Surgical clips for laparoscopic procedures

• US 9,597,089 B2
• Filed: 03/10/2011
• Issued: 03/21/2017
• Est. Priority Date: 03/10/2010
• Status: Active Grant

• Current Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Inventors: Menn, Pavel
• Primary Examiner(s): Templeton, Christopher L
• Application Number:
  US13/045,519
• Publication Number:
  US 20110224701A1
• Time in Patent Office: 2,203 Days
• Field of Search: 606/151, 606/157, 606/158, 606/207, 606/75, 606/142, 606/143, 24129 R-129 W, 24 22- 23 EE, 24/26, 24/27, 24/29, 242/83, 242/85, 24/24, 24/59, 24/68.A, 243/11, 243/27, 243/76, 241/32.R, 241/70, 241/78, 241/88, 245/16, 24/305.R, 241/98, 243/07, 244/87, 245/43, 245/62, 132/273, 132/276, 132/278, 132/279, 132/280, 128/830, 128/843, 128/831, 600/29, 600/30, 600/39, 600/40, 604/174, 604/250, 251/10, 251/4, 251/9
• US Class Current: 1/1
• 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 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence

Abstract

A surgical clip for a clip applier to ligate vessels. The clip contains two opposing legs connected in parallel by an apex to form a U-shape. Each leg has an outer surface with a half-round cross-sectional configuration for minimizing tissue damage by preventing clip scissoring during ligation. Each leg has an inner surface with a flat central surface, two concave grooves on opposing sides of the central surface, and two convex ridges on opposing sides of the each groove. As a vessel is ligated, vessel tissue moves into the concave grooves while remaining frictionally engaged by the compressive forces applied by the central surfaces and convex ridges of each leg so that the clip does not move on the vessel. The edges of the grooves and the edges of the ridges of each leg are rounded to prevent any cutting of the ligated vessel.

Claims

1. A surgical clip, comprising:

a first elongated member having a rounded outer surface and an inner surface, wherein the inner surface is configured to contact a first portion of a tubular bodily tissue, the inner surface of the first elongated member including a first recess spaced apart from a second recess, and having a central portion disposed between the first recess and the second recess with a plurality of teeth only in the central portion, wherein the plurality of teeth are formed by a plurality of grooves extending transverse to a longitudinal axis of the first elongated member, the first recess extending from a proximal end portion of the first elongated member to a distal end portion of the first elongated member, the second recess extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member and being substantially parallel to and spaced apart from the first recess; and

a second elongated member having a distal end portion operatively coupled to the distal end portion of the first elongated member, the second elongated member having a rounded outer surface and an inner surface, the inner surface of the second elongated member including a third recess spaced apart from a fourth recess, and has a central portion disposed between the third recess and the fourth recess, the third recess extending from a proximal end portion of the second elongated member to the distal end portion of the second elongated member, the fourth recess extending from the proximal end portion of the second elongated member to the distal end portion of the second elongated member and being substantially parallel to and spaced apart from the third recess, wherein the inner surface of the second elongated member is configured to contact a second portion of the tubular bodily tissue opposite the first portion of the tubular bodily tissue, the second elongated member being separated from the first elongated member by a first distance when the surgical clip is in an open configuration, the second elongated member being substantially parallel to the first elongated member and separated from the first elongated member by a second distance less than the first distance when the surgical clip is in a closed configuration,

wherein the first recess and the second recess are spaced apart a third distance, wherein the third recess and the fourth recess are spaced apart a fourth distance, and wherein the third distance and the fourth distance are equal.

2. The surgical clip of claim 1, further comprising:

a coupling portion disposed between the distal end portion of the first elongated member and the distal end portion of the second elongated member, wherein the coupling portion is configured to operatively couple the first elongated member to the second elongated member, the coupling portion configured to deform when the surgical clip is moved from the open configuration to the closed configuration.

3. The surgical clip of claim 1, wherein the first recess and the second recess of the first elongated member are formed with rounded edges to prevent the inner surface of the first elongated member from cutting the tubular bodily tissue.

4. The surgical clip of claim 1, wherein the plurality of teeth are configured to frictionally engage the first portion of the tubular bodily tissue to assist in maintaining a position of the surgical clip on the tubular bodily tissue when the surgical clip is in the closed configuration.

5. The surgical clip of claim 1, wherein the first elongated member has a first edge extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member where the inner surface of the first elongated member meets the outer surface of the first elongated member, the first edge being rounded to prevent the first elongated member from cutting the tubular bodily tissue when the inner surface of the first elongated member is contacting the tubular bodily tissue.

6. The surgical clip of claim 1, wherein the tubular bodily tissue is a blood vessel, the first elongated member and the second elongated member collectively configured to compress the tubular bodily tissue to prevent blood from flowing through the blood vessel when the surgical clip is in the closed configuration.

7. The surgical clip of claim 1, wherein at least one of the first elongated member or the second elongated member has a substantially D-shaped cross-section with rounded edges.

