The present disclosure is directed to a ligation clip removal device, and more particularly, to ligation clip removal devices that include jaws that are configured to compress a latched ligation clip to unlatch the ligation clip.
Certain ligation clips are designed to be removable from a body vessel after a surgical procedure has been completed. Typically, with polymeric ligation clips that have a curved body, in order to remove the clip from the body tissue, the ligation clip is clamped between two jaws to deform and straighten the ligation clip. When the ligation clip is straightened, a latch on jaws of the ligation clip releases to allow the ligation clip to open.
Current ligation clip removal devices do not securely support the ligation clip to be opened within or between jaws of the removal device. As such, when a force is applied to the ligation clip by the jaws of the removal device, the ligation clip has a tendency to twist and lose perpendicularity with the jaws of the removal device. When this occurs, a body of the ligation clip may not be straightened and, thus, the latch on the ligation clip may not open. This problem may make it more difficult and time consuming to remove the ligation clip from the body vessel.
A continuing need exists in the art for a ligation clip removal device that is configured to support a ligation clip in a stable manner on the device to quickly and easily remove the ligation clip from a body vessel.
One aspect of the present disclosure is directed to a ligation clip removal device including an elongate body, a tool assembly, and a drive member. The elongate body has a proximal portion and a distal portion. The tool assembly is supported on the distal portion of the elongate body and includes a first jaw, and a second jaw pivotably supported in relation to the first jaw between an open position and a clamped position. Each of the first and second jaws includes a clip engagement surface. The clip engagement surface of at least one of the first or second jaws defines a recess having a longitudinal portion and a first transverse portion that intersects the longitudinal portion. The longitudinal portion of the recess is configured to receive a leg of a ligation clip and the first transverse portion of the recess is configured to receive a portion of a boss of the ligation clip. The drive member is engaged with and movable in relation to the tool assembly to move the first and second jaws between the open and clamped positions.
In embodiments, the distal portion of the elongate body includes a clevis and each of the first and second jaws is pivotably supported on the clevis.
In some embodiments, each of the first and second jaws defines a cam slot and the drive member includes a cam member that is positioned within the cam slots of the first and second jaws such that movement of the drive member in relation to the tool assembly moves the first and second jaws between the open and clamped positions.
In certain embodiments, the elongate body defines a longitudinal bore and the drive member is movable within the longitudinal bore.
In embodiments, each of the first and second jaws defines the recess.
In some embodiments, the recess includes a second transverse portion that is spaced from the first transverse portion and intersects the longitudinal portion.
In certain embodiments, the first transverse portion of the recess is perpendicular to the longitudinal portion of the recess.
Another aspect of the present disclosure is directed to a tool assembly including a first jaw and a second jaw pivotably supported in relation to the first jaw between an open position and a clamped position. Each of the first and second jaws includes a clip engagement surface. The clip engagement surface of at least one of the first or second jaws defines a recess having a longitudinal portion and a first transverse portion that intersects the longitudinal portion. The longitudinal portion of the recess is positioned and configured to receive a leg of a ligation clip and the first transverse portion of the recess is positioned and configured to receive a portion of a boss of the ligation clip.
Another aspect of the present disclosure is directed to a method for removing a ligation clip from body tissue including positioning a tool assembly having first and second jaws in an open position about a ligation clip that is in a latched state; moving the first and second jaws of the tool assembly from the open position towards an intermediate position to position the ligation clip within a recess defined in at least one jaw of the first or second jaws of the tool assembly to secure the ligation clip between the first and second jaws; and moving the first and second jaws of the tool assembly from the intermediate position to a clamped position to move the ligation clip from the latched state to an unlatched state.
In embodiments, moving the first jaw of the tool assembly in relation to the second jaw of the tool assembly from the open position to the intermediate position to position the ligation clip within the recess in the at least one of the first or second jaws includes positioning the ligation clip within the recess in each of the first and second jaws.
In some embodiments, moving the first and second jaws of the tool assembly from the intermediate position to the clamped position to move the ligation clip from the latched state to the unlatched state includes deforming a body of the ligation clip from a curved configuration to a straightened configuration to release a latch of the ligation clip.
Various embodiments of the presently disclosed ligation clip removal device are described herein below with reference to the drawings, wherein:
The presently disclosed ligation clip removal device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
In this description, the term “proximal” is used generally to refer to that portion of the device that is closer to a clinician, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician. In addition, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel.
