Interchangeable clip applier

• US 9,561,038 B2
• Filed: 06/28/2012
• Issued: 02/07/2017
• Est. Priority Date: 06/28/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Baxter, Chester O. III
• Primary Examiner(s): Severson, Ryan J
• Assistant Examiner(s): Knauss, Christian
• Application Number:
  US13/536,374
• Publication Number:
  US 20140005693A1
• Time in Patent Office: 1,685 Days
• Field of Search: 606/143, 606/151
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 34/30 Surgical robots

Abstract

A surgical device for clipping tissue can include an actuator, such as a handle or a robotic arm, for example, and a replaceable end effector including a plurality of clips contained therein. After the replaceable end effector has been used, the end effector can be detached from the actuator and a new end effector can be operably coupled with the actuator. Each replaceable end effector can include a firing drive for advancing clips into a receiver of the end effector and a crimping drive configured to deform a clip positioned within the receiver.

Claims

1. A clip applier loading unit, said clip applier loading unit configured to be releasably attached to a distal portion of an elongate shaft of a surgical instrument, said clip applier load unit comprising:

a shaft, comprising;

a distal end;

a proximal end; and

a frame comprising a frame connector configured to be releasably attached to a frame of the surgical instrument;

a replaceable magazine configured to be releasably attached to said clip applier loading unit, wherein said magazine comprises a plurality of clips;

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a movable second jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip, and wherein said second jaw is movable toward said first jaw to deform a said clip positioned in said receiver during a crimping stroke; and

a firing drive, comprising;

a distal portion configured to advance a said clip into said receiver during an advancing stroke, wherein said crimping stroke is separate and distinct from said advancing stroke; and

a proximal portion comprising a drive connector configured to be releasably attached to a driver of the surgical instrument.

2. The clip applier loading unit of claim 1, further comprising an articulation joint rotatably connecting said proximal end and said distal end of said shaft.

3. The clip applier loading unit of claim 1, wherein said replaceable magazine further comprises:

a housing;

a storage chamber defined in said housing configured to removably store said plurality of clips;

a firing chamber, wherein said firing chamber is alignable with said distal portion of said firing drive; and

a biasing member configured to sequentially bias said clips from said storage chamber into said firing chamber.

4. The clip applier loading unit of claim 3, wherein said housing further comprises a proximal opening configured to receive said firing drive.

5. The clip applier loading unit of claim 4, further comprising a lockout plate positioned intermediate said biasing member and said plurality of clips, wherein said biasing member is configured to bias said lockout plate into alignment with said proximal opening to block said firing drive from entering into said storage chamber after said clips have been ejected from said replaceable magazine.

6. The clip applier loading unit of claim 3, wherein said firing drive is configured to enter into said housing along a firing axis, wherein said biasing member is configured to bias a said clip into said firing chamber along a supply axis, and wherein said supply axis is transverse to said firing axis.

7. A clip applier loading unit, comprising:

a shaft, comprising;

a distal end;

a proximal end, wherein a longitudinal axis is defined between said proximal end and said distal end;

a frame comprising a frame connector configured to be releasably attached to a frame of an actuator; and

a bearing;

a plurality of clips, wherein each said clip comprises a base, at least one leg extending from said base, and at least one longitudinal face, and wherein a longitudinal face of a first said clip is positioned against a longitudinal face of a second said clip;

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a movable second jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip, and wherein said second jaw is movable toward said first jaw to deform a said clip positioned in said receiver during a crimping stroke; and

a firing drive, comprising;

a distal portion configured to advance a said clip into said receiver during an advancing stroke, wherein said advancing stroke stops before said crimping stroke begins;

a proximal portion comprising a drive connector configured to be releasably attached to a driver of the actuator;

a rotatable drive member rotatably supported by said bearing, wherein said rotatable drive member comprises a thread; and

a firing nut threadably engaged with said thread of said drive member, wherein said firing nut is configured such that the rotation of said drive member advances said firing nut toward said distal end of said shaft to advance a said clip into said receiver.

8. The clip applier loading unit of claim 7, further comprising a crimping drive configured to move said second jaw toward said first jaw, wherein said crimping drive is configured to be actuated in sequence with said firing drive.

9. A clip applier loading unit, comprising:

a shaft, comprising;

a distal end;

a proximal end, wherein a longitudinal axis is defined between said proximal end and said distal end;

a frame comprising a frame connector configured to be releasably attached to a frame of an actuator; and

a bearing;

a plurality of clips, wherein each said clip comprises a base, at least one leg extending from said base, and at least one longitudinal face, and wherein a longitudinal face of a first said clip is positioned against a longitudinal face of a second said clip;

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a movable second jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip, and wherein said second jaw is movable toward said first jaw to deform a said clip positioned in said receiver;

a firing drive, comprising;

a distal portion configured to advance a said clip into said receiver;

a proximal portion comprising a drive connector configured to be releasably attached to a driver of the actuator;

a rotatable drive member rotatably supported by said bearing, wherein said rotatable drive member comprises a thread; and

a firing nut threadably engaged with said thread of said drive member, wherein said firing nut is configured such that the rotation of said drive member advances said firing nut toward said distal end of said shaft to advance a said clip into said receiver; and

a crimping drive configured to move said second jaw toward said first jaw, wherein said crimping drive is configured to be actuated in sequence with said firing drive,

wherein said shaft further comprises a deactuator, wherein said firing drive further comprises a firing member configured to engage a said clip and a first actuator operably engaged with said firing member, wherein the advancement of said firing nut toward said distal end of said shaft is configured to slide said first actuator and said firing member toward said distal end of said shaft, wherein said deactuator is configured to operably decouple said first actuator from said firing nut when said first actuator reaches said deactuator, wherein said crimping drive further comprises a second actuator, and wherein said firing nut is configured to engage said second actuator as said firing nut is advanced toward said distal end of said shaft and actuate said crimping drive.

