Surgical device with malleable shaft

• US 6,139,563 A
• Filed: 09/25/1997
• Issued: 10/31/2000
• Est. Priority Date: 09/25/1997
• Status: Expired due to Term

• Current Assignee: Kay H.P. Hannafan
• Original Assignee: Allegiance Corporation (Cardinal Health, Inc.)
• Inventors: Williams, Donald B., Cosgrove, Delos M. III, Block, Thomas J., Gray, Joel Donald
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/936,394
• Time in Patent Office: 1,132 Days
• Field of Search: 606/51, 606/52, 606/1, 606/17, 606/205-210, 606/174, 600/564-568
• US Class Current: 606/205
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2090/508 with releasable brake mechanisms

Abstract

The present invention provides a surgical device having a tissue engaging portion, a shaft member, and a handle assembly. The tissue engaging portion includes first and second opposed jaws for grasping, securing, and occluding body tissue and conduits. The shaft member is operatively coupled to the tissue engaging portion and is capable of being placed in different curvatures. The handle assembly is operatively coupled to both the shaft member and to the tissue engaging portion. The shaft member of the present invention allows the surgeon to bend and adjust the shape of the surgical device to minimize its intrusion and to allow for proper positioning in predetermined body locations. In a preferred embodiment, a portion of the device is disposable.

Claims

1. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the, tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the actuating means being operatively connected to the tissue engaging means and to the handle assembly;

wherein the shaft member comprises a dual-channeled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first (channel and a malleable rod extending axially through the second channel.

2. The surgical device of claim 1 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

3. The surgical device of claim 1 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending axially there through.

4. The surgical device of claim 1 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

5. The surgical device of claim 1 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

6. The surgical device of claim 1 further comprising a compression return spring for biasing the tissue engaging means to an open position.

7. The surgical device of claim 1 wherein the tissue engaging means further includes a hinged end at which the jaws are hinged together.

8. The surgical device of claim 1 wherein the jaw actuating means comprises a drive rod.

9. The surgical device of claim 8 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the drive rod by the handle assembly.

10. The surgical device of claim 1 wherein the jaw actuating means comprises a cable.

11. The surgical device of claim 1 wherein the tissue engaging means and the shaft member are disposable.

12. The surgical device of claim 1 wherein the tissue engaging means is disposable.

13. The surgical device of claim 1 wherein the shaft member is disposable.

14. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the jaw actuating means operatively connected to the tissue engaging means and to the handle assembly;

the hinged end of the tissue engaging means further including a hole there through, the hole interacting with a hook provided at one end of the jaw actuating means.

15. The surgical device of claim 14 wherein the shaft member is provided with a end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

16. The surgical device of claim 14 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

17. The surgical device of claim 14 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending axially there through.

18. The surgical device of claim 14 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

19. The surgical device of claim 14 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

20. The surgical device of claim 14 further comprising a compression return spring for biasing the tissue engaging means to an open position.

21. The surgical device of claim 14 wherein the jaw actuating means comprises a drive rod.

22. The surgical device of claim 14 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

23. The surgical device of claim 14 wherein the jaw actuating means comprises a cable.

24. The surgical device of claim 14 wherein the shaft member is provided with an end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

25. The surgical device of claim 14 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

26. The surgical device of claim 25 wherein each jaw is provided with a diagonal slot at one end, the hook of the wire member interacting with the diagonal slots of the jaws to move the jaws between the open and closed positions.

27. The surgical device of claim 25 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

28. The surgical device of claim 14 wherein one jaw of the tissue engaging means is provided with a slot at one end, the jaw actuating means being operatively coupled with the slot via a pin.

29. The surgical device of claim 14 wherein the tissue engaging means is further provided with a socket for coupling to the jaw, actuating means.

30. The surgical device of claim 29 wherein one end of the jaw actuating means is provided with a ball for coupling to the socket of the tissue engaging means.

31. The surgical device of claim 30 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

32. The surgical device of claim 14 wherein the tissue engaging means and the shaft member are disposable.

33. The surgical device of claim 14 wherein the tissue engaging means is disposable.

35. The surgical device of claim 14 wherein the shaft member is disposable.

58. The surgical device of claim 35 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

59. The surgical device of claim 35 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending axially there through.

34. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits, the tissue engaging means further including, a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the actuating means operatively connected to the tissue engaging means and to the handle assembly;

wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

36. The surgical device of claim 34 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

37. The surgical device of claim 34 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending axially there through.

38. The surgical device of claim 34 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

39. The surgical device of claim 34 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

40. The surgical device of claim 34 wherein the shaft member comprises a dual channeled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first channel and a malleable rod extending axially through the second channel.

