US-12616480-B2 - Clip applying mechanism and clip applying apparatus thereof

US12616480B2US 12616480 B2US12616480 B2US 12616480B2US-12616480-B2

Abstract

A clip applying mechanism and a clip applying apparatus thereof are provided. The clip applying mechanism includes a tube body, a main shaft, a clip-cartridge assembly and a clip-pushing assembly; and further includes: a main-shaft connecting member, sleeved on the main shaft and connected with the main shaft; the main-shaft connecting member being configured to move in a same direction as the main shaft in an axial direction of the tube body; a housing, configured to accommodate the main shaft and the main-shaft connecting member; and a locking mechanism, arranged between the main-shaft connecting member and the housing; in a case that the clip is conveyed into the end effector, the main-shaft connecting member and the housing are locked with each other through the locking mechanism.

Inventors

Daping Li

Assignees

INTOCARE MEDICAL TECHNOLOGY (SUZHOU) CO., LTD.

Dates

Publication Date: 20260505
Application Date: 20230512
Priority Date: 20221018

Claims (19)

1 . A clip applying mechanism of a clip applying apparatus, comprising: a tube body, comprising a head end and a tail end opposite to each other; a main shaft, the main shaft being arranged proximal to the tail end and at least portion of the main shaft being arranged in the tube body; clip-cartridge assembly, the clip-cartridge assembly being configured to penetrate through the tube body and comprising: a clip cartridge arranged in the tube body and an end effector being configured to penetrate out of the head end; the clip cartridge being configured to be filled with a clip; and a clip-pushing assembly, at least portion of the clip-pushing assembly being arranged in the tube body; and the clip-pushing assembly being configured to be pushed by the main shaft toward the head end to convey the clip in the clip cartridge into the end effector; wherein the clip applying mechanism further comprises: a main-shaft connecting member, the main-shaft connecting member being configured to be sleeved on the main shaft and connected with the main shaft; the main-shaft connecting member being configured to move in a same direction as the main shaft in an axial direction of the tube body; a housing, configured to accommodate the main shaft and the main-shaft connecting member; a locking mechanism, arranged between the main-shaft connecting member and the housing; the locking mechanism, the main-shaft connecting member and the housing are configured such that: in a case where the clip is conveyed into the end effector, the main-shaft connecting member and the housing are locked with each other through the locking mechanism, wherein: the locking mechanism comprises: a first locking member, arranged on the main-shaft connecting member; a second locking member, arranged on the housing; the clip applying mechanism has an initial state and a clip feeding completion state; in the initial state, neither the main shaft nor the main-shaft connecting member is applied with an external force; in the clip feeding completion state, the clip has been conveyed into the end effector; the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the initial state to the clip feeding completion state, the locking mechanism changes from an initial position to a lock position; in the initial position, the first locking member and the second locking member are separated from each other in the axial direction of the tube body, and the first locking member is farther away from the head end than the second locking member; in the lock position, the first locking member and the second locking member are locked with each other.
2 . The clip applying mechanism of the clip applying apparatus according to claim 1 , wherein the first locking member and the second locking member are configured such that: in a case that the main shaft and the main-shaft connecting member move in a direction facing toward the head end to push the clip-pushing assembly to convey the clip into the end effector, the first locking member and the second locking member are locked with each other.
3 . The clip applying mechanism of the clip applying apparatus according to claim 2 , wherein: the main shaft comprises a first end portion and a second end portion opposite to each other; in the axial direction of the tube body, the first end portion is proximal to the head end, and the second end portion is distal to the head end; the main-shaft connecting member is a tubular member; at least portion of the tubular member is sleeved on the second end portion of the main shaft; the tubular member comprises a tube wall, the tube wall comprises a first end face and a second end face opposite to each other in an extension direction of the tubular member; the first end face is proximal to the head end, and the second end face is distal to the head end; the first locking member comprises a protruding portion extending from the first end face of the tube wall to the head end.
4 . The clip applying mechanism of the clip applying apparatus according to claim 3 , wherein the tubular member further comprises: a through slot arranged in the tube wall, an extension direction of the through slot is parallel to an axial direction of the tubular member; the through slot comprises a notch provided on the first end face, and the notch is connected with the protruding portion.