8. A surgical clip, comprising:

a first elongated member having an outer surface and an inner surface, wherein the inner surface is configured to contact a first portion of a bodily tissue, the inner surface of the first elongated member forming a first recess and a second recess therein, the first recess extending from a proximal end portion of the first elongated member to a distal end portion of the first elongated member, the second recess extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member and being substantially parallel to the first recess, the first recess and the second recess having rounded edges, the inner surface of the first elongated member including a central portion disposed between the first recess and the second recess, the central portion including a plurality of teeth only in the central portion, wherein the plurality of teeth are formed by a plurality of grooves extending perpendicular to the first recess and the second recess; and

a second elongated member operatively coupled to the first elongated member, the second elongated member having an outer surface and an inner surface, wherein the inner surface of the second elongated member is configured to contact a second portion of the bodily tissue opposite the first portion of the bodily tissue, the second elongated member forming a third recess and a fourth recess therein, the third recess extending from a proximal end portion of the second elongated member to a distal end portion of the second elongated member, the fourth recess extending from the proximal end portion of the second elongated member to the distal end portion of the second elongated member and being substantially parallel to the third recess, the third recess and the fourth recess having rounded edges,

wherein when the surgical clip is in a closed configuration, the first recess of the first elongated member is aligned with and disposed over the third recess of the second elongated member and the second recess of the first elongated member is aligned with and disposed over the fourth recess of the second elongated member, and wherein the first recess and the second recess are spaced apart a first distance, wherein the third recess and the fourth recess are spaced apart a second distance, and wherein the first distance and the second distance are equal.

9. The surgical clip of claim 8, wherein the first elongated member and the second elongated member are collectively configured to prevent fluid from flowing through the bodily tissue and to prevent movement of the surgical clip relative to the bodily tissue without cutting the bodily tissue when the surgical clip is in the closed configuration.

10. The surgical clip of claim 8, further comprising:

a coupling portion disposed between the distal end portion of the first elongated member and the distal end portion of the second elongated member, wherein the coupling portion is configured to operatively couple the first elongated member to the second elongated member, the coupling portion configured to deform when the surgical clip is moved from an open configuration to the closed configuration.

11. The surgical clip of claim 8, wherein the first elongated member has a first edge extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member where the inner surface of the first elongated member joins the outer surface of the first elongated member, the first elongated member having a S-shaped cross-section formed by the first recess and a portion of the inner surface disposed between the first recess and the first edge.

12. The surgical clip of claim 8, wherein the plurality of teeth are configured to frictionally engage the first portion of the bodily tissue without cutting the bodily tissue when the surgical clip is in the closed configuration.

13. The surgical clip of claim 8, wherein at least one of the first elongated member or the second elongated member has a substantially D-shaped cross-section with rounded edges.

14. A surgical clip, comprising:

a first elongated member having an outer surface and an inner surface, where the inner surface is configured to contact a first portion of a bodily tissue, the inner surface of the first elongated member forming a first recess and a second recess therein, the first recess extending from a proximal end portion of the first elongated member to a distal end portion of the first elongated member, the second recess extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member and being substantially parallel to the first recess, the first recess and the second recess having rounded edges and being disposed a first distance apart; and

a second elongated member operatively coupled to the first elongated member, the second elongated member having an outer surface and an inner surface, where the inner surface of the second elongated member is configured to contact a second portion of the bodily tissue opposite the first portion of the bodily tissue, the second elongated member forming a third recess and a fourth recess therein, the third recess extending from a proximal end portion of the second elongated member to a distal end portion of the second elongated member, the fourth recess extending from the proximal end portion of the second elongated member to the distal end portion of the second elongated member and being substantially parallel to the third recess, the third recess and the fourth recess having rounded edges and being disposed a second distance apart,

wherein the inner surface of the second elongated member includes a central portion disposed between the third recess and the fourth recess including a plurality of teeth only in the central portion, wherein the plurality of teeth are formed by a plurality of grooves extending perpendicular to the third recess and the fourth recess, and wherein the plurality of teeth are configured to frictionally engage the second portion of the bodily tissue without cutting the bodily tissue when the surgical clip is in a closed configuration, and wherein the first distance is equal to the second distance.

15. The surgical clip of claim 14, wherein when the surgical clip is in the closed configuration, the first recess of the first elongated member is aligned with and disposed over the third recess of the second elongated member and the second recess of the first elongated member is aligned with and disposed over the fourth recess of the second elongated member.

16. The surgical clip of claim 14, wherein the first elongated member and the second elongated member are collectively configured to prevent fluid from flowing through the bodily tissue and to prevent movement of the surgical clip relative to the bodily tissue without cutting the bodily tissue when the surgical clip is in the closed configuration.

17. The surgical clip of claim 14, further comprising:

a coupling portion disposed between the distal end portion of the first elongated member and the distal end portion of the second elongated member, wherein the coupling portion is configured to operatively couple the first elongated member to the second elongated member, the coupling portion configured to deform when the surgical clip is moved from an open configuration to the closed configuration.

18. The surgical clip of claim 14, wherein the first elongated member has a first edge extending from the proximal end portion of the first elongated member to the distal end portion of the first elongated member where the inner surface of the first elongated member joins the outer surface of the first elongated member, the first elongated member having a S-shaped cross-section formed by the first recess and a portion of the inner surface disposed between the first recess and the first edge.

19. The surgical clip of claim 14, wherein at least one of the first elongated member or the second elongated member has a substantially D-shaped cross-section with rounded edges.