• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
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    • 专利摘要:
    The present invention relates to surgical devices and methods for operating surgical devices during a surgical procedure. In an exemplary embodiment, a surgical device is provided that has a handle compartment with an elongated drive shaft, an end actuator at the distal end of the elongated drive shaft, a drive assembly and a trigger attached to the handle compartment. Several overload mechanisms are provided to transfer a closing force from the trigger to the actuation assembly, unless the closing force exceeds a predetermined limit force, in which case the overload mechanism prevents the transfer of the closing force to the set of drive.
    公开号:BR112020002513A2
    申请号:R112020002513-5
    申请日:2018-08-07
    公开日:2020-08-04
    发明作者:Michael J. Stokes；Chester O. Baxter Iii；David A. Deupree；Gregory G. Scott；Disha V. Labhasetwar
    申请人:Ethicon Llc；
    IPC主号:
    专利说明:

    [0001] [0001] Surgical devices and methods for using them are provided. BACKGROUND
    [0002] [0002] Many laparoscopic devices include a pair of claws to hold, staple or otherwise affect tissue. For example, surgical clip applicators are commonly used to ligate a blood vessel, a duct, a shunt, or a portion of body tissue during surgery. Most clip applicators typically have a handle with an elongated drive shaft that has a pair of opposing movable claws formed at one end of it to hold and form a connecting clip between them. The claws are positioned around the vessel or duct, and the clip is crushed or formed on the vessel by closing the claws.
    [0003] [0003] The movement of the claws between the open and closed positions is controlled by a forming assembly, which transmits a force from the grip to the opposite claws. The force required to close the claws can increase with thicker or stiffer fabric, and / or in applications where the claws are applying a closing mechanism to the fabric, such as a clip or staple. In the event that excessive forces are transmitted by the forming unit, unwanted damage to the tissue can occur. In addition, as the forming set requires precise timing and coordinated movement between several other components, excessive forces applied to close the claws can result in damage to the claws, the forming set or additional components of the surgical clip applicator.
    [0004] [0004] Consequently, despite existing technologies, there remains a need for improved devices and methods to prevent the overload of an applied force to close opposing jaws of a surgical device. SUMMARY
    [0005] [0005] Surgical devices and methods for using them are provided here. In an exemplary embodiment, a surgical device is provided which may include a handle compartment having an elongated drive shaft that extends distally from it, with an end actuator at the distal end of the drive shaft elongated. The surgical device may also include a drive assembly configured to actuate the end actuator, and a trigger attached to the handle and pivot compartment around a pivot axis of the trigger, from an unacted position to a position acted upon. A pivot coupling can be provided with a first end coupled to a drive assembly and a second end. The pivot coupling can be pivoted around the trigger pivot axis. The device may additionally include an overload member coupled at least between the second end of the pivot coupling and the trigger. The pivoting motion of the trigger around the trigger pivot axis, from the unacted position to the acted position, can transfer the closing force through the overload member to the second end of the pivot coupling, thus causing the pivot pivot coupling around the trigger pivot axis, so that the first end of the pivot coupling extends the drive assembly distally to cause the actuator to actuate. When the closing force exceeds a predetermined limit force, the pivoting motion of the trigger around the trigger pivot axis from the unacted position to the acted position can transfer the closing force to the overload member, to cause that the overload member moves in a way that prevents the transfer of the closing force to the pivot coupling, so that the pivot coupling remains stationary in relation to the handle compartment.
    [0006] [0006] The overload member can have a variety of configurations. In one embodiment, the overload member may include an overload coupling and a traction element. The drive element can pull the overload coupling to a first position when the trigger pivots around the trigger's pivot axis, from the unacted position to the actuated position, until the closing force exceeds the force. predetermined limit. In one aspect, when the clamping force exceeds the predetermined limit force, the clamping force can overcome a pulling force of the pulling element to allow the overload member to move from the first position to a second position, thereby preventing a additional movement of the pivot coupling in relation to the handle compartment. In another aspect, when the closing force exceeds the predetermined limit force, the traction element can compress to thereby cause at least one of the deflection of the overload member and the reduction of a length of the member overload.
    [0007] [0007] In another aspect, the overload coupling can have a first and a second end at which the second end of the overload coupling can be slidably arranged inside the trigger. For example, the pull element can be housed inside the trigger and, when the closing force exceeds the predetermined limit force, the second end of the overload coupling can slide into the trigger to compress the element of traction, so that the pivoting coupling remains stationary in relation to the locking compartment.
    [0008] [0008] In other respects, the traction element can be positioned around an external surface of the overload coupling so that when the closing force exceeds the predetermined limit force, the traction element can be compress to prevent additional movement of the pivot coupling in relation to the handle compartment. In one embodiment, the compression of the traction element can decrease a length of the overload member.
    [0009] [0009] In another aspect, the pivot coupling can include a first portion and a second portion, and the traction element can be a deflectable region of the second portion of the pivot member so that when the closing force exceeds the predetermined limit force, the traction element can deform to prevent further movement of the pivot coupling in relation to the handle compartment. In one embodiment, the first portion may be less flexible than the second portion of the pivot coupling.
    [0010] [0010] In another embodiment, a surgical device is provided that may include a handle compartment that has a trigger pivotally coupled to it, an elongated drive shaft that extends distally from the handle compartment with an end actuator at a distal end thereof, a movable drive assembly for actuating the end actuator, and a coupling assembly coupled between the trigger and the drive assembly. The coupling assembly may include a pivot member and an overload drive shaft coupled to each other. The pivot member can be coupled to the drive set and the overload drive shaft can be coupled to the trigger. The coupling set can be configured to transfer a drive force from the trigger, through the overload drive shaft and up to the pivot member to move the drive assembly and thus actuate the end actuator . The coupling can also be configured to cause the overload drive shaft to move while the pivot member remains stationary in relation to the handle compartment, when the drive force exceeds a predetermined limit force.
