|Publication number||US3363628 A|
|Publication date||Jan 16, 1968|
|Filing date||Sep 28, 1964|
|Priority date||Sep 28, 1964|
|Also published as||DE1466942A1|
|Publication number||US 3363628 A, US 3363628A, US-A-3363628, US3363628 A, US3363628A|
|Inventors||Wood Ernest C|
|Original Assignee||Peter B Samuels, Rene G Le Vaux|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (7), Referenced by (152), Classifications (13)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Jan. 16,1968 E. c. WOOD 3,363,628
HEMOSTA'IIIC CLIP Filed Sept. 28, 1964 I NVENTOR 'rrzesl 0. 200a United States Patent 3,363,628 HEMOSTATIC CLIP Ernest C. Wood, Los Angeles, Calif., assignor of onethird each to Peter B. Samuels, and Rene G. Le Vaux Filed Sept. 28, 1964, Ser. No. 399,753 7 Claims. (Cl. 128-325) This invention relates to mechanisms useful in the strangulation of tubular members. Specifically, it is directed toward devices including hemostatic clips and applicator structures useful in the strangulation of blood vessels and other fluids ducts in the human body.
The particular application of this invention to the strangulation of blood vessels will serve as an illustration of the inventive concepts enclosed herein. It will be appreciated, however, that the mechanisms embodying the concepts of this invention can be adapted for the closing of other tubular structures at intermediate points as well as near their open ends.
In the course of a surgical operation, a surgeon must often sever one or more blood vessels. It is desirable to provide means for closing the ends of the severed vessels, at least until the end of the operation, to stop bleeding that could interfere with the performance of the operation as well as present unnecessary risks to the patient.
Conventional means for closure consist of ligatures or the like tied about the individual vessels at the desired point of strangulation. The customary technique provides for the separate clamping of each vessel after the incision has been made. After clamping the vessels, a ligature is secured about each vessel providing closure and permitting the removal of the clamps. In some instances a great number of vessels must be severed after requiring one or more hours for proper closure at which point the operation may proceed. Also, the accurate placement of conventional hemostats and ligatures, particularly in confined areas or in close proximity to other hemostats and the like, often takes the ability of even the most skilled surgeon. It will be apparent that an improved technique for closure will not only obviate the excessive expenditures of time by the surgeon and his assistants under conventional practice but also the dangers to the patient inherent in any delay.
It is an object of this invention to provide mechanisms for use in the strangulation of blood vessels whereby the time required for closure is materially reduced and whereby bleeding can be terminated without the use of the excessive combination of clamping and tying operations.
It is a more particular object of this invention to provide improved mechanisms for the strangulation of blood vessels and the like whereby the blood vessels may be sealed off in a highly eflicient manner to prevent bleeding during an operation and whereby the operation can proceed with a minimum loss of time as well as blood thereby to maintain conditions most favorable to the patient.
It is a specific object of this invention to provide an improved design for a hemostatic clip, which is adapted to meet the foregoing objects and an applicator structure for the insertion with a high degree of accuracy of placement of the aforementioned clip both to be used in conjunction with a holding means that will facilitate their rapid use to accomplish the aforementioned objects.
These and other objects of this invention will hereinafter appear and for purposes of illustration, but not of limitation, specific embodiments of the invention are shown in the accompanying drawings, in which:
FIG. 1 is a sectional elevational view showing the spatial relation of the clip and magazine;
FIG. 2 comprises an enlarged cross-sectional view illustrating the relative positions of clip, applicator and magazine during loading of the applicator with a clip from the magazine;
FIG. 3 is an enlarged sectional view illustrating the manner in which the jaw portions of the applicator provide for closing the clip;
FIG. 4 is a perspective view of a hemostatic clip construction designed in accordance with the concepts of this invention.
FIG. 5 is an elevational view of the clip shown in FIG. 4;
FIG. 6 is a view of the clip taken about line 6-6 of FIG. 5.
FIG. 7 is a crosssectional view of the clip taken about line 7-7 of FIG. 5.
FIG. 8 is a perspective view of a blood vessel with a clip clamped thereon; and
FIG. 9 illustrates the strangulation of a blood vessel effected by having a clip clamped thereon.
The hemostatic clip of this invention is adapted to be formed from a triangular strip of deformable nontoxic material whereby it can be safely used in an operation. The clip to be fully described hereinafter defines a pair of arm portions with interfaces in opposed relationship. These interfaces, when clamped by means to be described, engage the outer surface of a blood vessel to effect the strangulation desired.
