Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS3604425 A
Publication typeGrant
Publication dateSep 14, 1971
Filing dateApr 11, 1969
Priority dateApr 11, 1969
Publication numberUS 3604425 A, US 3604425A, US-A-3604425, US3604425 A, US3604425A
InventorsPierre L Le Roy
Original AssigneeNew Research And Dev Lab Inc
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Hemostatic clip
US 3604425 A
Abstract  available in
Images(2)
Previous page
Next page
Claims  available in
Description  (OCR text may contain errors)

United States Patet [72] Inventor Pierre L. Le Roy Wilmington, Del. [21] Appl. No. 815,395 [22] Filed Apr. 11,1969 [45] Patented Sept. 14, 1971 [73] Assignee New Research and Development Laboratories, Inc. Continuation-impart of application Ser. No. 473,055, July 19, 1965, now Patent No. 3,446,212.

[54] HEMOSTATIC CLIP 6 Claims, 17 Drawing Figs.

[52] U.S.Cl 128/325, 24/255, 128/346 [51} Int. Cl A611) 17/08, A61b 17/12 [50] Field of Search 128/325, 334, 335, 337, 346; 24/255 [56] References Cited UNITED STATES PATENTS 992,995 5/1911 Staples 24/255 U 3,326,217 6/1967 Kerr 128/325 3,446,212 5/1969 Le Roy. 128/325 3,509,882 5/1970 Blake 128/325 FOREIGN PATENTS 865,475 21194] France 24/3().5

1,058,094 2/1967 Great Britain.. 24/255.l

464,802 7/1951 Italy 128/337 Primary Examiner-Dalton L. Truluck AttorneyConnolly and Hutz Pmeminswmsn 3.604.425

SHEET 2 [IF 2 I'IEMOSTATIC CLIP CROSS-REFERENCE TO RELATED APPLICATION This application is a continuation-in-part of copending application Ser. No. 473,055, filed July 19, 1965, now US Pat. No. 3,446,212 issued May 27,1969.

BACKGROUND OF INVENTION This invention relates to hemostatic clips for use in clamping wound flaps to prevent the flow of blood from severed arteries, capillaries and the like.

Applicants patent previously referred to describes and claims a highly successful hemostatic clip which is inexpensive, easily sterilized so that it can be prepackaged, disposable, adapted to be made in a variety of dimensions and can be easily applied and removed by a relatively unskilled worker. The clip disclosed in that application is essentially a tubular member having a slit completely across its body so that it can be distended from its original shape to receive the wound flap therein. As particularly disclosed in the parent application the tubular body can be distended from its original shape because of the provision of a pair of parallel slots which are disposed about 90 from the longitudinal slit whereby a plierslike applicating tool can be inserted into the slots and upon application of force thereto the longitudinal slit will be spread apart to receive the wound flap.

SUMMARY OF INVENTION An object of this invention is to provide a modified form of the above-type clip which still retains all of its advantages.

In accordance with this invention a pair of projections are disposed on the body instead of the parallel slots. The projections are connected to the body along longitudinal lines which are similarly disposed about 90 from the wound flap receiving slit. When force is applied to the projections they act as levers to spread the longitudinal slit and facilitate the insertion of the wound flap therein.

Advantageously, each projection includes a stem portion connected to the clip body and an enlarged head portion on the stem. The body may be horseshoe shaped to accommodate a greater portion of the wound flap. Furthermore the body may terminate in flanges which are perpendicular to the leg sections of the horseshoe and which have parallel undulations to provide greater traction of the wound flap while minimizing tissue damage and pain.

In another form of this invention the body is provided with a plurality of parallel peripheral slots which terminate adjacent the wound flap receiving slit whereby a longitudinal margin is formed on each side of the slit to provide stability and to control flexibility of the body. Such a clip has the advantages of greater visibility, ventilation and drainage of the wound flap and can be utilized for clamping relatively long wound flaps.

