CN117357183A

CN117357183A - Tissue closing clip

Info

Publication number: CN117357183A
Application number: CN202311485920.2A
Authority: CN
Inventors: 谢晨光
Original assignee: Beijing Lingjian Medical Technology Co ltd
Current assignee: Beijing Lingjian Medical Technology Co ltd
Priority date: 2023-11-09
Filing date: 2023-11-09
Publication date: 2024-01-09

Abstract

The invention relates to a tissue closing clamp which comprises a first pressing arm, a second pressing arm and a clamping arm, wherein the proximal end of the first pressing arm is connected with the proximal end of the second pressing arm, the clamping arm is arranged between the first pressing arm and the second pressing arm, the distal end of the clamping arm is connected with the distal end of the first pressing arm, the clamping arm extends along the length direction of the second pressing arm, and the clamping arm is elastically contacted with the second pressing arm under an initial working condition. Compared with the existing closing clamp, the tissue closing clamp provided by the invention directly clamps tissues by using the clamp arm and the one-side pressing arm, so that the radial size of the tissue closing clamp is reduced, the whole volume and weight of the tissue closing clamp are further reduced, and the problem of large volume and weight of the existing closing clamp is solved.

Description

Tissue closing clip

Technical Field

The invention belongs to the technical field of medical instruments, and particularly relates to a tissue closing clamp.

Background

It is often clinically desirable to use clips to occlude or block tissue, such as vascular tissue, valve tissue, atria, left atrial appendage, etc. using clips. In this procedure, a special delivery device is required to deliver the closure clip into the body and open it, capturing the target tissue, and closing the target tissue clip in the closure clip.

In the prior art, a clamping mode is realized by adopting symmetrical two-side clamping structures, so that the closing clamp is large in size and weight, the surgical implantation path is large in size and is not beneficial to conveying, the compliance of closing tissues is poor, and the risk of damaging the tissues is high.

Disclosure of Invention

The invention aims to at least solve the problems of large volume and heavy weight of the existing closing clamp. The aim is achieved by the following technical scheme:

the invention provides a tissue closing clamp which comprises a first pressing arm, a second pressing arm and a clamping arm, wherein the proximal end of the first pressing arm is connected with the proximal end of the second pressing arm, the clamping arm is arranged between the first pressing arm and the second pressing arm, the distal end of the clamping arm is connected with the distal end of the first pressing arm, the clamping arm extends along the length direction of the second pressing arm, and the clamping arm is elastically contacted with the second pressing arm under an initial working condition.

According to the tissue closing clamp provided by the embodiment of the invention, the clamp arm is positioned between the first clamp arm and the second clamp arm, the proximal end of the tissue closing clamp can be adjusted in a plastic deformation mode on the basis that the proximal ends of the first clamp arm and the second clamp arm are connected, the clamp arm has a biasing force to the second clamp arm on the basis that the clamp arm is connected with the first clamp arm at the distal end, and then the clamp arm is elastically contacted with the second clamp arm.

In addition, the tissue closing clip provided by the embodiment of the invention can also have the following technical characteristics:

in some embodiments of the invention, the clamping arm and the second pressing arm are provided with tissue clamping surfaces, and the tissue clamping surfaces are provided as flat surfaces, convex surfaces or wavy surfaces.

In some embodiments of the invention, the tissue closure clip further comprises a U-shaped resilient member connected to the proximal end of the first pressure arm and the proximal end of the second pressure arm, respectively.

In some embodiments of the invention, the tissue closure clip further comprises a compensation member disposed between the first pressure arm and the clip arm.

In some embodiments of the invention, the compensation member is provided as a resilient compensation tab disposed proximate the proximal end of the tissue closure clip and connected to at least one of the first pressure arm and the clip arm.

In some embodiments of the invention, one end of the elastic compensation plate is connected to the first pressing arm, and the other end of the elastic compensation plate extends obliquely towards the proximal end and is connected to the clamping arm.

In some embodiments of the present invention, one end of the elastic compensation piece is connected to the first pressing arm, the other end of the elastic compensation piece extends obliquely towards the proximal end, and the elastic compensation piece part is abutted against the clamping arm.

