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Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD)

  • US 7,232,445 B2
  • Filed: 12/06/2001
  • Issued: 06/19/2007
  • Est. Priority Date: 12/06/2000
  • Status: Expired due to Term
First Claim
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1. A surgical clip applier for applying a surgical clip having two clip arms each with a longitudinal length and a substantially rectangular cross-section, the clip applier comprising:

  • a) a hollow member having a proximal end and a distal end;

    b) a clevis coupled to said distal end of said hollow member;

    c) a first jaw rotatably coupled to said clevis;

    d) a second jaw rotatably coupled to said clevis in opposed relation to said first jaw, said first and second jaws having a respective longitudinal extent, at least one of said first and second jaws defining a clip-sliding channel;

    extending substantially along said longitudinal extent;

    having a rectangular cross-section substantially corresponding to the cross-section of one surgical clip arm;

    having a longitudinal length greater than the longitudinal length of the one arm to define a clip-holding portion and a clip-sliding portion; and

    slidably guiding the surgical clip longitudinally along said clip-sliding portion when said first and second jaws apply the surgical clip to tissue disposed therebetween;

    e) at least one pull/push wire coupled to said first and second jaws and extending through said hollow member to said proximal end of said hollow member;

    f) actuation means coupled to said proximal end of said hollow member and said proximal end of said first push/pull wire for moving said first push/pull wire through said hollow member to cause a rotation of said first and second jaws about said clevis from an open to a closed position, wherein at least one of said jaws is provided with a plurality of teeth arranged to puncture and damage tissue adjacent to the surgical clip.

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