    [0011] [0011] In one embodiment, the overload drive shaft can be operationally connected to a drive element that pulls the overload drive shaft to a first position until the drive force exceeds the predetermined limit force . In one aspect, when the driving force exceeds the predetermined limit force, the driving force can cause the drive element to move to allow the overload drive shaft to move from a first position to a second position, thus preventing further movement of the pivot member in relation to the handle compartment. In another aspect, the drive element can be arranged inside the trigger and the drive element can have a first end that comes into contact with one end of the overload drive shaft and a second end. In other respects, the drive element can be positioned around an external surface of the overload drive shaft. In still other aspects, the pivot member may have a proximal portion that is coupled to the drive assembly, and a distal portion that is coupled to the overload drive shaft. The traction element can be a deflectable region of the distal portion of the pivot member. In one embodiment, the proximal portion of the pivot member may be less flexible than the distal portion of the pivot member.
    [0012] [0012] Methods are also provided for operating a surgical device. In one embodiment, the method may include manipulating an end actuator at a distal end of an elongated actuation shaft of a surgical device to position the end actuator around the tissue. The method may also include actuating a trigger on the surgical device to transfer a force from the trigger, through an overload member and even a pivot member to actuate a drive assembly that moves the end actuator. The overload member can move in relation to the grip compartment when the force exceeds a predetermined limit force, thereby preventing the force from being transferred to at least a portion of the pivot member.
    [0013] [0013] In a modality, when the force exceeds the predetermined limit, the overload member can move to prevent the force from being transferred to the pivot member. In another embodiment, the overload member can include an overload coupling coupled to a deflectable region of the pivot member and, when the force exceeds the predetermined limit force, the overload coupling can move, thus deforming the pivot member in the deflectable region. BRIEF DESCRIPTION OF THE DRAWINGS
    [0014] [0014] This invention will be more fully understood from the detailed description below in conjunction with the accompanying drawings, in which:
    [0015] [0015] Figure 1 is a side view of an exemplary embodiment of a conventional surgical clip applicator;
    [0016] [0016] Figure 2 is an exploded view of a distal portion of the surgical clip applicator of Figure 1;
    [0017] [0017] Figure 3 is a perspective view of a distal portion of the surgical clip applicator of Figure 1;
    [0018] [0018] Figure 4A is a partially transparent perspective view of a proximal portion of the Figure 1 surgical clip applicator; and
    [0019] [0019] Figure 4B is another partially transparent perspective view of the proximal portion of the Figure 1 surgical clip applicator;
    [0020] [0020] Figure 5A is a partially transparent perspective view of a surgical clip applicator having an overload member that includes a traction element housed inside the trigger and an overload coupling operationally coupling the element. traction to a pivot coupling, showing the trigger and the overload member in unacted positions;
    [0021] [0021] Figure 5B is a partially transparent perspective view of the surgical clip applicator in Figure 5A, showing the trigger in an actuated position and the overload member in a first position without the traction element being compressed;
    [0022] [0022] Figure 5C is a partially transparent perspective view of the surgical clip applicator in Figure 5A, showing the trigger in an actuated position and the overload member in a second position in which the traction element is compressed;
    [0023] [0023] Figure 6A is a partially transparent perspective view of a proximal portion of the Figure 5A surgical clip applicator;
    [0024] [0024] Figure 6B is a partially transparent perspective view of the proximal portion of the surgical clip applicator of Figure 5B;
    [0025] [0025] Figure 6C is a partially transparent perspective view of the proximal portion of the surgical clip applicator of Figure 5C;
    [0026] [0026] Figure 7A is a partially transparent perspective view of a proximal portion of a surgical clip applicator having an overload member that includes a traction element disposed within an overload coupling, showing the trigger and the overload member in unacted positions;
    [0027] [0027] Figure 7B is a partially transparent perspective view of the proximal portion of the surgical clip applicator in Figure 7A, showing the trigger in an actuated position and the overload member in a first position without the traction element being compressed ;
    [0028] [0028] Figure 7C is a partially transparent perspective view of the proximal portion of the surgical clip applicator in Figure 7A, showing the trigger in an actuated position and the overload member in a second position in which the traction element is compressed;
    [0029] [0029] Figure 8 is a partially transparent side view of another embodiment of a pivot coupling and an overload member operatively coupled to each other, with the overload member including a pull element coupled to a trigger;
    [0030] [0030] Figure 9 is a partially transparent side view of a pivot coupling and an overload member having a traction element coupled to the pivot coupling and a trigger, according to another mode;
    [0031] [0031] Figure 10 is a partially transparent side view of another embodiment of a pivot coupling and an overload member that includes a traction element coupled to the pivot coupling and a trigger;
    [0032] [0032] Figure 11A is a partially transparent perspective view of a proximal portion of another embodiment of a surgical clip applicator that includes a pivot coupling and an overload member that includes an overload coupling and a traction element which is a deflectable region of the pivot coupling, showing the trigger and the overload member in unacted positions;
    [0033] [0033] Figure 11B is a partially transparent perspective view of the proximal portion of the surgical clip applicator in Figure 11A, showing the trigger in an actuated position and the overload member in a first position without the traction element be deformed;
    [0034] [0034] Figure 11C is a partially transparent perspective view of the proximal portion of the surgical clip applicator in Figure 11A, showing the trigger in an actuated position and the overload member in a second position in which the traction is deformed;
    [0035] [0035] Figure 12A is a perspective view of a modality of an overload mechanism, when the closing force has not yet exceeded the predetermined limit force;
    [0036] [0036] Figure 12B is a perspective view of the overload mechanism in Figure 12A, when the closing force has exceeded the predetermined limit force;
    [0037] [0037] Figure 13 is a side view of another modality of an overload mechanism, when the closing force has not yet exceeded the predetermined limit force;
    [0038] [0038] Figure 14 is a side view of an embodiment of a traction element;
    [0039] [0039] Figure 15A is a perspective view of an overload mechanism, when the closing force has not yet exceeded the predetermined limit force, according to another modality; and
    [0040] [0040] Figure 15B is another perspective view of the overload mechanism in Figure 15A. DETAILED DESCRIPTION
    [0041] [0041] Certain exemplifying modalities will now be described to provide a general understanding of the principles of structure, function, manufacture and use of the devices and methods disclosed here.