5 . The clip applying mechanism of the clip applying apparatus according to claim 4 , wherein the tubular member comprises at least two through slots, and at least two notches of the at least two through slots are respectively arranged on two opposite sides of the protruding portion along a circumferential direction of the tubular member.
6 . The clip applying mechanism of the clip applying apparatus according to claim 3 , wherein: the first locking member further comprises a first hook arranged on the protruding portion; the housing comprises an inner wall facing toward the main-shaft connecting member, and the second locking member comprises a second hook arranged on the inner wall; the first hook and the second hook are configured to be engaged with each other.
7 . The clip applying mechanism of the clip applying apparatus according to claim 1 , wherein: the main-shaft connecting member is located between the main shaft and the housing in a radial direction of the main shaft; and the main shaft and the main-shaft connecting member are configured such that: in a case that the main-shaft connecting member and the housing are locked with each other through the locking mechanism, the main shaft and the main-shaft connecting member are incapable of moving in the axial direction of the tube body, but the main shaft and the main-shaft connecting member are capable of achieving relative movement in a circumferential direction of the main shaft.
8 . The clip applying mechanism of the clip applying apparatus according to claim 7 , wherein the clip applying mechanism further comprises: an axial engagement mechanism, arranged between the main shaft and the main-shaft connecting member; wherein the main shaft and the main-shaft connecting member are configured to be connected with each other in the axial direction of the main shaft through the axial engagement mechanism, but the main shaft and the main-shaft connecting member are capable of achieving relative movement in the circumferential direction of the main shaft.
9 . The clip applying mechanism of the clip applying apparatus according to claim 8 , wherein: the axial engagement mechanism comprises: a slot, arranged on the main shaft; and a pin, arranged on the main-shaft connecting member, the pin being configured to move in the slot along the circumferential direction of the main shaft.
10 . The clip applying mechanism of the clip applying apparatus according to claim 1 , further comprising: a firing assembly, at least portion of the firing assembly being located in the tube body, and the firing assembly being configured to be pushed by the main shaft toward the head end to close the end effector, so that the clip in the end effector is fired; wherein the clip applying mechanism further has a firing completion state, a retreat state and a gyration state: in the firing completion state, the clip within the end effector is fired; in the retreat state, the firing assembly moves facing away from the head end; in the gyration state, the firing assembly is reset; wherein the locking mechanism is configured such that: in a case that the clip applying mechanism is in the firing completion state, the retreat state or the gyration state, the locking mechanism is respectively in three different unlock positions, and the first locking member and the second locking member are unlocked from each other.
11 . The clip applying mechanism of the clip applying apparatus according to claim 10 , wherein: the clip applying mechanism further has an adjustment state, in the adjustment state, the clip has been conveyed to the end effector and an open-close angle of the end effector is capable of being adjusted; the locking mechanism is configured such that: in a case that the clip applying mechanism is in the adjustment state, the firing completion state, the retreat state and the gyration state, the locking mechanism is respectively in four different unlock positions, and the first locking member and the second locking member are unlocked from each other.
12 . The clip applying mechanism of the clip applying apparatus according to claim 11 , wherein: the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the clip feeding completion state to the adjustment state, the locking mechanism changes from the lock position to a first unlock position; in the first unlock position, the first locking member and the second locking member are separated from each other by a first distance in the axial direction of the tube body.
13 . The clip applying mechanism of the clip applying apparatus according to claim 12 , wherein: the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the adjustment state to the firing completion state, the locking mechanism changes from the first unlock position to a second unlock position; in the second unlock position, the first locking member and the second locking member are separated from each other by a second distance in the axial direction of the tube body and are separated from each other by a first circumferential distance in the circumferential direction of the tube body; the second distance is greater than the first distance and the first circumferential distance is greater than zero.