Referring to
The elongate body 14 includes a distal portion defining a clevis 18 having spaced arms 18a, 18b. The tool assembly 12 is supported on the clevis 18 and includes a first jaw 20 and a second jaw 22. The first jaw 20 includes a proximal portion defining a cam slot 24 (
Each of the clip engagement surfaces 28, 36 of the first and second jaws 20, 22, respectively, includes a recess 42 having a longitudinal portion 44 that extends along a longitudinal axis of the first and second jaws 20, 22 and a first transverse portion 46 positioned on a distal portion of the engagement surface 28, 36 of the first and second jaws 20, 22. Each of the longitudinal portions 44 has a first floor and each of the transverse portions 46 defines a second floor that is coplanar with a respective first floor. In some embodiments, the recess 42 defined in each of the clip engagement surfaces 28, 36 of the first and second jaws 20, 22 includes a second transverse portion 48 positioned on a proximal portion of the clip engagement surfaces 28, 36 of the first and second jaws 20, 22, respectively. Although the recess 42 is illustrated to be defined in each of the first and second jaws 20, 22, it is envisioned that the recess 42 can be formed in only one of the first and second jaws 20, 22.
In embodiments, the longitudinal portion 44 of the recesses 42 of the first and the second jaws 20, 22 is dimensioned to receive a ligation clip 50, e.g., a polymeric ligation clip, when the ligation clip 50 is in a latched state. As is known in the art, polymeric ligation clips 50 typically include a first leg 52 and a second leg 54 that is pivotably coupled to the first leg 52. In embodiments, one of the first or second legs 52, 54 of the ligation clip 50 includes a transverse boss 56 and distal ends of the first and second legs 52, 54 define a latch 58. The latch 58 retains the ligation clip 50 in a latched state about tissue (not shown). The longitudinal portion 44 of the recesses 42 are dimensioned to receive the width and length of the first and second legs 52, 54 of the ligation clip 50 and the first transverse portion 46 of the recess 42 is dimensioned to receive the boss 56 of the ligation clip 50 to stabilize the ligation clip 50 within the first and second jaws 20, 22 of the tool assembly 12 to facilitate unlatching of the ligation clip 50 as described in detail below. As used herein, “stabilizing” means prevent twisting and/or substantial lateral movement of the ligation clip within the jaws 20, 22 of the tool assembly 12.
Referring to
Referring to
Referring to
The recesses 42 in the first and the second jaws 20, 22 of the tool assembly 12 maintain alignment of the ligation clip 50 within the jaws 20, 22 of the tool assembly 12 to allow the jaws 20, 22 to straighten the legs 52, 54 of the ligation clip 50 when the tool assembly 12 is moved to the clamped position. This allows the legs 52, 54 of the ligation clip 50 to unlatch from each other so that the ligation clip 50 will open. The ligation clip removal device 10 allows a clinician to quickly and easily remove ligation clips 50 from body tissue.
Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary embodiments. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment may be combined with the elements and features of another without departing from the scope of the present disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described embodiments. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.
