TISSUE APPOSITION CLIP APPLICATION METHODS
First Claim
1. A surgical method for closing an opening in an organ wall, said surgical method comprising:
- positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends;
inserting a flexible clip magazine into the steerable overtube, the flexible clip magazine supporting a plurality of tissue apposition clips therein such that upper and lower clip arms thereof are supported in a spaced open position relative to each other, said flexible clip magazine having a distal end portion received within said distal end portion of the steerable overtube such that the tissue apposition clips supported therein may be selectively discharged out through the distal end portion of the steerable overtube;
grasping tissue through which the opening extends;
drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most one of the tissue apposition clips supported within the distal end portion of the clip magazine; and
advancing the distal-most tissue apposition clip onto the portion of grasped tissue.
2 Assignments
0 Petitions
Accused Products
Abstract
Surgical methods for closing a gastrotomy. The surgical method for closing an opening in an organ wall comprises positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends. The surgical method further comprises inserting a flexible clip magazine into the steerable overtube. The surgical method comprises grasping tissue through which the opening extends and drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most tissue apposition clip supported within a distal end of the clip magazine. The surgical method further comprises advancing the distal-most tissue apposition clip onto the portion of grasped tissue.
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Citations
20 Claims
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1. A surgical method for closing an opening in an organ wall, said surgical method comprising:
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positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends; inserting a flexible clip magazine into the steerable overtube, the flexible clip magazine supporting a plurality of tissue apposition clips therein such that upper and lower clip arms thereof are supported in a spaced open position relative to each other, said flexible clip magazine having a distal end portion received within said distal end portion of the steerable overtube such that the tissue apposition clips supported therein may be selectively discharged out through the distal end portion of the steerable overtube; grasping tissue through which the opening extends; drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most one of the tissue apposition clips supported within the distal end portion of the clip magazine; and advancing the distal-most tissue apposition clip onto the portion of grasped tissue. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A surgical method for closing an opening in a portion of an organ wall, said surgical method comprising:
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positioning a tissue apposition clip adjacent a distal end of an endoscope; positioning the tissue apposition clip adjacent the opening; grasping the portion of the organ wall through which the opening extends; drawing the grasped portion of the organ wall into a clamping position between upper and lower clip arms of the tissue apposition clip; advancing the tissue apposition clip onto the grasped portion of the organ wall; and applying at least one tissue anchor to the grasped portion of organ wall within the tissue apposition clip. - View Dependent Claims (8, 9, 10, 11, 12)
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13. A surgical method for closing an opening in tissue, said surgical method comprising:
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positioning a tissue apposition clip adjacent a distal end of an endoscope; positioning the tissue apposition clip adjacent the opening in the tissue; grasping a portion of the tissue through which the opening extends; drawing the portion of the grasped tissue into a position between upper and lower clip arms of the tissue apposition clip; and advancing the tissue apposition clip onto the portion of grasped tissue. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20)
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Specification