Multiple clip deployment magazine

• US 8,080,021 B2
• Filed: 01/11/2005
• Issued: 12/20/2011
• Est. Priority Date: 01/11/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Griego, John A.
• Primary Examiner(s): Houston, Elizabeth
• Assistant Examiner(s): SZPIRA, JULIE ANN
• Application Number:
  US11/032,973
• Publication Number:
  US 20060155308A1
• Time in Patent Office: 2,534 Days
• Field of Search: 606/143, 606/157, 298/09, 298/112, 298/12, 227/176.1
• US Class Current: 606/143
• 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 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/0488 Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/2937 with flexible part
• CPC Class Codes: Y10T 29/53491 One work part comprising living tissue

Abstract

An apparatus for deployment of multiple hemostatic clips, includes a shaft connected to a handle and a control linkage operatively connected to the handle in combination with a magazine disposed at a distal end of the shaft, the magazine containing a plurality of clips arranged in a chain rotatable within the magazine, wherein a proximal-most one of the clips is coupled to the control linkage, a distal portion of the magazine being contoured to permit opening of a distal-most one of the clips during a distal stroke of the control linkage, and to assist closing and locking of the distal-most clip during a proximal stroke of the control linkage, the magazine including an expanded chamber sized to allow opening in any rotational orientation of a next clip located immediately proximal to the distal-most clip to a degree sufficient to disengage the distal-most clip.

Claims

1. An apparatus for deployment of multiple hemostatic clips, comprising:

a shaft connected to a handle;

a control linkage operatively connected to the handle;

a magazine disposed at a distal end of the shaft, the magazine containing a plurality of clips arranged in a chain rotatable within the magazine, wherein a proximal-most one of the clips is coupled to the control linkage, a distal portion of the magazine being contoured to permit opening of a distal-most one of the clips during a distal stroke of the control linkage, and to assist closing and locking of the distal-most clip during a proximal stroke of the control linkage, the magazine including an expanded chamber located proximal to the distal portion of the magazine and sized to allow opening in any rotational orientation of a next clip located immediately proximal to the distal-most clip to a degree sufficient to disengage the distal-most clip from the clip chain, wherein the expanded chamber extends 360 degrees around a circumference of the magazine, wherein a diameter of the expanded chamber is larger than a width of the next clip in a closed configuration so that as the next clip is moved into the expanded chamber the next clip expands radially by a distance sufficient to release the distal most clip from the next clip.

2. The apparatus according to claim 1, further comprising an expanded section of the magazine'"'"'s wall forming the expanded chamber, the expanded section extending around an entire circumference of the magazine.

3. The apparatus according to claim 1, wherein the expanded chamber extends circumferentially away from an axis of the magazine.

4. The apparatus according to claim 1, wherein the distal portion of the magazine is adapted to lock the distal-most clip by positioning a locking ring around clip arms of the distal-most clip.

5. The apparatus according to claim 1, wherein a diameter of the expanded chamber corresponds substantially to a dimension of the next clip when partially opened to release a linking feature of the distal-most clip.

6. The apparatus according to claim 5, wherein the linking feature operates as a cam to open clip arms of the next clip.

7. The apparatus according to claim 5, wherein the linking feature comprises an increased diameter protrusion disposed proximally on the clip.

8. The apparatus according to claim 1, wherein the clip chain is free to rotate along a longitudinal axis of the magazine.

9. The apparatus according to claim 1, wherein the clip chain comprises clips designed to assume an open configuration when not constrained.

10. The apparatus according to claim 4, wherein the locking ring is movable between a locked position over the clip arms, and an unlocked position distant from the clip arms.

11. The apparatus according to claim 1, wherein the expanded section is located on the magazine to correspond to a location of the next clip after the proximal stroke.

12. An apparatus for deployment of hemostatic clips, comprising:

a control linkage;

a magazine coupled to a distal end of the control linkage, the magazine containing a plurality of clips arranged in a chain with a proximal-most one of the clips coupled to the control linkage, the magazine including a contoured distal portion arranged to permit opening of a distal-most one of the clips during a distal stroke of the control linkage and to assist closing and locking of the distal-most clip during a proximal stroke of the control linkage, the magazine including a disengaging chamber located proximal to the distal portion of the magazine so that, when a proximal stroke of the control linkage has closed and locked the distal-most clip, a next clip located immediately proximal to the distal-most clip is permitted to open to a degree sufficient to disengage the distal-most clip therefrom, wherein the disengaging chamber extends 360 degrees around a circumference of the magazine, wherein a diameter of the disengaging chamber is larger than a width of the next clip in a closed configuration so that as the next clip is moved into the disengaging chamber the next clip expands radially by a distance sufficient to release the distal most clip from the next clip.