Surgical clip with a self-releasing fluid reservoir

• US 6,869,436 B2
• Filed: 02/07/2002
• Issued: 03/22/2005
• Est. Priority Date: 02/07/2002
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Wendlandt, Jeffrey M.
• Primary Examiner(s): Nguyen, Anhtuan T.
• Assistant Examiner(s): Pantuck, Bradford C
• Application Number:
  US10/072,697
• Publication Number:
  US 20030149439A1
• Time in Patent Office: 1,139 Days
• Field of Search: 606/72, 606/151, 606/213, 606/214, 606/215, 606/216, 606/217, 606/219, 606/220, 606/188, 424/422, 424/423, 424/424, 604/890.1, 604/891.1, 604/892.1
• US Class Current: 606/151
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1146 of tendons
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61M 5/00 Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests vaccination appliances for veterinary use A61D1/025 ; tube connectors, tube couplings, valves or branch units specially adapted for medical use A61M39/00; containers specially adapted for medical or pharmaceutical purposes A61J1/00; combinations of vial and syringe for mixing or transferring their contents A61J1/20; holders for containers for collecting, storing or administering blood or medical fluids A61J1/16

Abstract

The present invention generally relates to surgical clips. A surgical clip comprises a first piece comprising a first base and a first projection extending from the first base, a second piece comprising a second base, a second projection extending from the second base wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, and the first and the second piece are detachably connectable. In a preferred embodiment, the reservoir is self-releasing to deliver therapeutic materials when the first piece and second piece are connected.

Claims

1. A surgical clip, comprising:

a first piece comprising a first base having a first projection extending from the first base;

a second piece comprising a second base having a second projection extending from the second base, wherein the second projection includes multiple surfaces defining a reservoir therein; and

the first piece and the second piece are detachably connectable when the first projection passes into the reservoir,

wherein the multiple surfaces include a top surface which comprises a puncturable material and a side surface, the side surface including one or more apertures.

2. The surgical clip in accordance with claim 1, wherein the first base is substantially circular.

3. The surgical clip in accordance with claim 1, wherein the second base is substantially circular.

4. The surgical clip in accordance with claim 1, wherein the multiple surfaces define a generally cylindrical surface.

5. The surgical clip in accordance with claim 1, wherein the first projection extends substantially perpendicular relative to the first base.

6. The surgical clip in accordance with claim 1, wherein the second projection extends substantially perpendicular relative to the second base.

7. The surgical clip in accordance with claim 1, wherein the first projection is adapted to pierce through the top surface.

8. The surgical clip in accordance with claim 1, wherein the reservoir of the second projection contains a therapeutic agent.

9. The surgical clip in accordance with claim 1, wherein at least one aperture is sized to allow the flow of a therapeutic agent out of the reservoir after the first piece and second piece are detachably connected.

10. A surgical clip, comprising:

a first piece comprising a first base having a first projection extending from the first base;

a second piece comprising a second base having a second projection extending from the second base, wherein the second projection includes multiple surfaces defining a reservoir therein;

the first piece and the second piece are detachably connectable when the first projection passes into the reservoir;

wherein the multiple surfaces include a top surface which comprises a puncturable material and a side surface, the side surface including one or more apertures;

wherein the reservoir of the second projection contains a therapeutic agent; and

wherein the therapeutic agent includes a sclerosing agent.

11. A surgical clip, comprising:

a first piece comprising a first base having a first projection extending from the first base;

a second piece comprising a second base having a second projection extending from the second base, wherein the second projection includes multiple surfaces defining a reservoir therein;

the first piece and the second piece are detachably connectable when the first projection passes into the reservoir;

wherein the multiple surfaces include a top surface which comprises a puncturable material; and

wherein the first piece and the second piece are manufactured from bioabsorbable materials.