THE DRAWINGS FIG. 1 is a side view in elevation and partly in section showing a clip applied to a wound flap in accordance with one aspect of this invention;

FIG. 2 is a top plan view of the clip shown in FIG. 1;

FIG. 3 is a side view of the clip shown in FIGS. 1-2;

FIG. 4 is a bottom plan view of the clip shown in FIGS. 1-3;

FIG. 5 is an enlarged view taken through FIG. 4 along the line 5-5 and showing the clip clamping against a wound flap;

FIG. 6 is a side view of an applicator in accordance with another embodiment of this invention;

FIG. 7 is a front view ofthe applicator shown in FIG. 6;

F IG. 8 is a cross-sectional view taken through FIG. 6 along the line 88;

FIG. 9 is a plan view of a portion of the applicator shown in FIGS. 6-8;

FIGS. IO-II are side views of the applicator and its clip in different phases of operation;

FIG. 12 is a cross-sectional view taken through FIG. 11 along the line l2-l2;

FIGS. 13-15 are front, top and side views, respectively, of the clip shown in FIGS. 10-12; and

FIGS. 16-17 are side views of modified clips in accordance with this invention.

DETAILED DESCRIPTION FIGS. l-5 show a clip in accordance with one embodiment of this invention. As indicated therein clip 10 is generally of tubular form in that it is in the shape of a hollow body open at both ends. The clip can be constructed from any material possessing the required elastic modulus and physical properties. Nylon tubing for example as well as Delrin, Teflon polyethylene, polypropylene and other suitable polymers and/or plastics are particularly adapted for this invention. Additionally, thin metal tubes or other alloys are also suitable. The tubular body can be formed into a circular, rectangular, triangular, square, elliptical or other adaptable cross section having the appropriate physical properties and being clinically acceptable. As illustrated in the drawings, however, the tubular body is advantageously of generally horseshoe shape to increase its wound-flap-receiving capability.

Clip 10 may be of any desired length required by the specific purpose to which it is to be used. Some advantageous lengths for example are one-fourth, one-half, and l inch, with the longer length being suitable for large wound flaps.

Clip 10 includes a longitudinal slit 12 across its entire length so that it can be distended by for example any suitable applicator 14. Upon being distended the slit 12 is spread apart whereby the wound flap 16 can easily be inserted therein. Upon release of force from the applicator the slit edges are then applied to the two sides of wound flap 16 or other tissue to prevent the flow of blood from severed arteries, capillaries or the like. At approximately to the longitudinal slit 12 are two parallel projections 18, 18 which are longitudinally centered on the clip body. Each projection includes a stem portion 20 which, as best shown in FIG. 5, is integral with the clip body and is tangential thereto. Stem 20 actually forms an extension of the leg sections 24 of the horseshoe-shaped clip body. Stem 20 terminates in an enlarged arcuate head 22 to facilitate the reception of applicator tool 14 thereon. Projections 18 extend at least one-third of the length of the clip body to provide a sufficient area for the reception of applicator 14.

As best shown in FIG. 5 the clip body is horseshoe shaped having an arcuate bridging section 26 between projections 18 with the straight leg sections 24 connected to the bridging section. Leg sections 24 terminate in substantially perpendicular flanges 28 which are spaced from each other to form the slit 12. The flanges 28, as shown in FIG. 4, terminate in parallel undulations 30 disposed generally parallel to the longitudinal axis of the clip body with the sinusoidal teeth being generally parallel and having gently merging hills and valleys. As shown in FIG. 5 the undulations taper in a converging direction toward the slit with the inner surfaces 32 of the flanges 28 being coplanar and with the flanges terminating in blunt or rounded ends 34. This particular configuration of slit 12 is particularly effective in providing sufficient traction to the wound flap while minimizing any pain thereto or undue damage to the tissue.

Clip 10 can be easily and rapidly removed either with applicator 14 or by hand. Manual removal is accomplished by squeezing projections 18 toward each other so that the projections act as levers to spread flanges 28 away from each other. The clip 10 can then be merely slipped off the wound flap 16 without noticeable damage to the tissue. Additionally, no special training is necessary for the scrub nurse, assistant, or surgeon in applying or removing clips 10.

