Modular clip applier

• US 7,841,502 B2
• Filed: 12/18/2007
• Issued: 11/30/2010
• Est. Priority Date: 12/18/2007
• Status: Expired due to Fees

• Current Assignee: Abbott Laboratories Incorporated
• Original Assignee: Abbott Laboratories Incorporated
• Inventors: Pantages, Anthony J., Reynolds, Timothy C., Walberg, Erik K.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/959,334
• Publication Number:
  US 20090157103A1
• Time in Patent Office: 1,078 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/175.2, 606/139, 606/219
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/00429 with a roughened portion
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 90/92 coded with colour

Abstract

An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A triggering element deploys the closure device and can at least be partially formed in the housing. A throw reducing mechanism can slide relative to the housing and reduce the distance a user must stretch a hand to move a triggering system within the housing. The housing can include, or be connected to, a handle member having one or more expansion members which expand to provide a stable base for manipulating the apparatus.

Claims

1. An apparatus for delivering a closure element to an opening formed in a wall of a body lumen, the apparatus comprising:

a housing having proximal and distal ends;

a locator assembly at least partially received within said housing, said locator assembly having a distal end region extendable into an opening formed in a wall of a body lumen;

a carrier assembly coupled with said locator assembly and at least partially received within said housing, said carrier assembly being adapted to retain a closure element;

a triggering system coupled with and extending from said carrier assembly and at least partially disposed within said housing, said trigging system being configured to advance said carrier assembly toward said distal end region; and

a throw reducing mechanism slideably disposed with respect to said housing, wherein said throw reducing mechanism is coupled with said triggering system such that said triggering system is adapted to move relative to said housing as said throw reducing mechanism slides relative to said housing.

2. The apparatus of claim 1, wherein said throw reducing mechanism is a sleeve at least partially enclosing an outer surface of said housing.

3. The apparatus of claim 2, wherein said sleeve is selectively removable from said outer surface of said housing.

4. The apparatus of claim 2, wherein said triggering system comprises a trigger extension extending from said housing, and wherein said sleeve is coupled with said trigger extension.

5. The apparatus of claim 4, wherein said sleeve defines a slot, and wherein said trigger extension is received within said slot.

6. The apparatus of claim 5, wherein said slot has a proximal end and a distal end, and wherein said proximal end of said slot is adapted to engage said trigger extension as said sleeve moves distally relative to said housing, thereby selectively moving trigger extension distally relative to said housing.

7. The apparatus of claim 4, wherein said sleeve comprises a finger extension adapted to facilitate distal movement of said sleeve relative to said housing, and wherein said sleeve is adapted to cause said trigger extension to remain a fixed distance from said finger extension as said sleeve moves distally.

8. The apparatus of claim 4, wherein said sleeve is adapted to move to a distal-most position on said housing, and wherein at said distal-most position of said sleeve, said trigger extension is adapted to move distally relative to said sleeve and said housing.

9. The apparatus of claim 8, wherein said sleeve comprises a finger extension, and wherein said trigger extension is adapted to move to a nested position within said finger extension.

10. The apparatus of claim 2, wherein said housing defines a window adapted to allow a user to determine an operating state of the apparatus, and wherein said sleeve comprises a slot cooperating with said window, such that as said sleeve moves relative to said housing, said window remains visible to said user.

11. The apparatus of claim 2, wherein said sleeve is configured to selectively control said distal end region of said locator assembly between an unexpanded state and an expanded state.

12. The apparatus of claim 11, wherein distal movement of said sleeve relative to said housing causes said distal end region of said locator assembly to transition between said unexpanded state and said expanded state.

13. The apparatus of claim 11, wherein locator assembly comprises a plunger adapted to selectively control said distal end region between said unexpanded state and said expanded state, and wherein said sleeve is coupled with said plunger, such that as said sleeve moves distally relative to said housing, said sleeve causes said plunger to control said distal end region of said locator assembly between said unexpanded state and said expanded state.

14. The apparatus of claim 13, wherein said sleeve substantially encloses said plunger.

15. The apparatus of claim 2, wherein said sleeve is adapted to selectively move relative to said housing to a distal-most position.

16. The apparatus of claim 2, wherein said housing further comprises one or more handles, and wherein said sleeve is adapted to move distally along said housing until said sleeve engages said one or more handles.

17. The apparatus of claim 16, wherein said sleeve is adapted to interlock with said one or more handles when said sleeve engages said one or more handles.

18. The apparatus of claim 16, wherein said one or more handles are selectively removable from said housing.