Clip applier with migrational resistance features

• US 9,717,504 B2
• Filed: 08/01/2014
• Issued: 08/01/2017
• Est. Priority Date: 04/14/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Huitema, Thomas W.
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US14/449,917
• Publication Number:
  US 20140343578A1
• Time in Patent Office: 1,096 Days
• Field of Search: 606142, 606143
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.

Claims

1. A surgical method, comprising:

advancing opposed jaws on a distal end of an elongate shaft of a surgical device into a body;

positioning tissue between the opposed jaws such that the tissue is received within a recess formed in a distal end of a tissue stop disposed between the opposed jaws; and

actuating the surgical device so as to distally advance an advancer along an alignment mechanism on the tissue stop that is proximal to the recess, the distal advancement of the advancer causing a clip to be distally advanced along the alignment mechanism and into the opposed jaws, the advancer and the alignment mechanism each contacting and maintaining the clip in alignment with the opposed jaws as opposed legs of the clip are clipping the tissue between the opposed jaws and until the clip is fully closed.

2. The method of claim 1, further comprising repeating the actuating so as to repeatedly distally advance the advancer along the alignment mechanism so as to sequentially cause a plurality of additional clips to distally advance along the alignment mechanism and into the opposed jaws, the advancer and the alignment mechanism each contacting and maintaining each of the plurality of additional clips in alignment with the opposed jaws until each of the plurality of additional clips is fully closed.

3. The method of claim 1, wherein, when the advancer has been advanced to a distal-most position along the alignment mechanism, an apex of the clip abuts against the alignment mechanism.

4. The method of claim 1, wherein the alignment mechanism extends longitudinally on the tissue stop such that the clip distally advancing along the alignment mechanism is advancing along a longitudinal axis of the tissue stop.

5. The method of claim 1, wherein a distal-most end of the alignment mechanism is proximal to the opposed jaws such that the clip is aligned with the opposed jaws prior to the clip distally advancing into the opposed jaws.

6. The method of claim 1, wherein a distal-most end of the alignment mechanism is proximal to the recess such that the clip is aligned with the tissue positioned in the recess prior to the clip distally advancing into contact with the tissue positioned in the recess.

7. The method of claim 1, wherein the alignment mechanism comprises a ramped guide member that increases in a distal direction.