    [0042] [0042] Additionally, in the present disclosure, components with the same names in the modalities have, in general, similar resources and, therefore, in a particular modality, not all the resources of each component with the same names are necessarily described in detail. . In addition, when linear or circular dimensions are used in the description of the systems, devices and methods disclosed, these dimensions are not intended to limit the types of format that can be used in conjunction with such systems, devices and methods. One skilled in the art will recognize that an equivalent to such linear and circular dimensions can easily be determined for any geometric shape. The sizes and formats of the systems and devices, and their components, may depend on the anatomy of the individual in which the systems and devices will be used, the size and shape of components with which the systems and devices will be used, and the methods and procedures in which the systems and devices will be used.
    [0043] [0043] It will be recognized that the terms "proximal" and "distal" are used here with reference to a user, for example a doctor, who holds the handle of an instrument. Other spatial terms such as "front" and "rear" correspond similarly to distal and proximal, respectively. It will also be understood that, for convenience and clarity, spatial terms such as "vertical" and "horizontal" are used in the present invention in connection with the drawings. However, surgical instruments are used in many orientations and positions, and such spatial terms are not intended to be limiting and absolute.
    [0044] [0044] Surgical devices and methods are provided to prevent an overload force from being transferred to an end actuator in the surgical device, when the force exceeds a predetermined limit force. In general, a surgical device is provided having a handle compartment and an elongated drive shaft extending distally from it, with an end actuator coupled to a distal end. A trigger is coupled to the handle compartment and is movable between an unacted position and an acted position to cause the corresponding movement of the end actuator. The device may additionally include an overload mechanism that prevents excessive closing force from being applied to the end actuator when resistance is encountered. For example, when the surgical device is a surgical clip applicator, the overload mechanism can allow the trigger to continue to move towards the actuated position without causing additional closing of the opposing jaws. An exemplary surgical clip applicator can include a variety of features to facilitate the application of a surgical clip, as described here and illustrated in the drawings. However, the person skilled in the art will recognize that the surgical clip applicator may include only some of these features, and / or may include a variety of other features known in the art. The surgical clip applicators described here are intended merely to represent certain exemplifying modalities. In addition, although overload mechanisms are described in connection with surgical clip applicators, overload mechanisms can be used in relation to any type of surgical device.
    [0045] [0045] Figures 1 to 4B illustrate one embodiment of a conventional surgical clip applicator 100. As shown, the surgical clip applicator 100 generally includes a compartment 102 that has a stationary handle 104 and a movable handle or hook 106, which is pivotally coupled to compartment 102. An elongated drive shaft 108 extends distally from compartment 102 and includes a jaw assembly 110 formed at a distal end 108d thereof and includes a first and second jaws 112, 114 which are movable between the open and closed positions. The first and second claws 112, 114 include opposite surfaces facing inward and each surface facing inward has a track of clips formed along it to receive and guide the legs of a clip into the first and second claws 112, 114. The elongated drive shaft 108 can be rotated relative to compartment 102 by means of a rotary knob 103.
    [0046] [0046] As shown in Figures 2 and 3, the elongated drive shaft 108 can include an outer support tube 120, an upper wrap 122 distally coupled to outer tube 120, and a lower wrap 124. The outer support tube 120 and the upper and lower wraps 122, 124 form an outer casing for the actuation shaft 108. As shown in Figures 2 and 3, a stack of clusters 126 including multiple surgical clips is arranged inside a holder or a clip track 128 of the drive shaft 108 proximal to the first and second jaws 112, 114, and is distally pulled. A floor 130 extends under the stack of clips 126 to keep the stack of clips 126 in alignment within the drive shaft 108, and to guide a more distal clip 126d into the claws 112,
    [0047] [0047] The surgical clip applicator 100 has a clip forming assembly including several components that operate together to close the claws 112, 114 when trigger 106 is activated, to thereby make a clip (for example, clip 127) claws is applied (formed) to the fabric. The clip forming assembly comprises the forming tube 136 and other components that are coupled to the trigger 106 configured to be activated in order to move the forming tube 136 distally to thereby close the claws 112, 114. A forward clip assembly of the surgical clip applicator 100 includes the feed bar 134 which is also coupled to the trigger 106 by means of a link 107 which extends proximally from the trigger 106, as shown in Figures 4A and 4B. Thus, when trigger 106 is activated, feeder bar 134 is moved proximally, as opposed to a distal direction in which forming tube 136 is moved upon activation of trigger 106.
