Entries |
Document | Title | Date |
20080208217 | HEMOSTATIC CLIP AND DELIVERY SYSTEM - A clipping device includes (a) a shaft defining a lumen therethrough from a proximal end which, during a procedure remains outside the body accessible to a user and a distal end including a distal opening which, during a procedure is inserted into the body to a position adjacent to target tissue; (b) a flexible clip deployable from the distal opening, when in an unconstrained state, the clip assuming a shape selected to clip tissue and prevent a flow of fluid therethrough wherein, while residing within the lumen the clip is held substantially straight by an inner diameter of the lumen; (c) a control wire extending through the lumen from the proximal end to the distal end thereof; and (d) a release mechanism connecting the control wire to the clip during deployment of the clip and disconnecting the control wire from the clip after deployment thereof. | 08-28-2008 |
20080243145 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips is provided and includes a lockout system selectively engageable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction. | 10-02-2008 |
20080306492 | CLIPPING INSTRUMENT FOR AN ENDOSCOPIC SURGICAL DEVICE - A clipping instrument for an endoscope is provided. The clipping instrument includes a flexible sheath, an operation wire, which can be forwarded and retracted in an axial direction of the flexible sheath, at least one detachable clip assembly, including a pair of openable and closable clipping arms which can be projected forward to open outside the flexible sheath and to be closed to clip onto a treatment object outside the flexible sheath according to forwarding and retracting movements of the operation wire, and frictional members, which can generate frictional resistance between each other inside the flexible sheath. The frictional resistance is generated while the clipping arms of the clip assembly are forwarded by the forwarding movement of the operation wire to project out of the flexible sheath to be fully opened. | 12-11-2008 |
20080306493 | CLIPPING INSTRUMENT FOR AN ENDOSCOPIC SURGICAL DEVICE - A clipping instrument for an endoscope is provided. The clipping instrument includes a flexible sheath, an operation wire, at least one detachable clip assembly, including a pair of openable and closable clipping arms and a fastening ring to encircle proximal portions of the clipping arms, arranged in vicinity of a distal end portion of the flexible sheath. The clipping arms can be projected forward and rotated in opening directions to open outside the flexible sheath to self-openable positions, and to be rotated in closing directions to clip onto a treatment object outside the flexible sheath according to forwarding and retracting movements of the fastening ring through the operation wire. The the pair of clipping arms are configured to be respectively rotatable about an axis independently from the movement of the fastening ring by external force and can be further opened extendedly from the self-openable position by the external force. | 12-11-2008 |
20080319457 | Anastomosis Instrument and Method for Performing Same - A surgical instrument for creating an anastomosis includes a housing, a handle extending from the housing and a fastener support member extending distally from the housing. The fastener support member is configured and dimensioned to releasably support a plurality of surgical fasteners. The instrument further includes a tissue retaining mechanism which is selectively movable from a first position relative to the fastener support member to a second position in closer proximity with the fastener support member such that tissue disposed adjacent to the fastener support member is retained thereagainst. Upon actuation of the handle, a fastener firing mechanism simultaneously deforms the plurality of surgical fasteners to complete the anastomosis. | 12-25-2008 |
20090030432 | Surgical Stapling Instruments including a Cartridge Having Multiple Staple Sizes - A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge. | 01-29-2009 |
20090036903 | APPARATUS AND METHODS FOR DELIVERING FASTENERS DURING VALVE REPLACEMENT - A fastener delivery tool includes a belt including pairs of features for releasably engaging tines of respective fasteners in a relaxed state defining a loop. The tool includes a loading chamber for receiving a fastener from the belt, a retaining member for limiting movement of the fastener within the loading chamber, an ejection track communicating with the loading chamber, a handle including an actuator, and a tongue and pusher member coupled to the actuator. Activation of the actuator advances the tongue to transform the fastener from the relaxed state to a U-shaped constrained state, and advances the pusher member to direct the fastener from the loading chamber down the ejection track. The tool may include a trigger for ejecting the fastener completely from the ejection track. The fastener may be used to secure a prosthetic heart valve or components thereof into surrounding tissue, e.g., within a tissue annulus. | 02-05-2009 |
20090036904 | Anastomosis Instrument and Method for Performing Same - A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of the handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke. | 02-05-2009 |
20090099577 | Implant System - A system and method for inserting an implant into soft tissue. The system may include an elongate arm having an implant at a first end of the elongate arm and an actuator at a second end of the elongate arm. The implants may be contained in a cartridge assembly. Methods of inserting an implant may be used during nasal septum reconstruction. | 04-16-2009 |
20090112233 | Prosthesis Fixation Apparatus and Methods - Endovascular fastener delivery apparatus comprises a flexible elongated member having a proximal end and a distal end and being configured and adapted to be endolumenally advanced through human vasculature, a flexible pusher member slidably coupled to the elongated member, and a plurality of serially aligned clip carriers secured to the pusher member, each clip carrier comprising a spring element and having a leading end adapted to seat a fastener and a trailing end fixedly secured to the pusher member. In one embodiment, a plurality of bridge clip fasteners are endolumenally advanced to a site in a lumen in a human body and the fasteners are passed from an inner surface of the prosthesis through the prosthesis and a wall of the lumen to secure the prosthesis to the lumen wall. | 04-30-2009 |
20090209979 | MOTORIZED CUTTING AND FASTENING INSTRUMENT HAVING CONTROL CIRCUIT FOR OPTIMIZING BATTERY USAGE - A surgical cutting and fastening instrument. The instrument comprises an end effector and a shaft connected to the end effector. The shaft comprises a drive train for powering the end effector. The instrument also comprises a handle connected to the shaft. The handle comprises an electric, DC motor connected to the drive train for powering the drive train and a DC power source comprising one or more batteries. The handle also comprises a power regulator having an input connected to the DC power source and an output connected to an input of the motor. The power regulator comprises a power converter and a control circuit for controlling the power converter. The control circuit controls the voltage set point for the power converter so that voltage delivered from the power source is less than the voltage at which the power source delivers maximum power. | 08-20-2009 |
20090228024 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. | 09-10-2009 |
20090254102 | DELIVERY MECHANISM FOR TISSUE HOLDING IMPLANTS - A delivery mechanism for delivering tissue holding implants through tissues to be held in approximation includes a shaft having a tip at its distal end, and which is loaded with one or more implants. A wire channel which contains a driving wire is also located within the shaft. When the mechanism is actuated, the driving wire exhibits a proportional longitudinal displacement in the wire channel, such that the wire engages an implant, conveys it along the shaft's longitudinal axis towards the tip, and forces it through the tip. The implants are oriented such that they lie along or nearly along the shaft's longitudinal axis when being conveyed along the axis. The mechanism may optionally include an opposing jaw arranged such that, when actuated, the distal end of the jaw is moved towards the tip, such that tissues placed between the jaw and tip are pinned between them. | 10-08-2009 |
20090264904 | SURGICAL CLIP APPLICATOR - A surgical clip applicator for applying surgical clips to body tissue includes an elongated ram housing that has proximal and distal ends and at least partially encloses a ram. A trigger housing includes a trigger that has an open position and a closed position. The trigger housing is mounted to the proximal end of the ram housing. The ram extends partially into the trigger housing and is operatively connected to the trigger. The trigger is spaced a first distance from the trigger housing in the open position and spaced a second distance from the trigger housing in the closed position. The first distance being larger than the second distance. A cartridge is removably mounted into the ram housing. The cartridge includes a plurality of the surgical clips. A retaining mechanism retains the trigger with respect to the trigger housing between the open and closed positions. Mounting the cartridge into the distal end of the ram housing urges at least a portion of the ram into the housing to set the trigger in the open position. | 10-22-2009 |