The applicator of this invention includes jaw portions with defining means for receiving the outer faces of the arm portion the clip. When so received the clip will be firmly held and there will be little tendency for the clip to be dislodged therefrom before being clamped to a blood vessel.
In order to further increase the efficiency of this invention, a suitable magazine or holding means is provided for mounting a plurality of clips in position to be loaded between the jaws of the applicator for use. The holding means and associated clips can be sterilized and packaged whereby they can be stored indefinitely and will be ready for use at any time. The slots defined in the holding means are dimensioned to receive therein the end portion of the jaws of the applicator means, to permit the jaws to grasp the clip contained therein and extract it from the holding means thereby eliminating the necessity of handling the clip at any time between sterilization and use in the strangulation of a blood vessel.
The accompanying drawings illustrate the structures that embody the concepts of this invention. As illustrated in FIGS. 4 through 7, the hemcstatic clip of this invention comprises a triangular elongate strip 25 of deformable material having its end portions arranged in arms 28 in spaced apart parallel relation with the facing inner surfaces of the arms, corresponding to the base of the triangular crosssection, being formed intermediate their lateral edges with a valley or recessed portion 26 extending lengthwise through at least the end portion of the arms and preferably through the entire length thereof.
In the preferred practice, as illustrated, the clip is formed with but a single recessed portion which extends continuously through the central portion. of the strip but it will be understood that the inner face of the strip may be formed with more than one such recessed portion in side by side parallel relation. The ridges 24 formed alongside the recessed portion are preferably formed to curvilinear shape and the inner surfaces are preferably, but not necessarily, formed with longitudinally spaced part, crosswise extending serrations 2? which extend continuously crosswise of the strip from edge to edge.
The strip is formed of non-toxic material, such as stainless steel, plastics and like materials, which are capable of being deformed and which retain the amount of deformation for fixedly clamping blood vessels therebetween.
In the illustrated modification, the bail portion 30 of the strip intermediate the spaced arms 28 is bent to substantially V-shape but it will be apparent that the portion intermediate the arms may be formed to other contours, such U-shape, rounded shape, or other polygonal shape.
The depth and width of the recess 26 is not sufiicient to noticeably weaken the clip, yet adeqaute to leave ridges 24 that will impress a circumferential band of compression about the blood vessel whereon the clip is attached.
The crosswise extending serrations are dimensioned to have a depth and width substantially equal to the depth and width of the recess 26, and spaced to permit at least one and preferably more than one such serration to be in contact with the surface of the blood vessel upon which the clip is attached, yet not so close as to permit the distance between the center lines of the serrations to be less than twice the width of recess 26.
As illustrated in the drawings, the clip holder 31 comprises a rigid body in the form of a substantially rectangular block 40 having a recessed portion across the top and down the sides with the recessed portion 32 across the top being formed of V-shape or other shape corresponding to the hail of the clip and dimensioned to have a length corresponding to the length of the clip and a width slightly greater than the width of the clip. The recessed portion 34, which extends downwardly along the sides of the body from the opposite end of the top recess, is dimensioned to have a width slightly greater than the width of the jaw portions of the applicator or the clip, whichever is greater. With the bail of the clip seated firmly on the saddle portion 32 of the recess and with the arms extending downwardly in the recessed portion 34, the depth of the recess 34 is dimensioned to permit the ends of the clip to terminate short of the ends of the recessed portions by an amount which corresponds to the spaced relation between the end of the V-groove 20 and the end of the jaw portion, or slightly greater.
The open ends of a clip can be placed on opposite sides of the severed end of a blood vessel and, when pressure is applied to urge the jaw members 1 and 20 of the application in the direction towards each other, the clip held by the jaws will be clamped as shown in FIG. 3. The interfaces on the ends of the clip arms being the first portions to come in contact, the remainder of the interfaces encircling the blood vessel and pressing together, strangulating the vessel as shown in FIG. 8.