41. The surgical device of claim 34 further comprising a compression return spring for biasing the tissue engaging means to an open position.

42. The surgical device of claim 34 wherein the jaw actuating means comprises a drive rod.

43. The surgical device of claim 34 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

44. The surgical device of claim 34 wherein the jaw actuating means comprises a cable.

45. The surgical device of claim 34 wherein the hinged end of the tissue engaging means includes a hole there through, the hole interacting with a hook provided at one end of the cable.

46. The surgical device of claim 34 wherein the shaft member is provided with an end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

47. The surgical device of claim 34 wherein each jaw is provided with a diagonal slot at one end, the hook of the wire member interacting with the diagonal slots of the jaws to move the jaws between the open and closed positions.

48. The surgical device of claim 47 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

49. The surgical device of claim 34 wherein one jaw of the tissue engaging means is provided with a slot at one end, the jaw actuating means being operatively coupled with the slot via a pin.

50. The surgical device of claim 34 wherein the tissue engaging means is further provided with a socket for coupling to the jaw actuating means.

51. The surgical device of claim 50 wherein one end of the, jaw actuating means is provided with a ball for coupling to the socket of the tissue engaging means.

52. The surgical device of claim 51 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

53. The surgical device of claim 34 wherein the tissue engaging means and the shaft member are disposable.

54. The surgical device of claim 34 wherein the tissue engaging means is disposable.

57. The surgical device of claim 34 wherein the shaft member is disposable.

55. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the actuating means operatively connected to the tissue engaging means and to the handle assembly;

wherein at least one jaw is provided with a diagonal slot at one end, the jaw actuating means interacting with the diagonal slot of the jaw to move the jaws between the open and closed positions.

56. The surgical device of claim 55 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

60. The surgical device of claim 55 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

61. The surgical device of claim 55 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

62. The surgical device of claim 55 wherein the shaft member comprises a dual channeled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first channel and a malleable rod extending axially through the second channel.

63. The surgical device of claim 55 further comprising a compression return spring for biasing the tissue engaging means to an open position.

64. The surgical device of claim 55 wherein the tissue engaging means further includes a hinged end at which the jaws are hinged together.

65. The surgical device of claim 55 wherein the jaw actuating means comprises a drive rod.

66. The surgical device of claim 55 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

67. The surgical device of claim 55 wherein the jaw actuating means comprises a cable.

68. The surgical device of claim 55 wherein the hinged end of the tissue engaging means includes a hole there through, the hole interacting with a hook provided at one end of the cable.

69. The surgical device of claim 55 wherein the shaft member is provided with an end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

70. The surgical device of claim 55 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

71. The surgical device of claim 55 further provided with a clevis which houses a portion of the jaw actuating means and the slotted ends of the jaws.

72. The surgical device of claim 55 wherein one jaw of the tissue engaging means is provided with a slot at one end, the jaw actuating means being operatively coupled.

73. The surgical device of claim 55 wherein the tissue engaging means is further provided with a socket for coupling to the jaw actuating means.

74. The surgical device of claim 73 wherein one end of the jaw actuating means is provided with a ball for coupling to the socket of the tissue engaging, means.

75. The surgical device of claim 74 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

76. The surgical device of claim 55 wherein the tissue engaging means and the shaft member are disposable.

77. The surgical device of claim 55 wherein the tissue engaging means is disposable.

79. The surgical device of claim 55 wherein the shaft member is disposable.

78. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the jaw actuating means operatively connected to the tissue engaging means and to the handle assembly;

wherein one jaw of the tissue engaging means is provided with a slot at one end, the jaw actuating means being operatively coupled with the slot via a pin.

80. The surgical device of claim 78 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

81. The surgical device of claim 78 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending therethough.

82. The surgical device of claim 78 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

83. The surgical device of claim 78 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

84. The surgical device of claim 78 wherein the shaft member comprises a dualchanneled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first channel and a malleable rod extending axially through the second channel.

85. The surgical device of claim 78 further comprising a compression return spring for biasing the tissue engaging means to an open position.

86. The surgical device of claim 78 wherein the tissue engaging means further includes a hinged end at which the jaws are hinged together.

87. The surgical device of claim 78 wherein the jaw actuating means comprises a drive rod.

88. The surgical device of claim 78 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

89. The surgical device of claim 78 wherein the jaw actuating means comprises a cable.

90. The surgical device of claim 78 wherein the hinged end of the tissue engaging means includes a hole there through, the hole interacting with a hook provided at one end of the cable.