20090275959 | MULTIPLE CLIP DEVICE AND MULTIPLE CLIP APPLICATION APPARATUS - A multiple clip device for hemostatic clamping of a lesion of a patient's body includes plural clips fastened to one another in a train, having first and second clips, a proximal end portion of the first clip being engaged with two claws of a distal end portion of the second clip. A dummy clip has claws in a shape of the claws of the clips, and is engaged with a proximal end portion of a final clip among the clips by the claws thereof. An end connector is for retention of the dummy clip, and for fastening in a removable manner to a shaft head at an end of an operating wire inserted in a flexible sheath of a multiple clip application apparatus. Specifically, the multiple clip application apparatus is constituted by the operating wire and the multiple clip device fastened thereto. | 11-05-2009 |
20090299384 | SUCCESSIVE CLIPPING DEVICE AND MANIPULATING HANDLE - A successive clipping device comprises: a manipulating wire connected to a rearmost one of a plurality of clips and pulling out a clip string formed of the plurality of clips; and a manipulating portion connected to a proximal end side of a sheath, which, regarding a foremost clip sinking in the sheath, moves the sheath and the manipulating wire relatively by a first movement amount required for allowing the foremost clip to protrude from a forward end of the sheath so as to place the foremost clip in a usable state, and which, regarding a subsequent clip, moves the sheath and the manipulating wire relatively by a second movement amount that is smaller than the first movement amount and required for allowing the subsequent clip to protrude from the forward end of the sheath so as to place the subsequent clip in a usable state. | 12-03-2009 |
20090306682 | Multiple Clip Deployment Magazine - An apparatus for deployment of multiple hemostatic clips, comprises a shaft connected to a handle and a control linkage operatively connected to the handle in combination with a magazine disposed at a distal end of the shaft, the magazine containing a plurality of clips arranged in a chain rotatable within the magazine, wherein a proximal-most one of the clips is coupled to the control linkage, a distal portion of the magazine being contoured to permit opening of a distal-most one of the clips during a distal stroke of the control linkage, and to assist closing and locking of the distal-most clip during a proximal stroke of the control linkage, the magazine including an expanded chamber sized to allow opening in any rotational orientation of a next clip located immediately proximal to the distal-most clip to a degree sufficient to disengage the distal-most clip. A method for deploying multiple hemostatic clips, comprises positioning a distal end of a magazine containing a clip chain over selected target tissue and actuating a control link of the magazine in a distal stroke to open and distally translate a distal-most clip of the clip chain in combination with orienting the open distal-most clip in a desired orientation to grasp the target tissue and actuating the control link in a proximal stroke to close and lock the distal-most clip over the target tissue. The control link is further actuated in the proximal stroke to move a next clip immediately proximal to the distal-most clip into an expanded portion of the magazine sized to allow the next clip to open to a degree sufficient to release the distal-most clip regardless of a circumferential orientation of the next clip. | 12-10-2009 |
20090318937 | CLIP COUPLING METHOD AND MULTIPLE CLIP PACKAGE - A multiple hemostatic clip application apparatus includes a multiple clip assembly and a flexible sheath coupled with the multiple clip assembly, and operates for tissue clamping in combination with an endoscope. For the clip coupling, a pull rod structure is pulled to introduce the multiple clip assembly into a fin bending channel in a housing. Fins of the multiple clip assembly are depressed and stowed by the inside of the fin bending channel. The housing is removed from a coupling device. An operating wire is fastened to a fastening clip device. The flexible sheath is inserted in an access hole to register the inside of the flexible sheath with the fin bending channel. When the operating wire is pulled relative to the flexible sheath, the multiple clip assembly is introduced into the flexible sheath. | 12-24-2009 |
20090326558 | CLIPPING DEVICE - A clipping device comprises: a clip having a pair of arm portions diverging elastically; and a tubular clamping member fitted onto the pair of arm portions of the clip, each of the pair of arm portions including a projection portion which is formed in a vicinity of a forward end portion thereof to have a width inhibiting passage of the clamping member, and an engagement portion which is formed in a region adjacent to a proximal end side of the projection portion to be engaged with the clamping member, the clamping member being engaged with the engagement portion of each of the pair of arm portions to maintain clamping of the clip so that the pair of arm portions holds an object to be treated. | 12-31-2009 |
20100010511 | TISSUE APPOSITION CLIP APPLICATION DEVICES AND METHODS - Surgical instruments and methods for closing a gastrotomy. In various embodiments, the surgical instrument may comprise an overtube that supports a clip magazine therein that houses a plurality of tissue apposition clips in an orientation wherein the upper and lower clip arms thereof are releasably supported in an open orientation. Various embodiments are configured to operably accommodate one or more tissue grasping members for grasping the tissue. Other embodiments comprise clip dispensing adapters that may be affixed to the distal end of an endoscope. The various adapters are configured to support a tissue apposition clip such that the upper and lower clip arms thereof are initially supported in an open orientation relative to each other to enable grasped tissue to be drawn therein. Various tissue apposition clips are disclosed which may be used in connection with conventional tissue anchors and/or sutures. | 01-14-2010 |
20100036396 | SUCCESSIVE CLIPPING DEVICE - A successive clipping device comprises: a manipulating wire inserted in the sheath and having a forward end portion connected to a rearmost clip to pull a clip series including a plurality of clips; and a manipulating portion connected to a proximal end of the sheath to push out, for the foremost clip that has retreated in the sheath, the manipulating wire with respect to the sheath toward a forward end of the sheath by a first amount of movement necessary for causing the foremost clip to protrude from the forward end of the sheath, and push out, for the subsequent clip, the manipulating wire with respect to the sheath toward the forward end of the sheath by a second amount of movement smaller than the first amount of movement, and necessary for causing the subsequent clip to protrude from the forward end of the sheath. | 02-11-2010 |
20100049216 | SURGICAL CLIP APPLIER AND METHOD OF ASSEMBLY - Surgical clip appliers are provided and includes a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate. | 02-25-2010 |
20100049217 | CLIP PACKAGE FOR CLIP APPLICATION APPARATUS - A multiple hemostatic clip application apparatus operates for tissue clamping in combination with an endoscope. For use with the clip application apparatus, a clip package is provided, and has a multiple clip assembly, which includes a clip device, and a fastening mechanism, disposed at a proximal end of the clip device, for fastening to a shaft head of an operating wire inserted through a flexible sheath of the clip application apparatus. A coupling device includes a casing for containing the multiple clip assembly in a manner movable from the fastening mechanism toward the flexible sheath, and a guide slider for pressing the shaft head toward the fastening mechanism, for fastening together. The fastening mechanism emerges from the casing, the shaft head being overlapped on the fastening mechanism in an axial direction of the multiple clip assembly. | 02-25-2010 |
20100057102 | SINGLE STROKE ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100057103 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH CLIP RETENTION - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100057104 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH LOCK OUT - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100057105 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100057106 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH CONNECTOR PLATE - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100057107 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH WEDGE PLATE - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 03-04-2010 |
20100076459 | Knife Bar for Surgical Instrument - A surgical instrument for surgically joining tissue includes a handle assembly, an elongate member extending distally from the handle assembly, an end effector disposed adjacent a distal portion of the elongate member, and an actuation assembly operatively associated with the handle assembly. The actuation mechanism includes a thrust bar disposed at least partially within the elongate member and a distal slide member. The thrust bar has a proximal portion, a distal portion, a first lateral side and a second lateral side and is configured to move between proximal and distal positions with respect to the handle assembly. The distal slide member is positioned adjacent the first lateral side of the thrust bar and is adjacent the distal portion of the thrust bar. The proximal portion of the distal slide member is adapted to slide relative to the thrust bar when thrust bar moves in a curvilinear direction. | 03-25-2010 |
