Surgical clips and apparatus and method for clip placement

• US 6,776,783 B1
• Filed: 12/21/2000
• Issued: 08/17/2004
• Est. Priority Date: 01/08/1999
• Status: Expired due to Term

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Cardiothoracic Systems, Inc. (Boston Scientific Corporation)
• Inventors: Frantzen, John J., Devore, Ronald, Taylor, Charles S., Morejohn, Dwight P., Morejohn, Michael V.
• Primary Examiner(s): Woo, Julian W.
• Application Number:
  US09/747,636
• Time in Patent Office: 1,335 Days
• Field of Search: 606/151, 606/157, 606/158, 606/142, 606/139, 245/45--47, 245/63, 245/72, 245/73, 245/36
• US Class Current: 606/151
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014

Abstract

An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.

Claims

1. A surgical clip for clamping a target structure comprising:

a pair of clamp arms having mating clamping surfaces and including a resiliently-biased element disposed to resiliently bias the mating clamping surfaces toward engagement in substantially parallel, closed relationship for clamping said target structure; and

a member engaging the mating clamping surfaces for selectively retaining the mating clamping surfaces disengaged in an open position to facilitate positioning of the mating clamping surfaces about the target structure, and for returning the mating clamping surfaces to the closed relationship in response to selective disengagement of the member with said mating clamping surfaces.

2. A surgical clip according to claim 1 in which the member is disposed to selectively disengage the mating clamping surfaces along a direction that is substantially normal to or oriented within a plane of movement of the clamping surfaces between the open and closed relationships thereof.

3. A method of applying to a target tissue structure a surgical clip having mating clamping surfaces resiliently biased toward closed clamping engagement including a member that selectively controls the manipulation of the surgical clip relative to the target tissue structure between closed clamping and open unclamping conditions, the method comprising:

engaging the member with the clamping surfaces of the surgical clip to overcome the resilient bias to selectively retain the clamping surfaces of the surgical clip in open unclamping conditions;

positioning said target tissue structure between the clamping surfaces of the surgical clip with the clamping surfaces selectively retained in open unclamping condition; and

manipulating the member relative to the surgical clip for selectively enabling the resilient bias to urge the mating clamping surfaces toward closed clamping engagement about the target tissue structure.

4. The method according to claim 3 wherein:

selectively enabling resilient bias includes altering the position of the member relative to the surgical clip to release the resilient bias for urging the clamping surfaces toward mating engagement.

5. The method according to claim 3 in which the member is interposed between the clamping surfaces;

and

manipulating the member includes removing the member from between the clamping surfaces.

6. The method according to claim 5 in which the member is removed from between the clamping surfaces along a direction that is substantially normal to or oriented within a plane of movement of the clamping surfaces between clamping and unclamping conditions.