    [0048] [0048] The clip-forming and clip-forwarding assemblies can have any suitable settings. For example, in the illustrated embodiment, as shown in Figures 4A and 4B, the forming tube 136 of the clip forming assembly is coupled, by means of an internal coupling 138, to a forming plate 140 on the handle 102 which is, in turn, coupled to trigger 106 by means of a pin 141, and the feed bar 134 of the clip advance assembly is coupled to trigger 106 by means of a feed plate 142 which is also coupled to trigger 106 by means of link 107. As shown in Figure 4A, the feeder plate 142 has, at a distal end thereof, arms 144a, 144b which are arranged on, and are coupled to, a proximal end of an external coupling 146 (shown partially transparent). A connector pin 148 at a distal end of the outer coupling 146 secures the feed bar 134 to the outer coupling 146. Figures 4A and 4B illustrate the handle 102 with part of an outer casing removed, and Figure 4B shows the handle 102 without the feeder plate 142, for illustration purposes only. It should be understood that the surgical clip applicator 100 may include several other components and assemblies that are not described here for the sake of simplicity.
    [0049] [0049] In use, when trigger 106 of handle 102 is activated (for example, moved towards stationary handle 104), forming plate 140 of the clip forming assembly is advanced distally to cause the forming tube 136 advance distally on the claws 112, 114, thus eccentrically activating the claws 112, 114 to the closed position. At the same time, the feed plate 142 of the clip advance assembly is moved proximally, thus pulling the feed bar 134 proximally in order to place the feed bar 134 proximal to the most distal clip 126d of the stack of clips 126. Since the clip 127, arranged in the claws 112, 114 so that the legs of the clip are received inside the clip track of each of the claws, is fully formed, the trigger 106 is released, which causes the forming assembly to clip moves proximally while the clip advance assembly moves distally. Figure 2 shows clip 127 in an original preformed configuration. The proximal movement of the clip forming assembly causes the forming tube 136 to retract in relation to the claws, thus allowing the claws 112, 114 to move to the original open position, and thus releasing the formed clip. The distal movement of the forward clip assembly causes the feeder bar 134 to move distally, and the feeder bar 134 thus pushes the most distal clip 126d distally, overcoming the pulling force of the lift spring 132 and causing the elevator spring 132 deflects out of the way, thus allowing the most distal clip 126d to be advanced into the claws 112, 114. In this way, the most distal clip is positioned in the clip tracks of the claws, such as clip 127 in the Figure 3. Floor 130 helps guide the most distal clip into the clip tracks of claws 112, 114.
    [0050] [0050] One skilled in the art will recognize that, although the overload mechanisms are shown and described below, the overload mechanisms disclosed here can be coupled to other actuation mechanisms, and do not need to be coupled to a trigger as described. For example, the clip applicator can be equipped with a motor, and the overload mechanism can be coupled to an actuation button to actuate a motor in order to control the device trip. In other modalities, the overload mechanism can be configured to be coupled to a robotic system, so that the action of the device is controlled through the robotic system.
    [0051] [0051] As discussed above, a closing force is applied to move the trigger 106 from an unacted position to an acted position, thus advancing a more distal clip 126d into the claws 112, 114. According to the forming process of the clip proceeds and the clip 127, now disposed in the claw 112, 114, is at least partially deformed around the fabric, the closing force necessary to continue closing claws 112, 114 around the clip 127 can increase significantly when, for example, clip 127 is formed around thick and / or incompressible tissue, is formed around a previously formed clip around the tissue in question, and / or is formed around other rigid objects located around the fabric in question.
    [0052] [0052] An increase in the closing force can result in overloading on the claws 112, 114. For example, during the closing stroke of the trigger 106, a reaction force can be found coming from the forming tube 136. When this occurs , a user typically applies excessive closing force to trigger 106 to overcome this reaction force and complete the closing stroke (that is, moving trigger 106 to the actuated position). This can cause the forming tube 136 to unduly force the claws 112, 114 to close, which can result in deformation of the claws 112, 114 and / or damage to other components of the surgical clip 100. This deformation of the claws 112, 114 can cause improper formation of the formed clips, and / or premature release of the preformed or partially formed clips, and / or damage to the tissue positioned between the clamps 112, 114.
    [0053] Consequently, several modalities of an overload mechanism are provided to limit a maximum force applied to the clamp assembly 110 of the surgical clip applicator 100, in order to avoid overload on the clamps 112, 114. In general, the overload mechanisms provided here are designed and positioned between trigger 106 (or other actuation mechanisms) and the clip forming assembly, so that when the closing force exceeds a predetermined limit, the closing force is transferred to the overload mechanism instead of the clip forming assembly, thus preventing the claws 112, 114 from being improperly forced to close. In addition, these overload mechanisms can be
    [0054] [0054] Figures 5A to 5C illustrate an exemplary embodiment of a surgical clip applicator 200 that includes an overload mechanism. Similarly, Figures 6A to 6C illustrate a proximal view of the surgical clip applicator 200. Except for the differences described in detail below, the surgical applicator 200 may be similar to the surgical clip applicator 100 (Figures 1 to 4B) and therefore , is not described in detail in the present invention. As shown, the overload mechanism includes a pivot coupling 250 and an overload member 252 which are coupled to each other and located between trigger 206 and the clip forming assembly, specifically the forming tube 236 and the forming plate 240 of the clip forming assembly, resulting in an indirect coupling between the trigger 206 and the clip forming assembly. When trigger 206 is actuated, it rotates around a trigger pin 254, which sets the trigger pivot axis (Ta) from an unacted position (Figures 5A and 6A) to an acted position (Figures 5B and 6B) . This movement transfers a closing force from the trigger 206, through the overload member 252 and up to the pivot coupling 250 and, consequently, up to the clip forming assembly. Thus, unlike conventional surgical clip applicators, for example, surgical clip applicator 100 in Figures 1h to 4B, the closing force is transferred from trigger 206 to overload member 252 and, after that, to the pivot coupling 250, so that pivot coupling 250 engages the clip-forming assembly and causes the clip-forming assembly to advance distally and move the jaws 212, 214 from an open position to a closed position.