20100094315 | Dissection Tip And Introducer For Surgical Instrument - The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector. | 04-15-2010 |
20100121351 | ENDOSCOPIC SURGICAL CLIP APPLIER - A surgical clip applying apparatus includes a movable member biased in the housing adjacent the wedge plate. An actuator longitudinally advances the wedge plate a predetermined distance to a distal most position. The wedge plate has an end being disposed between first and second jaw portions at the distal most position. The wedge plate end is configured to maintain the jaw assembly in the spaced apart position during loading of the surgical clip and reduce torque and external forces on the jaw assembly during the loading. The movable member holds the wedge plate in the distal most position during the loading and the movable member is deflected at a conclusion of the loading, releases the wedge plate upon deflection, and allows a longitudinal proximal retraction of the wedge plate from the distal most position. | 05-13-2010 |
20100137886 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a housing; a pair of handles; a channel assembly extending from the housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows; a wedge plate slidably disposed within said channel assembly and being operatively connected to said handles, said wedge plate including a plurality of apertures formed along a length thereof; a plurality of clips slidably disposed within said channel of said clip carrier; and a clip follower slidably disposed within said channel of said clip carrier at a location proximal of said plurality of clips. The clip follower is configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate to distally urge said plurality of clips relative to said clip carrier upon a distal advancement of said wedge plate. | 06-03-2010 |
20100191257 | ACTUATOR AND DETACHABLE CONNECTOR OF FLEXIBLE CLIP APPLIER - A clip applier for deploying a surgical clip includes an actuator having a flexible wire and a collet chuck coupled to a piston. Further, actuation of the piston in a forward direction towards a distal end of the clip applier advances the flexible wire in the forward direction. | 07-29-2010 |
20100204717 | Surgical Device for Multiple Clip Application - An example of a surgical clip applier may include a housing with a passage defined therein, the passage having a longitudinal centerline; a plurality of clips held within the passage, each clip lying in a plane angled relative to the longitudinal centerline of the passage; a pusher slot defined in the housing; and a pusher slidable along the pusher slot, wherein distal motion of the pusher urges the distalmost clip in the passage out of the passage in a direction angled relative to the longitudinal centerline of the passage. Another example of a surgical clip applier may include a first jaw having a control slot defined therein; a second jaw having a control slot defined therein; and a control arm extending into the control slot of each jaw; wherein the control arm is movable along the control slots in a first direction to close the jaws and is movable along the control slots in a second direction to open the jaws. | 08-12-2010 |
20100217281 | CLIP PACKAGE, MULTIPLE CLIP APPLICATOR SYSTEM, AND PREVENTION DEVICE FOR PREVENTING MISMATCH - A multiple clip applicator system for tissue clamping of hemostasis includes clip devices of a train and a flexible sheath. To load the flexible sheath with clip devices, a coupling device is used. A shaft head is positioned on an operating wire in the flexible sheath. A receiving opening is formed in the coupling device, for receiving insertion of the shaft head, for mating by press-fit with the fastening clip device. The shaft head is a selected one of plural shaft heads which are different in a shape according to the plural multiple clip assemblies. The receiving opening is a selected one of plural receiving openings having a shape according to corresponding shapes of the plural shaft heads, and adapted to preventing a second shaft head from entry in a first receiving opening and preventing a first shaft head from entry in a second receiving opening. | 08-26-2010 |
20100222790 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue has a handle portion; a body extending distally from the handle portion; a plurality of surgical clips disposed within the body; and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position; an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion; and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. | 09-02-2010 |
20100249804 | CLIP APPLIER WITH MIGRATIONAL RESISTANCE FEATURES - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation. | 09-30-2010 |
20100274264 | Surgical instrument for the placement of ligature clips - In a surgical instrument for placement of C-shaped ligature clips having two legs running next to one another and connected to one another by means of a bridge-section, with two clamping jaws movable relative to one another, with a supply guide means, along which the ligature clip can be pushed onto the clamping jaws with the free ends of the legs first, with a clamping jaw guide means, which adjoins the supply guide means and in which the ligature clip can be inserted between the clamping jaws, and with a feeding means for advancing a ligature clip out of the supply guide means into the clamping jaw guide means and into an end position between the clamping jaws, in order to improve the guidance of the ligature clips during transfer from the supply guide means into the clamping jaw guide means, it is proposed that the feeding means comprises a feed element, which can be placed against the ligature clip to be fed and is guided in a longitudinal guide means running along its feed path in the transition region from the supply guide means into the clamping jaw guide means. | 10-28-2010 |
20100292712 | SURGICAL FASTENERS, APPLICATOR INSTRUMENTS, AND METHODS FOR DEPLOYING SURGICAL FASTENERS - An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, a firing rod disposed inside the elongated shaft and being movable within a first plane between a retracted position and an extended position, an advancer disposed inside the elongated shaft and being moveable within a second plane between a retracted position and an extended position, and a staging assembly located adjacent the distal end of the elongated shaft and being adapted to align surgical fasteners with a distal end of the firing rod. The staging assembly is held below the second plane by the advancer when the advancer is in the extended position and the staging assembly is adapted to move into at least partial alignment with the distal end of the firing rod when the advancer is in the retracted position. | 11-18-2010 |
20100292713 | SURGICAL FASTENERS, APPLICATOR INSTRUMENTS, AND METHODS FOR DEPLOYING SURGICAL FASTENERS - A firing system for an applicator instrument adapted to dispense surgical fasteners includes a housing, an elongated shaft extending from the housing, a firing rod disposed within the elongated shaft, a firing rod release engageable with the firing rod for preventing distal movement of the firing rod during at least one stage of a firing cycle, a trigger mounted to the housing, and a firing spring having a first end connected with the firing rod and a second end adapted for being sequentially coupled and decoupled from the trigger during the firing cycle. The firing cycle includes an initial stage in which the trigger is open and decoupled from the energy storing element, and the firing spring is at least partially compressed, and a piloting stage during which the firing rod release is disengaged from the firing rod for enabling distal movement of the firing rod. | 11-18-2010 |
20110028994 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue includes an actuator at least partially disposed within a body and longitudinally movable in response to actuation of a handle portion. The apparatus includes a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position and a rack having ratchet teeth connected to the actuator. The apparatus includes a pawl engaging a series of ratchet teeth and capable of preventing an inadvertent return of the actuator before full actuation of the apparatus. A clip pusher incrementally moves distally each time a clip is released from the apparatus. When the clip pusher reaches a predetermined distal point in a clip carrying channel, a feed bar is deflected to a second position to prevent retraction but not advancement of the actuator and thereby manipulates the pawl to engage the ratchet teeth. | 02-03-2011 |
20110082474 | WIRELESS CLIP COUNTER - An apparatus for application of surgical clips to body tissue is provided and includes a housing, at least one handle pivotably connected to the housing, a channel assembly extending distally from the housing, a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein, and a plurality of clips slidably disposed within the channel of the clip carrier. The apparatus also includes a counter mechanism supported in at least one of the housing and the channel assembly. The counter mechanism is configured to transmit a change in status of the apparatus upon each actuation of the at least one handle. | 04-07-2011 |