The clips are designed to tightly seal the blood vessel when clamped thereon and, therefore, the use of ligatures in an operation can be greatly diminished. As illustrated in FIG. 9, the ridges of the opposed interfaces of the clip engage the surface of the blood vessel at multiple locations 24 whereby more than one tight seal is formed. The advantage of several separate sealing rings in a given length of blood vessel over one single seal is that the clamping force exerted by the clip is concentrated in the circumferential compression band impressed by the ridges on the clips interfaces rather than distributed over the enclosed length of the vessel clamped. To adequately seal the vessel less clamping pressure need be applied than is necessary with the clip with small interfaces. Such reduces the danger of crushing the vessel walls. The multiple crosswise serrations on the clip interfaces insure a firm hold on the blood vessel even with the light clamping pressure necessary to effect strangulation thereby preventing bleeding and providing an additional safety feature insuring that if the clamping pressure used to close the clip is excessive, part of the vessel upon which the clamp is fixed will remain uncrushed.
The design of the clip construction 25, which represents the preferred design, is particularly important. The provisions of the parallel portions 28 and the angled ridges 37 serve to insure a firm gripping action by the applicator. These straight sections of the clip are readily seated in the grooves 20 in the lips 19, the ridges 21 preventing the clip from sliding from the groove. The minimum thickness of the applicator is not dictated by the thickness of the clip. Rather, the applicator need only be thick enough to firmly hold the clip which, it will be appreciated, may be of a dimension greater than the lip of the applicator. Therefore, the limits on the application of the hemostatic clips of this invention in confined areas will be set by the size of the clip itself as well as the dimensions of the applicator. Also, a single applicator may be used in the application of clips of various sizes.
When it is desired to place two or more clips on one vessel, side by side, this may be readily accomplished by clamping the clips one at a time or all at once through the use of an applicator on each lip of which are defined parallel V-grooves dimensioned to securely hold more than one clip in side by side relation. Closing the jaws of the applicator will simultaneously clamp the clips held therein.
The clip of this invention is preferably formed of surgical metals which are non-toxic and which therefore can be tolerated within the body for indefinite periods of time. Representative of such metals are stainless steel, platinum and tantalum. It is also contemplated that the clips be formed of less expensive non-toxic, non-metallic materials such as plastic, or materials which are slowly absorbable in body fluids, such as collagen, gelatin, albumin, dried blood, synthetic materials, and the like.
It will be understood that various other changes can be made in the above described hemostatic clip and applicator constructions which provide the characteristics of this invention without departing from the spirit thereof, particularly as defined in the following claims.
1. A hemostatic clip formed of an elongate deformable strip of non-toxic material comprising a pair of arms interconnected at one end and open at the other with the arms arranged in laterally spaced apart substantilly parallel relation, each of said arm portions being triangular in cross-section with a fiat side facing inwardly and with the apex facing outwardly, at least one longitudinal valley and at least one crosswise serration in the flat interior surfaces of the arms facing one another.
2. A clip construction in accordance with claim 1 wherein said strip defines a V-shaped configuration and comprises an equilaterally triangular cross-section, one side of the triangle indented to conform to the longitudinal valley on the clips interface, the depth and width of the valley sufficient to allow the ridges alongside to define multiple circumferential lines of contact upon the tubular member to which it is to be clamped without materially weakening the clip.
3. A clip construction in accordance with claim 1 wherein said strip defines a V-shaped configuration and comprises a triangular cross-section that is essentially isosceles, the base of said triangle indented to conform to the longitudinal valley on the clips interface, the depth and width of the valley sufficient to allow the ridges alongside to define multiple circumferential lines of contact upon the tubular member to which it is to be clamped without materially weakening the clip.
4. A hemostatic clip as described in claim 1 having multiple longitudinal valleys.
5. A clip construction in accordance with claim 1 5 in which said strip is formed of a deformable surgical metal.
6. A clip construction in accordance with claim 1 in which said strip is formed of a material slowly absorbable in body fluids.
7. A clip construction in accordance with claim 1 in which said strip is formed from a non-metallic, deformable, sterile material.
References Cited UNITED STATES PATENTS 2,123,890 7/1938 Gossrau 128325 Garland 128346 Garland 128-446 X Lowrie 128-337 Skold 128-325 Schneider 128-346 FOREIGN PATENTS France.