Other advantages of clip 10 are that it can be sterilized by either the flash or routine method employing high pressure and high temperature. Clip 10 can also be sufficiently inexpensive to be disposable and thus packaged in presterile units.

When desired or necessary, however, clips can be reused. Even if the clips are unduly abused by, for example, being dropped, the clips show no structural fatigue or cracks and maintain their elastic state to a high degree.

correspondingly, the operative maintenance of applicator 14 is minimal. Applicator 14 may for example be made of a metal which can be autoclaved and handled without any unusual difficulty.

Advantageously, clip 10 may incorporate an X-ray or radiopaque material such as barium sulfate. Accordingly, the clip can be easily located if it should be lost within the operative site. Additionally, a bacteriostatic material may be used for clip 10. Accordingly, items such as iodonated compounds and an alpha or a low energy beta emitter may be added.

As indicated above clip 10 has proven to be exceptionally effective. For example, its ease of application, the lack of tissue irritability, the ease of adjustment, and the rapid removal enable the surgeon to move more quickly on entering the operative field. Clip 10 is particularly effective with scalp and back wounds, and can also be advantageously used on abdominal or long flap wounds as may be necessary in extremity work. Moreover, the gentleness with which the blood vessels are compressed and the lack of tissue irritability are especially notable.

FIGS. 6l7 illustrate another clip 40 formed in accordance with this invention. Clip 40 is for example made of a disposable plastic material or materials previously enumerated with respect to clip 10. Clip 40 is of extended or continuous length, being at least 10 inches long, so that it can be cut to the desired size for individual application. Additionally, clip 40 is specifically designed to provide maximum ventilation and drainage of the wound as well as increased visibility thereof.

As indicated most clearly in FIGS. 1345, clip 40 is of tubular form having a suitable wall thickness and a continuous elongated longitudinal slit 42. Clip 40 may be of any length such as the medium-size clip as indicated in FIGS. 14-15 or the extra-long clip shown in FIG. 16. The border or margin on each side of slit 42 forms a pair of elongated longitudinal backbones 44 and 46. Additionally, clip 40 includes a plurality of parallel-spaced peripheral slots 48 which are separated by ribs 50 spanning backbones 44 and 46. The provision of these perforations or slots 48 not only provides visibility, ventilation, and drainage of the wound flap 52 (FIG. 11), but also permits the delicate adjustment of a balance between the clamping strength and ease of application of clip 40. The thickness of backbones 44 and 46 determines the flexibility of clip 40 and its ability to conform to any wound configurations. Thus clip 40 can be applied in a bent or curved manner, as well as in a relatively straight line.

Although slots 48 are an exceptionally effective manner of forming perforations in clip 40 it is also possible to form the perforations in other ways, as long as the perforations permit flexibility, adequate clamping force, and visibility of the wound.

One modification of clip 40 is shown in FIG. 17 in which backbones 44 and 46 are serrated along slit 42 to provide more positive traction on the wound flap.

FIGS. 6-12 illustrate the applicator 60 which is particularly adapted for clips 40. As indicated therein, applicator 60 is made of two parts. One part 62 is a relatively long support rod, one end of which may be conveniently held and used as a handle as shown in FIG. 15. The second member or part is guide rod 64. Guide rod 64 includes a feed end 66 and a discharge end 68. Discharge end 68 is secured to the remote end 70 of support rod 62 to form the dispensing end 76 of applicator 60. Members 62 and 64 are made, for example, in the form of flattened tubular elements as best shown in FIG. 16. Accordingly, a pair of grooves 72 and 74 are formed at the juncture of discharge end 68 and remote end 70. As shown in FIGS. 7 and 9 dispensing end 76 of applicator 60 tapers or widens outwardly. Thus the distance between grooves 72 and 74 also increases.