20110087243 | CLIP ADVANCER WITH LOCKOUT MECHANISM - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a housing having a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The clip applier can include an advancer assembly disposed within the elongate shaft and configured to advance one of a plurality of clips disposed within the elongate shaft into the opposed jaws. A feeder shoe can be disposed within the elongate shaft and can be configured to engage and prevent the advancer assembly from moving to a proximal position after the advancer assembly has moved to a distal position to advance a proximal-most clip into the opposed jaws. This can indicate to a user that a clip supply of the surgical clip applier is depleted. | 04-14-2011 |
20110087244 | Surgical clip cartridge and housing member for use therein - In order to improve the fixing of the surgical clips in the housing member in a surgical clip cartridge with a housing member and with a plurality of C-shaped surgical clips stored therein, having two limbs connected to one another by a web, the housing member comprising a plurality of compartments each to receive a surgical clip, with a support face adapted to the contour of the surgical clip in each compartment, against which support face a respective surgical clip abuts with its inner face, with holding members arranged on the housing member, which can be pivoted from a holding position into a release position and, in the holding position, fix the surgical clip in its compartment and, in the release position, are removed from the surgical clip, it is proposed that openings are provided in the limbs, in which the holding members engage in the holding position. | 04-14-2011 |
20110112552 | RIGHT ANGLE CLIP APPLIER APPARATUS AND METHOD - A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided. | 05-12-2011 |
20110137323 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a plurality of clips loaded in the clip carrier; a drive channel translatably supported in the housing and the channel assembly, the drive channel being translated upon actuation of the at least one handle; and a counter mechanism supported in the housing, the counter mechanism including indicia visible through the housing, wherein the indicia corresponds to a quantity of clips loaded in the clip applier, wherein the indicia decrements upon each firing of the clip applier resulting in a reduction in the quantity of clips remaining of the plurality of clips. | 06-09-2011 |
20110137324 | SURGICAL CLIP AND APPLIER DEVICE AND METHOD OF USE - A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the aims can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue. | 06-09-2011 |
20110144665 | SURGICAL CLIP APPLIER - Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; and a plurality of clips slidably disposed within the channel of the clip carrier. The surgical clip appliers further include a drive channel reciprocally disposed within at least one of the housing and the channel assembly; a wedge plate reciprocally disposed within the channel assembly; a pusher bar reciprocally positioned within the housing and the channel assembly; and a motion multiplier system having a plurality of linkage members configured to distally move the pusher bar by an incremental amount upon an initial actuation of the handles, and configured to proximally move the pusher bar and the wedge plate subsequent to the initial actuation of the handles. | 06-16-2011 |
20110152888 | Medical Instrument for Setting Tissue Clips - A proctological instrument is disclosed comprising an instrument handle to which at its proximal end a bending-resistant tubular shaft is mounted at the distal end of which a cap is fixed or formed to which a tissue clip adapted to be withdrawn from the cap by means of a releasing or withdrawing device is attached in a preferably spring-elastic manner. In accordance with the invention, the tubular shaft is offset at its distal end portion in an area directly ahead of the cap and/or the cap itself is offset at a predetermined fixed angle so that the withdrawing direction for the clip defined by the cap is aligned at the angle with respect to the tubular shaft axis. | 06-23-2011 |
20110208212 | SURGICAL CLIP APPLIER - Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within the channel of the clip carrier; a wedge plate reciprocally disposed within the channel assembly; and a clip pusher bar reciprocally positioned within the housing and the channel assembly. A clip follower is slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips. The clip follower is configured and dimensioned to lockout the clip applier after a last clip of the plurality of clips has been expelled by the surgical clip applier. | 08-25-2011 |
20110218554 | Automatic clip applier for clamping two ligating clips simultaneously - An automatic clip applier for clamping ligating clips is disclosed, which includes: a handling unit, and two clamping means laminating with each other and connecting to the handling unit. Each clamping means respectively contains: a jaw unit containing a clipping portion to clamp a ligating clip; a magazine unit for storing plural ligating clip; a feeding unit for translating the endmost ligating clip from the magazine unit to the clipping portion of the jaw unit; and a dispensing unit for serially translating the endmost ligating clip to the end of the feeding unit. Accordingly, the automatic clip applier provided by the present invention can be used for clamping two ends of a vessel simultaneously, and the step of taking ligating clips can also be omitted. Hence, the surgical procedure can be simplified and the surgical time can be shortened by use of the automatic clip applier of the present invention. | 09-08-2011 |
20110218555 | CLIP APPLIER WITH MIGRATIONAL RESISTANCE FEATURES - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation. | 09-08-2011 |
20110218556 | CLIP ADVANCER WITH LOCKOUT MECHANISM - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a housing having a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The clip applier can include an advancer assembly disposed within the elongate shaft and configured to advance one of a plurality of clips disposed within the elongate shaft into the opposed jaws. A feeder shoe can be disposed within the elongate shaft and can be configured to engage and prevent the advancer assembly from moving to a proximal position after the advancer assembly has moved to a distal position to advance a proximal-most clip into the opposed jaws. This can indicate to a user that a clip supply of the surgical clip applier is depleted. | 09-08-2011 |
20110270276 | Methods and Devices for Cardiac Valve Repair or Replacement - A delivery system for percutaneously guiding a repair or replacement device into a desired position relative to a valve within a patient. The delivery system includes a longitudinal support tube having a distal end, a deformable centering loop extending from the distal end of the support tube, at least one stop positioned on the centering loop and spaced from the distal end of the support tube, at least one clip delivery system slideably attached to the centering loop, and a sheath that is longitudinally slideable relative to the support tube, the centering loop, and the at least one clip delivery tube. | 11-03-2011 |
20120029533 | ARTICULATING CLIP APPLIER CARTRIDGE - An end effector is provided and includes a distal housing portion and a proximal housing portion interconnected to one another by a knuckle portion, wherein the knuckle portion permits rotation of the distal housing portion relative thereto and articulation of the distal housing portion relative to the proximal housing portion; a jaw assembly supported in the distal end of the distal housing portion, the jaw assembly including a first jaw and a second jaw movable between a spaced apart and an approximated position; and a plurality of fasteners loaded within the distal housing portion, each of the plurality of fasteners defining a fastener axis extending in a direction substantially parallel to a pair of legs thereof, each of the plurality of fasteners being arranged within the base portion such that the fastener axis is disposed at an angle with respect to a longitudinal axis of the distal housing portion. | 02-02-2012 |
20120029534 | ARTICULATING CLIP APPLIER - A surgical apparatus for application of surgical clips to body tissue is provided. The surgical apparatus includes a housing, a drive assembly, a trigger, and a shaft assembly. The trigger is operatively connected with the drive assembly. The drive assembly is at least partially positioned within the housing. The shaft assembly extends distally from the housing and has a first tubular member pivotally connected with a second tubular member located distally from the first tubular member. An articulation mechanism is operatively connected between the first and second tubular members, and includes a gear rack, at least one gear, and a gear segment, respectfully connected with each other to pivot the second tubular member about the pivot axis. The gear rack and at least one gear are located within the first tubular member. The gear segment extends proximally from the second tubular member. | 02-02-2012 |
