Clip applying apparatus with angled jaw

• US 8,900,253 B2
• Filed: 03/11/2004
• Issued: 12/02/2014
• Est. Priority Date: 03/11/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aranyi, Ernest, Whitfield, Kenneth H.
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): COLELLO, ERIN L
• Application Number:
  US10/547,902
• Publication Number:
  US 20060184182A1
• Time in Patent Office: 3,918 Days
• Field of Search: 606/207, 606/142, 606/139, 606/143, 606/219, 227/175.1, 227/181.1, 724/090.2
• US Class Current: 606/142
• 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 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance

Abstract

A clip applying apparatus is provided which includes a jaw mechanism having a stationary jaw and a movable jaw. The movable jaw is supported on or formed integrally with the distal end of a crimping member which is movably supported within a body portion of the apparatus. The stationary jaw defines a longitudinal axis which forms an angle θ of between about 15 degrees and about 15 degrees and about 75 degrees in relation to a longitudinal axis of the body portion. In another embodiment, the stationary jaw includes a clip receiving channel which is configured to at least partially receive a surgical clip. In one embodiment, the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of a leg of a surgical clip to prevent the surgical clip from being pushed from the stationary jaw during operation of the apparatus and the movable jaw includes a distally located crimping surface and a head portion defining a recessed channel configured to receive a portion of a surgical clip supported on the stationary jaw. In yet another embodiment, the crimping surface defines an acute angle β in relation to the longitudinal axis of the body portion, and in one embodiment, angle β is substantially the same as angle θ.

Claims

1. A clip applying apparatus comprising:

a handle assembly;

a body portion extending distally from the handle assembly and defining a longitudinal axis, the body portion including a crimping member operably associated with the handle assembly, the crimping member being movable between a retracted position and an advanced position in response to actuation of the handle assembly;

a jaw mechanism including a stationary jaw and a movable jaw, the movable jaw being supported on the crimping member, the stationary jaw including an anvil jaw that is linear along an entire length of the anvil jaw, the anvil jaw defining a longitudinal axis which forms an angle θ

of between about 15 degrees and about 75 degrees with respect to the longitudinal axis of the body portion; and

a clip having a pair of spaced apart legs interconnected by a backspan, the clip being supported on the stationary jaw,

the movable jaw being movable between a proximal-most position, wherein the stationary jaw and the movable jaw are in an unapproximated position, and a distal-most position, wherein the stationary jaw and the movable jaw are in an approximated position such that the stationary jaw is in contact with the movable jaw and the movable jaw is in contact with the clip along an entire length of one of the pair of spaced legs of the clip to crimp the clip between the stationary jaw and the movable jaw, and

wherein upon movement of the movable jaw from the proximal-most position to the distal-most position, the stationary and movable jaws first approximate a tip of each of the pair of spaced legs of the clip, and then approximate the backspan of the clip, one of the pair of spaced apart legs of the clip extending radially outward beyond the body portion and the jaw mechanism when the movable jaw is in the proximal-most position.

2. A clip applying apparatus according to claim 1, wherein the movable jaw is formed on a distal end of the crimping member.

3. A clip applying apparatus according to claim 2, wherein the movable jaw includes a distally located crimping surface positioned to engage the clip supported on the stationary jaw.

4. A clip applying apparatus according to claim 3, wherein the crimping surface defines an acute angle β

with respect to the longitudinal axis of the body portion.

5. A clip applying apparatus according to claim 4, wherein angle β

is substantially the same as angle θ

.

6. A clip applying apparatus according to claim 3, wherein the movable jaw includes a head portion defining a recessed channel for receiving a portion of the clip supported on the stationary jaw.

7. A clip applying apparatus according to claim 1, wherein each of the pair of spaced legs includes a curved tip, each curved tip being curved inwardly towards the other of the pair of spaced legs.

8. A clip applying apparatus according to claim 1 , wherein the stationary jaw includes a clip receiving channel configured to at least partially receive one of the pair of spaced legs, wherein when the one spaced leg is received in the clip receiving channel of the stationary jaw, a proximal end of the other spaced leg is received in a recessed channel defined within a head portion of the movable jaw.

9. A clip applying apparatus according to claim 8, wherein the crimping member is linearly movable along the longitudinal axis of the body portion such that upon movement of the crimping member from its retracted position towards its advanced position, the head portion deforms a distal end of the other spaced leg of the pair of spaced legs towards the one spaced leg to approximate the distal ends of the spaced legs of the clip prior to approximating the proximal ends of the spaced legs of the clip.

10. A clip applying apparatus according to claim 9, wherein a distal end of the stationary jaw includes a stop member positioned to engage the distal end of the one leg of the pair of spaced legs to prevent the clip from being pushed from the stationary jaw during actuation of the crimping member.