    [0055] [0055] In general, the pivot coupling 250 can be coupled between the clip forming assembly and the overload member
    [0056] [0056] When an overload is found, for example due to a thick fabric, the forming tube 236 and the forming plate 242 of the clip forming assembly will exert an opposite force (reaction force) against the first end 256a of the coupling of pivot 250, which will prevent the pivot coupling 250 from moving to its most distal position, thus preventing the claws from closing completely. At the same time, trigger 206 is not yet in its actuated position. In order for the trigger 206 to reach its actuated position when an overload is encountered, an excessive closing force can be applied to the trigger 206. To prevent this excessive force from being transferred to the clip forming assembly, the pivot coupling 250 may remain stationary in relation to the handle compartment
    [0057] [0057] In general, overload member 252 can be coupled between second end 256b of pivot coupling 250 and trigger 206. Although overload member 252 can have a variety of configurations, overload member 252 shown in Figures 5A to 6C includes an overload coupling 258 and a drive element 260. As shown in Figures 5A to 6C, the overload coupling 258 has a first and a second end 258a, 258b. The first end 258a is coupled to the second end 256b of the pivot coupling 250 at the entry point 256, and the second end 258b of the overload coupling 258 is slidably coupled to the trigger 206 by means of a movable pin 264 The movable pin 264 moves in relation to the trigger 206 and can be housed in a slot 266 formed in the trigger 206. As shown in Figures 5A to 6C, the slot 266 can extend completely through the wall of the trigger 206 , so that the movement of the movable pin 264 from a proximal end 266p to a distal end 266d of the slot 266 can be observed by a user. The overload coupling 258 is also operationally connected to the pulling element 260, for example a spring or other spring-like member, which is housed inside the trigger 206.
    [0058] [0058] Although the traction element 260 can have a variety of configurations, in an exemplary modality, as shown in Figures 5A to 6C, the traction element 260 can be in the form of a helical spring that is housed inside of the trigger 206 and which has an end 258a which is coupled to the trigger 206 at an engagement point 268. The drive element 260 can be initially pre-compressed to a first compressed state (C1) in order to pull the coupling overload 258 to a first position when trigger 206 rotates around trigger pin 254, which sets the trigger pivot axis (Ta) from the unacted position to the acted position until an overload is encountered. For example, as shown in Figures 5B and 6B, when no overload is found during the closing stroke of the trigger 206, the trigger 206 is in its fully activated position and the pull element 260 remains in the first compressed state ( C1), so that the movable pin 264 remains at the proximal end 266p of the slot 266. That is, the second end 258a of the overload coupling 258 has not yet slid distally inside the trigger 206.
    [0059] [0059] When the closing force exceeds the predetermined limit force, the closing force can overcome the pulling force of the pulling element 260 to allow the overload coupling 258 to move from the first position to a second position, thus preventing further movement of the pivot coupling 250 in relation to the grip compartment 202. For example, as shown in Figures 5C and 6C, when an overload is encountered during the closing stroke of trigger 206 (for example due to to an obstruction 259), the overload coupling 258 slides inside the trigger 206 and compresses the drive element 260 to a second compressed state (C2). More specifically, when the closing force exceeds the predetermined limit force, so that the trigger 206 reaches its fully actuated position without causing additional distal movement of the clip-forming assembly, the overload coupling 258 transfers the excess force closing element for the traction element 260, moving the movable pin 264 towards the distal end
    [0060] [0060] Figures 7A to 7C illustrate another exemplary embodiment of an overload member disposed inside a surgical clip applicator 300 that is similar to surgical clip 100 (Figures 1 to 4B). As shown, the overload member 352 includes an overload coupling 358 having a compartment 370 that is coupled to trigger 306 at an engagement point 368, and an impeller 372, for example a piston or a piston-like member, which is steel. - attached to pivot coupling 350 at coupling point 356 and compartment 370. As shown, the overload member 352 also includes a traction element 360 that is positioned around the outer surface of the overload coupling 358. The traction element 360 can pull the overload coupling 358 to a first position when the trigger 306 pivots around the trigger pin 354, which defines the trigger pivot axis (Ta), from the unacted position to the actuated position until that an overload is encountered. For example, as shown in Figure 7B, when no overload is found during the closing stroke of trigger 306, trigger 306 is in its fully engaged position and the pull element 360 remains in an uncompressed state (C1). When the closing force exceeds the predetermined limit force, the impeller 372 slides distally inside the compartment 370, thus compressing the traction element 360 to a compressed state (C2), resulting in a decrease in the total length of the member overload 352 from a first length (L1) to a second length (L2). The compression of the traction element 360 prevents further movement of the pivoting coupling 350 in relation to the handle compartment 302. Thus, the excessive closing force is transferred through the overload coupling 358 to the traction element 360, instead of the clip-forming assembly, thereby preventing the clip-forming assembly from unduly forcing the claws to close. As with the previous modality, the predetermined limit force can correspond to the force required to overcome the pulling force of the 360 pull element, and can be selected as desired during manufacture.
