Endoscopic surgical clip applier

• US 8,894,665 B2
• Filed: 08/12/2009
• Issued: 11/25/2014
• Est. Priority Date: 08/29/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Sorrentino, Gregory, Whitfield, Kenneth H.
• Primary Examiner(s): Woo, Julian W
• Assistant Examiner(s): David, Shaun L
• Application Number:
  US12/539,671
• Publication Number:
  US 20100057105A1
• Time in Patent Office: 1,931 Days
• Field of Search: 606139-142, 606/143, 2271751-1781, 227/181.1
• US Class Current: 606/143
• CPC Class Codes: A61B 1/3132 for laparoscopy
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 17/1222 Packages or dispensers therefor clip magazines incorporated in a clip-applying instrument A61B17/128; for surgical articles A61B50/30
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• 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
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 90/08 : Accessories or related features not otherwise provided for

Abstract

An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

Claims

1. An apparatus for application of surgical clips to body tissue, the apparatus comprising:

a handle assembly;

a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis, the housing includes a fixed boss provided therein;

a plurality of surgical clips disposed within the shaft assembly;

a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition;

a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the boss of the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the boss of the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws;

a connector plate reciprocally disposed within the shaft assembly, wherein the connector plate is detachably connectable to the pusher bar, wherein during an initial distal movement of the connector plate the pusher bar is distally advanced and during a further distal movement of the connector plate the connector plate is disconnected from the pusher bar;

an advancer plate reciprocally disposed within the shaft assembly, the advancer plate including at least one fin detachably connectable to a shoulder of the pusher bar, wherein the shoulder of the pusher bar engages the at least one fin of the advancer plate during a distal and a proximal movement of the pusher bar to effectuate at least one of a distal and proximal movement of the advancer plate; and

a clip follower slidably supported in the shaft assembly for urging the plurality of surgical clips in a distal direction, the clip follower including a first tab projecting from a first surface thereof and a second tab projecting from a second surface thereof, wherein the first tab of the clip follower engages the advancer plate as the advancer plate is moved distally such that the clip follower is moved distally to advance the plurality of surgical clips, and wherein the second tab of the clip follower engages a feature as the advancer plate is moved proximally such that the clip follower remains stationary.

2. The apparatus according to claim 1, wherein the pusher bar includes a pusher formed at a distal end thereof, wherein the pusher has a narrow profile for contacting a loaded surgical clip at a single location.

3. The apparatus according to claim 2, wherein the pusher defines a plane that is oriented substantially orthogonal to a plane of the loaded surgical clip.

4. The apparatus according to claim 1, wherein the pusher bar includes a first spring clip supported thereon for connecting to the boss provided in the housing of the shaft assembly when the pusher bar is in an advanced position for maintaining the pusher bar in the advanced position.

5. The apparatus according to claim 1, further comprising a clip carrier disposed in the shaft assembly, wherein the clip carrier is configured to retain the plurality of surgical clips and the clip follower, wherein the second tab of the clip follower engages features formed in the clip carrier.

6. The apparatus according to claim 1, wherein the clip follower is incrementally advanced through the shaft assembly.

7. The apparatus according to claim 1, wherein the clip follower includes a catch extending from a surface thereof, wherein the catch engages the pusher bar following firing of a last surgical clip and prevents movement of the pusher bar in a proximal direction.

8. The apparatus according to claim 7, further comprising a ratchet assembly disposed in the handle assembly, wherein the ratchet assembly is prevented from re-setting when the pusher bar does not return to a proximal position.

9. The apparatus according to claim 1, further comprising a counter supported in the housing assembly, wherein the counter provides an indication when a surgical clip has been fired.

10. The apparatus according to claim 1, further comprising an indicator supported in the housing assembly, wherein the indicator provides at least one of an audible and a tactile indication when at least one of a surgical clip is loaded into the jaws, a surgical clip is fired and the apparatus is re-set.

11. The apparatus according to claim 1, further comprising a drive bar actuatable by the handle assembly and connected to the connector plate for effecting movement of the connector plate.

12. The apparatus according to claim 11, further comprising a drive channel reciprocally disposed within the shaft assembly, wherein the drive bar engages the drive channel to effect translation of the drive channel, wherein a distal end of the drive channel engages a surface of the jaws upon distal advancement thereof to effectuate approximation of the jaws.

13. The apparatus according to claim 12, wherein the drive channel actuates a wedge lock plate upon distal advancement thereof to cause proximal movement of the wedge plate to withdraw the distal end of the wedge plate from the jaws and permit the drive channel to approximate the jaws.

14. The apparatus according to claim 12, wherein the drive channel is biased to a proximal position.

15. The apparatus according to claim 1, wherein the shaft assembly is rotatable, about the longitudinal axis, with respect to the handle assembly.

16. An apparatus for application of surgical clips to body tissue, the apparatus comprising:

a handle assembly;

a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis, the housing includes a fixed boss provided therein;

a plurality of surgical clips disposed within the shaft assembly;

a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition;

a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the boss of the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the boss of the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws; and

a connector plate reciprocally disposed within the shaft assembly, wherein the connector plate is detachably connectable to the pusher bar, wherein during initial distal movement of the connector plate the pusher bar is distally advanced and during a further distal movement of the connector plate the connector plate is disconnected from the pusher bar, wherein the pusher bar includes a first spring clip supported thereon for connecting to the boss provided in the housing of the shaft assembly when the pusher bar is in an advanced position for maintaining the pusher bar in the advanced position, wherein the pusher bar further includes a second spring clip supported thereon for engaging a first feature of the connector plate, wherein the first feature of the connector plate disengages from the second spring clip following the initial distal movement of the connector plate.

17. The apparatus according to claim 16, further comprising a wedge plate reciprocally disposed within the shaft assembly, the wedge plate being movable between a position where a distal end thereof is disposed in the jaws and a position where the distal end thereof is free from said jaws.

18. The apparatus according to claim 17, wherein the wedge plate further includes a third spring clip supported thereon for detachably connecting to a second feature of the connector plate, wherein the second feature of the connector plate disengages from the third spring clip following an initial distal movement of the connector plate.

19. The apparatus according to claim 18, wherein the shaft assembly includes a guard supported therein, wherein the guard prevents the third spring clip from splaying outwardly as the third spring clip translates thereacross.

20. The apparatus according to claim 17, wherein the wedge plate is biased to a proximal position.