Hemostasis clip two stage deployment mechanism to eliminate shed parts

Patent metadata

Field	Value
Publication number	US-12023040-B2
Application number	US-202318150602-A
Country	US
Kind code	B2
Filing date	Jan 5, 2023
Priority date	Jul 24, 2019
Publication date	Jul 2, 2024
Grant date	Jul 2, 2024

Abstract

A clipping device includes a clip including a capsule and a pair of clip arms, proximal ends of which are slidably received within the channel to move the clip arms between an open configuration and a closed configuration. Each of the pair of clip arms includes an elongated opening extending through the proximal ends thereof. A connector includes a central portion received between the proximal ends of the clip arms and a pin extending from the central portion receivable within the opening of each of the clip arms, the connector movable from an unlocked configuration, in which the pin is received within a distal portion of the elongated opening, to a locked configuration, in which the pin is received within a proximal portion of the elongated opening, when a predetermined force is applied thereto.

First claim

What is claimed is:

1. A clipping device, comprising:
a clip including a capsule and a pair of clip arms, proximal ends of which are slidably received therein so that the clip arms are movable between an open configuration and a closed configuration as the clip arms are moved proximally into and distally extended from a distal opening of the capsule, each of the clip aims including an opening extending through the proximal ends thereof;
a control member extending through a proximal portion of the clipping device from a proximal end to a distal end; and
a connector including a pin extending through the opening of each of the clip arms, the connector being releasably coupled to the distal end of the control member so that, when the connector is in an unlocked configuration, longitudinal movement of the control member relative to the capsule moves the clip between the open and the closed configurations, the pin being configured so that, upon application of a first predetermined force to the connector via the control member, the pin is moved from the unlocked configuration in which the pin is received within a first portion of the opening to a locked configuration in which the pin is received within a second portion of the opening.

2. The clipping device of claim 1 , wherein the capsule includes a locking tab biased to extend radially into a channel of the capsule so that, when the pin is moved from the first portion of the opening to the second portion of the opening, the pin is moved past the locking tab engaging the locking tab to lock the clip in the closed configuration.

3. The clipping device of claim 1 , wherein the first and second portions of the opening are connected to one another via a middle portion having a width smaller than a width of the first portion and the second portion so that one of the pin and a portion of the clip arms surrounding the middle portion deform upon application of the first predetermined force to permit movement of the pin from the first portion to the second portion.

4. The clipping device of claim 3 , wherein each of the clip arms includes a slit extending from a proximal-most end of the clip arm to the opening to define a pair of fingers that, upon application of the first predetermined force, deform by spreading relative to one another to permit movement of the pin past the middle portion.

5. The clipping device of claim 1 , wherein the pin includes an overhang extending laterally outward from the pin to overlay an exterior surface of a first one of the clip arms.

6. The clipping device of claim 1 , wherein the connector is sized and shaped so that, when the connector is moved from the unlocked configuration to the locked configuration, the connector moves inwardly crimped tabs at a proximal end of the capsule radially outward, releasing the clip from the proximal portion of the clipping device.

7. The clipping device of claim 1 , wherein the connector is connected to the control member via one of a weld, crimped portion and ball tip of the control member that is configured to separate from a proximal portion of the control member when a second predetermined force greater than the first predetermine force is applied thereto.

8. The clipping device of claim 1 , wherein the connector includes a central portion receivable between the proximal ends of the clip arms.

9. A clipping device, comprising:
a clip including a capsule including a pair of clip arms, proximal ends of which are slidably received within the capsule to move the clip arms between an open configuration and a closed configuration, each of the clip arms including an opening extending through the proximal ends thereof;
a control member extending through a proximal portion of the clipping device from a proximal end to a distal end; and
a connector including a pin extending through the opening of each of the clip arms, the connector being releasably coupled to the distal end of the control member so that, when the connector is in an unlocked configuration, longitudinal movement of the control member relative to the capsule moves the clip between the open and the closed configurations, at least a portion of the connector being movable relative to the pin and the clip arms, when a first predetermined force is applied to the connector via the control member, from the unlocked configuration in which the pin is received within a first portion of the opening to a locked configuration in which the pin is received within a second portion of the opening.

10. The clipping device of claim 9 , wherein the capsule includes a locking tab biased to extend radially into the capsule so that, when the connector is moved from the unlocked configuration to the locked configuration, a portion of the connector engages the locking tab to lock the clip in the closed configuration.

11. The clipping device of claim 9 , wherein the connector includes an elongated opening extending therethrough, the pin received within the elongated opening and movable relative thereto from a proximal portion of the elongated opening in the unlocked configuration to a distal portion of the elongated opening in the locked configuration.

12. The clipping device of claim 11 , wherein the proximal and distal portions of the elongated opening are connected to one another via a middle portion having a width smaller than a width of the proximal and distal portions of the elongated opening, so that, upon application of the first predetermined force, the pin is deformed to permit movement from the proximal portion to the distal portion of the elongated opening.

13. The clipping device of claim 9 , wherein the connector includes an interior member from which the pin extends and a sliding member connected to the interior member via shear tabs configured to be sheared off when subject to the first predetermined force permitting movement of the sliding member from the unlocked configuration to the locked configuration.

14. The clipping device of claim 13 , wherein the sliding member includes a pair of sliding arms extending along opposing sides of the interior member, inwardly extending fingers at distal ends of the sliding arms engaging the shear tabs, wherein the shear tabs are located at a distal end of the interior member.

15. The clipping device of claim 9 , wherein the pin engages the opening of each of the clip arms via one of a friction fit, a weld, an adhesive, and an overhang extending from the pin.

16. The clipping device of claim 9 , wherein the connector is sized and shaped so that, when the connector is moved from the unlocked configuration to the locked configuration, the connector engages inwardly crimped tabs at a proximal end of the capsule moving the crimped tabs radially outward, releasing the clip from the proximal portion of the clipping device.

17. A method for clipping tissue, comprising:
inserting a clip device through a working channel of an endoscope to a target site within a body until a clip of the clip device extends distally past a distal end of the working channel, the clip device including a capsule and a pair of clip arms slidably received therein;
moving the clip device between an open configuration, in which distal ends of the clip arms are separated from one another, and a closed configuration, in which the distal ends of the clip arms are drawn toward one another, using a control wire coupled to the clip anus until target tissue is received between the distal ends as desired, a distal end of the control wire being coupled to proximal ends of the clip arms via a connector including a pin extending through an opening

Assignees

• Boston Scient Scimed Inc

Inventors

• Lehtinen Laurie A
• King Joseph W
• Congdon Daniel

Classifications

• A61B17/1285 Primary

  for minimally invasive surgery · CPC title

• A61B2017/00818

  Treatment of the gastro-intestinal system · CPC title

• A61B2017/00296

  mounted on an endoscope · CPC title

• A61B17/10

  for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title