20120046671 | REPETITIVE CLIPPING TREATMENT DEVICE - A repetitive clipping treatment device has a cylindrical sheath loaded with a clip series that has plural clips, a manipulating wire to move the clip series in the longitudinal direction of the sheath inside the sheath, a handle main body connected to the sheath and having the manipulating wire arranged therein, a slider to move the manipulating wire in the axial direction of the handle main body, and a slider displacement regulating member to regulate the displacement of the slider in the axial direction to different displacements required for clipping treatment of each clip of the clip series. The plural different displacements corresponding to the respective clips are determined based on the lengths to protrude and the retraction amounts of the respective clips. | 02-23-2012 |
20120065647 | Endoscopic Hemostatic Clipping Apparatus - An apparatus for applying clips to tissue, comprises a plurality of clips, each of the clips including a proximal end having a pair of opposed jaws and a distal end including a linking feature, where the clips are linked to one another to form a clip chain with a linking feature of a distal-most one of the clips being gripped between the jaws of an immediately proximal one of the clips and a control linkage coupled to a proximal-most one of the clips for applying tension and compression to the clip chain in combination with a magazine containing the clip chain, the magazine including an abutment surface sized to prevent passage distally therebeyond of a clip having received between its jaws a linking feature of an immediately distal clip and an opening location within which the jaws of a clip are permitted to open to release a linking feature therefrom. | 03-15-2012 |
20120071899 | DEVICE AND METHOD FOR APPLYING A MEDICAL LOCKABLE CLIP IN A TISSUE AREA - A device and method are provided for clips or staples as an effective substitute for suture material when joining body tissue or covering body tissue with a mesh, such as is particularly used in fracture operations. The device for applying a medical lockable clip ( | 03-22-2012 |
20120116420 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH CONNECTOR PLATE - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 05-10-2012 |
20120123446 | APPARATUS FOR APPLYING SURGICAL CLIPS - An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack. | 05-17-2012 |
20120184970 | ENDOSCOPIC SURGICAL CLIP APPLIER WITH CLIP RETENTION - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 07-19-2012 |
20120221021 | COUPLING SYSTEM, APPLICATOR TOOL, ATTACHMENT RING AND METHOD FOR CONNECTING A CONDUIT TO BIOLOGICAL TISSUE - A coupling system includes an applicator tool and an attachment ring mounted on the applicator tool. Clips are contained within the applicator tool and are deployed through the attachment ring in order to anchor the attachment ring to biological tissue. When deployed, tips of the clips follow a curved trajectory through an annular cuff of the attachment ring and through the underlying tissue. The tips loop back out of the tissue and to a location where they are later trapped or clamped by the attachment ring. While the tips are trapped or clamped, the applicator tool cinches the clips by pulling rear segments of the clips. Thereafter, the applicator tool disconnects from the attachment ring which remains anchored to the tissue and serves as a coupling for a cannula. The cannula can have movable lock members that secure it to the attachment ring. | 08-30-2012 |
20120226291 | Surgical Ligation Clip and Applicator Device - A surgical tissue ligation clip and an applicator device for delivery of multiple ligation clips is provided. The surgical ligation clips have first and second leg members joined by a resilient hinge at one end and a deflectable hook member and a locking element on the opposite end. The surgical tissue ligation clip has a proximal tissue shield that prevents tissue from being pinched at the hinge, and/or a distal tissue shield that prevents tissue from being pinched between the hook member and locking element and interfering with securely closing the ligation clip for implantation. A minimally invasive applicator for the surgical ligation clip is provided for delivering individually arranged ligation clips in line, incising target tissue and delivering a plurality of surgical ligation clips at the tissue site. | 09-06-2012 |
20120310259 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 12-06-2012 |
20130110135 | ENDOSCOPIC SURGICAL CLIP APPLIER | 05-02-2013 |
20130131697 | SURGICAL CLIP APPLIER - The present application relates to surgical clip appliers having a plurality of clips for applying the clips to body tissues and vessels during surgical procedures and their methods of use and specifically to a reusable counter mechanism for use with a surgical clip applier. The surgical clip applier includes a housing, at least one handle pivotably connected to the housing, a channel assembly extending distally from the housing, a plurality of clips loaded in the channel assembly, a drive channel translatably supported in the housing and the channel assembly and being translatable upon actuation of the at least one handle, and a reusable counter mechanism removably insertable into a counter slot extending into the housing and engagable with the drive channel. The counter mechanism is configured display indicia corresponding to a quantity of clips and to update the indicia upon translation of the drive channel. | 05-23-2013 |
20130150869 | SELF-CINCHING SURGICAL CLIPS AND DELIVERY SYSTEM - A device and method for deploying self-cinching surgical clips. The device accesses at least two layers of tissue or material from only one side of the tissue or material and punctures through the two layers of tissue or material. The various configurations of clips disclosed herein are made of a superelastic material such as Nitinol, and have a constrained and a relaxed state, and no sharp edges or tips so as to reduce tissue irritation following deployment. The clip is disposed within the housing of the delivery device and held in a constrained state by a tube assembly until deployment wherein the clip assumes its relaxed state, where the ends of the clip are brought into close approximation, thereby securing the layers of tissue or material together. | 06-13-2013 |
20130150870 | SURGICAL INSTRUMENT FOR REMOVING SURGICAL CLIPS - The invention relates to a surgical instrument for removing a surgical clip applied to a hollow organ, said clip comprising two clamping arms having two free ends and two ends connected to each other and defining a connecting region, and said instrument having a proximal and a distal end, wherein a spreading device for grasping and spreading apart an applied clip from an applied position to a released position is arranged at the distal end. | 06-13-2013 |
20130165951 | Surgical clip applier - A surgical clip applier with scissor-type operating handle and clip applying cartridge in which handle has housing of upper and lower shells that defines socket for receiving cartridge, includes a lever arm actuated linear translator for linear reciprocating movement delivered to the cartridge, and an anti-backup mechanism for full forward and release strokes of the handle, and in which cartridge includes jaws for applying clips, safety means to ensure opening of jaws for each cycle, a puller bar for receiving motion from handle and timing of jaw operation to clip feed, a magazine for feeding clips to jaws in proper sequence, and a lockout mechanism to render applier inoperative after using last clip. | 06-27-2013 |
20130165952 | ARTICULATING CLIP APPLIER CARTRIDGE - An end effector is provided and includes a distal housing portion and a proximal housing portion interconnected to one another by a knuckle portion, wherein the knuckle portion permits rotation of the distal housing portion relative thereto and articulation of the distal housing portion relative to the proximal housing portion; a jaw assembly supported in the distal end of the distal housing portion, the jaw assembly including a first jaw and a second jaw movable between a spaced apart and an approximated position; and a plurality of fasteners loaded within the distal housing portion, each of the plurality of fasteners defining a fastener axis extending in a direction substantially parallel to a pair of legs thereof, each of the plurality of fasteners being arranged within the base portion such that the fastener axis is disposed at an angle with respect to a longitudinal axis of the distal housing portion. | 06-27-2013 |
20130172910 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a walking beam reciprocally disposed within a channel assembly and overlying a clip carrier, the walking beam being operatively connected to at least one handle for reciprocal movement upon actuation of the at least one handle, the walking beam including a plurality of distally oriented ramps extending into the clip channel; and a clip follower slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips, the clip follower being configured and adapted for selective engagement with the distally oriented ramps of the clip carrier and the distally oriented ramps of the walking beam, wherein the clip follower is configured and adapted to urge the plurality of clips, in a distal direction relative to the clip carrier, upon reciprocal movement of the walking beam. | 07-04-2013 |
20130172911 | SURGICAL CLIP APPLIER WITH INTEGRATED CLIP COUNTER - A surgical clip applier is provided including a channel assembly and overlying a clip carrier having a clip counter plate slidably supported in the channel assembly, wherein the clip counter plate is configured and adapted to display a change in status of the clip applier upon actuation of the handle. | 07-04-2013 |
