Endoscopic surgical clip applier
An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
1. A clip follower for use with an apparatus for application of surgical clips to body tissue, comprising:
a body portion defining first and second surfaces and a longitudinal axis, wherein the body portion is translatable along a longitudinal axis of the apparatus for application of surgical clips to body tissue, the body portion including:
a first tab projecting from the first surface of the body portion, the first tab defining a distal ramped surface and a proximal-facing surface; and
a second tab projecting from the second surface of the body portion, the second tab defining a distal ramped surface and a proximal-facing surface, the second tab being disposed proximal of the first tab; and
a lock-out plate fixedly supported on the first surface of the body portion at a proximal end of the body portion such that the lockout plate and the body portion translate along the longitudinal axis of the apparatus in unison, the lock-out plate defining a resilient tail at a proximal end portion thereof extending therefrom, wherein:
a first window is defined through the resilient tail, the first window configured to receive a catch of a pusher bar of the apparatus for application of surgical clips following a firing of a final surgical clip, thereby preventing movement of the pusher bar in a proximal direction; and
a second window is defined in the lock-out plate at a location distal of the first window, the second window being configured to receive a portion of the second tab therethrough.
2. The clip follower according to claim 1 , wherein the first tab projects upwardly and proximally from the first surface of the clip follower.
3. The clip follower according to claim 1 , wherein the second tab projects downwardly and proximally from the second surface of the clip applier.
4. The clip follower according to claim 1 , wherein the first tab is formed from a resilient material.
5. The clip follower according to claim 1 , wherein the second tab is formed from a resilient material.
6. The clip follower according to claim 1 , wherein each of the first and second tabs is formed from a resilient material.
7. The clip follower according to claim 1 , wherein the lock-out plate is integrally formed with the body portion.
8. The clip follower according to claim 1 , wherein the lock-out plate is distinct from the body portion, the lock-out plate being fixedly supported on the clip follower.
9. The clip follower according to claim 1 , wherein the body portion defines a first lumen and the first tab is disposed within the first lumen.
10. The clip follower according to claim 9 , wherein the body portion defines a second lumen and the second tab is disposed within the second lumen.
11. The clip follower according to claim 1 , wherein the clip follower is configured to be disposed proximally of a plurality of surgical clips disposed within the apparatus for application of surgical clips.
12. The clip follower according to claim 1 , wherein the first tab is configured to be engaged by an advancer plate of the apparatus for application of surgical clips as the advancer plate is moved distally to move the clip follower distally to an incrementally advanced position, whereby the plurality of surgical clips is also concomitantly moved to a respective incrementally advanced position.
13. The clip follower according to claim 12 , wherein the second tab is configured to engage a stop feature as the advancer plate is moved proximally, whereby the clip follower is held in the incrementally advanced position thereof.
14. The clip follower according to claim 13 , wherein the stop feature is defined by a clip carrier of the apparatus for application of surgical clips.
15. The clip follower according to claim 1 , wherein the resilient tail is configured to be biased against a surface of the pusher bar such that following the firing of the final surgical clip, the resilient tail of the lock-out plate is in registration with a catch window defined in the pusher bar, and whereby the first window of the resilient tail is moved into axial alignment with a travel path of a proximally extending catch of the pusher bar to receive the proximally extending catch of the pusher bar.
16. The clip follower according to claim 1 , wherein a distal portion of the body portion defines a channel through the first and second surfaces.
17. The clip follower according to claim 1 , wherein a proximal portion of the first surface defines a relief configured to receive a portion of the resilient tail of the lock-out plate.
18. The clip follower according to claim 1 , wherein the resilient tail extends upwardly and rearwardly from the first surface of the body portion.