In some embodiments of the present invention, one end of the elastic compensation piece is connected to the clamping arm, the other end of the elastic compensation piece extends obliquely towards the distal end, and the elastic compensation piece part is abutted against the first pressing arm.

In some embodiments of the invention, the compensation member is provided as a compensation post provided as a rigid or elastic member, the compensation post being provided near the distal end of the tissue closure clip and being connected to the first pressure arm or the clip arm.

In some embodiments of the invention, the compensation column is provided as a rigid member, one end of the compensation column is connected with the clamping arm, and the other end extends towards the first pressing arm and can be abutted with the first pressing arm under the clamping working condition.

Drawings

Various other advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the invention. Also, like reference numerals are used to designate like parts throughout the figures. In the drawings:

FIG. 1 is a schematic view of a tissue closure clip in an unoccluded state;

FIG. 2 is a front view of the tissue closure clip of FIG. 1;

FIG. 3 is a front view of a tissue closure clip according to a first embodiment of the present invention in an initial condition;

FIG. 4 is a front view of the tissue closure clip of FIG. 3 in a clamping condition;

FIG. 5 is a left side view of the tissue closure clip of FIG. 4;

FIG. 6 is a second left side view of the tissue closure clip of FIG. 4;

FIG. 7 is a third left side view of the tissue closure clip of FIG. 4;

FIG. 8 is a schematic view of a tissue closure clip according to a second embodiment of the present invention;

FIG. 9 is a front view of a tissue closure clip according to a third embodiment of the present invention in an initial condition;

FIG. 10 is a front view of a tissue closure clip according to a fourth embodiment of the present invention in an initial condition;

FIG. 11 is a front view of the tissue closure clip of FIG. 10 in a clamping configuration;

FIG. 12 is a front view of a tissue closure clip of a fifth embodiment of the present invention in an initial condition;

FIG. 13 is a front view of the tissue closure clip of FIG. 12 in a clamping condition;

FIG. 14 is a front view of a tissue closure clip of a sixth embodiment of the present invention in an initial condition;

FIG. 15 is a front view of the tissue closure clip of FIG. 14 in a clamping condition;

FIG. 16 is a front view of a tissue closure clip of a seventh embodiment of the present invention in an initial condition;

FIG. 17 is a front view of the tissue closure clip of FIG. 16 in a clamping condition.

Detailed Description

As described in the background art, in the prior art, a single-end opening closing clip is generally realized in a mode of clamping by adopting symmetrical two-side clamping structures, so that the closing clip is large in size and weight, is unfavorable for conveying, and is poor in compliance when closing tissues, and is high in risk of damaging tissues.

The terminology used herein is for the purpose of describing particular example embodiments only and is not intended to be limiting of the invention, e.g., the terms "comprising," "having," etc., are intended to be interpreted as referring to the features of the invention as being presented, as well as other features; the terms "first," "second," and "first" do not imply a sequence or order; the terms "inner", "outer", "above", "below" are merely for convenience in describing the relationship of one feature to another feature shown in the drawings and do not indicate that it must have a particular orientation. In the field of interventional medical devices, a proximal end refers to an end closer to an operator, and a distal end refers to an end farther from the operator; the axial direction refers to a direction parallel to a line connecting a distal center and a proximal center of the medical instrument in a natural state, and in the description of the present invention, the above definition is for convenience of description only and is not to be construed as limiting the present invention.

Example 1

Referring to fig. 1 to 4, a tissue closing clip 100 according to an embodiment of the present invention is provided, the tissue closing clip 100 includes a first pressing arm 10, a second pressing arm 20 and a clip arm 30, the proximal end of the first pressing arm 10 is connected to the proximal end of the second pressing arm 20, the clip arm 30 is disposed between the first pressing arm 10 and the second pressing arm 20, the distal end of the clip arm 30 is connected to the distal end of the first pressing arm 10, the clip arm 30 extends along the length direction of the second pressing arm 20, and the clip arm 30 is elastically contacted with the second pressing arm 20 under the initial working condition.