12. A surgical clip, comprising:

a first piece comprising a first base having a first projection extending from the first base;

a second piece comprising a second base having a second projection extending from the second base, wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein which contains a therapeutic agent;

the second projection further comprising at least one aperture disposed along the side surface and sized to allow the flow of the therapeutic agent out of the reservoir; and

the first piece and the second piece can be detachably connected by extending the first projection into the reservoir.

13. The surgical clip in accordance with claim 12, wherein the reservoir is sized such that the mating of the first projection with the second projection forces the therapeutic agent to flow out of the at least one aperture.

14. A surgical clip, comprising:

a first piece comprising a first base having a first projection extending from the first base;

a second piece comprising a second base having a second projection extending from the second base, wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein which contains a therapeutic agent;

the second projection further comprising at least one aperture disposed along the side surface and sized to allow the flow of the therapeutic agent out of the reservoir;

the first piece and the second piece can be detachably connected by extending the first projection into the reservoir; and

wherein the therapeutic agent is a sclerosing agent.

15. A method for using a surgical clip, comprising the steps of:

providing a surgical clip comprising a first piece including a first base and a first projection extending from the first base, a second piece including a second base, and a second projection extending from the second base wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, the reservoir containing a therapeutic agent, the second projection further comprising at least one aperture disposed along the side surface and sized to allow the flow of the therapeutic agent out of the reservoir, and the first piece and the second piece can be detachably connected;

identifying a tissue in need of being secured together, and placing the first piece and the second piece in proximity of the tissue; and

detachably connecting the first piece and the second piece by extending the first projection into the reservoir, wherein the tissue in need of being secured is secured and the therapeutic agent flows from the at least one aperture of the second projection.

16. The method in accordance with claim 15, wherein the tissue includes a blood vessel.

17. The method in accordance with claim 15, wherein the tissue includes skin.

18. A method for using a surgical clip, comprising the steps of:

providing a surgical clip comprising a first piece including a first base and a first projection extending from the first base, a second piece including a second base, and a second projection extending from the second base wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, the reservoir containing a therapeutic agent, the second projection farther comprising at least one aperture disposed along the side surface and sized to allow the flow of the therapeutic agent out of the reservoir, and the first piece and the second piece can be detachably connected;

identifying a tissue in need of being secured together, and placing the first piece and the second piece in proximity of the tissue;

detachably connecting the first piece and the second piece by extending the first projection into the reservoir, wherein the tissue in need of being secured is secured and the therapeutic agent flows from the at least one aperture of the second projection; and

wherein the therapeutic agent is a sclerosing agent.

19. A method for using a surgical clip, comprising the steps of:

providing a surgical clip comprising a first piece including a first base and a first projection extending from the first base, a second piece including a second base, and a second projection extending from the second base wherein the second projection further comprises atop surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, the reservoir containing a therapeutic agent, the second projection further comprising at least one aperture sized to allow the flow of the therapeutic agent out of the reservoir, and the first piece and the second piece can be detachably connected;

identifying a tissue in need of being secured together, and placing the first piece and the second piece in proximity of the tissue;

detachably connecting the first piece and the second piece by extending the first projection into the reservoir, wherein the tissue in need of being secured is secured and the therapeutic agent flows from the at least one aperture of the second projection; and

wherein the tissue includes a ligament.

20. A method for using a surgical clip, comprising the steps of:

providing a surgical clip comprising a first piece including a first base and a first projection extending from the first base, a second piece including a second base, and a second projection extending from the second base wherein the second projection further comprises a top surface, at least one side surface and a bottom surface, the surfaces defining a reservoir therein, the reservoir containing a therapeutic agent, the second projection further comprising at least one aperture sized to allow the flow of the therapeutic agent out of the reservoir, and the first piece and the second piece can be detachably connected;

identifying a tissue in need of being secured together, and placing the first piece and the second piece in proximity of the tissue;

detachably connecting the first piece and the second piece by extending the first projection into, the reservoir, wherein the tissue in need of being secured is secured and the therapeutic agent flows from the at least one aperture of the second projection; and

wherein the tissue in a tendon.