    [0061] [0061] Although Figures 5A to 7C illustrate the overload members having an overload coupling 258, 358, 458 and a traction element 260, 360, 460 in the form of a helical spring, the overload member may have other configurations, such as those shown in Figures 8 to 10. Each of Figures 8 to 10 illustrates an overload member that is in the form of a leaf spring 576, 676, 776. In Figure 8, the leaf spring 576, which is illustrated as having an arc-shaped length, has a first end 576a coupled to a first end 506a of trigger 506 and a second end 576b slidably disposed within the trigger, in an adjacent position to a second end 506b of trigger 506. The middle arcuate portion of leaf spring 576 is in operational contact with pivot coupling 550, so that leaf spring 576 applies a pulling force to the coupling
    [0062] [0062] In Figure 9, the first end 676a of leaf spring 676 is coupled to a pivot coupling 650 and a second end 676b is coupled to an end 606b of trigger 606. In this embodiment, the leaf spring 676 has a linear landing configuration in which the pulling force is applied to the pivot coupling 650. In use, when the closing force exceeds a predetermined limit force, the continued movement of the trigger 606 to its actuated position transfers the closing force to leaf spring 676, causing leaf spring 676 to deform by flexing in a direction (D) facing trigger 606. In turn, pivot coupling 650 can remain stationary in relation to the housing handle.
    [0063] [0063] Now with reference to Figure 10, the leaf spring 776 has a first end 776a coupled to the pivot coupling 750 and a second end 776b coupled to a 706b end of the trigger 706. The leaf spring 776 has two opposite segments U-shaped elements formed inside and drawn to a spaced configuration in which a pulling force is applied to the pivot coupling 750. In use, when the closing force exceeds a predetermined limit force, the continued movement of the trigger 706 to its actuated position transfers the closing force to the leaf spring 776. As a result, the leaf spring 776 compresses, so that the U-shaped segments fall one towards the other, in order to prevent an additional movement of the pivot coupling 750 in relation to the handle compartment.
    [0064] [0064] Figures 11A to 11C illustrate another modality exemplifying an overload mechanism disposed inside a surgical clip applicator 800 that is similar to surgical clip 100 (Figures 1 to 4B). As shown, the overload mechanism includes a pivot coupling 850 having a first and a second portion 850a, 850b and an overload member 852. The overload member 852 has an overload coupling 858 and a drive element 860. In this embodiment, the traction element 860 is a deflectable region 878 of the second portion 850b of the pivot coupling
    [0065] [0065] The first portion 850a of the pivot coupling 850 may be less flexible than the second portion 850b of the pivot coupling 850. In one embodiment, the first portion is formed by a first material that has a first modulus value elasticity, and the second portion is formed by a second material that has a second elasticity modulus that is less than the first elasticity modulus value. In other embodiments, as shown in Figures 11A to 11C, the second portion can be structured in a way that allows the second portion to deflect or deform when excessive closing force is applied. In another embodiment, the second portion may be narrower in width than the first portion. In yet another embodiment, the second portion may have a non-solid cross section, with single or repeating beam / rib elements, while the first portion may be solid or constructed with thicker beam / rib elements.
    [0066] [0066] Figures 12A to 12B illustrate another example of an overload mechanism. As shown, the overload mechanism includes a pull element 960 arranged within a slot pin 980 of trigger 906. While pull element 960 can have a variety of configurations, the pull element in Figures 12A the 12B is a spring in an accordion configuration. In other embodiments, for example, as shown in Figure 13, the traction element 1060 can be a leaf spring or, as shown in Figure 14, the traction element 1160 can be a flat spring in a zigzag configuration.
    [0067] [0067] Additionally, in Figures 12A to 12B, a pin 941, which connects the trigger 906 to the clip-forming assembly, is also disposed inside the slot of the pin 980. The pin 941 is located between a distal end 980d of slot 980 and the pull element 960 so that, during use, the lock pin 941 is operationally in contact with the pull element 960. When trigger 906 pivots around trigger pin 954, which defines the trigger pivot axis (Ta), from the unacted position to the acted position, the traction element 960 pulls the locking pin 941 against the distal end 980d of the slot 980 until the closing force exceeds the predetermined limit (Figure 12A). If the closing force exceeds the predetermined limit force during the closing stroke of the trigger, the closing force exceeds the pulling force of the pulling element 960, causing the locking pin 941 to move towards a proximal end 980p of the slot of the pin 980, thus compressing the traction element 960 (Figure 12B). As a result, trigger 906 can continue to move to its actuated position without causing any further distal advancement of the clip forming assembly.
    [0068] [0068] Figures 15A to 15B illustrate another example of an overload mechanism. As shown, trigger 1406 includes two slot pin slots 1480a, 1480b, each having two traction elements 1482, 1484. The first traction element 1482 includes two helical springs 1482a, 1482b which are adjacent to each other another. Similarly, the second drive element 1484 includes two helical springs 1084a, 1084b which are adjacent to each other. A locking pin 1441, which connects trigger 1406 to the clip-forming assembly, is also arranged within the slots of the locking pin 1480d, 1480p. As shown, the locking pin 1441 is located between the distal end 1480d of each slot 1480 and the corresponding tension element 1460, so that the locking pin 1441 is operationally connected to each tension element 1482, 1484. In In use, each pull element 1482, 1484 pulls the locking pin 1441 against the distal end 1480d of each corresponding slot 1480, until the closing force exceeds the predetermined limit force. During the pivoting movement of the trigger 1406 around the trigger pin 1454, from the unacted position to the acted position, if the closing force exceeds the predetermined limit force, the closing force is transferred to the overload mechanism, causing the locking pin 1441 to move towards the proximal end 1480p of each locking pin slot 1480a, 1480b, thereby compressing the corresponding tension elements 1482, 1484. As discussed above, when an overload is encountered, compression of the traction elements 1482, 1484 allows the trigger 1406 to continue to move to its actuated position without causing any further distal advancement of the clip forming assembly.