20130172912 | ARTICULATING ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue. | 07-04-2013 |
20130190779 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips is provided and includes a lockout system selectively engageble with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction. | 07-25-2013 |
20130190780 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips is provided and includes a lockout system selectively engagable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction. | 07-25-2013 |
20130253540 | AUTOMATIC SURGICAL LIGATION CLIP APPLIER - An applier for ligation clip is provided. The applier includes: an outer tube having mounting bosses; a pair of jaws pivotally connected to the mounting bosses, the jaws having actuating projections; a feed tube located in the outer tube and configured to move axially within the outer tube, the feed tube having actuating slots in which the actuating projections are located; a clip lock arm located in the outer tube and configured to move axially within the outer tube; and a clip advance arm located in the outer tube and configured to move axially within the outer tube, the clip advance arm having flexible pinchers at one end of the clip advance arm. A method of applying a ligation clip is also disclosed. | 09-26-2013 |
20130253541 | SURGICAL CLIP APPLIER AND METHOD OF ASSEMBLY - Surgical clip appliers are provided and includes a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate. | 09-26-2013 |
20130261642 | MANUAL SURGICAL LIGATION CLIP APPLIER - A ligation clip applier is provided. The clip applier includes: a pair of jaws; a distal clevis tube to which the jaws are pivotally mounted; a proximal clevis tube located behind the distal clevis tube, wherein the distal clevis tube and the proximal clevis tubes move axially with respect to each other; a clip lock actuator fixed to one of the proximal and distal clevis tubes; and a distal pushrod extending through the distal and proximal clevis tubes and forming a camming connection with the jaws configured to close and move the jaws toward a proximal direction toward the clip lock actuator when the distal pushrod is moved in the proximal direction. A method for applying a clip on a vessel is disclosed. | 10-03-2013 |
20130274767 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 10-17-2013 |
20130289583 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a housing; a pair of handles; a channel assembly extending from the housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows; a wedge plate slidably disposed within said channel assembly and being operatively connected to said handles, said wedge plate including a plurality of apertures formed along a length thereof; a plurality of clips slidably disposed within said channel of said clip carrier; and a clip follower slidably disposed within said channel of said clip carrier at a location proximal of said plurality of clips. The clip follower is configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate to distally urge said plurality of clips relative to said clip carrier upon a distal advancement of said wedge plate. | 10-31-2013 |
20130296891 | SURGICAL CLIP APPLIER WITH DISSECTOR - A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly adapted to accommodate a clip of a plurality of clips loaded in the clip applier and being operable to effect formation of the clip in response to movement of the at least one handle; and a dissector bar supported on the housing and the channel assembly, wherein the dissector bar is actuatable from the housing and includes a proximal position wherein a distal end of the dissector bar is disposed proximal of a distal-most end of the jaw assembly, and at least one distal position wherein the distal end of the dissector bar projects beyond the distal-most end of the jaw assembly. | 11-07-2013 |
20130296892 | Endoscopic Surgical Clip Applier with Clip Retention - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 11-07-2013 |
20130325040 | ENDOSCOPIC CLIP APPLIER - An endoscopic surgical clip applier is provided, wherein a distal end of the surgical clip applier is introduced to a target surgical site through a cannula having a fixed diameter lumen. The surgical clip applier comprises an endoscopic portion supported by and extending from a handle assembly, and a pair of jaws supported at a distal end of an outer tube, wherein the pair of jaws are movable between a fully open condition and approximated conditions. When the pair of jaws are in the fully open condition the pair of jaws extend radially beyond an outer diameter of the outer tube to a dimension greater than the fixed diameter of the lumen of the cannula; and when the pair of jaws are in at least one approximated condition the pair of jaws have a transverse dimension permitting passage through the lumen of the cannula. | 12-05-2013 |
20130331864 | Method and Device for Percutaneous Valve Annuloplasty - A delivery system for delivery of a radially expandable device to an implantation site in a patient, the delivery system including an elongated tubular member comprising a distal tip and an outer surface, first and second balloon portions spaced proximally from each other and the distal tip along a length of the tubular member, an annular space between the first and second balloon portions, a plurality of clip deployment tubes extendably moveable relative to the outer surface of the tubular member, and a plurality of clips, wherein each clip is moveable within a length of one of the clip deployment tubes between a retracted position and a deployed position. | 12-12-2013 |
20140005693 | INTERCHANGEABLE CLIP APPLIER | 01-02-2014 |
20140005694 | REPLACEABLE CLIP CARTRIDGE FOR A CLIP APPLIER | 01-02-2014 |
20140005695 | EMPTY CLIP CARTRIDGE LOCKOUT | 01-02-2014 |
20140005696 | SURGICAL CLIP APPLICATOR | 01-02-2014 |
20140012291 | MULTIPLE CLIP APPLIER APPARATUS AND METHOD - A surgical clip applier includes a train of clips disposed in a plane with a single clip removed from the train of clips and disposed in a staging position. A pair of jaws are adapted to receive the single clip from the staging position by operation of a jaw loader moveable outside the plane of the train of clips. In an associate method, a handle assembly is provided which is moveable in an open stroke and a closed stroke. A source of surgical clips are provided along with a pair of jaws which are adapted to receive one of the clips as the handle assembly is moved in an open stroke, the jaws are open to receive the clip. Following the opening of the jaws, a jaw loader is extended to a position between the jaws to move the clip into the jaws. The handle assembly is moveable in a closed stroke during which the jaws are closed to crimp the clip. Prior to this closing of the jaws, the jaw loader is retracted from the position between the jaws leaving the clip in the jaws. | 01-09-2014 |
20140025092 | ENDOSCOPIC LIGATION - A ligature delivery device includes a control member, an elongated shaft, and an end effector attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the end effector. In several embodiments, the end effector includes a reverse grasping mechanism. Several embodiments of ligature devices are adapted to be deployed endoscopically and/or translumenally using the reverse-grasping delivery device. | 01-23-2014 |
20140039526 | SURGICAL CLIP APPLIER - Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; and a plurality of clips slidably disposed within the channel of the clip carrier. The surgical clip appliers further include a drive channel reciprocally disposed within at least one of the housing and the channel assembly; a wedge plate reciprocally disposed within the channel assembly; a pusher bar reciprocally positioned within the housing and the channel assembly; and a motion multiplier system having a plurality of linkage members configured to distally move the pusher bar by an incremental amount upon an initial actuation of the handles, and configured to proximally move the pusher bar and the wedge plate subsequent to the initial actuation of the handles. | 02-06-2014 |
20140052157 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue has a handle portion; a body extending distally from the handle portion; a plurality of surgical clips disposed within the body; and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position; an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion; and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. | 02-20-2014 |
20140058412 | APPARATUS FOR APPLYING SURGICAL CLIPS - An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack. | 02-27-2014 |
20140188135 | Bio-Absorbable Micro-Clip And Applicator For Minimal Access Wound Closure - The present disclosure includes a bio-absorbable wound closure clip for wound closure without crushing of the tissue being closed. The bio-absorbable wound closure clip can be used in minimal access surgery as well as on tissue, such as mucosal tissue, where tactile feedback is reduced. Representative surgical instruments for applying the bio-absorbable wound closure clip and methods of using the same are also provided herein. | 07-03-2014 |
20140194903 | Surgical Clip Applier - A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction. | 07-10-2014 |
