Surgical clip and clip application procedures
First Claim
1. An adjsutably tensionalbe surgical clip, comprising:
- an elongated member comprised of at least one pair of first and second leg members, each of the leg members having a proximal portion and a distal portion having a tissue engaging portion which terminates at a distal end, a longitudinal channel means formed along at least a part of one of the leg members for engaging and retaining a corresponding part of the other leg member, the respective proximal portions of each leg member pair being pivotably connected to one another to permit relative displacement of the leg members, the distal portion of at least one leg member of each leg member pair being bendable relative to the distal portion of the other leg member of the pair to effect approximation of the leg member distal ends to close the clip prior to relative pivotable displacement of the leg members.
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Accused Products
Abstract
A variety of configurations for suture tie devices and suture tie device applicators, as well as methods of suturing, are disclosed. The suture tie devices generally include at least one leg member having a curved or angled distal, tissue engaging portion. A tying member unidirectionally or bidirectionally displaceable along the leg member can optionally be provided. Engagement of a leg distal portion with a generally opposed leg distal portion or the tying member forms a suture loop which positions organ or tissue material between the curved or angled legs and the tying member. The tying member can be advanced toward the leg member so as to provide a variable extent of suture tension. Apparatus for installing the suture tie devices and suturing methods are also disclosed.
462 Citations
20 Claims
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1. An adjsutably tensionalbe surgical clip, comprising:
an elongated member comprised of at least one pair of first and second leg members, each of the leg members having a proximal portion and a distal portion having a tissue engaging portion which terminates at a distal end, a longitudinal channel means formed along at least a part of one of the leg members for engaging and retaining a corresponding part of the other leg member, the respective proximal portions of each leg member pair being pivotably connected to one another to permit relative displacement of the leg members, the distal portion of at least one leg member of each leg member pair being bendable relative to the distal portion of the other leg member of the pair to effect approximation of the leg member distal ends to close the clip prior to relative pivotable displacement of the leg members. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. An adjustably tensionable surgical clip, comprising:
an elongated member comprised of at least one pair of first and second leg members, each of the leg members having a proximal portion and a distal portion having a tissue engaging portion which terminates at a distal end, at least one of the leg member including engaging and retaining means comprising a complementary arrangement of mutually engageable members formed along at least a section of each leg member, the mutually engageable members comprising a plurality of ridges formed on one leg member and a plurality of grooves formed along the other of the leg members, the grooves being dimensioned to retainably receive the plurality of ridges, the respective proximal portions of each leg member pair being pivotably connected to one another to permit relative displacement of the leg members, the distal portion of at leas tone leg member of each leg member pair being bendable relative to the distal portion of the other leg member of the pair to effect approximation of the leg member distal ends to close the clip prior to relative pivotable displacement of the leg members.
Specification