In use the tubular clip 40 is inserted around feed end 66 of guide member 64 as shown in FIG. 10. Since feed end 66 is spaced from support rod 62, clip 40 can easily be loaded around guide rod 64. Applicator 60 is then brought into the vicinity of wound flap 52. Advantageously, dispensing end 76 of applicator 60 is concave and tapered to act as a registry means for wound flap 52 so that wound flap can be inserted in the concave portion 78 and maintained in position for the application of clip 40 as most clearly shown in FIG. 15. Additionally, this registry is facilitated by the tapered end of applicator 60 in which guide member 64 projects slightly beyond support member 62.

After wound flap 52 has been brought into registry in tapered concave portion 78 clip 40 is slid down guide member 64. The end of clip 40 is open or distended by the outwardly tapering dispensing end 76 of applicator 60. Accordingly, clip 40 is simply progressively slid off applicator 60 in an open position onto flap 52.

Applicator 60 which is made of a clinically acceptable material such as steel or other metal or plastic, and can easily be held in either hand with the clip 40 being advanced by the thumb of the other hand. When the required length of clip 40 has been applied to wound flap 52, the excess clip can be cut off by, for example, a scissors. Clip 40 can thereby be easily applied in a simple sweeping fashion. Thus for example for the first time a large area can be clamped by employing two large continuous hemostatic clips 40 by using only two maneuvers, in contrast to the multiple repeated maneuvers which have been required with conventional small clamps. In addition to the above noted advantages of ease of application and removal of clip 40, the clip also renders the operative area free of clutter.

For removal, clip 40 can be fractionally withdrawn from wound flap 52 to allow for surgical closure by interrupted sutures for controlling hemostasis and approximation of tissue planes. This can be done manually, without requiring an instrument, as is ordinarily necessary for conventional clips. Alternatively, the clip 40 can be removed in one sweeping motion, if necessary, rather than fractionally or with the conventional multiple actions.

Iclaim:

1. A hemostatic clip comprising a body in the form of an elongated tubular element, said tubular element having an ellipsoidal cross section, wound-flap-engaging means on said body, said wound-flap-engaging means being an elongated longitudinal slit extended completely across said body whereby said body may be distended from its original shape, a pair of outwardly extending projections connected to said body remote from said slit for accommodating a force-applying tool, said body being resiliently urged to maintain its original tubular shape whereby the original tubular shape of said body may be distended upon application of force to said projections to cause said slit to widen and permit the insertion of a wound flap therein and said body will return toward its original undistended tubular shape upon cessation of the application of force for firmly engaging the wound flap, said slit being defined by a pair of longitudinal edges, and said edges being shaped as sinusoidal teeth having gently merging hills and valleys and wherein said teeth taper outwardly away from said edges, said teeth being defined in cross section by an inner wall disposed toward the interior of said tubular body, said inner walls of said teeth being generally aligned, and each outer wall being inclined from its edge where it merges with its inner wall outwardly away from its inner wall.

2. A clip as set forth in claim 1 wherein said body is made of a polymer material.

3. A clip as set forth in claim 2 wherein the sinusoidal curvatures of said teeth are generally parallel.

4. A clip as set forth in claim 3 wherein each of said projections is joined to said body along a longitudinal line disposed about from said longitudinal slit, each of said projections comprising a stem portion connected to said body and a head portion connected to said stern portion, said stern portion and body may be distended from its original shape, a plurality of parallel peripheral slots being in said body and terminating adjacent said longitudinal slit with a longitudinal margin on each side of said slit forming a thin backbone to provide stability and to control the flexibility of said body, and said body being at least 10 inches long and being axially bendable for clamping a relatively long wound flap.