20140207156 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, a channel assembly extending distally from the housing, a clip carrier disposed within said channel assembly and defining a channel therein, a plurality of clips slidably disposed within the channel of said clip carrier, a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, adapted to accommodate a clip therein and being operable to effect formation of a clip in response to movement of said at least one handle, and a shuttle bar slidably supported in the channel assembly and configured to transport a clip from the clip carrier to the jaw assembly. | 07-24-2014 |
20140276972 | Surgical Instrument For Dispensing Tacks And Solution - A surgical tack applier comprising a handle assembly, an inner tube, a plurality of fasteners and a solution is disclosed. The handle assembly includes an actuator associated therewith. The inner tube extends distally from the handle assembly and defines a longitudinal axis. The inner tube is rotatable about the longitudinal axis. The plurality of fasteners are disposed at least partially within the inner tube and are selectively ejectable therefrom. The solution is disposed within the inner tube and is dispensable through a distal opening of the inner tube. | 09-18-2014 |
20140316441 | SURGICAL CLIP APPLIERS - A surgical clip applier includes a housing, at least one handle, a channel assembly, a clip carrier, a wedge plate, a clip pusher bar, and a clip follower. The at least one handle is pivotably connected to the housing. The channel assembly extends distally from the housing. The clip carrier is disposed within the channel assembly and defines a channel and a plurality of windows. The wedge plate is reciprocally disposed within the channel assembly. The clip pusher bar is reciprocally positioned within the housing and the channel assembly. The clip follower is slidably disposed within the channel of the clip carrier and disposed proximally of a plurality of clips. The clip follower is configured and dimensioned to lockout the clip applier after a last clip of the plurality of clips has been expelled by the surgical clip applier. | 10-23-2014 |
20140324074 | SURGICAL CLIP APPLICATOR - A surgical clip applicator includes a handle configured to produce translational movement; a cartridge containing a plurality of clips arranged in a row, the cartridge including a jaw assembly for receiving and closing a clip; a jaw closing mechanism for closing the jaw assembly; a clip feed mechanism for serially feeding a lead clip from the row to the jaw assembly; a clip advance mechanism for advancing the row as the lead clip is fed to the jaws; and a rocker mechanism for translating translational movement from the handle opposite translational movement of the haw closing mechanism in one direction and the clip feed mechanism and clip advance mechanism in an opposite direction. | 10-30-2014 |
20140330291 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips is provided and includes a lockout system selectively engageble with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction. | 11-06-2014 |
20140343578 | Clip Applier with Migrational Resistance Features - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation. | 11-20-2014 |
20140371766 | APPARATUS AND METHOD FOR HEART VALVE REPAIR | 12-18-2014 |
20140379003 | Surgical clip applier - A clip applier of handle and cartridge for applying clips in surgical procedures with handle preferably a scissors type defined by a housing of shell members containing a cam operated linear translator actuated by handle levers, an anti-backup mechanism limiting handle lever movement to full pull and release strokes while preventing partial pull or release handle strokes, and with cartridge fitted with lockout mechanism to disable applier after last clip is used in surgery, with a puller bar lock to hold puller bar position in cartridge prior to assembly with handle, a detent spring mounted in cartridge cover member as part of clip handling mechanism, and a rapid-fire pawl as part of clip handling mechanism to prevent cartridge jamming when clips are applied in rapid succession. | 12-25-2014 |
20140379004 | Hemostasis Device With One Way Trap - A tissue clipping device includes (a) a first body extending from a proximal end to a distal end and including a first channel extending therethrough and (b) a plurality of first arm elements, each of the plurality of first arm elements extending radially into the first channel from a first end coupled to the first body to a second end proximal of its first end so that tissue drawn into a distal end of the first channel proximally beyond the second end of the plurality of first arm elements is compressed between each of the plurality of first arm elements and retained in the first channel. | 12-25-2014 |
20150012014 | COUPLING MEMBER CONFIGURED FOR USE WITH SURGICAL DEVICES - A surgical apparatus is provided. The surgical apparatus includes a surgical actuating device including a shaft having supporting a first coupling member. The first coupling member includes one or more pairs of apertures. The reload includes a second coupling member including a locking assembly. The second coupling member includes a pair of spring pins positionable within the pair of apertures. The spring pins being movable from an inward position to a radial outward position. The locking assembly includes a lock plate that is moveable from a first position located between the spring pins to a second position spaced from the spring pins. In the radial outward position, the spring pins are received within the apertures of the first coupling member to secure the reload to the surgical actuating member and when the lock plate is in the first position, the reload cannot be separated from the surgical actuating device. | 01-08-2015 |
20150032131 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws. | 01-29-2015 |
20150032132 | TISSUE APPOSITION CLIP APPLICATION METHODS - Surgical methods for closing a gastrotomy. The surgical method for closing an opening in an organ wall comprises positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends. The surgical method further comprises inserting a flexible clip magazine into the steerable overtube. The surgical method comprises grasping tissue through which the opening extends and drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most tissue apposition clip supported within a distal end of the clip magazine. The surgical method further comprises advancing the distal-most tissue apposition clip onto the portion of grasped tissue. | 01-29-2015 |
20150057682 | CLIP DELIVERY SYSTEM FOR HEART VALVE REPAIR AND METHOD OF USE - A device for repair of a heart valve leaflet includes an elongated body having a lumen extending therethrough in a longitudinal direction, a proximal end, and an open distal end. The device further includes a plurality of clips disposed at spaced positions within the lumen, the plurality of clips being configured and arranged to couple to a portion of the heart valve leaflet. At least one clip in the plurality of clips and the heart valve leaflet are capable of translation relative to one another in the longitudinal direction. | 02-26-2015 |
20150066057 | Surgical Clip Applier - A surgical clip applier is provided including a clip pusher bar having a flexible tab and a camming plate configured to effectuate closure of the pair of jaws. The camming plate includes a lost motion portion and the flexible tab is configured to engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar. The flexible tab is configured to disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate. | 03-05-2015 |
20150080914 | BIOABSORBABLE CLIPS AND APPLICATOR FOR TISSUE CLOSURE - Surgical clips and surgical applicators used in performing rapid tissue closure in either minimally invasive surgeries or traditional open procedures are provided. In one example approach, a surgical clip comprises opposing sides extending from a top portion and terminating at tips positioned below the top portion. The resting position of the clip is its closed position, and in the closed position, the tips are set at a first distance apart. Each side has a cut-out (or hole or aperture) opposite one another. Each cut-out is fully surrounded by the side and does not extend to the top or tips. Each cut-out is configured to engage an inwardly turned hook at the end of a clip array or clip applicator such that the sides bend outwardly away from each other when pressure is applied on the top portion of the clip, thereby placing the clip in an open position. | 03-19-2015 |
20150080915 | Surgical Clip and Applier Device and Method of Use - A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the arms can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue. | 03-19-2015 |
20150080916 | APPARATUS FOR APPLYING SURGICAL CLIPS - A clip applying apparatus is described for applying clips seriatim to tissue. The apparatus includes a lockout member for limiting distal movement of the camming member after the proximal-most clip has been applied to tissue. In one embodiment, the apparatus includes a jaw locking member for preventing approximation of the jaw members of the apparatus. In one embodiment, a latch assembly is provided to releasably engage a clip pusher of the apparatus to the camming member of the apparatus. | 03-19-2015 |
20150112367 | Multiple Hemoclip System for an Endoscope - Spring clips are arranged end to end in a cavity of an inner shaft. Such shaft slides within an outer shaft, and a pusher member slides in the cavity behind the clips. The clips have jaws biased together, but which are wedged apart by an opener as the pusher is moved distally. An opened clip is ejected by relative movement of the inner and outer shafts to clamp body tissue at a desired site. | 04-23-2015 |
