Manually actuated surgical clip applier
A surgical clip applier is provided having a cartridge carrying multiple surgical clips with a manual graspable actuator configured to sequentially deliver clips to the jaws of the clip applier. Both the cartridge and the jaws are connectable to a scissors-like handle assembly arranged to translate motion from finger loops to the jaws to open and close the jaws and thus close or crimp a delivered clip between the jaws.
1. A surgical clip applier comprising:
a handle assembly having two movable handles connected at a pivot point;
wherein each of the two movable handles has a proximal end and distal end, the distal end having an end effector extending therefrom,
jaws removably connected to the end effectors of the handle assembly, wherein movement of the proximal ends of the two handles cause the jaws to close or open; and
a cartridge carrying multiple surgical clips and having a manually movable actuator attached to the cartridge operationally advancing at least one of the multiple surgical clips within the cartridge such that the manually movable actuator is movable in a first direction to feed one of the multiple surgical clips into the jaws and movable in a second direction opposite the first direction to prepare another one of the multiple surgical clips for placement into the jaws, the manually movable actuator movable independently of the two movable handles, the cartridge removably connected to the handle assembly;
wherein the cartridge further comprises:
a pusher connected to the manually movable actuator and slidable to deliver a single clip of the multiple surgical clips to the jaws during a first portion of movement of the manually movable actuator in the first direction; and
a gang pusher connected to the pusher, the gang pusher remaining stationary during the first portion of movement of the manually movable actuator and arranged to simultaneously contact and move each clip in the cartridge other than the single clip towards the jaws during a second portion of movement of the manually movable actuator in the first direction.
2. The applier of claim 1 wherein the cartridge is in a first plane and wherein the handle assembly is in a second plane, the second plane being parallel to the first plane and the proximal end of the handle assembly having finger loops.
3. The applier of claim 2 wherein the end effectors have posts removably connected to cavities in the jaws to communicate motion from the finger loops to the jaws.
4. The applier of claim 1 wherein the manually movable actuator comprises a graspable knob slidable relative to the cartridge.
5. The applier of claim 1 wherein the cartridge further comprises means for holding a plurality of clips removably attached to the cartridge.
6. The applier of claim 1 wherein the handle assembly further comprises:
a first and a second handles being connectable to each other through a post and a lock box, each handle having a finger loop extending from a proximal end of each a handle.
7. The applier of claim 6 wherein each handle has a proximal and distal end extending along a longitudinal axis, a planar projection extending parallel to the longitudinal axis of the handle assembly and extending from the distal end of each handle and a first protrusion extending perpendicularly from the planar projection.
8. The applier of claim 7 wherein the jaws have planar slots in parallel to the longitudinal axis of the handle assembly and arranged to receive the planar projection of each handle.
9. The applier of claim 8 , wherein each handle further comprises a second protrusion extending perpendicularly from an opposing surface of each handle opposite of a surface from which the first protrusion extends from the planar projection.
10. The applier of claim 1 wherein the cartridge has a proximal end and a distal end with a first connector arranged on the distal end of the cartridge and a second connector arranged on the cartridge between the first connector and the proximal end of the cartridge.
11. The applier of claim 1 wherein the pusher comprises a stud slidably connected to the cartridge.
12. The applier of claim 11 wherein the gang pusher comprises a slot formed therein and wherein the stud is positioned through the slot.
13. The applier of claim 1 wherein gang pusher further comprises a plurality of tabs arranged to simultaneously contact and move each clip in the cartridge towards the jaws.
14. The applier of claim 1 wherein the cartridge further comprises a backstop removably connected to the cartridge and having a plurality of clip tabs spaced along the backstop arranged to simultaneously contact each clip in the cartridge and to restrict movement of each clip away from the jaws.
15. The applier of claim 14 wherein the backstop further comprises a second plurality of tabs extending in an opposite direction to that of the plurality of clip tabs, the second plurality of tabs adapted to secure the backstop to the cartridge.
16. The applier of claim 1 , wherein the cartridge has a proximal end and a distal end, and wherein the cartridge comprises a vessel stop at the distal end thereof.
17. A surgical clip applier comprising:
a cartridge carrying multiple surgical clips having a first connector and a second connector, and a longitudinal axis extending from a distal end of the cartridge to a proximal end of the cartridge, each clip being U-shaped with a first leg and a second leg;
a jaw assembly removably coupled to the cartridge, the jaw assembly comprising:
a first jaw having a slot and arranged to receive one of the first and second legs of one clip of the multiple surgical clips, the first jaw having an aperture extending through the first jaw in a direction orthogonal to the longitudinal axis, the first connector operationally connected to the aperture of the first jaw;
a second jaw having a slot and arranged to receive one of the first and second legs of one clip of the multiple surgical clips; and
a plate connecting the first and second jaws together and having an aperture through the plate, the second connector operationally connected to the aperture through the plate; and
a handle assembly having a receiver positioned therein in alignment with the aperture through the plate such that the second connector holds the jaw assembly between the cartridge and the handle assembly and the handle assembly is removably connected to the second connector of the cartridge and the plate;
wherein the handle assembly further comprises a first handle having a proximal end, a first end effector and a second handle having a proximal end, a second end effector, and wherein the first jaw is removably connected to the first end effector, and the second jaw is removably connected to the second end effector;
wherein the first handle and the second handle are connected at a pivot point, wherein movement of the proximal ends of the two handles cause the jaw assembly to close or open; and
wherein the cartridge is removably connected to the handle assembly.
18. The applier of claim 17 wherein the cartridge further comprises:
a slidable pusher arranged to move a single clip a first distance from a staging area in the cartridge to a pre-load area in the cartridge and a second distance to move the single clip into the first and second jaws; and
a graspable actuator arranged to move along the longitudinal axis and connected to the slidable pusher.
19. The applier of claim 18 wherein the cartridge further comprises:
a gang pusher connected to the slidable pusher and arranged to move simultaneously with the slidable pusher after the slidable pusher has moved the first distance and to simultaneously contact and move each clip in the cartridge towards the jaws; and
a plurality of removable clip tabs spaced along the cartridge arranged to simultaneously contact and prevent movement of each clip in the cartridge away from the jaws.
20. The applier of claim 18 , wherein the handle assembly operatively engages the jaw assembly to open and close the jaws independently of motion of the grasper actuator.