Device and method for through the scope endoscopic hemostatic clipping

• US 8,709,027 B2
• Filed: 04/17/2013
• Issued: 04/29/2014
• Est. Priority Date: 10/05/2001
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Adams, Mark L., Durgin, Russell F., Turturro, Vincent, Grant, Justin, May, Norman, Sullivan, Roy H. III
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/864,426
• Publication Number:
  US 20130231686A1
• Time in Patent Office: 377 Days
• Field of Search: 606/120, 606/139, 606/142, 606/143, 606/151, 606/157, 606/158, 606/213, 606/215, 241/15.F, 244/56, 245/37, 246/02
• US Class Current: 606/157
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• 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 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/3916 Bone tissue
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Claims

1. A medical device, comprising:

a clip having a first clip leg having a first inner surface and a second clip leg having a second inner surface;

a control member extending from a proximal actuator to the clip; and

a linkage operably associated with the control member to spread the first and second clip legs apart from one another into a tissue-receiving configuration as the control member is moved distally relative to the clip, the linkage contacting the inner surfaces of the first and second clip legs to drive the first and second clip legs radially outward as the control member is moved distally relative to the clip.

2. The medical device of claim 1, wherein the linkage is received through an opening formed in a proximal end of the clip.

3. The medical device of claim 1, wherein the linkage comprises first and second linkage members, proximal ends of the first and second linkage members being connected to one another.

4. The medical device of claim 1, further comprising a frangible link coupling the clip to the control member.

5. The medical device of claim 4, wherein the control member is reversibly operable to move the clip between the tissue-receiving configuration and a closed configuration.

6. The medical device of claim 5, further comprising an outer sleeve housing a proximal portion of the clip therewithin, wherein an engagement of outer walls of the first and second clip legs with inner walls of the sleeve prevents movement of the clip to the tissue-receiving configuration.

7. The medical device of claim 1, wherein distal ends of the first and second clip legs include curved projections which are angled with respect to a longitudinal axis of the clip.

8. The medical device of claim 7, wherein the curved projections are angled radially inward.

9. The medical device of claim 1, wherein a distal end of the first clip leg includes an angled protrusion which interlocks with a corresponding angled recess formed in a distal end of the second clip leg.

10. The medical device of claim 9, wherein the protrusion is a pointed tooth and the recess is a pointed recess.

11. The medical device of claim 9, wherein the protrusion is a plurality of pointed teeth and the recess is a plurality of correspondingly shaped pointed recesses.

12. The medical device of claim 9, wherein the protrusion is one of a multi-toothed wave and an offset L-tooth.

13. A medical device, comprising:

a clip having a first clip leg having a first inner surface and a second clip leg having a second inner surface;

a sleeve housing a portion of the clip therein, the clip being axially movable relative to the sleeve by a control member extending from a proximal actuator to the clip; and

a linkage operably associated with the control member to move the clip distally out of the sleeve and cause the first and second clip legs to spread apart from one another into a tissue-receiving configuration as the clip is moved distally relative to the sleeve, the linkage contacting the inner surfaces of the first and second clip legs to drive the first and second clip legs radially outward as the control member is moved distally relative to the clip.

14. The medical device of claim 13, wherein movement of the control member proximally causes a corresponding proximal movement of the clip into the sleeve, moving the clip from the tissue-receiving configuration to a closed configuration in which the first and second clip legs are moved radially inward toward one another.

15. The medical device of claim 13, further comprising a link positioned proximally of the clip, wherein application of a proximal tensile force to the link via the control member causes the clip to separate from the control member.

16. The medical device of claim 13, wherein the linkage is received through an opening formed in a proximal end of the clip.

17. The medical device of claim 13, wherein the linkage comprises first and second linkage members, proximal ends of the first and second linkage members being connected to one another.

18. The medical device of claim 13, wherein distal ends of the first and second clip legs include curved projections which are angled radially inward with respect to a longitudinal axis of the clip.

19. The medical device of claim 13, wherein a distal end of the first clip leg includes a plurality of pointed protrusions interlocking with a plurality of corresponding recesses formed in a distal end of the second clip leg.

20. A method, comprising:

inserting into a body a medical device comprising a clip having a first clip leg having a first inner surface and a second clip leg having a second inner surface, a control member extending from a proximal actuator to the clip and a linkage coupled to the control member;

positioning the medical device at a desired deployment location;

moving the control member distally to cause the clip to move distally relative to a sleeve housing at least a portion of the clip therein, the movement causing the linkage to contact the first and second inner surfaces to drive the first and second clip legs radially outward to a tissue-receiving configuration;

adjusting a position of the clip so that target tissue is received between the first and second clip legs;

drawing the control member proximally relative to the sleeve to draw the clip into the sleeve to receive the target tissue between the first and second clip legs; and

applying a proximal tensile force of at least a threshold level to the control member to separate a link coupling the control member to the clip.