10 DALTON L. TRULUCK, Primary Examiner.
RICHARD A. GAUDET, Examiner.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2123890 *||Nov 28, 1936||Jul 19, 1938||Magnesium Dev Corp||Surgical clasp|
|US2598901 *||Mar 10, 1950||Jun 3, 1952||Mather Garland||Clamp for constricting flexible tubular elements and the like|
|US2635238 *||Jul 11, 1949||Apr 21, 1953||Mather Garland||Apparatus for clamping umbilical cords and the like|
|US2881762 *||Feb 9, 1955||Apr 14, 1959||Lowrie Robert J||Surgical staple and stapler|
|US3120230 *||Oct 24, 1960||Feb 4, 1964||Jack H Sanders||Surgical clamp|
|US3247852 *||Oct 10, 1963||Apr 26, 1966||Hollister Inc||Umbilical cord clamp|
|FR1319275A *||Title not available|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3631707 *||Jun 13, 1969||Jan 4, 1972||Weck & Co Inc Edward||Hemostatic clip applicator|
|US3802437 *||Aug 2, 1971||Apr 9, 1974||Kees G||Clip for blood vessel|
|US3867944 *||Oct 27, 1972||Feb 25, 1975||Wood Ernest C||Hemostatic clip and applicator therefor|
|US4076120 *||Dec 10, 1976||Feb 28, 1978||American Hospital Supply Corporation||Cartridge for holding hemostatic clips|
|US4166466 *||Oct 8, 1976||Sep 4, 1979||Jarvik Robert K||Repeating hemostatic clip applying instruments and multi-clip cartridges therefor|
|US4166571 *||Feb 7, 1977||Sep 4, 1979||Herbert Niedecker||U-shaped shut-off clips|
|US4188953 *||Aug 5, 1977||Feb 19, 1980||Charles H. Klieman, M.D.||Hemostatic clip|
|US4200962 *||Aug 7, 1978||May 6, 1980||Herbert Niedecker||U-shaped clip made from strip material|
|US4212390 *||Oct 20, 1977||Jul 15, 1980||Propper Manufacturing Co., Inc.||Wound clip rack|
|US4226242 *||Sep 13, 1977||Oct 7, 1980||United States Surgical Corporation||Repeating hemostatic clip applying instruments and multi-clip cartridges therefor|
|US4228895 *||Apr 2, 1979||Oct 21, 1980||American Cyanamid Company||Magazine tape containing a plurality of hemostatic clips|
|US4261244 *||May 14, 1979||Apr 14, 1981||Senco Products, Inc.||Surgical staple|
|US4308641 *||Sep 13, 1979||Jan 5, 1982||Herbert Niedecker||U-Shaped clip made from strip material|
|US4316468 *||Aug 29, 1980||Feb 23, 1982||Charles H. Klieman||Surgical stapler|
|US4325376 *||Sep 2, 1980||Apr 20, 1982||Charles H. Klieman||Hemostatic clip applicator|
|US4412539 *||May 11, 1981||Nov 1, 1983||United States Surgical Corporation||Repeating hemostatic clip applying instruments and multi-clip cartridges therefor|
|US4414721 *||Nov 7, 1980||Nov 15, 1983||Hufnagel Charles A||Occlusive clip and applicator for constricting flexible tubular members|
|US4449530 *||Jul 15, 1981||May 22, 1984||Ethicon, Inc.||Hemostatic clips and method of manufacture|
|US4489875 *||May 25, 1982||Dec 25, 1984||United States Surgical Corporation||Self-centering surgical staple and stapler for applying the same|
|US4519392 *||Oct 12, 1982||May 28, 1985||Lingua Robert W||Hemostasing muscle clips for needleless surgery|
|US4556058 *||Jan 12, 1984||Dec 3, 1985||United States Surgical Corporation||Apparatus for ligation and division with fixed jaws|
|US4590937 *||Jan 7, 1985||May 27, 1986||American Cyanamid Company||Nonmetallic surgical clip|
|US4602632 *||Dec 14, 1983||Jul 29, 1986||Richard Jorgensen||Bio absorbable metal hemostatic clip|
|US4682598 *||Aug 23, 1984||Jul 28, 1987||Dan Beraha||Vasectomy instrument|
|US4696396 *||Mar 9, 1987||Sep 29, 1987||Samuels Peter B||Hemostatic clip cartridge|
