperture.

13. The method according to claim 12, wherein the instrument further has a flexible rod which connects the block to the spine.

14. The method according to claim 9, wherein the slider has a tooth which engages the block.

15. The method according to claim 14, wherein at least one of the tooth or the slider has an angled engagement surface.

16. The method according to claim 11, wherein the ladder member and the plurality of serially-installed clips are disposed within a removable cartridge, the method further comprising:

inserting the cartridge into the barrel; and

disengaging the slider from the block when the cartridge is removed from the barrel.

17. A clip applying instrument comprising:

a squeezable trigger;

a barrel configured to accept a plurality of serially-installed clips therein,

a pair of jaws operatively connected to said trigger and configured to crimp a clip of the plurality of serially-installed clips;

a displaceable slider operatively connected to and actuable by squeezing and unsqueezing said trigger such that said slider is slidable along a path in opposite directions along a longitudinal axial direction of the barrel;

a block disposed within said barrel; and

a sliding member slidable along the axial direction and having a first section having at least one aperture, and a second section, said sliding member configured such that;

when a first number of the plurality of serially-installed clips have not been applied and when said trigger is squeezed and unsqeezed, said sliding member distally slides along the axial direction, and said slider slidably engages and displaces said block into the at least one aperture of said first section of said sliding member and slides along a path in the axial direction to retrieve a clip of the first number of the plurality of serially-installed clips, and to insert the clip into said pair of jaws; and

when a second number of the plurality of serially-installed clips have not been applied, the second number being between and including zero and a number less than the first number, said slider engages said block such that said block abuts said second section of said sliding member and is not displaced into the at least one aperture of said first section, and such that the abutment of said block and said second section substantially prevents said slider from sliding along the path in at least one of the opposite directions such that said trigger substantially cannot be unsqueezed.

18. The instrument according to claim 17, wherein said sliding member is a ladder member having a plurality of rungs comprising said first section, and having a solid surface comprising said second section, said ladder member slidable in the axial direction to engage a rearmost clip of the plurality of serially-installed clips;

wherein;

when the first number of the plurality of serially-installed clips have not been applied, said slider displaces said block between rungs of said ladder member and out of the path;

when the second number of the plurality of serially-installed clips have not been applied, said solid surface prevents said slider from being displaced, such that said slider engages said block to substantially prevent said slider from sliding along the path in at least one of the opposite directions such that said trigger substantially cannot be unsqueezed.

19. The instrument according to claim 18, further comprising a spine substantially axially disposed within said barrel, said spine having an aperture that accepts the insertion of a portion of said block therein, wherein:

said slider is slidable along the path against an underside of said spine;

said block is connected to the underside of said spine; and

said ladder member is slidable in the axial direction above said spine.

20. The instrument according to claim 18, wherein:

said ladder member and the plurality of serially-installed clips are disposed within a cartridge that is removable from and insertible into said barrel; and

said slider disengages from said block when the cartridge is removed from said barrel.