Surgical clip applier
A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to prevent misalignment of the jaws and clip therebetween, features to protect the jaws, and features to ensure proper closure of the jaws and clip therebetween.
1 . A surgical clip applier, comprising:
a housing;
a shaft extending from the housing;
a pair of jaws having a proximal portion extending at least partially into the shaft and a distal portion transverse to the proximal portion, the pair of jaws defining a clip track therebetween for receiving a distal-most clip from a plurality of clips disposed within the shaft;
a shroud assembly including first and second shrouds disposed around the pair of jaws and extending at least partially over the distal portion, the shroud assembly forming a gap that limits movement of the jaws along a single plane, the first and second shrouds forming at least one mechanical interlock configured to fix a height of the gap.
2 . The surgical clip applier of claim 1 , wherein the at least one mechanical interlock comprises a first mechanical interlock and a second mechanical interlock.
3 . The surgical clip applier of claim 2 , wherein the first mechanical interlock comprises at least one of a keyed sliding-fit coupling, a stepped sliding-fit coupling, and a snap-fit coupling.
4 . The surgical clip applier of claim 3 , wherein the second mechanical interlock comprises a welded coupling between the first and second shrouds.
5 . The surgical clip applier of claim 2 , wherein the first mechanical interlock is positioned along top and bottom sides of the shroud assembly.
6 . The surgical clip applier of claim 1 , wherein the at least one mechanical interlock comprises a first mechanical interlock comprising a hooked coupling and a second mechanical interlock comprising a spring flange coupling.
7 . The surgical clip applier of claim 1 , wherein an intersection between the proximal and distal portions defines a maximum width of the pair of jaws.
8 . The surgical clip applier of claim 1 , wherein the clip track is defined by opposed surfaces in the distal portion.
9 . The surgical clip applier of claim 1 , wherein the clip track is located in the distal portion; and
the distal-most clip is configured to bypass the proximal portion before entering the clip track in the distal portion.
10 . A surgical clip applier assembly, comprising:
a clip applier having
a housing,
a shaft extending from the housing, and
an end effector including a pair of jaws formed on a distal end of the shaft, the pair of jaws defining a clip track therebetween for receiving a distal-most clip from a plurality of clips disposed within the shaft; and
a protective cap formed from a rigid material and disposed over the pair of jaws, wherein one of the protective cap and the end effector includes at least one protrusion and the other one of the protective cap and the end effector includes at least one corresponding detent, the at least one protrusion engaging the at least one corresponding detent to retain the cap on the end effector.
11 . The surgical clip applier assembly of claim 10 , wherein the end effector further includes a shroud assembly disposed around the pair of jaws.
12 . The surgical clip applier assembly of claim 11 , wherein the shroud assembly forms a gap that limits movement of the pair of jaws along a single plane; and
at least one mechanical interlock of the shroud assembly fixes a height of the gap.
13 . The surgical clip applier assembly of claim 10 , wherein the at least one protrusion is biased into engagement with the at least one corresponding detent.
14 . The surgical clip applier assembly of claim 10 , wherein the protective cap is selectively removable by a user from the pair of jaws.
15 . A surgical clip applier assembly, comprising:
a clip applier comprising:
a trigger,
an elongate shaft configured to movably seat a plurality of clips therein with each of the plurality of clips in an undeformed configuration,
an end effector at a distal end of the elongate shaft, and
a mechanical interlock;
wherein actuation of the trigger is configured to cause one of the plurality of clips to move into a clip track defined by opposed inner surfaces of the end effector;
the end effector is configured to move from an open configuration to a closed configuration to move the one of the plurality of clips moved into the clip track from the undeformed configuration to a deformed configuration in which the one of the plurality of clips is configured to clip tissue; and
the mechanical interlock is configured to prevent out-of-plane movement of the end effector during the movement of the end effector from the open configuration to the closed configuration.
16 . The surgical clip applier assembly of claim 15 , further comprising a protective cap releasably coupled to the end effector;
wherein one of the protective cap and the end effector includes at least one protrusion and the other one of the protective cap and the end effector includes at least one corresponding detent; and
the at least one protrusion engaging the at least one corresponding detent releasably couples the protective cap to the end effector.
17 . The surgical clip applier assembly of claim 15 , wherein the clip applier further comprises a tube movably disposed in the elongate shaft; and
the actuation of the trigger is configured to cause the tube to move distally and urge the end effector to move from the open configuration to the closed configuration.
18 . The surgical clip applier assembly of claim 15 , wherein the mechanical interlock is defined by first and second shrouds extending around at least a portion of the end effector.
19 . The surgical clip applier assembly of claim 15 , wherein the clip applier further comprises a proximal housing;
wherein the trigger is movably coupled to the proximal housing; and
the elongate shaft extends distally from the proximal housing.
20 . The surgical clip applier assembly of claim 15 , further comprising the plurality of clips.