|US4702247 *||Aug 20, 1985||Oct 27, 1987||American Hospital Supply Corporation||Ligating clip|
|US4799481 *||Apr 8, 1987||Jan 24, 1989||Ethicon, Inc.||Surgical hemostatic clips|
|US4817602 *||Jan 27, 1986||Apr 4, 1989||Dan Beraha||Vasectomy instrument|
|US4936447 *||Sep 26, 1989||Jun 26, 1990||Horizon Surgical Inc.||Hemostatic clip holder|
|US4961499 *||Jan 4, 1990||Oct 9, 1990||Pilling Co.||Hemostatic clip cartridge|
|US4971198 *||Jan 29, 1990||Nov 20, 1990||Edward Weck Incorporated||Hemostatic clip and cartridge assembly|
|US4972949 *||Jun 4, 1990||Nov 27, 1990||Horizon Surgical, Inc.||Hemostatic clip holder for small clips|
|US4976722 *||May 22, 1989||Dec 11, 1990||Ethicon, Inc.||Surgical hemostatic clips|
|US4979950 *||Jan 23, 1989||Dec 25, 1990||Ethicon, Inc.||Surgical hemostatic clips|
|US5026382 *||Aug 27, 1990||Jun 25, 1991||Horizon Surgical, Inc.||Hemostatic clip|
|US5171252 *||Feb 5, 1991||Dec 15, 1992||Friedland Thomas W||Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip|
|US5201746 *||Oct 16, 1991||Apr 13, 1993||United States Surgical Corporation||Surgical hemostatic clip|
|US5269792 *||Oct 7, 1992||Dec 14, 1993||Origin Medsystems, Inc.||Surgical clip|
|US5279416 *||Jun 5, 1992||Jan 18, 1994||Edward Weck Incorporated||Ligating device cartridge with separable retainer|
|US5282829 *||Aug 15, 1991||Feb 1, 1994||United States Surgical Corporation||Hollow body implants|
|US5342373 *||Sep 14, 1992||Aug 30, 1994||Ethicon, Inc.||Sterile clips and instrument for their placement|
|US5474567 *||Oct 28, 1993||Dec 12, 1995||Ethicon, Inc.||Sterile clips and instrument for their placement|
|US5487746 *||Nov 23, 1994||Jan 30, 1996||Yu; George W.||Surgical clip having a longitudinal opening through which clamped tissue protrudes|
|US5501693 *||Jul 6, 1994||Mar 26, 1996||United States Surgical Corporation||Surgical hemostatic clip|
|US5509920 *||Aug 1, 1994||Apr 23, 1996||United States Surgical Corporation||Surgical hemostatic clip|
|US5601574 *||Apr 20, 1995||Feb 11, 1997||Ethicon, Inc.||Sterile clips and instrument for their placement|
|US5620452 *||Dec 22, 1994||Apr 15, 1997||Yoon; Inbae||Surgical clip with ductile tissue penetrating members|
|US5626592 *||Nov 20, 1995||May 6, 1997||United States Surgical Corporation||Surgical hemostatic clip|
|US5713911 *||Oct 3, 1996||Feb 3, 1998||United States Surgical Corporation||Surgical clip|
|US5833700 *||Oct 31, 1996||Nov 10, 1998||Ethicon Endo-Surgery, Inc.||Sterile occlusion fasteners and instrument and method for their placement|
|US5921997 *||Sep 19, 1997||Jul 13, 1999||Ethicon Endo-Surgery, Inc.||Sterile occlusion fasteners and instrument and method for their placement|
|US6044971 *||Jan 27, 1998||Apr 4, 2000||United States Surgical Corporation||Clip cartridge|
|US6306150 *||Oct 2, 2000||Oct 23, 2001||Scion International, Inc.||Surgical clips for surgical instrument for stapling and cutting blood vessels and organic structures|
|US6350269||Mar 1, 1999||Feb 26, 2002||Apollo Camera, L.L.C.||Ligation clip and clip applier|
|US6537289 *||Oct 11, 2000||Mar 25, 2003||General Surgical Innovations, Inc.||Blood vessel clip applicator|
|US6652539||Feb 25, 2002||Nov 25, 2003||Surgicon, Inc.||Method for applying a ligation clip|
|US6652545||Feb 25, 2002||Nov 25, 2003||Surgicon, Inc.||Ligation clip and clip applier|
|US6673083||Oct 11, 2000||Jan 6, 2004||General Surgical Innovations, Inc.||Method for blood vessel clip application|