6 A clip as set forth in claim 5 wherein the edges of said slit are serrated to provide positive traction on the wound flap.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US992995 *Sep 23, 1910May 23, 1911Augustine E StaplesCow-tail holder.
US3326217 *Apr 27, 1964Jun 20, 1967Sydney Kerr HarryHemostatic clamp
US3446212 *Jul 19, 1965May 27, 1969New Research & Dev Lab IncHemostatic clip and applicator therefor
US3509882 *Sep 18, 1967May 5, 1970American Hospital Supply CorpParallel jaw spring clip and applicator
FR865475A * Title not available
GB1058094A * Title not available
IT464802A * Title not available
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3863301 *Dec 29, 1972Feb 4, 1975Leveen Harry HElastic bandage and fastener therefor
US4177818 *Dec 5, 1977Dec 11, 1979Pedro Francisco L DeSelf attachable small-toothed electrode and a forceps for maneuvering it
US4217902 *Nov 14, 1978Aug 19, 1980March Alfred LHemostatic clip
US4317451 *Feb 19, 1980Mar 2, 1982Ethicon, Inc.Plastic surgical staple
US4340061 *Oct 25, 1977Jul 20, 1982Mayfield Education And Research FundAneurysm clip
US4416266 *May 15, 1981Nov 22, 1983The United States Of America As Represented By The Administrator Of The National Aeronautics And Space AdministrationMedical clip
US4447943 *Feb 10, 1983May 15, 1984The United States Of America As Represented By The Administrator Of The National Aeronautics And Space AdministrationProcess of making medical clip
US4465071 *Sep 22, 1982Aug 14, 1984Samuels Peter BMethod of joining skin tissue together with reduced trauma
US4490326 *Oct 6, 1982Dec 25, 1984Ethicon, Inc.Molding process for polydioxanone polymers
US4506669 *Sep 22, 1982Mar 26, 1985Blake Joseph W IiiSkin approximator
US4586503 *Dec 1, 1983May 6, 1986University Of New MexicoSurgical microclip
US4612932 *Oct 2, 1984Sep 23, 1986Aesculap-Werke Ag Vormals Jetter & ScheererMagazine for C-shaped scalp clips
US4637395 *Oct 2, 1984Jan 20, 1987Aesculap-Werke AgApplicator for C-shaped scalp clips
US4733664 *Oct 15, 1985Mar 29, 1988University Of New MexicoSurgical clip, applier, and method
US4796627 *Aug 26, 1986Jan 10, 1989Tucker Wilson HClip applicator and spreadable clips for use therein
US4835824 *Apr 13, 1988Jun 6, 1989Durham Vaughn LMedical clamp
US4929239 *Feb 5, 1988May 29, 1990Aesculap-Werke Ag Vormals Jetter & ScheererDevice for filling the magazine of a scalp clip applicator with C-shaped scalp clips
US5147306 *Jul 1, 1991Sep 15, 1992Gubich Stephen JDevice for puckering the flesh to facilitate injections
US5207692 *Jul 30, 1990May 4, 1993Codman & Shurtleff, Inc.Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism
US5366458 *Dec 13, 1990Nov 22, 1994United States Surgical CorporationLatchless surgical clip
US5474732 *Jul 28, 1994Dec 12, 1995United States Surgical CorporationAmorphous polymer having hinged legs; controlled heating to crystallize
US5640742 *Dec 27, 1995Jun 24, 1997Temtec, Inc.Spring badge clip
US5665097 *Apr 21, 1995Sep 9, 1997Baker; John W.Clip applicator
US5695505 *Mar 9, 1995Dec 9, 1997Yoon; InbaeMultifunctional spring clips and cartridges and applicators therefor
US5725542 *Feb 27, 1997Mar 10, 1998Yoon; InbaeFor use in endoscopic and open operative procedures
US5782844 *Mar 5, 1996Jul 21, 1998Inbae YoonTo anatomical tissue
US5810851 *Mar 5, 1996Sep 22, 1998Yoon; InbaeSuture spring device
US5810853 *Jan 16, 1996Sep 22, 1998Yoon; InbaeKnotting element for use in suturing anatomical tissue and methods therefor
