Surgical clip

• US 7,727,248 B2
• Filed: 06/14/2004
• Issued: 06/01/2010
• Est. Priority Date: 06/25/2001
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Kortenbach, Juergen A., Francese, Jose Luis, Palmer, Matthew A., Sixto, Robert Jr., Smith, Kevin W., Bales, Thomas O., Rivera, Carlos
• Primary Examiner(s): Manahan; Todd E
• Assistant Examiner(s): BLATT, ERIC D
• Application Number:
  US10/867,412
• Publication Number:
  US 20050033333A1
• Time in Patent Office: 2,178 Days
• Field of Search: 606/142, 606/143, 606/151, 606/157, 606/158, 245/43
• US Class Current: 606/158
• 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 2017/2905 flexible
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: Y10T 24/44752 Integral locking-means

Abstract

A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.

Claims

1. A surgical clip, comprising:

a) a base having spaced engagement shoulders and a bridge portion, said spaced engagement shoulders being proximal to said bridge portion;

b) two spaced arms extending distally from said base and defining an opening therebetween, said spaced arms having a first width at midportions of said arms, each of said arms including a proximal portion adjacent said bridge portion, each of said proximal portions including a rearwardly extending fin spaced from said base; and

c) two fingers extending respectively from said spaced arms, said fingers being of reduced width relative to said first width, and said fingers being offset from each other relative to a longitudinal axis which extends through said base and between said arms, said fingers in a first pre-formed condition extending in a substantially straight line and substantially parallel to each other and in a second installed position said fingers curving through an arc of at least 90°

,

wherein each said spaced arm includes a transition section adjacent a said respective finger, said transition sections of said spaced arms having surfaces spaced from and facing each other, said surfaces of said transitions sections and said engagement shoulders being sized and shaped to engage each other.

2. A surgical clip according to claim 1, wherein:

said arms have a first height at midportions of said arms, and said fingers are of reduced height relative to said first height.

3. A surgical clip according to claim 2, wherein:

said reduced height is less than one-half said first height.

4. A surgical clip according to claim 1, wherein:

said surgical clip is symmetrical about said longitudinal axis.

5. A surgical clip according to claim 1, wherein:

said base has a first length, and said fingers have second lengths similar to said first length.

6. A surgical clip according to claim 5, wherein:

said fingers are spaced sufficiently apart from each other such that, were said surfaces of said transitions sections to engage said engagement shoulders, said fingers would not engage said base.

7. A surgical clip according to claim 1, wherein:

said arms have a first height at midportions of said arms, and each said arm include an undercut portion proximal said midportion, said undercut portion having a reduced height relative to said first height.

8. A surgical clip according to claim 1, wherein:

said fingers taper down in width as they extend away from said arms.

9. A surgical clip according to claim 8, wherein:

a sum of a width of a said finger at a distal tip of said finger plus a width of said finger adjacent said transition section substantially equals said first width.

10. A surgical clip according to claim 1, wherein:

said fingers are arced.

11. A surgical clip according to claim 1, wherein:

each said transition section includes a section of increased height relative to an adjacent portion of the arm of said transition section.

12. A surgical clip according to claim 1, wherein:

said surfaces of said transition sections diverge from each other and define a mouth which is wider than said opening.

13. A surgical clip, comprising:

a) a base having spaced engagement shoulders and defining a hole;

b) two spaced arms extending distally from said base and defining an opening therebetween, said spaced arms having a first width at midportions of said arms;

c) two fingers extending respectively from said spaced arms, said fingers being of reduced width relative to said first width, and said fingers being offset from each other relative to a longitudinal axis which extends through said base and between said arms, said fingers in a first pre-formed condition extending in a substantially straight line and substantially parallel to each other and in a second installed position said fingers curving through an arc of at least 90°

; and

d) a marker located in said hole,

wherein each said spaced arm includes a transition section adjacent a said respective finger, said transition sections of said spaced arms have surfaces spaced from and facing each other, and said surfaces of said transitions sections and said engagement shoulders are sized and shaped to engage each other.

14. A surgical clip according to claim 13, wherein:

said marker is one of a radiographic and MRI-visible marker.

15. A surgical clip, comprising:

a) a base having spaced engagement shoulders and defining a hole;

b) two spaced arms extending distally from said base and defining an opening therebetween, said spaced arms having a first width at midportions of said arms;

c) two fingers extending respectively from said spaced arms, said fingers being of reduced width relative to said first width, and said fingers being offset from each other relative to a longitudinal axis which extends through said base and between said arms, said fingers in a first pre-formed condition extending in a substantially straight line and substantially parallel to each other and in a second installed position said fingers curving through an arc of at least 90°

; and

d) suture material extending through said hole,

wherein each said spaced arm includes a transition section adjacent a said respective finger, said transition sections of said spaced arms have surfaces spaced from and facing each other, and said surfaces of said transitions sections and said engagement shoulders are sized and shaped to engage each other.

16. A surgical clip, comprising:

a) a base having spaced engagement shoulders;

b) two spaced arms extending distally from said base and defining an opening therebetween, said spaced arms having a first width at midportions of said arms; and

c) two fingers extending respectively from said spaced arms, said fingers being of reduced width relative to said first width, and said fingers being offset from each other relative to a longitudinal axis which extends through said base and between said arms, said fingers in a first pre-formed condition extending in a substantially straight line and substantially parallel to each other and in a second installed position said fingers curving through an arc of at least 90°

,

wherein each said spaced arm includes a transition section adjacent a said respective finger, said transition sections of said spaced arms have surfaces spaced from and facing each other, said surfaces of said transitions sections and said engagement shoulders are sized and shaped to engage each other, and

wherein said arms each include a proximal portion forward said base and a rearwardly extending fin portion spaced radially from a forward end of said proximal portion.