|US6695854 *||Nov 29, 1999||Feb 24, 2004||General Surgical Innovations, Inc.||Blood vessel clip and applicator|
|US6863675||Sep 20, 2002||Mar 8, 2005||Pilling Weck Incorporated||Ligating clip with integral penetrating hook|
|US6880699||Aug 27, 2002||Apr 19, 2005||Pilling Weck Incorporated||Cartridge for holding asymmetric surgical clips|
|US7052504||Nov 19, 2002||May 30, 2006||Teleflex Incorporated||Automated-feed surgical clip applier and related methods|
|US7207997||Nov 25, 2003||Apr 24, 2007||Shipp John I||Ligation clip and clip applier|
|US7211092||Nov 19, 2002||May 1, 2007||Pilling Weck Incorporated||Automated-feed surgical clip applier and related methods|
|US7322995 *||Sep 15, 2003||Jan 29, 2008||Damage Control Surgical Technologies, Inc.||Method and apparatus for vascular and visceral clipping|
|US7565780 *||Apr 12, 2007||Jul 28, 2009||Poly-Clip System Corp.||Clip and clipper|
|US7572266||Oct 20, 2004||Aug 11, 2009||Young Wayne P||Clip applier tool having a discharge configuration|
|US7582095||Jun 12, 2003||Sep 1, 2009||Apollo Camera, L.L.C.||Surgical ligation clip and method for use thereof|
|US7594920||Jan 5, 2004||Sep 29, 2009||General Surgical Innovations, Inc.||Blood vessel clip and applicator|
|US7628272||Jun 20, 2006||Dec 8, 2009||Cardiomedical Gmbh||Container for Holding Clamps|
|US7678125||Nov 12, 2003||Mar 16, 2010||Apollo Camera, L.L.C.||Surgical ligation clip|
|US7887553||Jul 8, 2002||Feb 15, 2011||Tyco Healthcare Group Lp||Right angle clip applier apparatus and method|
|US7896896||Apr 22, 2003||Mar 1, 2011||Tyco Healthcare Group Lp||Endoscopic surgical clip|
|US8042687||Jun 10, 2008||Oct 25, 2011||Vesocclude Medical Llc||Hemostatic clip cartridge|
|US8137368||Nov 14, 2008||Mar 20, 2012||Tyco Healthcare Group Lp||Method for blood vessel clip application|
|US8172870||Jun 9, 2004||May 8, 2012||Microline Surgical, Inc.||Ligation clip applier|
|US8312992 *||Jan 13, 2012||Nov 20, 2012||Aesculap Ag||Clip holder|
|US8372095||Feb 3, 2011||Feb 12, 2013||Covidien Lp||Endoscopic surgical clip|
|US8403138||Sep 23, 2010||Mar 26, 2013||Aesculap Ag||Surgical clip cartridge and housing member for use therein|
|US8512357 *||Apr 3, 2003||Aug 20, 2013||Covidien Lp||Surgical clip applier with high torque jaws|
|US8568430||Mar 16, 2010||Oct 29, 2013||Microline Surgical, Inc.||Surgical ligation clip|
|US8627955||Feb 4, 2013||Jan 14, 2014||Aesculap Ag||Surgical clip cartridge and housing member for use therein|
|US8652151||Jan 13, 2011||Feb 18, 2014||Covidien Lp||Right angle clip applier apparatus and method|
|US8839954||Dec 21, 2012||Sep 23, 2014||Aesculap Ag||Medical clip carrier device|
|US8845659||Feb 21, 2013||Sep 30, 2014||Covidien Lp||Articulating endoscopic surgical clip applier|
|US8961542||Feb 20, 2013||Feb 24, 2015||Covidien Lp||Articulating clip applier cartridge|
|US9011464||Aug 2, 2011||Apr 21, 2015||Covidien Lp||Self-centering clip and jaw|
|US9113892||Jan 8, 2013||Aug 25, 2015||Covidien Lp||Surgical clip applier|
|US9113893||Jul 9, 2013||Aug 25, 2015||Covidien Lp||Endoscopic surgical clip applier with clip retention|
|US9265500||Jun 17, 2010||Feb 23, 2016||Covidien Lp||Surgical staple|
|US9326776||Sep 28, 2006||May 3, 2016||Applied Medical Resources Corporation||Manually actuated surgical clip applier|
|US9358011||Jun 19, 2015||Jun 7, 2016||Covidien Lp||Endoscopic surgical clip applier with connector plate|
