Through the scope tension member release clip

• US 8,083,668 B2
• Filed: 10/16/2008
• Issued: 12/27/2011
• Est. Priority Date: 09/30/2003
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Durgin, Russell F., Kelly, William C. Mers, Wolf, Lance Alan, Wells, Brian Keith, Abramov, Vasily P., Furnish, Gregory R.
• Primary Examiner(s): KASZTEJNA, MATTHEW JOHN
• Application Number:
  US12/252,630
• Publication Number:
  US 20090043316A1
• Time in Patent Office: 1,167 Days
• Field of Search: 606/142, 606/151, 606157-158, 600/104
• US Class Current: 600/104
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00845 of moving parts with respect to each other
• CPC Class Codes: A61B 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A hemostatic clip assembly for mounting on a delivery device comprises a capsule and a clip slidably mounted within the capsule so that, when the clip is drawn proximally into the capsule, arms of the clip are drawn together to a closed position, an abutting surface of at least one of the arms contacting a corresponding surface of the capsule when the clip is drawn to a predetermined position within the capsule to provide a first user feedback indicating closure of the clip in combination with a tension member connected to the clip arms and biasing the clip arms toward an open, tissue receiving configuration and a yoke slidably received within the capsule and releasably coupled to the tension member, the yoke including a ball cavity for receiving a ball connector of a control element of the delivery device to maintain the clip assembly coupled to the delivery device, wherein the control element is frangible to detach the yoke from the delivery device and to provide a second user feedback and, wherein release of the yoke from the tension member provides a third user feedback.

Claims

1. A clip deployment apparatus insertable to locations within a body through an endoscope, the apparatus comprising:

an elongated member extending from a proximal end to a distal end;

a control element extending from the proximal end of the elongated member to the distal end thereof;

a bushing coupled to the distal end of the elongated member, the busing including a plurality of tabs extending radially inward from a distal end thereof;

a capsule releasably connected to a distal end of the bushing by a plurality of substantially A-shaped openings formed in a proximal end thereof, each of the A-shaped openings receiving a corresponding one of the tabs;

a clip slidably received within the capsule, the clip including clip arms moveable between open and closed configurations;

a tension member slidably received within the capsule and coupled to the clip; and

a yoke slidably received within the capsule and removably coupled to the tension member, a first end of the yoke being releasably connected to the tension member and a second end of the yoke being connected to the control element so that distal movement of the control element draws the yoke, the tension member and the clip distally to a position in which the clip arms are in the open configuration and proximal movement of the control element pushes the yoke, the tension member and the clip proximally to a position in which the clip arms are in the closed configuration.

2. The apparatus according to claim 1, wherein each of the clip arms comprises a radius section and wherein the capsule comprises a plurality of overhangs cooperating with the radius sections to retain the clip arms in the closed configuration as the clip arms are moved proximally within the capsule.

3. The apparatus according to claim 2, wherein the first user feedback includes an aural component and a tactile component.

4. The apparatus according to claim 1, wherein each of the clip arms comprises a stop shoulder and wherein the capsule comprises a plurality of distal folding tabs cooperating with the stop shoulders to provide a first user feedback indicative of proximal movement of the clip arms to a selected position in the capsule at which the clip arms are in the closed configuration.

5. The apparatus according to claim 4, wherein the tension member and the yoke are coupled to one another so that proximal movement of the control element after receipt of the first user feedback separates the yoke from the tension member.

6. The apparatus according to claim 5, wherein the capsule and the clip arms cooperate so that, after separation of the yoke from the tension member the clip arms are retained in the closed configuration.

7. The apparatus according to claim 5, wherein the yoke includes a distal camming surface so that, after separation of the yoke from the tension member, drawing the control element and the yoke further proximally brings the camming surface into contact with the tabs to release the capsule from the bushing.

8. The apparatus according to claim 1, wherein the yoke and the control element are coupled to one another by a ball and socket connection.

9. The apparatus according to claim 8, wherein the control element includes a ball at a distal end thereof, the ball being received within a socket formed in the yoke.

10. The apparatus according to claim 9, wherein the control element includes a failure location which, when subject to a predetermined tension fails to separate the ball from a proximal portion of the control element.

11. The apparatus according to claim 10, wherein the control element is formed as a wire with the failure location constituting a reduced diameter portion of the wire adjacent to the ball.

12. The apparatus according to claim 10, further comprising a control element sheath covering a portion of the control element including the reduced diameter portion so that, after failure of the control element, a severed end of the control element is enshrouded by the control element sheath.

13. The apparatus according to claim 10, further comprising a control element lock mechanism which, after the control element is drawn proximally past a predetermined point, prevents distal movement of the control element beyond the predetermined point.

14. The apparatus according to claim 13, wherein the control element lock mechanism includes an abutting surface formed on the bushing to define the predetermined point and an abutting surface engaging member coupled to the control element to engage the abutting surface.

15. The apparatus according to claim 13, wherein the abutting surface engaging member is biased to extend radially outward from the control element at an angle relative thereto to an engaging position and is radially compressible as the control element is drawn proximally through an opening with a diameter less than a radial extent of the abutting surface engaging member.