Hemostasis reloadable clipping device with sleeve engagement

Patent metadata

Field	Value
Publication number	US-11020125-B2
Application number	US-201715680062-A
Country	US
Kind code	B2
Filing date	Aug 17, 2017
Priority date	Aug 22, 2016
Publication date	Jun 1, 2021
Grant date	Jun 1, 2021

Abstract

A system for treating tissue including a clip assembly including a pair of clip arms, a proximal end of each of the clip arms slidably received within a channel of a capsule and moveable between a tissue receiving configuration and a tissue clipping configuration. The system also including an applicator releasably coupleable to the clip assembly, the applicator including a control member connectable to the proximal end of each of the clip arms and a locking sleeve coupleable to a proximal end of the capsule via a deflectable tab including an engaging structure configured to engage a corresponding engaging structure at the proximal end of the capsule and a releasing structure proximal of the engaging structure, the releasing structure engagable with a portion of the control member to deflect the deflectable member and disengage the engaging structure of the locking sleeve from the corresponding engaging structure of the capsule.

First claim

What is claimed is:

1. A system for treating tissue, comprising:
a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal end of each of the clip arms slidably received within a channel of a capsule to be moved between a tissue receiving configuration, in which distal ends of the clip arms are separated from one another, and a tissue clipping configuration, in which distal ends of the clip arms are moved toward one another; and
an applicator releasably coupleable to the clip assembly to move the clip assembly between the tissue receiving configuration and the tissue clipping configuration, the applicator including a control member connectable to the proximal end of each of the clip arms and a locking sleeve coupleable to a proximal end of the capsule via a deflectable tab defined along a length of the locking sleeve from a free distal end to a proximal end connected to a remaining portion of the locking sleeve so that the deflectable tab is deflectable radially outward relative to the remaining portion, the deflectable tab including an engaging structure configured to engage a corresponding engaging structure at the proximal end of the capsule and a releasing structure proximal of the engaging structure of the locking sleeve, the releasing structure engageable with a portion of the control member to deflect the deflectable tab and disengage the engaging structure of the locking sleeve from the corresponding engaging structure of the capsule,
wherein, the capsule releases from the applicator when the control member is drawn proximally.

2. The system of claim 1 , wherein the engaging structure of the locking sleeve is a first bend along a distal end of the deflectable tab and the corresponding engaging structure of the capsule is a window extending laterally therethrough, the window sized and shaped for receiving the first bend.

3. The system of claim 2 , wherein the first bend extends inward into a channel of the locking sleeve so that the locking sleeve is mountable over the proximal end of the capsule and the deflectable tab is deflectable radially outward away from a longitudinal axis of the channel of the locking sleeve.

4. The system of claim 3 , wherein the releasing structure is a second bend extending into the channel of the locking sleeve.

5. The system of claim 1 , wherein the control member includes a body extending longitudinally from an enlarged distal end to a proximal end.

6. The system of claim 5 , wherein the proximal ends of the clip arms are connected via a yoke including a socket sized and shaped for releasably receiving the enlarged distal end of the body of the control member.

7. The system of claim 6 , wherein the yoke is configured to be deformed when a force exerted thereon by the enlarged distal end exceeds a predetermined threshold value.

8. The system of claim 5 , wherein the control member further includes a stop washer slidably mounted over a portion of the body, the stop washer including a surface for interfacing with the releasing structure to deflect the deflectable member.

9. The system of claim 1 , wherein the engaging structure of the locking sleeve is a window extending laterally though the deflectable tab and the corresponding engaging structure of the capsule is a bend extending outward, away from a longitudinal axis of the capsule so that the locking sleeve is receivable within the channel of the capsule and the deflectable tab is deflectable radially inward toward a longitudinal axis of the locking sleeve.

10. The system of claim 9 , wherein the releasing structure is a protrusion extending inward into a channel of the locking sleeve so that, when the portion of the control member engages the protrusion, the deflectable tab deflects radially inward toward the longitudinal axis of the locking sleeve.

11. The system of claim 9 , wherein the releasing structure is an element extending across a channel of the locking sleeve from an interior surface of the deflectable tab so that, when the portion of the control member engages the releasing structure, the deflectable tab deflects radially inward toward the longitudinal axis of the locking sleeve.

12. The system of claim 9 , wherein the applicator further comprises an outer sleeve extending about a portion of the deflectable tab proximal of the engaging structure, the outer sleeve being deformable over the deflectable tab to release the locking sleeve from the capsule.

13. The system of claim 1 , wherein the clip arms are biased in the tissue receiving configuration.

14. The system of claim 1 , wherein the capsule includes a locking window extending through a wall thereof for engaging a locking tab at the proximal end of at least one of the clip arms to lock the clip arms in the tissue clipping configuration.

15. A reloadable clipping device, comprising:
a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal end of each of the clip arms connected to one another via a yoke slidably received within a channel of a capsule to move the clip arms between a tissue receiving configuration, in which distal ends of the clip arms are separated from one another, and a tissue clipping configuration, in which distal ends of the clip arms are moved toward one another;
a cartridge including a groove therein, the groove sized and shaped for housing the clip assembly, the cartridge including a proximal opening open to an exterior of the cartridge in communication with the groove; and
an applicator having a distal portion insertable through the opening of the cartridge to be releasably coupled to the clip assembly, the applicator including a control member having an enlarged distal end sized and shaped to be releasably received within a socket of the yoke and a locking sleeve coupleable to a proximal end of the capsule via a deflectable tab defined along a length of the locking sleeve from a free distal end to a proximal end connected to a remaining portion of the locking sleeve so that the deflectable tab is deflectable radially outward away from a longitudinal axis of the locking sleeve, the deflectable tab including a distal bend extending into a channel of the locking sleeve to engage a window extending laterally through the proximal end of the capsule and a proximal bend proximal of the distal bend, the proximal bend extending into the channel of the locking sleeve so that when the proximal bend engages a portion of the control member, the deflectable tab is deflected radially outward away from the longitudinal axis of the locking sleeve to disengage the applicator from the clip assembly,
wherein, the capsule releases from the applicator when the control member is drawn proximally.

Assignees

• Boston Scient Ltd

Inventors

• Randhawa Nishant
• Singh Sukhvinder
• MOREY Subodh
• Rivera Federico

Classifications

• A61B2017/2946

  Locking means · CPC title

• A61B2017/2932

  Transmission of forces to jaw members · CPC title

• A61B2017/2926

  Details of heads or jaws · CPC title

• A61B17/29

  Forceps for use in minimally invasive surgery · CPC title

• A61B17/1285 Primary

  for minimally invasive surgery · CPC title