This application claims the benefit of and priority to U.S. Provisional Patent Application No. 62/676,293 filed May 25, 2018, the entire disclosure of which is incorporated by reference herein.
Number | Name | Date | Kind |
---|---|---|---|
3439523 | Wood | Apr 1969 | A |
3713533 | Reimels | Jan 1973 | A |
4076120 | Carroll et al. | Feb 1978 | A |
4146130 | Samuels et al. | Mar 1979 | A |
4187712 | Samuels et al. | Feb 1980 | A |
4212303 | Nolan | Jul 1980 | A |
4212390 | Raczkowski et al. | Jul 1980 | A |
4294355 | Jewusiak et al. | Oct 1981 | A |
4344531 | Giersch | Aug 1982 | A |
4346869 | MacNeill | Aug 1982 | A |
4361229 | Mericle | Nov 1982 | A |
4390019 | LeVeen et al. | Jun 1983 | A |
4412617 | Cerwin | Nov 1983 | A |
4418694 | Beroff et al. | Dec 1983 | A |
4449531 | Cerwin et al. | May 1984 | A |
4485953 | Rothfuss | Dec 1984 | A |
4487205 | Di Giovanni et al. | Dec 1984 | A |
4550729 | Cerwin et al. | Nov 1985 | A |
4696396 | Samuels | Sep 1987 | A |
4726372 | Perlin | Feb 1988 | A |
4834096 | Oh et al. | May 1989 | A |
4936447 | Peiffer | Jun 1990 | A |
4942886 | Timmons | Jul 1990 | A |
4961499 | Kulp | Oct 1990 | A |
4971198 | Mericle | Nov 1990 | A |
4972949 | Peiffer | Nov 1990 | A |
5046611 | Oh | Sep 1991 | A |
5046624 | Murphy et al. | Sep 1991 | A |
5050272 | Robinson et al. | Sep 1991 | A |
5062846 | Oh et al. | Nov 1991 | A |
5100416 | Oh et al. | Mar 1992 | A |
5201416 | Taylor | Apr 1993 | A |
5279416 | Malec et al. | Jan 1994 | A |
5423831 | Nates | Jun 1995 | A |
5564262 | Bevis et al. | Oct 1996 | A |
5634930 | Thornton et al. | Jun 1997 | A |
5676676 | Porter | Oct 1997 | A |
5697942 | Palti | Dec 1997 | A |
5713912 | Porter | Feb 1998 | A |
5846255 | Casey | Dec 1998 | A |
5908430 | Appleby | Jun 1999 | A |
5921991 | Whitehead et al. | Jul 1999 | A |
6044971 | Esposito et al. | Apr 2000 | A |
6158583 | Forster | Dec 2000 | A |
6217590 | Levinson | Apr 2001 | B1 |
6228097 | Levinson et al. | May 2001 | B1 |
6273253 | Forster et al. | Aug 2001 | B1 |
6306150 | Levinson | Oct 2001 | B1 |
6349727 | Stewart, Jr. | Feb 2002 | B1 |
6391035 | Appleby et al. | May 2002 | B1 |
6419682 | Appleby et al. | Jul 2002 | B1 |
6421920 | Jensen | Jul 2002 | B1 |
6439727 | Koide | Aug 2002 | B1 |
6460700 | Weisshaupt | Oct 2002 | B2 |
6460749 | Levinson et al. | Oct 2002 | B1 |
6780195 | Porat | Aug 2004 | B2 |
6824547 | Wilson, Jr. et al. | Nov 2004 | B2 |
6863675 | Wilson, Jr. | Mar 2005 | B2 |
6880699 | Gallagher | Apr 2005 | B2 |
7001412 | Gallagher et al. | Feb 2006 | B2 |
7052504 | Hughett | May 2006 | B2 |
7131977 | Fowler | Nov 2006 | B2 |
7144402 | Kuester, III | Dec 2006 | B2 |
7211091 | Fowler et al. | May 2007 | B2 |
7211092 | Hughett | May 2007 | B2 |
7316696 | Wilson, Jr. et al. | Jan 2008 | B2 |
7326223 | Wilson, Jr. | Feb 2008 | B2 |
7452368 | Liberatore et al. | Nov 2008 | B2 |
7585304 | Hughett | Sep 2009 | B2 |
7628272 | Wiedenbein | Dec 2009 | B2 |
7857129 | Iaconi-Forrer et al. | Dec 2010 | B2 |
8042687 | Cannady | Oct 2011 | B2 |
8312992 | Disch | Nov 2012 | B2 |
8403138 | Weisshaupt et al. | Mar 2013 | B2 |
8425515 | Gamache et al. | Apr 2013 | B2 |
8627955 | Weisshaupt et al. | Jan 2014 | B2 |
8839954 | Disch | Sep 2014 | B2 |
8888398 | Werth | Nov 2014 | B2 |
9271737 | Castro et al. | Mar 2016 | B2 |
9282972 | Patel et al. | Mar 2016 | B1 |
9445820 | Whiting | Sep 2016 | B2 |
9456824 | Willett et al. | Oct 2016 | B2 |
9480480 | Santilli et al. | Nov 2016 | B2 |
9486225 | Michler et al. | Nov 2016 | B2 |
9517178 | Chancibot | Dec 2016 | B2 |
D808522 | Cannady et al. | Jan 2018 | S |
9855053 | Bagaoisan et al. | Jan 2018 | B2 |
10130373 | Castro et al. | Nov 2018 | B2 |