|US9364216||Nov 12, 2012||Jun 14, 2016||Covidien Lp||Surgical clip applier with integrated clip counter|
|US9364239||Nov 12, 2012||Jun 14, 2016||Covidien Lp||Jaw closure mechanism for a surgical clip applier|
|US9364240||Oct 24, 2013||Jun 14, 2016||Covidien Lp||Endoscopic surgical clip applier|
|US9375219||May 22, 2014||Jun 28, 2016||Cook Medical Technologies Llc||Medical devices with detachable pivotable jaws|
|US9393024||Sep 15, 2014||Jul 19, 2016||Covidien Lp||Articulating endoscopic surgical clip applier|
|US9398917||Jul 16, 2014||Jul 26, 2016||Covidien Lp||Endoscopic surgical clip applier|
|US9408610||Apr 12, 2013||Aug 9, 2016||Covidien Lp||Surgical clip applier with dissector|
|US9414844||Jul 2, 2014||Aug 16, 2016||Covidien Lp||Surgical clip appliers|
|US9439654||Jun 13, 2013||Sep 13, 2016||Covidien Lp||Endoscopic surgical clip applier|
|US9480477||Nov 5, 2013||Nov 1, 2016||Covidien Lp||Apparatus for applying surgical clips|
|US9498227||Jun 28, 2013||Nov 22, 2016||Covidien Lp||Surgical clip applier|
|US20030229368 *||Apr 22, 2003||Dec 11, 2003||Viola Frank J.||Endoscopic surgical clip|
|US20040040875 *||Aug 27, 2002||Mar 4, 2004||Gallagher Richard J.||Cartridge for holding asymmetric surgical clips and method for loading surgical clips into a clip applier|
|US20040059359 *||Sep 20, 2002||Mar 25, 2004||Wilson Donald F.||Ligating clip with integral penetrating hook|
|US20040097970 *||Nov 19, 2002||May 20, 2004||Hughett J. David||Automated-feed surgical clip applier and related methods|
|US20040097971 *||Nov 19, 2002||May 20, 2004||Hughett J. David||Automated-feed surgical clip applier and related methods|
|US20040097972 *||Jun 12, 2003||May 20, 2004||Surgicon, Inc.||Surgical ligation clip and method for use thereof|
|US20040106936 *||Nov 25, 2003||Jun 3, 2004||Surgicon, Inc.||Ligation clip and clip applier|
|US20040153107 *||Jan 5, 2004||Aug 5, 2004||Helmut Kayan||Blood vessel clip and applicator|
|US20050085830 *||Dec 2, 2003||Apr 21, 2005||Adam Lehman||Right angle clip applier apparatus and method|
|US20050119677 *||Jun 9, 2004||Jun 2, 2005||Shipp John I.||Ligation clip applier|
|US20050177177 *||Apr 3, 2003||Aug 11, 2005||Viola Frank J.||Surgical clip applier with high torque jaws|
|US20050251183 *||Sep 15, 2003||Nov 10, 2005||Damage Control Surgical Technologies, Inc.||Method and apparatus for vascular and visceral clipping|
|US20050277958 *||May 27, 2003||Dec 15, 2005||Levinson Melvin E||Surgical clip, clip applicator and method therefor|
|US20060124485 *||Oct 6, 2005||Jun 15, 2006||Kennedy Daniel L||Enhanced visibility cartridge with improved retainer|
|US20060129168 *||Nov 12, 2003||Jun 15, 2006||Surgicon, Inc.||Surgical ligation clip|
|US20060224170 *||Mar 30, 2006||Oct 5, 2006||Michael Duff||Surgical marker clip and method for cholangiography|
|US20070073314 *||Sep 28, 2006||Mar 29, 2007||Applied Medical Resources Corporation||Manually actuated surgical clip applier|
|US20070289252 *||Apr 12, 2007||Dec 20, 2007||Poly-Clip System Corp.||Clip and clipper|
|US20080164169 *||Jun 20, 2006||Jul 10, 2008||Cardiomedical Gmbh||Container for Holding Clamps|
|US20090076533 *||Nov 14, 2008||Mar 19, 2009||General Surgical Innovations, Inc.||Method for blood vessel clip application|
|US20090152147 *||Jun 10, 2008||Jun 18, 2009||Cannady Freddy R||Hemostatic clip cartridge|
|US20100121359 *||May 5, 2008||May 13, 2010||Atui Fabio Cesar||Haemostatic clip, device to apply a haemostatic clip and its use|