    [0069] [0069] As previously mentioned, surgical clip applicators can be used to form a clip around a surgical site, such as a vessel, duct, shunt, etc. Any suitable method can be used to operate any surgical device described here. For example, during the operation of the surgical clip applicator 200 (Figures 5A to 5C), the pair of claws, for example claws 112, 114 shown in Figures 1 to 3, can be manipulated to position tissue between them. Once the claws are positioned around the tissue, the trigger 206 (or other actuation device) of the surgical clip applicator 200 can be actuated to transfer a force from the trigger 206, through the overload member 252 and up to the pivot coupling 250 to actuate the clip forming assembly which, in turn, moves the pair of claws from an open position to a closed position. As a result, a clip, for example clip 127 shown in Figures 2 to 3, which is arranged inside the bottles
    [0070] [0070] The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be used multiple times. In any case, however, the device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps to disassemble the device, followed by cleaning or replacing specific parts and subsequent reassembly. In particular, the device can be disassembled and any number of specific parts or parts of the device can be selectively replaced or removed, in any combination. By cleaning and / or replacing specific parts, the device can be reassembled for subsequent use in the reconditioning facilities or by a surgical team, immediately before a surgical procedure. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
    [0071] [0071] One skilled in the art will understand other features and advantages of the invention based on the modalities described above.
    Consequently, the invention should not be limited by what has been shown and described in particular, except as indicated by the appended claims.
    All publications and references cited are expressly incorporated herein in full, by way of reference.
    权利要求:
    Claims (20)
    [1]
    1. Surgical device, characterized by comprising: a handle compartment having an elongated drive shaft that extends distally from it; an end actuator at the distal end of the elongated drive shaft; a drive set configured to actuate the end actuator; a trigger coupled to the handle and pivot compartment around a trigger pivot axis, from an unacted position to an acted position; a pivot coupling having a first end coupled to a drive assembly and a second end, the pivot coupling being pivoting around the trigger pivot axis; and an overload member coupled at least between the second end of the pivot coupling and the trigger; the pivoting movement of the trigger around the trigger pivot axis, from the unactivated position to the actuated position, transfers the closing force through the overload member to the second end of the pivot coupling, thus the pivot coupling rotates around the trigger pivot axis, so that the first end of the pivot coupling extends the drive assembly distally to cause the end actuator to act, and when the closing force exceeds a predetermined limit force, the pivoting motion of the trigger around the trigger pivot axis from the non-actuated to the actuated position transfers the closing force to the overload member, to cause the overload member to move from a way that prevents the transfer of the closing force to the pivot coupling, so that the pivot coupling remains stationary in relation to the handle compartment.
    [2]
    2. Device according to claim 1, characterized in that the overload member comprises an overload coupling and a traction element, the traction element pulling the overload coupling to a first position when the trigger pivots to the around the trigger pivot axis, from the unacted position to the actuated position, until the closing force exceeds the predetermined limit force.
    [3]
    3. Device according to claim 2, characterized in that, when the closing force exceeds the predetermined limit force, the closing force exceeds a tractive force of the traction element to allow the limb of overload, move from the first position to a second position, thus preventing further movement of the pivot coupling in relation to the handle compartment.
    [4]
    4. Device according to claim 2, characterized in that, when the closing force exceeds the predetermined limit force, the traction element compresses to thereby cause at least one of the deflection of the limb of overload and the reduction of an overload member length.
    [5]
    5. Device according to claim 2, characterized in that the overload coupling has a first and a second end, the second end of the overload coupling being slidably arranged inside the trigger.
    [6]
    6. Device according to claim 5, characterized in that the pulling element is housed inside the trigger and, when the closing force exceeds the predetermined limit force, the second end of the overload coupling slides to the end - the inside of the trigger in order to compress the traction element, so that the pivoting coupling remains stationary in relation to the handle compartment.
    [7]
    7. Device according to claim 2, characterized in that the traction element is positioned around an external surface of the overload coupling so that, when the closing force exceeds the predetermined limit force, the traction element is compressed to prevent further movement of the pivot coupling in relation to the handle compartment.
    [8]
    Device according to claim 7, characterized in that the compression of the traction element decreases a length of the overload member.
    [9]
    9. Device according to claim 2, characterized in that the pivot coupling includes a first portion and a second portion, and the traction element is a deflectable region of the second portion of the pivot member and being that when the closing force exceeds the predetermined limit force, the traction element deforms to prevent further pivoting movement of the pivot coupling in relation to the handle compartment.
    [10]
    A device according to claim 9, characterized in that the first portion is less flexible than the second portion of the pivot coupling.
    [11]
    11. Surgical device, characterized by comprising: a handle compartment having a trigger pivotally coupled to it; an elongated drive shaft extending distally from the handle compartment, the elongated drive shaft having an end actuator at a distal end thereof;
    a drive assembly that is movable to actuate the end actuator; an articulation set coupled between the trigger and the drive assembly, the articulation set including a pivot member and an overload drive shaft coupled to each other, the pivot member being attached to the set of drive and the overload drive shaft is coupled to the trigger, and the pivot set is configured to transfer a driving force from the trigger through the overload drive shaft to the pivot member in order to move the assembly drive and thus actuating the end actuator, and the pivot assembly is configured to cause the overload drive shaft to move while the pivot member remains stationary in relation to the handle compartment, when the actuation force exceeds a predetermined limit force.
    [12]
    12. Device according to claim 11, characterized in that the overload drive shaft is operationally connected to a drive element, and the drive element pulls the overload drive shaft to a first position until the actuation force exceeds the predetermined limit force.
    [13]
    13. Device according to claim 12, characterized in that, when the driving force exceeds the predetermined limit force, the driving force causes the drive element to move to allow the drive shaft of overload move from a first position to a second position, thus preventing further movement of the pivot member in relation to the handle compartment.