91. The surgical device of claim 89 wherein the shaft member is provided with a end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

92. The surgical device of claim 91 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

93. The surgical device of claim 92 wherein each jaw is provided with a diagonal slot at one end, the hook of the wire member interacting with the diagonal slots of the jaws to move the jaws between the open and closed positions.

94. The surgical device of claim 93 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

95. The surgical device of claim 78 wherein the tissue engaging means is further provided with a socket for coupling to the jaw actuating means.

96. The surgical device of claim 95 wherein one end of the jaw actuating means is provided with a ball for coupling to the socket of the tissue engaging means.

97. The surgical device of claim 96 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

98. The surgical device of claim 78 wherein the tissue engaging means and the shaft member are disposable.

99. The surgical device of claim 78 wherein the tissue engaging means is disposable.

103. The surgical device of claim 78 wherein the shaft member is disposable.

100. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, them shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the actuating means operatively connected to the tissue engaging means and to the handle assembly;

wherein the tissue engaging means is further provided with a socket for coupling to the jaw actuating means.

101. The surgical device of claim 100 wherein one end of the jaw actuating means is provided with a ball for coupling to the socket of the tissue engaging means.

102. The surgical device of claim 101 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

104. The surgical device of claim 100 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

105. The surgical device of claim 100 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating means extending axially there through.

106. The surgical device of claim 100 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

107. The surgical device of claim 100 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

108. The surgical device of claim 100 wherein the shaft member comprises a dual channeled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first channel and a malleable rod extending axially through the second channel.

109. The surgical device of claim 100 further comprising a compression return spring for biasing the tissue engaging means to an open position.

110. The surgical device of claim 100 wherein the tissue engaging means further includes a hinged end at which the jaws are hinged together.

111. The surgical device of claim 100 wherein the jaw actuating means comprises a drive rod.

112. The surgical device of claim 100 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

113. The surgical device of claim 100 wherein the jaw actuating means comprises a cable.

114. The surgical device of claim 100 wherein the hinged end of the tissue engaging means includes a hole there through, the hole interacting with a hook provided at one end of the cable.

115. The surgical device of claim 100 wherein the shaft member is provided with a end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

116. The surgical device of claim 100 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

117. The surgical device of claim 116 wherein each jaw is provided with a diagonal slot at one end, the hook of the wire member interacting with the diagonal slots of the jaws to move the jaws between the open and closed positions.

118. The surgical device of claim 117 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

119. The surgical device of claim 100 wherein one jaw of the tissue engaging means is provided with a slot at one end, the jaw actuating means being operatively coupled with the slot via a pin.

120. The surgical device of claim 119 wherein one end of the jaw actuating means is provided with a ball for coupling to the socket of the tissue, engaging means.

121. The surgical device of claim 120 wherein another end of the jaw actuating means is provided with a ball for coupling to the handle assembly.

122. The surgical device of claim 100 wherein the tissue engaging means and the shaft member are disposable.

123. The surgical device of claim 100 wherein the tissue engaging means is disposable.

133. The surgical device of claim 100 wherein the shaft member is disposable.

124. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits;

a shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed and locked in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means;

a jaw actuating means for actuating the jaws of the tissue engaging means between an open and a closed position; and

a malleable applier instrument for grasping the jaws of the tissue engaging means for insertion together into an incision.

125. The surgical device claim 124 wherein the jaw actuating means comprising a cable operatively connected to the tissue engaging means, extending through the shaft member, and operatively connected to the handle assembly.

126. The surgical device claim 124 wherein the shaft member comprises a series of interconnected ball and socket segments with the jaw actuating cable extending axially there through.

127. The surgical device of claim 126 further comprising a tightening knob for exerting axial compression on the segments, thereby allowing the shaft member to be locked in any shape.

128. The surgical device claim 125 wherein the shaft member comprises a flexible tube with the jaw actuating cable extending axially there through.

129. The surgical device of claim 124 wherein the malleabke applier instrument is capable of being released and removed from the incision once the jaws of the tissue engaging means have been actuated to the closed position.

130. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits, the tissue engaging means further provided with a socket;

a shaft member operatively coupled to the tissue engaging means, the shaft member being constructed of malleable material and thus capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the, tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open and a closed position, the jaw actuating means being couplable with them socket of the tissue engaging means, the tissue engaging means extending axially through the shaft member and being provided with coupling means at each end which enable the jaw actuating means and the shaft member to be separated from the remainder of the device to be disposed with a socket for coupling to the jaw actuating means.

131. The surgical device of claim 130 wherein the coupling means of the jaw actuating means comprises a first ball provided at one end of the actuating means for coupling with the socket of the tissue engaging means.