US5827306 *Jun 13, 1997Oct 27, 1998Yoon; InbaeMultifunctional spring clips and cartridges and applicators therefor
US5849019 *Oct 7, 1997Dec 15, 1998Yoon; InbaeFor use in endoscopic and open operative procedures
US5972001 *Jan 23, 1998Oct 26, 1999Yoon; InbaeMethod of ligating anatomical tissue with a suture spring device
US6197042Jan 5, 2000Mar 6, 2001Medical Technology Group, Inc.Vascular sheath with puncture site closure apparatus and methods of use
US6241740Apr 9, 1998Jun 5, 2001Origin Medsystems, Inc.System and method of use for ligating and cutting tissue
US6277140Jan 16, 2001Aug 21, 2001Integrated Vascular Systems, Inc.Vascular sheath with puncture site closure apparatus and methods of use
US6349727May 25, 2000Feb 26, 2002Pos-T-Vac, Inc.Penile clamp for inhibiting incontinence
US6391048Jul 5, 2000May 21, 2002Integrated Vascular Systems, Inc.Integrated vascular device with puncture site closure component and sealant and methods of use
US6461364Apr 11, 2000Oct 8, 2002Integrated Vascular Systems, Inc.Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US6527786Jun 21, 1999Mar 4, 2003Origin Medsystems, Inc.System and method of use for ligating and cutting tissue
US6632238Aug 20, 2001Oct 14, 2003Integrated Vascular Systems, Inc.Vascular sheath with puncture site closure apparatus and methods of use
US6695867Feb 21, 2002Feb 24, 2004Integrated Vascular Systems, Inc.Plunger apparatus and methods for delivering a closure device
US6719777Dec 7, 2000Apr 13, 2004Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US6749621Feb 21, 2002Jun 15, 2004Integrated Vascular Systems, Inc.Sheath apparatus and methods for delivering a closure device
US6780197Dec 7, 2000Aug 24, 2004Integrated Vascular Systems, Inc.Apparatus and methods for delivering a vascular closure device to a body lumen
US6942674Feb 21, 2002Sep 13, 2005Integrated Vascular Systems, Inc.Apparatus and methods for delivering a closure device
US7712190 *Feb 18, 2004May 11, 2010Peter WeingartnerClip for clipping sheets together
US7806904Feb 24, 2004Oct 5, 2010Integrated Vascular Systems, Inc.Closure device
US7806910Jul 31, 2006Oct 5, 2010Abbott LaboratoriesMulti-element biased suture clip
US7819895Apr 18, 2006Oct 26, 2010Integrated Vascular Systems, Inc.Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US7828817Aug 4, 2005Nov 9, 2010Integrated Vascular Systems, Inc.Apparatus and methods for delivering a closure device
US7841502Dec 18, 2007Nov 30, 2010Abbott LaboratoriesModular clip applier
US7842068Nov 30, 2001Nov 30, 2010Integrated Vascular Systems, Inc.Apparatus and methods for providing tactile feedback while delivering a closure device
US7850709Jun 4, 2003Dec 14, 2010Abbott Vascular Inc.Blood vessel closure clip and delivery device
US7850797Mar 12, 2009Dec 14, 2010Integrated Vascular Systems, Inc.Methods for manufacturing a clip and clip
US7854810Dec 17, 2003Dec 21, 2010Integrated Vascular Systems, Inc.Methods for manufacturing a clip and clip
US7857828Feb 1, 2005Dec 28, 2010Integrated Vascular Systems, Inc.Clip applier and methods of use
US7867249Aug 8, 2003Jan 11, 2011Integrated Vascular Systems, Inc.Clip applier and methods of use
US7879071May 9, 2003Feb 1, 2011Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US7887553Jul 8, 2002Feb 15, 2011Tyco Healthcare Group LpRight angle clip applier apparatus and method
