Surgical Clip Instrument With Multi-Row Sequential Dispensing

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Solution Overview

Problem

Conventional surgical instruments are limited by the number of clips they can discharge per instrument insertion, necessitating manual reloading, which disrupts workflow and prolongs surgical procedures.

Innovation Solution

A surgical instrument design featuring an end effector with movable jaws and an actuator that allows for the sequential application of multiple rows of clips, eliminating the need for manual cartridge reloading by enabling lateral translation of a pusher to engage and form clips in a single instrument insertion.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If conventional surgical instruments with single-row clip cartridges are used, then the instrument structure is simple, but the surgical procedure time increases due to manual reloading

Engineering Contradiction:
Improvesurgical procedure efficiencyVSAvoidinstrument structure complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The cartridge is divided into multiple independent row channels, each capable of holding and dispensing clips sequentially. The pusher is segmented to engage different rows independently, allowing the instrument to discharge multiple rows of clips without requiring instrument removal or manual reloading.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention transitions from a single-row linear arrangement to a multi-row three-dimensional cartridge structure. Clips are arranged in multiple rows within the same cartridge, and the pusher can translate laterally to engage different rows, effectively utilizing spatial dimensions to increase clip capacity without increasing instrument length.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Loss of time

If multiple rows of clips are loaded in a single cartridge, then the number of instrument insertions is reduced, but the cartridge and actuator mechanism become more complex

Engineering Contradiction:
Improvetime lost to manual reloadingVSAvoidcartridge and actuator mechanism complexity
Core Design Contradiction:
Loss of timeVSDevice complexity

Solution Approach 1:

Multiple rows of clips are nested within a single cartridge housing, with each row contained in its own channel. The pusher mechanism is nested within the cartridge and can translate to engage different rows, creating a compact multi-functional structure that eliminates the need for multiple separate cartridges.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

The actuator automatically translates the pusher laterally to engage the next row of clips after the current row is depleted. This self-service mechanism eliminates the need for manual intervention to reload or switch cartridges, allowing the instrument to continuously discharge clips from multiple rows autonomously.

Inventive Principle:
Principle #25Self-service

3Ease of operation

If a single instrument insertion is used to apply multiple rows of clips, then surgical workflow is improved, but the actuator mechanism complexity increases

Engineering Contradiction:
Improvesurgical workflow continuityVSAvoidactuator mechanism complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The pusher is designed with lateral translation capability that allows it to dynamically engage different rows of clips. The actuator mechanism can shift the pusher's position laterally to access subsequent rows, creating a dynamic multi-row dispensing system from a single instrument insertion, thereby improving surgical workflow continuity.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS20250325275A1Surgical instruments for applying multiple clips
Publication Date: 2025.10.23 INTUITIVE SURGICAL OPERATIONS INC
  • US20250325275A1 patent drawing
  • US20250325275A1 patent drawing
  • US20250325275A1 patent drawing

AI summary

A surgical instrument for applying surgical clips to tissue comprises an end effector having first and second jaws that are movable between open and closed positions and configured to receive first and second rows of clips in the open position. The instrument further includes an actuator coupled to the end effector and configured to move the jaws into the closed position and to discharge the first and second rows of clips. This allows an operator to apply multiple rows of clips to tissue with a single instrument insertion, which obviates the need to remove the surgical instrument from the cannula to manually reload a new cartridge, thereby reducing the overall time of the surgical procedure.