Ligation clip and clip applier

• US 6,652,545 B2
• Filed: 02/25/2002
• Issued: 11/25/2003
• Est. Priority Date: 03/01/1999
• Status: Expired due to Term

• Current Assignee: Microline Surgical, Inc. (Hoya Corporation)
• Original Assignee: Surgicon, Inc.
• Inventors: Shipp, John I., Satterfield, James A., Shepard, Steven Y.
• Primary Examiner(s): WEHNER, CARY ELLEN
• Application Number:
  US10/082,915
• Publication Number:
  US 20020082615A1
• Time in Patent Office: 638 Days
• Field of Search: 606/139, 606/142, 606/143, 606/151, 606/154, 606/158, 606/155
• US Class Current: 606/157
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery

Abstract

The ligation clip applicator and ligation clip design are provided which are particularly applicable to placement of a surgical ligation clip during a laparoscopic surgical procedure. The clip includes a support member and a clamping arm having enlarged portions thereon. The applicator device has a magazine including first and second longitudinally extending partially closed channels within which the enlarged portions of the support member and the clamping arm are received with the clip held in an open position. First and second articulated jaws are attached to the magazine and have first and second channel extensions therein aligned with the first and second channels of the magazine, so that a clip can be received from the magazine in the jaws with the first and second enlarged portions of the support member and the clamping arm being received in the first and second channel extensions of the jaws. The channel extensions include first and second releasing openings. The jaws are closed about a vessel to pre-clamp the vessel. The clip is pushed forward into the jaws to a position where the enlarged portions of the support member and the clamping arm are aligned with the releasing openings and the support member and the clamping arm are released allowing the support member and the clamping arm to move toward each other to ligate the vessel therebetween.

Claims

1. A surgical ligation clip, comprising:

a longitudinal axis;

a support member;

a clamping arm;

a connector joining said support member and said clamping arm; and

first and second enlarged ends defined on said support member and said clamping arm, respectively, said first and second enlarged ends including first and second wire loops, respectively integrally formed with said support member and said clamping arm of the clip, each of said first and second wire loops having a width transverse to the longitudinal axis of said clip, said clip having a maximum height perpendicular to the longitudinal axis of said clip and the transverse widths of said first and second wire loops that is less than the transverse width of at least one of said first and second wire loops.

2. The clip of claim 1, wherein said connector is biased to have a pre-load so that when the clip is in a pre-loaded equilibrium position, said first and second wire loops lie upon one another with said connector biasing said loops together.

3. The clip of claim 1, wherein said loops each include a clamping surface extending transverse to a length of said support member and said clamping arm, each clamping surface being adapted to clamp a vessel stub head-on by placing the clip head-on over the vessel stub and releasing the clip.

4. The clip of claim 1, wherein said support member includes two parallel spaced-apart lengths of wire lying in a first plane and said clamping arm includes a single length of wire which moves from said support member in a second plane normal to the first plane and intersecting the first plane between said two parallel spaced-apart lengths of wire of said support member.

5. The clip of claim 1, wherein said clip has a length along the longitudinal axis of said clip of 10 mm or less.

6. The clip of claim 1, wherein said connector includes a spring having a pre-load force between said support member and said clamping arm of at least 100 grams of force.

7. The clip of claim 1, wherein said clip is formed of a single length of bent wire.

8. The clip of claim 1, in combination with a clip applier for applying the clip to tissue of a human body.

9. The clip of claim 8, wherein said clip applier includes a magazine adapted to hold a plurality of clips.

10. A wire spring clip for ligating a lumen, comprising:

a transverse spindle having a first free end and a bend which leads to a first longitudinal member which terminates in a first wire loop, said first wire loop leading to a second longitudinal member lying parallel to said first longitudinal member and spaced there from, said first wire loop having a transverse dimension greater than a transverse distance across said first and second longitudinal members, said second longitudinal member terminating in a coil spring wrapped around said transverse spindle, said coil spring leading to a third longitudinal member which terminates in a second wire loop, said second wire loop terminating in a second free end.

11. The clip of claim 10, wherein said coil spring is biased to force said first and second wire loops toward one another when the clip is in a closed position.

12. The clip of claim 11, wherein said first and second wire loops each include a clamping surface adapted to clamp a vessel stub head-on therebetween.

13. The clip of claim 10, wherein said first and second longitudinal members lie in a first plane and said third longitudinal member moves about said coil spring in a second plane normal to the first plane and intersecting the first plane between said first and second longitudinal members.

14. The clip of claim 10, in combination with a clip applier for applying the clip to the lumen.

15. The clip of claim 14, wherein said clip applier includes a magazine adapted to hold a plurality of clips.

16. A surgical ligation clip having a longitudinal axis, a distal end, and a proximal end opposite the distal end, comprising:

a clamping arm along the longitudinal axis of the clip having a first wire loop away from the proximal end of the clip;

a support member long the longitudinal axis of the clip having two parallel longitudinal members with a recess therebetween, said recess being adapted to receive at least a portion of said clamping arm therethrough, said support member having a second wire loop away from the proximal end of the clip;

a connector at the proximal end of the clip, said connector joining said support member and said clamping arm, said first wire loop and said second wire loop each having a width transverse to the longitudinal axis of the clip that is greater than a combined width of said two parallel longitudinal members and the recess therebetween that is transverse to the longitudinal axis of the clip.

17. The clip of claim 16, wherein the clip is formed of a single length of bent wire.

18. The clip of claim 16, wherein said connector is adapted to bias said support member and said clamping arm toward one another in a closed position.

19. The clip of claim 18, wherein said connector includes a coil spring.

20. The clip of claim 16, wherein said first wire loop and said second wire loop are each adapted to engage vessel stub head-on.

21. The clip of claim 16, wherein said first wire loop and said second wire loop are each adapted to engage cystic duct.

22. The clip of claim 16, wherein said first wire loop has a free end.

23. The clip of claim 16, wherein said first wire loop and said second wire loop are each at the distal end of the clip.

24. The clip of claim 16, wherein said first wire loop and said second wire loop each have a width transverse to the longitudinal axis of the clip that is adapted to be greater than a transverse cross section of a vessel to be ligated.

25. The clip of claim 16, in combination with a clip applier for applying the clip to the lumen.

26. Th clip of claim 25, wherein said clip applier includes a magazine adapted to hold a plurality of clips.

27. A surgical ligation lip having a longitudinal axis, a distal end, and a proximal end opposite said distal end, said clip comprising:

a clamping arm oriented generally along the longitudinal axis of said clip having a first wire loop proximate said distal end of said clip;

a support member oriented generally along the longitudinal axis of said clip having a second wire loop proximate said distal end of said clip; and

a connector at said proximal end of said clip, said connector joining said support member and said clamping arm, said clip being formed of a single piece of wire having a first free end terminating at said connector and a second free end terminating at one of said first and second wire loops.

28. The clip of claim 27, wherein said connector is adapted to bias said support member and said clamping arm toward one another in a closed position.

29. The clip of claim 27, wherein said connector includes a coil spring.

30. The clip of claim 27, wherein said first wire loop and said second wire loop are each adapted to engage a vessel stub head-on.

31. The clip of claim 28, wherein said first wire loop and said second wire loop are each adapted to engage a cystic duct.

32. The clip of claim 29, in combination with a clip applier for applying the clip to the lumen.

33. The clip of claim 32, wherein said clip applier includes a magazine adapted to hold a plurality of clips.