Endoscopic surgical clip applier

• US 10,709,455 B2
• Filed: 12/21/2017
• Issued: 07/14/2020
• Est. Priority Date: 02/02/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baril, Jacob, Creston, Brian, Zammataro, Thomas
• Primary Examiner(s): Scherbel, Todd J
• Assistant Examiner(s): Mannan, Mikail A
• Application Number:
  US15/850,447
• Publication Number:
  US 20180214156A1
• Time in Patent Office: 936 Days
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself

Abstract

An endoscopic surgical clip applier includes a handle assembly having a trigger, an endoscopic assembly, a pair of jaw members, a drive bar disposed within the housing of the handle assembly, and a ratchet assembly disposed within the housing of the handle assembly. The drive bar is operatively coupled to the trigger and the pair of jaw members. The ratchet assembly includes a rack disposed on the drive bar, the rack defining a plurality of rack teeth, and a pawl housing slidably mounted within the housing of the handle assembly, the pawl housing having a pawl being selectively engageable with the plurality of rack teeth of the rack, wherein in a first position of the pawl housing, reversal of a direction of movement of the trigger is prohibited, and wherein in a second position of the pawl housing, reversal of the direction of movement of the trigger is permitted.

Claims

1. An endoscopic surgical clip applier, comprising:

a handle assembly including;

a housing;

a fixed handle extending from the housing; and

a trigger pivotally connected to the fixed handle;

an endoscopic assembly selectively connectable to the housing of the handle assembly, the endoscopic assembly including;

a shaft assembly; and

a pair of jaw members operatively coupled to, and extending from the shaft assembly;

a drive bar disposed within the housing of the handle assembly and operatively coupled to the trigger and the pair of jaw members to move the pair of jaw members between a spaced apart configuration and an approximated configuration upon actuation of the trigger;

a ratchet assembly disposed within the housing of the handle assembly, the ratchet assembly including;

a rack disposed on the drive bar, the rack defining a plurality of rack teeth and having a proximal end and a distal end; and

a pawl housing slidably mounted within the housing of the handle assembly, the pawl housing having a pawl being selectively engageable with the plurality of rack teeth of the rack, wherein in a first position of the pawl housing, the pawl is in registration with the plurality of rack teeth of the rack to prohibit reversal of a direction of movement of the trigger until the pawl is disposed beyond the proximal end or the distal end of the rack and wherein in a second position of the pawl housing, the pawl is out of registration with the plurality of rack teeth of the rack to permit reversal of the direction of movement of the trigger after an initial engagement of the pawl with the rack;

a release switch at least partially supported within the housing of the handle assembly and operatively associated with the pawl housing, the release switch selectively actuatable to move the pawl housing from the first position thereof to the second portion thereof, wherein in the second position of the pawl housing, the pawl housing is moved laterally relative to the rack to disengage the pawl from the plurality of rack teeth of the rack, wherein the release switch includes a first end cap and a second end cap, wherein a first side of the housing includes a first switch slot configured to slidably receive the first end cap of the release switch and a second side of the housing includes a second switch slot configured to slidably receive the second end cap of the release switch;

a switch pin, wherein the pawl housing defines a central slot therein configured to locate the switch pin, the switch pin slidably extending through the channel of the pawl housing and the pawl to support the pawl within the channel of the pawl housing.

2. The endoscopic surgical clip applier according to claim 1, wherein the pawl housing defines a channel therein, and wherein the pawl is located within the channel of the pawl housing.

3. The endoscopic surgical clip applier according to claim 1, wherein the first end cap of the release switch is supported on a first end of the switch pin, on a first side of the pawl housing, and the second end cap of the release switch is supported on a second end of the switch pin, on a second, opposite side of the pawl housing, such that the release switch is accessible via the first and second end caps from the first and second sides of the pawl housing, respectively, to actuate the release switch.

4. The endoscopic surgical clip applier according to claim 1, wherein the release switch includes:

a first biasing member supported on the first end cap and extending between an internal wall of the first switch slot and the first side of the pawl housing; and

a second biasing member supported on the second end cap and extending between an internal wall of the second switch slot and the second side of the pawl housing.

5. The endoscopic surgical clip applier according to claim 4, wherein the first biasing member includes a first biasing force and the second biasing member includes a second biasing force, the first and second biasing forces configured to cooperate to maintain the pawl housing in the first position such that the pawl housing is centered relative to the rack and the pawl is in registration with the plurality of rack teeth.

6. The endoscopic surgical clip applier according to claim 5, wherein when the release switch is actuated, by actuating the first end cap thereof, the first end cap is moved towards the first side of the pawl housing such that the first end cap engages the pawl housing to move the pawl housing to the second position thereof, towards the second biasing member, and laterally relative to the rack to move the pawl out of registration with the plurality of rack teeth.