US7887555Jul 9, 2003Feb 15, 2011Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US7887563Jun 14, 2005Feb 15, 2011Abbott Vascular Inc.Surgical staple
US7896895 *Nov 23, 2005Mar 1, 2011Ethicon Endo-Surgery, Inc.Surgical clip and applier device and method of use
US7896896Apr 22, 2003Mar 1, 2011Tyco Healthcare Group LpEndoscopic surgical clip
US7901428Oct 3, 2002Mar 8, 2011Integrated Vascular Systems, Inc.Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US7905900Jan 30, 2003Mar 15, 2011Integrated Vascular Systems, Inc.Clip applier and methods of use
US7918873Sep 18, 2006Apr 5, 2011Abbott Vascular Inc.Surgical staple
US7931669May 17, 2002Apr 26, 2011Integrated Vascular Systems, Inc.Integrated vascular device with puncture site closure component and sealant and methods of use
US8048108Feb 4, 2009Nov 1, 2011Abbott Vascular Inc.Vascular closure methods and apparatuses
US8128644Sep 19, 2003Mar 6, 2012Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8182497Oct 4, 2010May 22, 2012Integrated Vascular Systems, Inc.Closure device
US8187290 *Jan 28, 2008May 29, 2012Damage Control Surgical Technologies, Inc.Method and apparatus for vascular and visceral clipping
US8192459Dec 13, 2010Jun 5, 2012Abbott Vascular Inc.Blood vessel closure clip and delivery device
US8202283Nov 12, 2010Jun 19, 2012Integrated Vascular Systems, Inc.Methods for manufacturing a clip and clip
US8202293Jun 20, 2008Jun 19, 2012Integrated Vascular Systems, Inc.Clip applier and methods of use
US8202294Dec 20, 2010Jun 19, 2012Integrated Vascular Systems, Inc.Clip applier and methods of use
US8226681Jun 25, 2007Jul 24, 2012Abbott LaboratoriesMethods, devices, and apparatus for managing access through tissue
US8236026Mar 27, 2006Aug 7, 2012Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8257390Feb 15, 2007Sep 4, 2012Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8303624Mar 15, 2010Nov 6, 2012Abbott Cardiovascular Systems, Inc.Bioabsorbable plug
US8313497Jun 28, 2006Nov 20, 2012Abbott LaboratoriesClip applier and methods of use
US8323312Jun 9, 2009Dec 4, 2012Abbott LaboratoriesClosure device
US8372095Feb 3, 2011Feb 12, 2013Covidien LpEndoscopic surgical clip
US8398656Mar 2, 2011Mar 19, 2013Integrated Vascular Systems, Inc.Clip applier and methods of use
US8398676Oct 29, 2009Mar 19, 2013Abbott Vascular Inc.Closure device
US8469995Jun 4, 2012Jun 25, 2013Abbott Vascular Inc.Blood vessel closure clip and delivery device
US8486092Mar 11, 2009Jul 16, 2013Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8486108Feb 1, 2006Jul 16, 2013Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8518057Sep 13, 2012Aug 27, 2013Abbott LaboratoriesClip applier and methods of use
US8529587Jun 6, 2012Sep 10, 2013Integrated Vascular Systems, Inc.Methods of use of a clip applier
US8556930Jun 28, 2006Oct 15, 2013Abbott LaboratoriesVessel closure device
US8556932May 19, 2011Oct 15, 2013Abbott Cardiovascular Systems, Inc.Collapsible plug for tissue closure
US8579932Feb 24, 2004Nov 12, 2013Integrated Vascular Systems, Inc.Sheath apparatus and methods for delivering a closure device
US8585836Jun 18, 2012Nov 19, 2013Integrated Vascular Systems, Inc.Methods for manufacturing a clip and clip
US8590760May 24, 2005Nov 26, 2013Abbott Vascular Inc.Surgical stapler
US8591530Jan 9, 2009Nov 26, 2013Cook Medical Technologies LlcSuture guide clip and laparoscopic techniques
US8597310Nov 29, 2010Dec 3, 2013Cook Medical Technologies LlcLaparoscopic anastomosis tools and technique