20150127021 | DEVICES FOR RECONFIGURING A PORTION OF THE GASTROINTESTINAL TRACT - The present invention involves new interventional methods and devices for reconfiguring a portion of the gastrointestinal tract. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged, approximated and fastened to create one or more tissue folds forming one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications. | 05-07-2015 |
20150127022 | ARTICULATING CLIP APPLIER CARTRIDGE - An end effector is provided and includes a distal housing portion and a proximal housing portion interconnected to one another by a knuckle portion, wherein the knuckle portion permits rotation of the distal housing portion relative thereto and articulation of the distal housing portion relative to the proximal housing portion; a jaw assembly supported in the distal end of the distal housing portion, the jaw assembly including a first jaw and a second jaw movable between a spaced apart and an approximated position; and a plurality of fasteners loaded within the distal housing portion, each of the plurality of fasteners defining a fastener axis extending in a direction substantially parallel to a pair of legs thereof, each of the plurality of fasteners being arranged within the base portion such that the fastener axis is disposed at an angle with respect to a longitudinal axis of the distal housing portion. | 05-07-2015 |
20150313590 | METHODS OF DEPLOYING KNOTLESS SUTURE ANCHORING CLAMPS - Methods of deploying knotless suture locking clamps for securing prostheses such as heart valves or annuloplasty rings to facilitate implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures. | 11-05-2015 |
20150343124 | Coupling System, Applicator Tool, Attachment Ring and Method for Connecting a Conduit to Biological Tissue - A coupling system includes an applicator tool and an attachment ring mounted on the applicator tool. Clips are contained within the applicator tool and are deployed through the attachment ring in order to anchor the attachment ring to biological tissue. When deployed, tips of the clips follow a curved trajectory through an annular cuff of the attachment ring and through the underlying tissue. The tips loop back out of the tissue and to a location where they are later trapped or clamped by the attachment ring. While the tips are trapped or clamped, the applicator tool cinches the clips by pulling rear segments of the clips. Thereafter, the applicator tool disconnects from the attachment ring which remains anchored to the tissue and serves as a coupling for a cannula. The cannula can have movable lock members that secure it to the attachment ring. | 12-03-2015 |
20150351771 | Surgical Clip Applier - A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction. | 12-10-2015 |
20150351772 | SURGICAL CLIP APPLIER - A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction. | 12-10-2015 |
20160030045 | SURGICAL CLIP APPLIER - A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a plurality of clips loaded in the clip carrier; a drive channel translatably supported in the housing and the channel assembly, the drive channel being translated upon actuation of the at least one handle; and a counter mechanism supported in the housing, the counter mechanism including indicia visible through the housing, wherein the indicia corresponds to a quantity of clips loaded in the clip applier, wherein the indicia decrements upon each firing of the clip applier resulting in a reduction in the quantity of clips remaining of the plurality of clips. | 02-04-2016 |
20160095598 | CARTRIDGE WITH MULTI-CLIP DISPENSING PROVISIONS - An endoscopic surgical apparatus is configured to be loaded with a replaceable cartridge. The cartridge is loaded with a single-file line-up of a series of endoscopic clips. The endoscopic surgical apparatus is furthermore configured to apply (ie., dispense) each clip serially in the line-up, one clip at a time, wherever and whenever the user (eg., surgeon) chooses. | 04-07-2016 |
20160106434 | MULTI-CLIP APPLIER - A clip applier having a handle at a proximal portion, an elongated portion extending distally of the handle, a jaw mechanism including a pair of jaws movable to a closed position to crimp a clip held therein, a clip feeder mechanism movable in proximal and distal directions, a camming mechanism and a puller mechanism movable in proximal and distal directions. The puller mechanism is operatively connected to the handle such that actuation of the handle a) moves the puller mechanism a first distance in the proximal direction; and b) moves the clip feeder mechanism a second distance greater than the first distance. | 04-21-2016 |
20160113652 | SURGICAL CLIP APPLICATOR - A surgical clip applicator includes a universal handgrip and an individual clip magazine having an integrated crimping head, which individual clip magazine can be detachably fastened to the universal handgrip. The universal handgrip and the individual clip magazine fastened thereto interact to form a feed path for the clip transport of individual clips from a clip receiving portion of the clip magazine toward the crimping head, which feed path is defined or individually available for actuation. The individual clip magazine can be selected from a plurality of clip magazines for different clip types as needed. The clip magazine can include an integrated coding mechanism designed depending on the clip type to be applied, which coding mechanism defines in interaction with the universal handgrip at least the feed path adapted to the respective clip type. | 04-28-2016 |
20160113655 | REPOSABLE MULTIPLATFORM ENDOSCOPIC SURGICAL CLIP APPLIER - A handle assembly for a clip applier includes a housing having a stationary handle and a barrel supported on the stationary handle. The barrel defines a lumen having a proximal portion and a distal portion configured to releasably receive an adapter assembly. A is operably coupled to the housing and includes a gripping portion and a stem portion movable distally through the proximal portion of the lumen in response to movement of the gripping portion towards the stationary handle. A plunger assembly is removably positionable within the proximal portion of the lumen and configured to operably couple the stem portion with an adapter assembly such that distal movement of the stem portion actuates the adapter assembly. A plug is removably engagable within the proximal end of the barrel to retain the stem portion, the plunger assembly, and the adapter assembly in operable relation relative to one another. | 04-28-2016 |
20160120546 | CLIPS AND APPLICATOR FOR TISSUE CLOSURE - Surgical clips and surgical applicators used in performing rapid tissue closure in either minimally invasive surgeries or traditional open procedures are provided. In one example approach, a surgical clip comprises opposing sides extending from a top portion and terminating at tips positioned below the top portion. The resting position of the clip is its closed position. Edges of the top portion and the opposing sides form opposing faces perpendicular to the opposing sides. The opposing faces are angled inwardly towards each other at a region of the faces adjacent to the top portion. Grooves are formed in each of the opposing sides. The grooves are configured to engage inwardly turned tracks of a clip applicator such that, when a force is applied to the clip, the opposing sides bend outwardly away from each other to place the clip in an intermediate open position. | 05-05-2016 |
20160151071 | LAPAROSCOPIC SURGICAL LIGATION CLIP APPLIER | 06-02-2016 |
20160151073 | AUTOMATIC SURGICAL LIGATION CLIP APPLIER | 06-02-2016 |
20160183937 | Suture clip deployment devices - Disclosed herein are suture clip delivery devices that can be loaded with several flat, disk-shaped suture clips and can deploy the suture clips one after another onto respective sutures without reloading the device with additional suture clips. An exemplary device includes a handle portion with an actuation mechanism that is coupled to a shaft portion that holds and deploys the suture clips. The shaft portion includes a mandrel on which the suture clips are mounted and a retainer that restricts the suture clips from moving proximally when the actuation mechanism pulls the mandrel proximally, which causes a distal-most suture clip to slide off the mandrel and be deployed onto one or more suture. The mandrel and remaining suture clips can them move distally to prepare to deploy the next suture clip. | 06-30-2016 |
20160183943 | EMPTY CLIP CARTRIDGE LOCKOUT - A surgical device for clipping tissue can include a replaceable cartridge comprising a stack of clips contained therein and a firing drive configured to reciprocatingly eject, or deploy, the clips from the cartridge. After the clips have been deployed from the cartridge, a blocking member can be positioned to impede or block the firing drive. In at least one embodiment, the cartridge can include a biasing member configured to bias the blocking member into a firing chamber defined in the cartridge and/or surgical device. The surgical device can also include a crimping drive configured to deform a clip after it has been ejected from the cartridge. The blocking member can also be configured to impede or block the crimping drive after all of the clips from the cartridge have been used. | 06-30-2016 |
20160192940 | REPOSABLE CLIP APPLIER | 07-07-2016 |
20160249933 | ARTICULATING ENDOSCOPIC SURGICAL CLIP APPLIER | 09-01-2016 |