10136898 | Schmidt et al. | Nov 2018 | B2 |
10905451 | Kappel | Feb 2021 | B2 |
10925615 | Deville | Feb 2021 | B2 |
20020046961 | Levinson et al. | Apr 2002 | A1 |
20020177863 | Mandel et al. | Nov 2002 | A1 |
20040172057 | Guillebon | Sep 2004 | A1 |
20040199178 | Small | Oct 2004 | A1 |
20050165423 | Gallagher et al. | Jul 2005 | A1 |
20050165424 | Gallagher et al. | Jul 2005 | A1 |
20060089659 | Small | Apr 2006 | A1 |
20060124485 | Kennedy | Jun 2006 | A1 |
20060217749 | Wilson et al. | Sep 2006 | A1 |
20070083218 | Morris | Apr 2007 | A1 |
20070118161 | Kennedy et al. | May 2007 | A1 |
20070149988 | Michler et al. | Jun 2007 | A1 |
20070149989 | Santilli et al. | Jun 2007 | A1 |
20080015566 | Livneh | Jan 2008 | A1 |
20090088783 | Kennedy et al. | Apr 2009 | A1 |
20090171380 | Whiting | Jul 2009 | A1 |
20110184459 | Malkowski | Jul 2011 | A1 |
20110224700 | Schmidt et al. | Sep 2011 | A1 |
20110295291 | Trivisani | Dec 2011 | A1 |
20120080336 | Shelton, IV | Apr 2012 | A1 |
20120083803 | Patel et al. | Apr 2012 | A1 |
20120226291 | Malizia et al. | Sep 2012 | A1 |
20130245651 | Schmidt et al. | Sep 2013 | A1 |
20130253540 | Castro et al. | Sep 2013 | A1 |
20130261642 | Willett et al. | Oct 2013 | A1 |
20140054192 | Chancibot | Feb 2014 | A1 |
20140243862 | Bagaoisan et al. | Aug 2014 | A1 |
20140276970 | Messerly et al. | Sep 2014 | A1 |
20160015253 | Roop et al. | Jan 2016 | A1 |
20160151073 | Castro et al. | Jun 2016 | A1 |
20160354089 | Whiting | Dec 2016 | A1 |
20170020530 | Willett et al. | Jan 2017 | A1 |
20170027576 | Castro | Feb 2017 | A1 |
20170196637 | Shelton, IV | Jul 2017 | A1 |
20170209151 | Brown | Jul 2017 | A1 |
20170238935 | Shi | Aug 2017 | A1 |
20170252042 | Kethman et al. | Sep 2017 | A1 |
20180036008 | Ramsey et al. | Feb 2018 | A1 |
20180116674 | Baril | May 2018 | A1 |
20180168659 | Bagaoisan et al. | Jun 2018 | A1 |
20180185029 | Lebens, III | Jul 2018 | A1 |
20180228492 | Aranyi et al. | Aug 2018 | A1 |
20180271527 | Shellenberger | Sep 2018 | A1 |
20180271532 | Shellenberger | Sep 2018 | A1 |
20180271535 | Shellenberger et al. | Sep 2018 | A1 |
20180271536 | Shellenberger et al. | Sep 2018 | A1 |
20190133590 | Richard | May 2019 | A1 |
20190159782 | Kamaraj et al. | May 2019 | A1 |
20210052334 | Johnson | Feb 2021 | A1 |
Number | Date | Country |
---|---|---|
654195 | Feb 1965 | BE |
204839635 | Dec 2015 | CN |
106264647 | Jan 2017 | CN |
10116168 | Nov 2001 | DE |
2353710 | Mar 2001 | GB |
2017059587 | Apr 2017 | WO |
Entry |
---|
U.S. Appl. No. 62/655,854, filed Apr. 11, 2018, inventor Justin Thomas. |
U.S. Appl. No. 62/655,882, filed Apr. 11, 2018, inventor Justin Thomas. |
U.S. Appl. No. 62/661,842, filed Apr. 24, 2018, inventor Justin Thomas. |
U.S. Appl. No. 62/717,958, filed Aug. 13, 2018, inventor Justin Thomas. |
U.S. Appl. No. 62/721,178, filed Aug. 22, 2018, inventor Justin Thomas. |
U.S. Appl. No. 16/158,368, filed Oct. 12, 2018, inventor Roy Pilletere. |
Chinese International PCT Application No. PCT/CN2018/078294 filed Mar. 7, 2018, Covidien LP. |
U.S. Appl. No. 13/972,582, filed Aug. 21, 2013, inventor Manoj Patel. |
European Search Report dated Aug. 26, 2019, issued in EP Appln. No. 19176599. |
European Office Action dated Apr. 22, 2021, issued in corresponding EP Appln. No. 19 176 599, 6 pages. |
European Office Action dated Nov. 25, 2021, issued in corresponding EP Appln. No. 19176599, 8 pages. |
Number | Date | Country | |
---|---|---|---|
20190357913 A1 | Nov 2019 | US |
Number | Date | Country | |
---|---|---|---|
62676293 | May 2018 | US |