According to the tissue closing clip 100 provided by the embodiment of the invention, the clip arm 30 is positioned between the first pressure arm 10 and the second pressure arm 20, the proximal end of the tissue closing clip 100 can be adjusted in a plastic deformation mode on the basis that the first pressure arm 10 is connected with the proximal end of the second pressure arm 20, the clip arm 30 has a force biasing the second pressure arm 20 on the basis that the clip arm 30 is connected with the first pressure arm 10 in a distal end, and then the clip arm 30 is in elastic contact with the second pressure arm 20, after the tissue closing clip 100 is conveyed into a human body through a special conveying device and opened, a tissue 70 to be clipped, such as a left atrial appendage, is placed between the clip arm 30 and the second pressure arm 20, and then the tissue closing clip 100 is released, so that the clip arm 30 and the second pressure arm 20 are mutually closed to clamp the tissue 70.

As shown in fig. 1 and 2, the first pressing arm 10 and the second pressing arm 20 of the tissue closing clip 100 in this embodiment are symmetrically disposed, and the first pressing arm 10 and the second pressing arm 20 are connected at the proximal end, so as to form a U-shaped closing clip body, and the closing clip body can be opened and closed along with the distal distance and approaching of the first pressing arm 10 and the second pressing arm 20. The tissue closure clip 100 in this embodiment may be made of elastic materials with good biocompatibility such as medical stainless steel, nickel-titanium alloy, titanium alloy (e.g. TC4, TC 20), etc. by means of wire cutting, electric spark, machining, etc.

Further, in this embodiment, the first pressing arm 10 and the second pressing arm 20 may be connected proximally by an elastic member, and illustratively, in some embodiments of the present invention, the tissue closing clip 100 further includes a U-shaped elastic member 40, as shown in fig. 1 and 2, where the U-shaped elastic member 40 is disposed at the proximal end of the tissue closing clip 100, and two open ends of the U-shaped elastic member 40 are connected to the proximal end of the first pressing arm 10 and the proximal end of the second pressing arm 20, respectively, and the U-shaped elastic member 40 may be connected to the first pressing arm 10 and the second pressing arm 20 by welding or an integrally formed manner, and the connection manner is not limited in this embodiment.

In addition to the above embodiment, after the U-shaped elastic member 40 is connected to the first pressing arm 10 and the second pressing arm 20, respectively, during the processing of the tissue closing clip 100, the U-shaped elastic member 40 may be plastically deformed by heat treatment or physical means, as shown in fig. 3, so that the clip arm 30 approaches the second pressing arm 20 until the clip arm 30 is attached to the second pressing arm 20. In this embodiment, the elastic contact between the clamping arm 30 and the second pressing arm 20 means that the two are in contact and fit, and can provide pressure to each other, as shown in fig. 4, so that when the tissue 70 is clamped, the tissue 70 can be elastically deformed according to the thickness of the tissue 70 and clamped.

According to the above embodiment, since the clamping arm 30 and the second pressing arm 20 cooperate to directly clamp the tissue 70, the thickness of the distal end is thinner, that is, the radial dimension of the distal end is smaller, and the radial dimension of the U-shaped elastic member 40 connected to the proximal end is correspondingly smaller, compared with the conventional closing clamp, thereby the overall radial dimension of the tissue closing clamp 100 is smaller, the volume and weight are correspondingly reduced, and in addition, the size of the surgical implantation path is smaller when the tissue closing clamp 100 is delivered into the human body, thereby improving the compliance and reducing the risk of damaging the tissue.

Further, in some embodiments of the present invention, the clamp arm 30 and the second clamp arm 20 are provided with tissue clamping surfaces, and illustratively, the side of the second clamp arm 20 facing the clamp arm 30 is provided with a first tissue clamping surface 21, and the side of the clamp arm 30 facing the second clamp arm 20 is provided with a second tissue clamping surface 31, and referring to fig. 3 in combination, the first tissue clamping surface 21 is in contact with the second tissue clamping surface 31 in the initial condition, and referring to fig. 4 in combination, the first tissue clamping surface 21 and the second tissue clamping surface 31 are configured to be in direct contact with the tissue 70 in the clamped condition.