14 . The clip applying mechanism of the clip applying apparatus according to claim 13 , wherein: the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the firing completion state to the retreat state, the locking mechanism changes from the second unlock position to a third unlock position; in the third unlock position, the first locking member and the second locking member are separated from each other by a third distance in the axial direction of the tube body and keep separated from each other by the first circumferential distance in the circumferential direction of the tube body; the third distance is less than the second distance and greater than zero.
15 . The clip applying mechanism of the clip applying apparatus according to claim 14 , wherein: the clip applying mechanism further has a gyration state, and in the gyration state, the firing assembly is reset; the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the retreat state to the gyration state, the locking mechanism changes from the third unlock position to a fourth unlock position; in the fourth unlock position, the first locking member and the second locking member are separated from each other by a second circumferential distance in the circumferential direction of the tube body; the second circumferential distance is less than the first circumferential distance and greater than zero.
16 . The clip applying mechanism of the clip applying apparatus according to claim 1 , wherein: the main-shaft connecting member has an initial state and a clip feeding completion state; the main-shaft connecting member is configured such that: in a case that the main-shaft connecting member switches from the initial state to the clip feeding completion state, the main-shaft connecting member drives the first locking member to move in a direction facing toward the head end, so that the locking mechanism reaches the lock position.
17 . The clip applying mechanism of the clip applying apparatus according to claim 16 , wherein: the main-shaft connecting member further has a firing completion state, a retreat state and a gyration state; the main-shaft connecting member is configured such that: in a case that the main-shaft connecting member switches between the firing completion state, the retreat state and the gyration state, the main-shaft connecting member drives the first locking member to move so that the locking mechanism is respectively in three different unlock positions.
18 . The clip applying mechanism of the clip applying apparatus according to claim 17 , wherein: the main-shaft connecting member further has an adjustment state, the main-shaft connecting member is configured such that: in a case that the main-shaft connecting member switches between the adjustment state, the firing completion state, the retreat state and the gyration state, the main-shaft connecting member drives the first locking member to move so that the locking mechanism is respectively in four different unlock positions.
19 . A clip applying apparatus, comprising a clip applying mechanism, wherein the clip applying mechanism comprises: a tube body, comprising a head end and a tail end opposite to each other; a main shaft, the main shaft being arranged proximal to the tail end and at least portion of the main shaft being arranged in the tube body; a clip-cartridge assembly, the clip-cartridge assembly being configured to penetrate through the tube body and comprising: a clip cartridge arranged in the tube body and an end effector being configured to penetrate out of the head end; the clip cartridge being configured to be filled with a clip; and a clip-pushing assembly, at least portion of the clip-pushing assembly being arranged in the tube body; and the clip-pushing assembly being configured to be pushed by the main shaft toward the head end to convey the clip in the clip cartridge into the end effector; wherein the clip applying mechanism further comprises: a main-shaft connecting member, the main-shaft connecting member being configured to be sleeved on the main shaft and connected with the main shaft; the main-shaft connecting member being configured to move in a same direction as the main shaft in an axial direction of the tube body; a housing, configured to accommodate the main shaft and the main-shaft connecting member; a locking mechanism, arranged between the main-shaft connecting member and the housing; the locking mechanism, the main-shaft connecting member and the housing are configured such that: in a case where the clip is conveyed into the end effector, the main-shaft connecting member and the housing are locked with each other through the locking mechanism, wherein the locking mechanism comprises: a first locking member, arranged on the main-shaft connecting member; a second locking member, arranged on the housing; the clip applying mechanism has an initial state and a clip feeding completion state; in the initial state, neither the main shaft nor the main-shaft connecting member is applied with an external force; in the clip feeding completion state, the clip has been conveyed into the end effector; the locking mechanism is configured such that: in a case that the clip applying mechanism switches from the initial state to the clip feeding completion state, the locking mechanism changes from an initial position to a lock position; in the initial position, the first locking member and the second locking member are separated from each other in the axial direction of the tube body, and the first locking member is farther away from the head end than the second locking member; in the lock position, the first locking member and the second locking member are locked with each other.