US8597325Nov 29, 2010Dec 3, 2013Integrated Vascular Systems, Inc.Apparatus and methods for providing tactile feedback while delivering a closure device
US8603116Aug 4, 2010Dec 10, 2013Abbott Cardiovascular Systems, Inc.Closure device with long tines
US8603136May 3, 2007Dec 10, 2013Integrated Vascular Systems, Inc.Apparatus and methods for providing tactile feedback while delivering a closure device
US8617184Feb 15, 2011Dec 31, 2013Abbott Cardiovascular Systems, Inc.Vessel closure system
US8623009 *Apr 5, 2006Jan 7, 2014The Brigham And Women's Hospital, Inc.Endoscopic gastric bypass defect repair
US8652151Jan 13, 2011Feb 18, 2014Covidien LpRight angle clip applier apparatus and method
US8657852Mar 8, 2013Feb 25, 2014Abbott Vascular Inc.Closure device
US8672953Jun 6, 2011Mar 18, 2014Abbott LaboratoriesTissue closure system and methods of use
US8690910Mar 31, 2006Apr 8, 2014Integrated Vascular Systems, Inc.Closure device and methods for making and using them
US8728119Feb 18, 2011May 20, 2014Abbott Vascular Inc.Surgical staple
US8758396Apr 27, 2006Jun 24, 2014Integrated Vascular Systems, Inc.Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US8758398Sep 7, 2007Jun 24, 2014Integrated Vascular Systems, Inc.Apparatus and method for delivering a closure element
US8758399Aug 2, 2010Jun 24, 2014Abbott Cardiovascular Systems, Inc.Expandable bioabsorbable plug apparatus and method
US8758400Nov 8, 2010Jun 24, 2014Integrated Vascular Systems, Inc.Closure system and methods of use
US8784447Apr 25, 2005Jul 22, 2014Abbott Vascular Inc.Surgical stapler
US8808310Feb 14, 2007Aug 19, 2014Integrated Vascular Systems, Inc.Resettable clip applier and reset tools
US8820602Nov 19, 2010Sep 2, 2014Abbott LaboratoriesModular clip applier
US8821534Dec 6, 2010Sep 2, 2014Integrated Vascular Systems, Inc.Clip applier having improved hemostasis and methods of use
US20080132915 *Jan 28, 2008Jun 5, 2008Buckman Robert FMethod and apparatus for vascular and visceral clipping
US20100268022 *Apr 5, 2006Oct 21, 2010Thompson Christopher CEndoscopic gastric bypass defect repair
US20110112558 *Oct 4, 2010May 12, 2011OC2, LLC, a Massachusetts limited liability companyTissue fixation system with single component anchor
DE3008122A1 *Mar 3, 1980Sep 17, 1981Zeppelin Dieter VonGefaess-klemme
DE3019116A1 *May 20, 1980Dec 3, 1981Aesculap Werke AgLigaturklammer
DE3335985A1 *Oct 4, 1983May 2, 1985Aesculap Werke AgMagazin zur aufnahme von c-foermigen scalpclips
DE3335986C1 *Oct 4, 1983Apr 4, 1985Aesculap Werke AgApplication device for C-shaped scalp clips
DE3443367A1 *Nov 28, 1984Jun 13, 1985Kirsch Wolff MayerChirurgischer mikroklip
DE19737976A1 *Aug 30, 1997Mar 18, 1999Aesculap Ag & Co KgSurgical ligature clamp, especially useful as scalp clamp
DE19737976C2 *Aug 30, 1997Aug 14, 2003Aesculap Ag & Co KgChirurgische Ligaturklemme
EP0469524A1 *Jul 29, 1991Feb 5, 1992JOHNSON & JOHNSON PROFESSIONAL, INC.Surgical clip and surgical clip applier with reciprocating sleeve and dual rachet mechanism
EP0490411A1 *Dec 13, 1991Jun 17, 1992United States Surgical CorporationLatchless surgical clip
WO1988001486A1 *Aug 19, 1987Mar 10, 1988Wilson H TuckerClip applicator and spreadable clips for use therein
Classifications
U.S. Classification606/158, 24/562, 24/DIG.220
International ClassificationA61B17/122
Cooperative ClassificationA61B17/1227, Y10S24/22
European ClassificationA61B17/122S