132. The surgical device of claim 131 wherein the coupling means of the jaw actuating means further comprises a second ball provided at another end of the jaw actuating means for coupling with the handle assembly.

134. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together;

a shaft member operatively coupled to the tissue engaging means, the shaft member including a series of interconnected ball and socket segments, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, one end of the jaw actuating means being provided with a ball for coupling to a socket of the tissue engaging means and being operatively connected to the handle, assembly.

135. The surgical device of claim 134 further comprising a compression return spring for biasing the tissue engaging means to an open position.

136. The surgical device of claim 134 wherein the jaw actuating means comprises a drive rod.

137. The surgical device of claim 134 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

138. The surgical device of claim 134 wherein the jaw actuating means comprises a cable.

139. The surgical device of claim 134 wherein the hinged end of the tissue engaging means includes a hole there through, the hole interacting with a hook provided at one end of the cable.

140. The surgical device of claim 134 wherein the shaft member is provided with a end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

141. The surgical device of claim 134 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the jaws of the tissue engaging means.

142. The surgical device of claim 141 wherein each jaw is provided with a diagonal slot at one end, the hook of the wire member interacting with the diagonal slots of the jaws to move the jaws between the open and closed positions.

143. The surgical device of claim 141 further provided with a clevis which houses a portion of the wire member and the slotted ends of the jaws.

144. The surgical device of claim 134 wherein one jaw of the tissue engaging means is provide with a slot at one end, the jaw actuating means being operatively coupled with the slot via a pin.

145. The surgical device of claim 134 wherein the tissue engaging means and the shaft member are disposable.

146. The surgical device of claim 134 wherein the tissue engaging means is disposable.

147. The surgical device of claim 134 wherein the shaft member is disposable.

162. The surgical device of claim 147 the actuating mechanism of the jaw is a slot, the jaw actuating means being operatively coupled with the slot via a pin.

163. The surgical device of claim 147 wherein the tissue engaging means and the shaft member are disposable.

164. The surgical device of claim 147 wherein the tissue engaging means is disposable.

165. The surgical device of claim 147 wherein the shaft member is disposable.

148. A surgical device having a longitudinal axis extending between a proximal end and a distal end, comprising:

tissue engaging means including first and second opposed jaws for grasping, securing, and occluding body tissue and conduits, the tissue engaging means further including a hinged end at which the jaws are hinged together, at least one jaw being provided with an actuating mechanism;

a malleable shaft member operatively coupled to the tissue engaging means, the shaft member capable of being placed in different curvatures;

a handle assembly operatively coupled to the shaft member and to the tissue engaging means; and

a jaw actuating means for actuating the jaws of the tissue engaging means between an open position and a closed position, the actuating means operatively connected to the actuating mechanism on the jaw and to the handle assembly.

149. The surgical device of claim 148 wherein the shaft member comprises a malleable tube with the jaw actuating means extending axially there through.

150. The surgical device of claim 148 wherein the shaft member comprises soft metal tubing with the jaw actuating means extending axially there through.

151. The surgical device of claim 148 wherein the shaft member comprises wound metal tubing with the jaw actuating means extending axially there through.

152. The surgical device of claim 148 wherein the shaft member comprises a dual channeled plastic tube having a first and a second channel, the jaw actuating means extending axially through the first channel and a malleable rod extending axially through the second channel.

153. The surgical device of claim 148 further comprising ai compression return spring for biasing the tissue engaging means to an open position.

154. The surgical device of claim 148 wherein the jaw actuating means comprises a drive rod.

155. The surgical device of claim 148 wherein a jaw actuating member is provided at the hinged end of the tissue engaging means for squeezing together the jaws of the tissue engaging means in response to actuation of the jaw actuating means by the handle assembly.

156. The surgical device of claim 148 wherein the jaw actuating means comprises a cable.

157. The surgical device of claim 148 wherein the actuating member of the jaw includes a hole there through, the hole interacting with a hook provided at one end of the cable.

158. The surgical device of claim 148 wherein the shaft member is provided with a end member which, upon actuation of the cable by the handle assembly, interacts with the jaws of the tissue engaging means to bring the jaws to the closed position.

159. The surgical device of claim 148 wherein the jaw actuating means comprises a wire member having a hook at one end operatively coupled to the, actuating member of the jaw.

160. The surgical device of claim 159 wherein the actuating mechanism of the jaw is a diagonal slot, the hook of the wire member interacting with the diagonal slot of the jaw to move the jaws between the open and closed positions.

161. The surgical device of claim 160 further provided with a clevis which houses a portion of the wire member and the slotted end of the jaw.