    [14]
    14. Device according to claim 12, characterized in that the traction element is arranged inside the trigger, the traction element having a first and a second end, and the first end of the element drive comes into contact with one end of the overload drive shaft.
    [15]
    15. Device according to claim 12, characterized in that the drive element is positioned around an external surface of the overload drive shaft.
    [16]
    16. Device according to claim 12, characterized in that the pivot member has a proximal portion that is coupled to the drive assembly, and a distal portion that is coupled to the overload drive shaft, and the drive element it is a deflectable region of the distal portion of the pivot member.
    [17]
    17. Device according to claim 16, characterized in that the proximal portion of the pivot member is less flexible than the distal portion of the pivot member.
    [18]
    18. Method for operating a surgical device, characterized by comprising: manipulating an end actuator at a distal end of an elongated drive shaft of a surgical device to position the end actuator around the tissue; and actuating a trigger on the surgical device to transfer a force from the trigger through an overload member to a pivot member in order to actuate a drive assembly that moves the end actuator, with the overload member moving relative to the handle compartment when the force exceeds a predetermined limit force to prevent the force from being transferred to at least a portion of the pivot member.
    [19]
    19. Method according to claim 18, characterized in that, when the force exceeds the predetermined limit, the overload member moves to prevent the force from being transferred to the pivot member.
    [20]
    20. Method according to claim 18, characterized in that the overload member comprises an overload coupling coupled to a deflectable region of the pivot member and, when the force exceeds the predetermined limit force, the overload coupling load moves, thus deforming the pivot member in the deflectable region.
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    同族专利:
    公开号 | 公开日
    WO2019030676A1|2019-02-14|
    JP2020529282A|2020-10-08|
    EP3441018A1|2019-02-13|
    US10751052B2|2020-08-25|
    CN111200978A|2020-05-26|
    EP3441018B1|2021-06-30|
    US20190046196A1|2019-02-14|
    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    US5009661A|1989-04-24|1991-04-23|Michelson Gary K|Protective mechanism for surgical rongeurs|
    US5947984A|1997-10-10|1999-09-07|Ethicon Endo-Surger, Inc.|Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism|
    US8708210B2|2006-10-05|2014-04-29|Covidien Lp|Method and force-limiting handle mechanism for a surgical instrument|
    US8409244B2|2007-04-16|2013-04-02|Intuitive Surgical Operations, Inc.|Tool with end effector force limiter|
    US20110022052A1|2009-07-22|2011-01-27|OrthoDynamix, LLC|Method and Devices for Force-Limiting Trigger Mechanism|
    DE102012002770A1|2012-02-11|2013-08-14|Karl Storz Gmbh & Co. Kg|Medical instrument|
    US10010309B2|2014-10-10|2018-07-03|Ethicon Llc|Surgical device with overload mechanism|
    US10368894B2|2015-12-21|2019-08-06|Ethicon Llc|Surgical instrument with variable clamping force|US10617429B2|2017-08-10|2020-04-14|Ethicon Llc|Surgical clip applier|
    US10835260B2|2017-09-13|2020-11-17|Covidien Lp|Endoscopic surgical clip applier and handle assemblies for use therewith|
    US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|
    US11229436B2|2017-10-30|2022-01-25|Cilag Gmbh International|Surgical system comprising a surgical tool and a surgical hub|
    US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|
    US11013563B2|2017-12-28|2021-05-25|Ethicon Llc|Drive arrangements for robot-assisted surgical platforms|
    US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|
    US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|
    US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|
    US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|
    US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|
    US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|
    US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|
    US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|
    US11096693B2|2017-12-28|2021-08-24|Cilag Gmbh International|Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing|
    US11257589B2|2017-12-28|2022-02-22|Cilag Gmbh International|Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes|
    US11202570B2|2017-12-28|2021-12-21|Cilag Gmbh International|Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems|
    US11179208B2|2017-12-28|2021-11-23|Cilag Gmbh International|Cloud-based medical analytics for security and authentication trends and reactive measures|
    US10758310B2|2017-12-28|2020-09-01|Ethicon Llc|Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices|
    US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|
    US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|
    US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|
    US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|
    US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|
    US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|
    US11100631B2|2017-12-28|2021-08-24|Cilag Gmbh International|Use of laser light and red-green-blue coloration to determine properties of back scattered light|
    US11147607B2|2017-12-28|2021-10-19|Cilag Gmbh International|Bipolar combination device that automatically adjusts pressure based on energy modality|
    US11259830B2|2018-03-08|2022-03-01|Cilag Gmbh International|Methods for controlling temperature in ultrasonic device|
    US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout features|
    US20190298350A1|2018-03-28|2019-10-03|Ethicon Llc|Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems|
    US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|
    US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|
    US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|
    US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|
    US11197668B2|2018-03-28|2021-12-14|Cilag Gmbh International|Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout|
    US11207067B2|2018-03-28|2021-12-28|Cilag Gmbh International|Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing|
    US11259807B2|2019-02-19|2022-03-01|Cilag Gmbh International|Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device|
    WO2021041398A1|2019-08-27|2021-03-04|Conmed Corporation|Force limiting mechanism for surgical instruments|
    法律状态:
    2021-11-03| B350| Update of information on the portal [chapter 15.35 patent gazette]|
    优先权:
    申请号 | 申请日 | 专利标题
    US15/674,096|US10751052B2|2017-08-10|2017-08-10|Surgical device with overload mechanism|
    US15/674,096|2017-08-10|
    PCT/IB2018/055951|WO2019030676A1|2017-08-10|2018-08-07|Surgical device with overload mechanism|
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