|US20100185221 *||Mar 16, 2010||Jul 22, 2010||Surgicon, Inc.||Surgical ligation clip|
|US20110046666 *||Jun 17, 2010||Feb 24, 2011||Gregory Sorrentino||Surgical staple|
|US20110082347 *||Oct 1, 2010||Apr 7, 2011||Tyco Healthcare Group Lp||Spring jaw retraction device|
|US20110087244 *||Sep 23, 2010||Apr 14, 2011||Aesculap Ag||Surgical clip cartridge and housing member for use therein|
|US20110108603 *||Oct 5, 2010||May 12, 2011||Tyco Healthcare Group Lp||Directionally biased staple and method of manufacturing|
|US20110112552 *||Jan 13, 2011||May 12, 2011||Tyco Healthcare Group Lp||Right angle clip applier apparatus and method|
|US20110125171 *||Feb 3, 2011||May 26, 2011||Tyco Healthcare Group Lp||Endoscopic surgical clip|
|US20110224701 *||Mar 10, 2011||Sep 15, 2011||Pavel Menn||Surgical Clips For Laparoscopic Procedures|
|US20110230903 *||May 27, 2011||Sep 22, 2011||Estech, Inc. (Endoscopic Technologies, Inc.)||Methods and devices for minimally invasive cardiac surgery for atrial fibrillation|
|US20120175481 *||Jan 13, 2012||Jul 12, 2012||Aesculap Ag||Clip holder|
|US20130138127 *||May 29, 2012||May 30, 2013||Robert F. Buckman||Method and apparatus for vascular and visceral clipping|
|US20140018830 *||Sep 13, 2013||Jan 16, 2014||Ethicon Endo-Surgery, Inc.||Surgical Clip Having Compliant Portion|
|US20140018832 *||Sep 13, 2013||Jan 16, 2014||Ethicon Endo-Surgery, Inc.||Method For Applying A Surgical Clip Having A Compliant Portion|
|CN102462525A *||Sep 8, 2011||May 23, 2012||Tyco医疗健康集团||Self-centering clip and jaw|
|CN102462525B *||Sep 8, 2011||Aug 12, 2015||柯惠Lp公司||自定心夹子和钳夹|
|DE2744816A1 *||Oct 5, 1977||Apr 13, 1978||Robert Koffler Dr Jarvik||Patrone fuer gefaessklemmen und instrument zum applizieren von gefaessklemmen unter verwendung der patrone|
|DE102005045006B3 *||Sep 21, 2005||Jan 4, 2007||Cardiomedical Gmbh||Case for haemostatic clamps for surgical use has bottom part containing pockets and bracket to hold clamp and top part with clamp parts to hold clamp securely in each clamp pocket|
|EP0201344A2||May 9, 1986||Nov 12, 1986||Ethicon Inc.||Ligating clip and clip applier|
|EP0338754A2 *||Apr 17, 1989||Oct 25, 1989||Edward Weck Inc.||Cartridge assembly for hemostatic clips|
|EP0432692A1 *||Dec 10, 1990||Jun 19, 1991||Edward Weck Incorporated||Grip surgical clip|
|EP1233705A2 *||Nov 28, 2000||Aug 28, 2002||General Surgical Innovations, Inc.||Blood vessel clip and applicator background of the invention|
|EP1810622A1||Jan 19, 2007||Jul 25, 2007||Tyco Healthcare Group Lp||Surgical hemostatic clip|
|EP2446838A3 *||Sep 9, 2011||Nov 28, 2012||Tyco Healthcare Group LP||Self-centering clip and jaw|
|WO1994001044A1 *||Jul 1, 1993||Jan 20, 1994||Origin Medsystems, Inc.||Surgical clip|
|WO2008134837A2 *||May 5, 2008||Nov 13, 2008||Atui Fabio Cesar||Haemostatic clip, device to apply a haemostatic clip and its use|
|WO2011112877A1 *||Mar 10, 2011||Sep 15, 2011||Menn Pavel||Surgical clips for laparoscopic procedures|
|WO2014163814A1 *||Feb 20, 2014||Oct 9, 2014||Ethicon, Inc.||Surgical fasteners having articulating joints and deflectable tips|
|U.S. Classification||606/158, 24/23.00W, 206/339, 24/30.50W|
|International Classification||A61B17/12, A61B17/122, A61B17/128|
|Cooperative Classification||A61B17/1222, A61B17/128, A61B17/122|
|European Classification||A61B17/128, A61B17/122C, A61B17/122|