Surgical clip advancement and alignment mechanism

• US 7,731,724 B2
• Filed: 04/14/2005
• Issued: 06/08/2010
• Est. Priority Date: 04/14/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Vitali, Dario, Bertke, Brian, Molitor, Nicholas, Huitema, Thomas, Koch, Robert Jr.
• Primary Examiner(s): Nguyen; Anhtuan T
• Assistant Examiner(s): Sonnett; Kathleen
• Application Number:
  US10/907,768
• Publication Number:
  US 20060235441A1
• Time in Patent Office: 1,881 Days
• Field of Search: 606139-144, 606/148, 606/153, 606/157, 606/158, 606/219, 227/30, 227/901, 227/121, 227/182.1, 2271751-1754, 227/176.1, 227/177.1, 227/178.1, 227/179.1, 227/180.1, 227/181.1, 227/175
• US Class Current: 606/143
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• 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 2017/00407 Ratchet means
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.

Claims

1. A surgical clip applier, comprising:

a handle housing having a trigger coupled thereto;

an elongate shaft extending from the handle housing and having opposed jaws formed on a distal end thereof and movable between an open position and a closed position;

a clip advancing assembly disposed within the elongate shaft for advancing at least one clip through the elongate shaft to position a clip between the opposed jaws; and

a flexible link disposed within the handle housing and adapted to transfer motion from the trigger to the clip advancing assembly to cause the clip advancing assembly to advance at least one clip in response to movement of the trigger;

wherein the trigger has first and second sequential stages of actuation, the trigger being effective to actuate the clip advancing assembly during the first stage of actuation and being configured to pivot the flexible link without flexing the flexible link during the first stage of actuation, and the trigger being effective to actuate a clip forming assembly and being pliant relative to the clip advancing assembly during the second stage of actuation and being configured to flex the flexible link during the second stage of actuation.

2. The surgical clip applier of claim 1, wherein the flexible link is pivotally disposed within the housing and extends between the clip advancing assembly and a trigger insert that is coupled to the trigger.

3. The surgical clip applier of claim 2, wherein the clip advancing assembly includes a feed bar extending through the elongate shaft and having a distal end adapted to distally advance at least one clip through the elongate shaft, and a proximal end coupled to a feed bar coupler for receiving a portion of the flexible link.

4. The surgical clip applier of claim 3, wherein the flexible link includes a first end received within a recess formed within the feed bar coupler, and a second end received within a recess formed in the trigger insert.

5. The surgical clip applier of claim 4, wherein the flexible link is adapted to pivot about a transverse axis located between the first and second ends and extending substantially perpendicular to a longitudinal axis extending between the first and second ends.

6. The surgical clip applier of claim 1, wherein the flexible link is formed from a polymer.

7. The surgical clip applier of claim 1, wherein the flexible link is formed from a metal.

8. A surgical clip applier, comprising:

a clip advancing shaft disposed within an elongate shaft and adapted to advance at least one surgical clip through the elongate shaft, the clip advancing assembly including a feed bar having a coupler disposed on a proximal end thereof;

a trigger insert rotatably disposed within a housing and coupled to a trigger movable relative to the housing such that movement of the trigger is effective to rotate the trigger insert; and

a flexible link pivotally disposed within the housing and extending between the trigger insert and the clip advancing shaft such that rotation of the trigger insert is effective to cause the flexible link to pivot and thereby cause the clip advancing shaft to move distally, the flexible link being coupled to the coupler of the feed bar;

wherein the trigger has first and second sequential stages of actuation, the trigger being effective to advance the clip advancing shaft during the first stage of actuation, and the trigger being effective to actuate a clip forming assembly and being pliant relative to the clip advancing shaft during the second stage of actuation, and where the coupler has opposed annular flanges defining an annular groove therebetween that seat a portion of the flexible link and wherein the flexible link includes opposed arms that are received within the annular groove.

9. The clip advancing assembly of claim 8, wherein the trigger insert includes a recess formed therein that receives a portion of the flexible link.

10. The clip advancing assembly of claim 8, wherein the flexible link pivots about a transverse axis located between opposed first and second ends and extending substantially perpendicular to a longitudinal axis extending between the first and second ends.

11. The clip advancing assembly of claim 10, wherein the first end is coupled to the clip advancing shaft and the second end is coupled to the trigger insert, and wherein the transverse axis is located substantially adjacent to the second end.

12. A method for advancing a surgical clip in a surgical clip applier, comprising:

moving a trigger coupled to a housing toward a closed position to cause a flexible link disposed within the housing to pivot without flexing and distally advance a clip advancing assembly disposed within an elongate shaft extending from the housing to at least initiate advancement of a clip into opposed jaws formed on a distal end of the elongate shaft; and

further moving the trigger toward the closed position to cause the flexible link to flex such that the clip advancing assembly is maintained in a substantially fixed position while a clip forming assembly is distally advanced to cause opposed jaws formed on a distal end of the elongate shaft to close and thereby close the clip positioned therebetween.

13. The method of claim 12, further comprising releasing the trigger to an open position to cause the flexible link to pivot in an opposite direction and proximally retract the clip advancing assembly.

14. The method of claim 12, wherein the flexible link extends between a trigger insert coupled to the trigger and the clip advancing assembly.

15. The method of claim 14, wherein movement of the trigger causes the trigger insert to pivot, thereby causing the flexible link to pivot.

16. The method of claim 14, wherein the clip advancing assembly comprises a feed bar having a coupling member formed on a proximal end thereof and coupled to the flexible link.

17. A surgical clip applier, comprising:

a handle housing having a trigger coupled thereto;

an elongate shaft extending from the handle housing and having opposed jaws formed on a distal end thereof and movable between an open position and a closed position;

a clip advancing assembly disposed within the elongate shaft for advancing at least one clip through the elongate shaft to position a clip between the opposed jaws; and

a flexible link disposed within the handle housing that pivots without flexing during a first range of motion as the trigger is moved toward the handle housing to apply a force to the clip advancing assembly that causes the clip advancing assembly to advance at least one clip toward the opposed jaws, and that flexes during a second range of motion as the trigger is further moved toward the handle housing to allow the clip advancing assembly to remain in a substantially fixed position while a clip forming assembly is actuated.

18. A method for advancing a surgical clip in a surgical clip applier, comprising:

moving a trigger coupled to a housing toward a closed position to cause a flexible link disposed within the housing to pivot and distally advance a clip advancing assembly disposed within an elongate shaft extending from the housing to at least initiate advancement of a clip into opposed jaws formed on a distal end of the elongate shaft; and

further moving the trigger toward the closed position to cause the flexible link to flex such that the clip advancing assembly is maintained in a substantially fixed position while a clip forming assembly is distally advanced to cause opposed jaws formed on a distal end of the elongate shaft to close and thereby close the clip positioned therebetween;

wherein the flexible link extends between a trigger insert coupled to the trigger and the clip advancing assembly, and movement of the trigger causes the trigger insert to pivot, thereby causing the flexible link to pivot.