11. A clip applying apparatus according to claim 1, wherein the stationary jaw includes a clip receiving channel, and wherein a distal end of the clip receiving channel of the stationary jaw includes a stop member positioned to engage the tip of the leg of the clip supported on the stationary jaw, to thereby inhibit axial translation of the leg of the clip in the clip receiving channel of the stationary jaw, and wherein the movable jaw includes an open ended clip receiving channel.

12. A clip applying apparatus according to claim 11, wherein the stop member is hook-shaped to facilitate grasping of tissue.

13. A clip applying apparatus according to claim 1, wherein the body portion includes a distal end having an elongated slot and the crimping member includes a raised surface, the raised surface of the crimping member being slidably positioned in the elongated slot of the body portion.

14. A clip applying apparatus according to claim 13, wherein a proximal end of the raised surface defines a shoulder, the shoulder abutting the body portion at a position adjacent a proximal end of the elongated slot of the body portion to limit proximal movement of the crimping member.

15. A clip applying apparatus according to claim 1, wherein angle θ

is between about 20 degrees and about 45 degrees.

16. A clip applying apparatus according to claim 15, wherein angle θ

is about 25 degrees.

18. A clip applying apparatus according to claim 1, wherein the movable jaw is configured to move linearly along the longitudinal axis, from a point proximal to the stationary jaw towards the stationary jaw.

17. A clip applying apparatus comprising:

a handle assembly including a stationary handle and a pivotable trigger;

a body portion extending distally from the handle assembly and defining a longitudinal axis, the body portion including a crimping member operably associated with the handle assembly, the crimping member being movable between a retracted position, which is an initial position of the crimping member, and an advanced position, which is a final position of the crimping member, in response to actuation of the pivotable trigger;

a jaw mechanism including a stationary jaw and a movable jaw, the stationary jaw including an anvil jaw that is linear along an entire length of the anvil jaw, the anvil jaw defining a longitudinal axis which forms an angle θ

of about 25 degrees with respect to the longitudinal axis of the body portion, the stationary jaw including a stop member located on a distal end thereof; and

a clip having a pair of spaced apart legs interconnected by a backspan, the clip being supported on the stationary jaw, wherein the stop member is positioned to contact the movable jaw and is positioned to engage the clip to prevent the clip from being pushed from the stationary jaw during actuation of the crimping member;

wherein the movable jaw is formed on a distal end of the crimping member and includes a distally located crimping surface positioned to engage an entire length of the leg of the clip supported on the stationary jaw, the crimping surface defining an angle β

which is substantially the same as angle θ

, the movable jaw having a head portion defining a recessed channel for receiving a first leg of the clip supported on the stationary jaw,

wherein a second leg of the clip extends radially outward beyond both the body portion and the jaw mechanism when the crimping member is disposed in the retracted position, wherein the body portion includes a distal end having an elongated slot and the crimping member includes a raised surface having a proximal end defining a shoulder, the raised surface of the crimping member being slidably positioned in the elongated slot of the body portion such that the shoulder abuts the body portion at a position adjacent a proximal end of the elongated slot to limit proximal movement of the crimping member, and

wherein upon movement of the movable jaw from a proximal-most position to a distal-most position, the stationary and movable jaws first approximate a tip of each of the pair of spaced legs of the clip, and then approximate a backspan of the clip.

19. A clip applying apparatus according to claim 17, wherein the movable jaw is configured to move linearly along the longitudinal axis, from a point proximal to the stationary jaw towards the stationary jaw.

20. A clip applying apparatus comprising:

a handle assembly;

a body portion extending distally from the handle assembly and defining a longitudinal axis, the body portion including a crimping member operably associated with the handle assembly, the crimping member being movable along a longitudinal axis between a retracted proximal position and an advanced distal position in response to actuation of the handle assembly; and

a jaw mechanism including a stationary jaw and a movable jaw, wherein when the crimping member is in the retracted position the movable jaw is completely unapproximated from the stationary jaw; and

a clip being supported on the stationary jaw, the clip having a pair of spaced legs interconnected by a backspan,

the movable jaw being formed on a distal end of the crimping member and including a distally located crimping surface positioned to engage an entire length of a leg of the clip supported on the stationary jaw, the movable jaw being movable into contact with the stationary jaw to crimp the clip between the stationary jaw and the movable jaw, the movable jaw positioned to first approximate a tip of each of the pair of spaced legs of the clip, and then approximate the backspan of the clip,

wherein the stationary jaw includes a clip receiving channel, and wherein a distal end of the clip receiving channel of the stationary jaw includes a stop member positioned to engage a tip of the leg of the clip supported on the stationary jaw, to thereby inhibit axial translation of the leg of the clip in the clip receiving channel of the stationary jaw, and

wherein the movable jaw includes an open ended clip receiving channel, the clip receiving channel of the stationary jaw and the open ended clip receiving channel of the movable jaw defining an open end, and wherein one of the legs of the clip extends radially outward beyond the open end when the crimping member is in the retracted position.