7. The endoscopic surgical clip applier according to claim 5, wherein when the release switch is actuated, by actuating the second end cap thereof, the second end cap is moved towards the second side of the pawl housing such that the second cap engages the pawl housing to move the pawl housing to the second position thereof, towards the first biasing member, and laterally relative to the rack to move the pawl out of registration with the plurality of rack teeth.

8. The endoscopic surgical clip applier according to claim 7, wherein the rack includes a distal clearance and a proximal clearance configured to receive the pawl in an initial and/or a reset position.

9. The endoscopic surgical clip applier according to claim 8, wherein the ratchet assembly includes a pawl spring configured to bias the pawl into registration with the rack in the first position, wherein in the second position, the pawl spring and at least one of the first biasing member and the second biasing member are configured to urge the pawl against a side of the rack until the pawl is located within the distal clearance or the proximal clearance of the rack.

10. The endoscopic surgical clip applier according to claim 9, wherein when the pawl is located within the distal clearance or the proximal clearance of the rack, at least one of the first biasing member and the second biasing member are configured to urge the pawl laterally to the first position thereof, wherein the pawl is centered relative to the rack such that the pawl is in registration with the plurality of rack teeth.

11. The endoscopic surgical clip applier according to claim 1, wherein the ratchet assembly includes a distal support pin and a proximal support pin, wherein an outer surface of the pawl housing further defines a distal support slot configured for locating the distal support pin and a proximal support slot configured for locating the proximal support pin, the distal support pin and the proximal support pin each coupled to the housing of the handle assembly to slidably mount the pawl housing within the housing of the handle assembly.

12. The endoscopic surgical clip applier according to claim 1, wherein the endoscopic assembly further comprises a plurality of surgical clips slidably disposed within the shaft assembly and selectively formable between the pair of jaw members, wherein when the pawl housing is in the first position, the pawl is in registration with the rack disposed on the drive bar such that upon actuation of the trigger, the trigger is prevented from reversing the direction of movement thereof until the trigger is fully actuated and a distal most surgical clip of the plurality of surgical clips is fully formed between the pair of jaw members.

13. The endoscopic surgical clip applier according to claim 12, wherein when the pawl housing is in the second position, the pawl is out of registration with the rack disposed on the drive bar such that upon partial actuation of the trigger, the trigger is capable of reversing the direction of movement thereof such that the distal most surgical clip of the plurality of surgical clips is partially formed between the pair of jaw members.

14. The endoscopic surgical clip applier according to claim 1, wherein the ratchet assembly includes a cover plate provided on the rack, the cover plate having a pair of wings extending along at least a portion of the rack to prevent lateral movement of the pawl housing and disengagement of the pawl from the plurality of rack teeth during a specific portion of the stroke length of the trigger.

15. An endoscopic surgical clip applier, comprising:

a handle assembly including;

a fixed handle; and

a trigger pivotally connected to the fixed handle;

a shaft assembly extending from the handle assembly;

a pair of jaw members operatively coupled to, and extending from the shaft assembly;

a drive bar disposed within the handle assembly and operatively coupled to the trigger and the pair of jaw members to move the pair of jaw members between a spaced apart configuration and an approximated configuration upon actuation of the trigger;

a ratchet assembly disposed within the handle assembly, the ratchet assembly including;

a rack defined on a top portion of the drive bar, the rack including a plurality of rack teeth and having a proximal end and a distal end;

a pawl housing movably mounted within the handle assembly, the pawl housing having a pawl being selectively engageable with the plurality of rack teeth of the rack to prohibit, upon actuation of the trigger, a reversal of a direction of movement of the trigger until the pawl is disposed beyond the proximal end or the distal end of the rack after an initial engagement of the pawl with the rack;

a release switch at least partially supported within the housing of the handle assembly and operatively associated with the pawl housing, the release switch selectively actuatable to move the pawl housing from the first position thereof to the second portion thereof, wherein in the second position of the pawl housing, the pawl housing is moved laterally relative to the rack to disengage the pawl from the plurality of rack teeth of the rack, wherein the release switch includes a first end cap and a second end cap, wherein a first side of the housing includes a first switch slot configured to slidably receive the first end cap of the release switch and a second side of the housing includes a second switch slot configured to slidably receive the second end cap of the release switch; and

a switch pin, wherein the pawl housing defines a central slot therein configured to locate the switch pin, the switch pin slidably extending through the channel of the pawl housing and the pawl to support the pawl within the channel of the pawl housing.

16. The endoscopic surgical clip applier according to claim 15, further comprising a surgical clip slidably disposed within the shaft assembly and selectively formable between the pair of jaws, wherein when the pawl is in registration with the rack disposed on the drive bar and the trigger is actuated, the trigger is prevented from reversing the direction of movement thereof until the trigger is fully actuated such that the surgical clip is fully formed between the pair of jaw members.