Jaw closure mechanism for a surgical clip applier

• US 9,855,043 B2
• Filed: 05/11/2016
• Issued: 01/02/2018
• Est. Priority Date: 12/19/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Malkowski, Jaroslaw T.
• Primary Examiner(s): Anderson, Gregory
• Assistant Examiner(s): SIMPSON, SARAH A
• Application Number:
  US15/151,575
• Publication Number:
  US 20160249926A1
• Time in Patent Office: 601 Days
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/2911 rings
• CPC Class Codes: A61B 2017/2937 with flexible part

Abstract

A jaw closure mechanism for use in a surgical clip applier having first and second jaws movable relative to one another between a spaced-apart position and an approximated position to form a surgical clip about tissue. The jaw closure mechanism includes first and second eccentric wheels rotatably coupled to the respective first and second jaws. Each of the wheels includes a center and a pivot point that is offset relative to the center. A cable is disposed about each of the wheels. The cable is engaged to the first wheel at a first engagement point and to the second wheel at a second engagement point such that, upon application of a drive force to the cable, the wheels are rotated and displaced relative to the respective jaws from a first position to a second position to urge the jaws from the spaced-apart position to the approximated position.

Claims

1. A method of transitioning first and second jaws of a surgical clip applier between a spaced-apart position and an approximated position, the method comprising:

applying a longitudinal drive force to a continuous cable looped about each of a first and second eccentric wheel, each of the first and second eccentric wheels rotatably coupled to respective first and second jaws and including a center and a pivot point that is offset relative to the center, the continuous cable engaged to the first eccentric wheel at a first engagement point and to the second eccentric wheel at a second engagement point;

transforming the longitudinal drive force into a transverse jaw closure force via rotation and displacement of the first and second eccentric wheels relative to the respective first and second jaws from a first position to a second position, wherein in the first position, the center, the pivot point, and the engagement point of each of the first and second eccentric wheels are axially aligned with one another; and

applying the transverse jaw closure force to the first and second jaws to move the first and second jaws relative to one another between the spaced-apart position and the approximated position.

2. The method of claim 1, wherein applying the longitudinal drive force to the continuous cable includes applying an oblique force to each of the first and second eccentric wheels.

3. The method of claim 2, further comprising:

minimizing an angle defined between a direction of the oblique force and a direction of the transverse jaw closure force while the transverse jaw closure force is being applied to the first and second jaws to thereby maximize a ratio of the transverse jaw closure force to the longitudinal drive force.

4. The method of claim 2, wherein applying the transverse jaw closure force to the first and second jaws includes applying a force that is a product of the longitudinal drive force and a force transformation multiplier, the force transformation multiplier being inversely proportional to an angle defined between a direction of the oblique force and a direction of the transverse jaw closure force.

5. The method of claim 4, wherein applying the transverse jaw closure force to the first and second jaws includes rotating and displacing each of the first and second eccentric wheels relative to the respective first and second jaws, via the oblique force applied to each of the first and second eccentric wheels.

6. The method of claim 5, wherein applying the transverse jaw closure force to the first and second jaws further includes maximizing the force transformation multiplier by minimizing the angle defined between the direction of the oblique force and the direction of the transverse jaw closure force, via rotation and displacement of the first and second eccentric wheels, as the first and second eccentric wheels are transitioned from the first position to the second position.

7. The method of claim 1, wherein transforming the longitudinal drive force into the transverse jaw closure force includes aligning the center, the pivot point, and the engagement point of each of the first and second eccentric wheels, with respect to one another, in the second position.

8. The method of claim 1, wherein applying the longitudinal drive force to the continuous cable includes applying a longitudinal drive force to a drive bar coupled to the continuous cable.

9. The method of claim 8, wherein applying the longitudinal drive force to the drive bar includes translating the drive bar from a more distal position to a more proximal position, with respect to the first and second jaws.

10. The method of claim 9, wherein translating the drive bar from the more distal position to the more proximal position includes actuating a trigger assembly operably coupled to the drive bar.

11. The method of claim 1, further comprising, disengaging at least one of the first eccentric wheel, the second eccentric wheel, or the continuous cable from the first and second jaws, respectively.

12. A method of transitioning first and second jaws of a surgical clip applier between a spaced-apart position and an approximated position, the method comprising:

applying a longitudinal drive force to a continuous cable looped about each of a first and second eccentric wheel, each of the first and second eccentric wheels rotatably coupled to respective first and second jaws and including a center and a pivot point that is offset relative to the center, the continuous cable engaged to the first eccentric wheel at a first engagement point and to the second eccentric wheel at a second engagement point;

transforming the longitudinal drive force into a transverse jaw closure force via rotation and displacement of the first and second eccentric wheels relative to the respective first and second jaws from a first position to a second position, wherein in the second position;

each of the center, the pivot point, and the engagement point, of the first eccentric wheel, are aligned along an axis; and

each of the center, the pivot point, and the engagement point, of the second eccentric wheel, are aligned along the axis; and

applying the transverse jaw closure force to the first and second jaws to move the first and second jaws relative to one another between the spaced-apart position and the approximated position.

13. The method of claim 12, wherein applying the longitudinal drives force to the continuous cable includes applying an oblique force to each of the first and second eccentric wheels.

14. The method of claim 13, further comprising:

minimizing an angle defined between a direction of the oblique force and a direction of the transverse jaw closure force while the transverse jaw closure force is being applied to the first and second jaws to thereby maximize a ratio of the transverse jaw closure force to the longitudinal drive force.

15. The method of claim 13, wherein applying the transverse jaw closure force to the first and second jaws includes applying a force that is a product of the longitudinal drive force and a force transformation multiplier, the force transformation multiplier being inversely proportional to an angle defined between a direction of the oblique force and a direction of the transverse jaw closure force.

16. The method of claim 15, wherein applying the transverse jaw closure force to the first and second jaws includes rotating and displacing each of the first and second eccentric wheels relative to the respective first and second jaws, via the oblique force applied to each of the first and second eccentric wheels.

17. The method of claim 16, wherein applying the transverse jaw closure force to the first and second jaws further includes maximizing the force transformation multiplier by minimizing the angle defined between the direction of the oblique force and the direction of the transverse jaw closure force, via rotation and displacement of the first and second eccentric wheels, as the first and second eccentric wheels are transitioned from the first position to the second position.

18. The method of claim 12, wherein transforming the longitudinal drive force into the transverse jaw closure force includes axially aligning the center, the pivot point, and the engagement point of each of the first and second eccentric wheels with one another in the first position.

19. The method of claim 12, wherein applying the longitudinal drive force to the continuous cable includes applying a longitudinal drive force to a drive bar coupled to the continuous cable.

20. The method of claim 19, wherein applying the longitudinal drive force to the drive bar includes translating the drive bar from a more distal position to a more proximal position, with respect to the first and second jaws.

21. The method of claim 20, wherein translating the drive bar from the more distal position to the more proximal position includes actuating a trigger assembly operably coupled to the drive bar.

22. The method of claim 12, further comprising, disengaging at least one of the first eccentric wheel, the second eccentric wheel, or the continuous cable from the first and second jaws, respectively.