10. The clip applier loading unit of claim 9, wherein said firing nut is configured to operably engage said second actuator after said first actuator has contacted said deactuator.

11. The clip applier loading unit of claim 9, wherein said firing nut is configured to operably engage said second actuator at the same time that said first actuator contacts said deactuator.

12. The clip applier loading unit of claim 9, wherein said second actuator is positioned closer to said distal end of said shaft than said first actuator.

13. A clip applier loading unit, comprising:

a shaft, comprising;

a distal end;

a proximal end;

a frame comprising a frame connector configured to be releasably attachable to and detachable from a frame of an actuator unit; and

a bearing;

a plurality of clips, wherein each said clip comprises a base and at least one leg, wherein each said clip is positionable between a storage position and a firing position, and wherein when said clips are positioned in said storage position, each said base of said clips is positioned adjacent a said base of another said clip in said storage position;

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a second jaw movable relative to said first jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip, and wherein said second jaw is movable toward said first jaw to deform a said clip positioned in said receiver during a crimping stroke;

a reciprocating rotary firing drive, comprising;

a rotatable driver comprising a thread, wherein said rotatable driver is rotatably supported by said bearing; and

a firing nut threadably engaged with said thread of said rotatable driver, wherein said firing nut is advanceable toward said distal end when said driver is rotated in a first direction, wherein said firing nut is retractable away from said distal end when said driver is rotated in a second direction opposite said first direction, and wherein said firing nut is configured to advance a said clip into said receiver when said firing nut is advanced toward said distal end during an advancing stroke, and wherein said advancing stroke stops before said crimping stroke begins.

14. The clip applier loading unit of claim 13, further comprising a crimping drive configured to move said second jaw toward said first jaw, wherein said crimping drive is configured to be actuated in sequence with said firing drive.

15. The clip applier loading unit of claim 13, further comprising an articulation joint rotatably connecting said proximal end and said distal end of said shaft.

16. The clip applier loading unit of claim 13, further comprising a magazine assembly comprising:

a housing;

a storage chamber defined in said housing configured to removably store said plurality of clips;

a firing chamber, wherein said firing chamber is alignable with a distal portion of said firing drive; and

a biasing member configured to sequentially bias said clips from said storage chamber into said firing chamber.

17. A clip applier loading unit, comprising:

a shaft, comprising;

a distal end;

a proximal end;

a frame comprising a frame connector configured to be releasably attachable to and detachable from a frame of an actuator unit; and

a bearing;

a plurality of clips, wherein each said clip comprises a base and at least one leg, wherein each said clip is positionable between a storage position and a firing position, and wherein when said clips are positioned in said storage position, each said base of said clips is positioned adjacent a said base of another said clip in said storage position;

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a second jaw movable relative to said first jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip;

a reciprocating rotary firing drive, comprising;

a rotatable driver comprising a thread, wherein said rotatable driver is rotatably supported by said bearing; and

a firing nut threadably engaged with said thread of said rotatable driver, wherein said firing nut is advanceable toward said distal end when said driver is rotated in a first direction, wherein said firing nut is retractable away from said distal end when said driver is rotated in a second direction opposite said first direction, and wherein said firing nut is configured to advance a said clip into said receiver when said firing nut is advanced toward said distal end; and

a crimping drive configured to move said second jaw toward said first jaw, wherein said crimping drive is configured to be actuated in sequence with said firing drive,

wherein said shaft further comprises a deactuator, wherein said firing drive further comprises a firing member and a first actuator operably engaged with said firing member, wherein the advancement of said firing nut toward said distal end of said shaft is configured to slide said first actuator and said firing member distally to advance a said clip into said receiver, wherein said deactuator is configured to operably decouple said first actuator from said firing nut when said first actuator reaches said deactuator, wherein said crimping drive further comprises a second actuator, and wherein said firing nut is configured to engage said second actuator as said firing nut is advanced toward said distal end of said shaft.

18. The clip applier loading unit of claim 17, wherein said firing nut is configured to operably engage said second actuator after said first actuator has contacted said deactuator.

19. The clip applier loading unit of claim 17, wherein said firing nut is configured to operably engage said second actuator at the same time that said first actuator contacts said deactuator.

20. The clip applier loading unit of claim 17, wherein said second actuator is positioned closer to said distal end of said shaft than said first actuator.

21. A clip applier loading unit, said clip applier loading unit configured to be releasably attached to a distal portion of an elongate shaft of a surgical device, said clip applier load unit, comprising:

a shaft, comprising;

a distal end;

a proximal end, wherein a longitudinal axis is defined between said proximal end and said distal end;

a frame; and

connection means for releasably attaching said frame to the surgical device;

a magazine assembly, wherein said magazine assembly is releasably attachable to said clip applier loading unit, and wherein said magazine assembly comprises;

a plurality of clips, wherein each said clip comprises a longitudinal portion extending along said longitudinal axis, and wherein each said longitudinal portion of said clips is positioned adjacent a longitudinal portion of another said clip;

a housing;

a storage chamber defined in said housing configured to removably store said plurality of clips;

a firing chamber; and

a biasing member configured to bias said clips in an orthogonal direction to said longitudinal axis from said storage chamber into said firing chamber during a feeding stroke; and

an end effector extending from said distal end of said shaft, wherein said end effector comprises;

a first jaw;

a movable second jaw; and

a receiver defined between said first jaw and said second jaw, wherein said receiver is configured to receive a said clip during an advancing stroke, wherein said advancing stroke occurs after said feeding stroke, and wherein said second jaw is movable toward said first jaw to deform a said clip positioned in said receiver during a crimping stroke; and

firing means for advancing a said clip into said receiver.