Description

TECHNICAL FIELD The present disclosure relates to a field of medical devices, and more particularly, to a clip applying mechanism and a clip applying apparatus thereof. BACKGROUND In surgery, a surgical instrument is needed to close a blood vessel to avoid blood loss from incision at a surgical site. Usually, the clip applying apparatus includes a long rod-shaped clip applying mechanism and a handle assembly. The clip applying mechanism may penetrate into a human body via an auxiliary tool, for example, a puncture device. Through operating the handle assembly, the clip applying mechanism may be controlled to convey a ligating clip (briefly referred to as a clip) to an end effector located at the front end of the clip applying mechanism, and then close the end effector to allow the clip to clamp the blood vessel. SUMMARY Embodiments of the present disclosure provide a clip applying mechanism and a clip applying apparatus thereof. According to first aspect of the present disclosure, it is provided a clip applying mechanism of a clip applying apparatus, comprising: a tube body, comprising a head end and a tail end opposite to each other; a main shaft, the main shaft being arranged proximal to the tail end and at least portion of the main shaft being arranged in the tube body; a clip-cartridge assembly, the clip-cartridge assembly being configured to penetrate through the tube body and comprising: a clip cartridge arranged in the tube body and an end effector being configured to penetrate out of the head end; the clip cartridge being configured to be filled with a clip; and a clip-pushing assembly, at least portion of the clip-pushing assembly being arranged in the tube body; and the clip-pushing assembly being configured to be pushed by the main shaft toward the head end to convey the clip in the clip cartridge into the end effector; wherein the clip applying mechanism further comprises: a main-shaft connecting member, the main-shaft connecting member being configured to be sleeved on the main shaft and connected with the main shaft; the main-shaft connecting member being configured to move in a same direction as the main shaft in an axial direction of the tube body; a housing, configured to accommodate the main shaft and the main-shaft connecting member; a locking mechanism, arranged between the main-shaft connecting member and the housing; the locking mechanism, the main-shaft connecting member and the housing are configured such that: in a case where the clip is conveyed into the end effector, the main-shaft connecting member and the housing are locked with each other through the locking mechanism. In at least some embodiments, the locking mechanism comprises: a first locking member, arranged on the main-shaft connecting member; a second locking member, arranged on the housing; the first locking member and the second locking member are configured such that: in a case that the main shaft and the main-shaft connecting member move in a direction facing toward the head end to push the clip-pushing assembly to convey the clip into the end effector, the first locking member and the second locking member are locked with each other. In at least some embodiments, the main shaft comprises a first end portion and a second end portion opposite to each other; in the axial direction of the tube body, the first end portion is proximal to the head end, and the second end portion is distal to the head end; the main-shaft connecting member is a tubular member; at least portion of the tubular member is sleeved on the second end portion of the main shaft; the tubular member comprises a tube wall, the tube wall comprises a first end face and a second end face opposite to each other in an extension direction of the tubular member; the first end face is proximal to the head end, and the second end face is distal to the head end; the first locking member comprises a protruding portion extending from the first end face of the tube wall to the head end. In at least some embodiments, the tubular member further comprises: a through slot arranged in the tube wall, an extension direction of the through slot is parallel to an axial direction of the tubular member; the through slot comprises a notch provided on the first end face, and the notch is connected with the protruding portion. In at least some embodiments, the tubular member comprises at least two through slots, and at least two notches of the at least two through slots are respectively arranged on two opposite sides of the protruding portion along a circumferential direction of the tubular member. In at least some embodiments, a total length of the tubular member in an extension direction of the tubular member is 4 to 12 times a distance between a terminal end of the protruding portion and the first end face in the axial direction of the tubular member. In at least some embodiments, the first locking member further comprises a first hook arranged on the protruding portion; the h