Endoscopic surgical clip applier
An apparatus for application of surgical clips is provided and includes a lockout system selectively engagable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction.
1. A method of applying surgical clips from a surgical clip applier, the method comprising the steps of:
providing a surgical clip applier comprising at least a plurality of clips, jaws configured to receive and form said clips, a trigger configured to actuate the jaws between an open position for receiving said clips and a closed position for forming said clips, and a wedge plate positionable between the jaws and being movable in a distal and a proximal direction;
providing a drive bar connected to the trigger and a pusher bar selectively connected to the drive bar;
actuating the trigger from an open position to a closed position to (1) load a first clip into the jaws and to move the jaws from the open position to the closed position to form said first clip, and (2) distally move the drive bar and the pusher bar; and then
releasing the trigger to return the trigger to the open position, to move the wedge plate in the distal direction between the jaws, and to return the jaws to the open position.
2. The method according to claim 1 , wherein the trigger can only return to the open position after the trigger has been actuated to a fully closed position.
3. The method according to claim 1 , wherein the step of moving the pusher bar distally includes the step of a distal end of the pusher bar contacting a backspan of a distalmost clip and then moving the distalmost clip to a position between the jaws.
4. The method according to claim 3 , further comprising the step of then disengaging the drive bar from the pusher bar, whereby the drive bar continues to move distally.
5. The method according to claim 4 , further comprising the step of simultaneously moving a remainder of clips in the distal direction as said distalmost clip is moved into the jaws.
6. The method according to claim 5 , further comprising the step of the drive bar then engaging a drive channel to move the drive channel in the distal direction.
7. The method according to claim 6 , further comprising the step of then moving the pusher bar in the proximal direction.
8. The method according to claim 7 , further comprising the step of then moving the wedge plate in the proximal direction such that a distal end of the wedge plate is withdrawn from between the jaws.
9. The method according to claim 8 , further comprising the step of then engaging a distal end of the drive channel against the jaws to move the jaws from the open position to the closed position to form the clip disposed therein.
10. The method according to claim 9 , further comprising the step of actuating a counter mechanism to indicate that an event has occurred.
11. The method according to claim 9 , wherein the step of releasing the trigger moves the drive bar and drive channel in the proximal direction.
12. The method according to claim 11 , further comprising the step of actuating a lock member, following placement of a final clip into the jaws, that engages the pusher bar and prevents the pusher bar from moving to a fully proximal position.