Surgical clip applier

• US 9,775,624 B2
• Filed: 06/26/2014
• Issued: 10/03/2017
• Est. Priority Date: 08/27/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Rockrohr, Brian, Malkowski, Jaroslaw T.
• Primary Examiner(s): Ou, Jing
• Application Number:
  US14/315,508
• Publication Number:
  US 20150066057A1
• Time in Patent Office: 1,195 Days
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery

Abstract

A surgical clip applier is provided including a clip pusher bar having a flexible tab and a camming plate configured to effectuate closure of the pair of jaws. The camming plate includes a lost motion portion and the flexible tab is configured to engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar. The flexible tab is configured to disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate.

Claims

1. A surgical clip applier, comprising:

a housing;

at least one handle pivotably connected to the housing;

a channel assembly extending distally from the housing, the channel assembly including a camming surface;

a clip carrier disposed within the channel assembly and defining a channel therein;

a plurality of clips slidably disposed within the channel of the clip carrier;

a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly configured to accommodate a clip therein and being operable to effect formation of the clip in response to movement of the at least one handle;

a clip pusher bar slidably supported within at least one of the housing and the channel assembly, the clip pusher bar having a first end operatively connected to the at least one handle and at least one flexible tab; and

a camming plate slidably supported within the channel assembly and configured to effectuate closure of the pair of jaws, the camming plate including a lost motion portion, the at least one flexible tab of the clip pusher bar being configured to;

engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar; and

disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate, wherein the camming surface of the channel assembly is configured to disengage the at least one flexible tab from the lost motion portion.

2. The surgical clip applier according to claim 1, wherein the lost motion portion of the camming plate includes a shoulder, the at least one flexible tab configured to engage the shoulder during the initial movement of the clip pusher bar and to disengage from the shoulder during the subsequent movement of the clip pusher bar.

3. The surgical clip applier according to claim 2, wherein the lost motion portion includes a first recess and a second recess, the at least one flexible tab being slidably disposed within the second recess during the initial movement of the clip pusher bar and being slidably disposed within the first recess during the subsequent movement of the clip pusher bar.

4. The surgical clip applier according to claim 3, wherein the shoulder is located at a distal end of the second recess of the lost motion portion.

5. The surgical clip applier according to claim 1, wherein the channel assembly includes a first recess and a second recess, wherein the camming surface is disposed between the first and second recesses of the channel assembly, and wherein the at least one flexible tab is configured to:

slide along the second recess during the initial movement of the clip pusher bar until the camming surface is reached;

cam along the camming surface to disengage the at least one flexible tab from the lost motion portion; and

slide along the first recess during the subsequent movement of the clip pusher bar.

6. The surgical clip applier according to claim 1, wherein the clip pusher bar further includes a second end configured to urge a clip from the plurality of clips to a location between the jaws.

7. The surgical clip applier according to claim 6, wherein the clip pusher bar is moveable toward the jaw assembly to urge the clip from the plurality of clips to the location between the jaws and moveable away from the jaw assembly to effectuate closure of the pair of jaws.

8. The surgical clip applier according to claim 1, wherein the camming plate is movable away from the jaw assembly as the at least one handle is actuated in a first direction to effectuate closure of the jaws, the camming plate being movable toward the jaw assembly as the at least one handle is actuated in a second direction to effectuate opening of the jaws.

9. The surgical clip applier according to claim 1, wherein the camming plate includes at least one camming slot and the jaws include at least one camming pin received within the at least one camming slot of the camming plate.

10. The surgical clip applier according to claim 9, wherein the camming pin cams along the camming slot to effectuate opening and closure of the jaws during movement of the camming plate.

11. The surgical clip applier according to claim 1, wherein the at least one flexible tab is distally oriented and inwardly biased against the lost motion portion of the camming plate.

12. The surgical clip applier according to claim 1, wherein the camming plate includes a proximal flange and the clip pusher bar includes a distal window, the proximal flange of the camming plate being received within the distal window and engaged with a distal end of the distal window when the clip pusher bar moves proximally to move the camming plate proximally.

13. The surgical clip applier according to claim 1, wherein the clip pusher bar includes at least one proximal window configured to receive a link member of the at least one handle to provide the operative connection with the at least one handle.

14. A surgical clip applier, comprising:

a housing;

at least one handle pivotably connected to the housing;

a channel assembly extending distally from the housing;

a clip carrier disposed within the channel assembly and defining a channel therein;

a plurality of clips slidably disposed within the channel of the clip carrier;

a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly configured to accommodate a clip therein and being operable to effect formation of the clip in response to movement of the at least one handle;

a clip pusher bar slidably supported within at least one of the housing and the channel assembly, the clip pusher bar having a first end operatively connected to the at least one handle and at least one flexible tab; and

a camming plate slidably supported within the channel assembly and configured to effectuate closure of the pair of jaws, the camming plate including a lost motion portion, wherein the at least one flexible tab is distally oriented and inwardly biased against the lost motion portion of the camming plate, the at least one flexible tab of the clip pusher bar being configured to;

engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar; and

disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate.

15. A surgical clip applier, comprising:

a housing;

at least one handle pivotably connected to the housing;

a channel assembly extending distally from the housing;

a clip carrier disposed within the channel assembly and defining a channel therein;

a plurality of clips slidably disposed within the channel of the clip carrier;

a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly configured to accommodate a clip therein and being operable to effect formation of the clip in response to movement of the at least one handle;

a clip pusher bar slidably supported within at least one of the housing and the channel assembly, the clip pusher bar having a first end operatively connected to the at least one handle and at least one flexible tab, the clip pusher bar including a distal window; and

a camming plate slidably supported within the channel assembly and configured to effectuate closure of the pair of jaws, the camming plate including a lost motion portion and a proximal flange, the at least one flexible tab of the clip pusher bar being configured to;

engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar; and

disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate,

wherein the proximal flange of the camming plate is configured to be received within the distal window of the clip pusher and engaged with a distal end of the distal window when the clip pusher bar moves proximally to move the camming plate proximally.