As shown in fig. 5, in the first embodiment, the first tissue clamping surface 21 and the second tissue clamping surface 31 are each provided as a flat surface that ensures adequate contact and clamping with tissue; as shown in fig. 6, in the second embodiment, the first tissue clamping surface 21 and the second tissue clamping surface 31 are both arc-shaped convex surfaces, and in an initial working condition, the first tissue clamping surface 21 and the second tissue clamping surface 31 are at least partially abutted in a radial direction, so that the clamping force on the tissue can be ensured in the clamping working condition; as shown in fig. 7, in the third embodiment, the first tissue clamping surface 21 and the second tissue clamping surface 31 are both wavy surfaces, and the first tissue clamping surface 21 and the second tissue clamping surface 31 are engaged under the initial working condition, so that sufficient contact and clamping with the tissue and clamping force on the tissue can be ensured under the clamping working condition. The shape of the tissue clamping surface is not particularly limited in this embodiment, and may be set according to actual conditions.

Example two

As shown in fig. 8, on the basis of the first embodiment, the tissue closing clip 100 further includes a sleeve 101, the sleeve 101 is sleeved on the tissue closing clip 100, the sleeve 101 sequentially covers the first pressing arm 10, the clip arm 30, the U-shaped elastic member 40 and the second pressing arm 20, and in this embodiment, the sleeve 101 may be made of a biocompatible material.

Example III

As shown in fig. 9, based on the second embodiment, referring to fig. 3 and 4 in combination with the first embodiment, a first groove 11 is provided at the distal end of the first pressing arm 10, a second groove 22 is provided at the distal end of the second pressing arm 20, and the first groove 11 and the second groove 22 are used for connecting with the cannula 101, so as to fix the end of the cannula 101 after the cannula 101 wraps the parts of the tissue closing clip 100, and in this embodiment, the first groove 11 and the second groove 22 avoid more complex assembly modes such as stitching, bonding, and the like, and further reduce the volume and weight of the whole tissue closing clip 100.

Further, in some embodiments of the present invention, the tissue closing clip 100 further includes a compensation member disposed between the first pressing arm 10 and the clamping arm 30, where the compensation member is used for performing elastic compensation on the clamping arm 30, so as to further improve the clamping force on the tissue. In an alternative embodiment, the compensating member is provided as a resilient compensating tab 50, the resilient compensating tab 50 being provided near the proximal end of the tissue closure clip 100 and being connected to at least one of the first pressing arm 10 and the clip arm 30.

Example IV

As shown in fig. 10 and 11, in the present embodiment, the elastic compensation sheet 50 is connected to the first pressing arm 10 and the clamping arm 30, specifically, one end of the elastic compensation sheet 50 is connected to the first pressing arm 10, at a position near the proximal end of the first pressing arm 10 and located at the inner side of the first pressing arm 10, and the other end of the elastic compensation sheet 50 extends obliquely toward the proximal end of the tissue closing clamp 100, that is, the proximal end of the elastic compensation sheet 50 is inclined toward the U-shaped elastic member 40, and is connected to the clamping arm 30, and is connected to the position near the proximal end of the clamping arm 30 and located at the position where the clamping arm 30 faces the first pressing arm 10, or is directly connected to the proximal end of the clamping arm 30, and the elastic compensation sheet 50 and the first pressing arm 10 and the clamping arm 30 can be connected by welding, and the connection mode of integral molding is not limited in the present embodiment.

By providing the elastic compensation sheet 50 between the first pressing arm 10 and the clamping arm 30 near the proximal end, the embodiment improves the clamping force of the middle part and the proximal end part of the tissue closure clamp 100 to the tissue 70, and simultaneously avoids uneven force application when the clamping arm 30 contacts the tissue 70, thereby further ensuring the uniformity of the clamping force of the clamping arm 30 when clamping the tissue 70. The manner of simultaneously connecting the elastic compensation plate 50 with the first pressing arm 10 and the clamping arm 30 in this embodiment ensures the stability of the elastic compensation plate 50, thereby reducing the risk of damaging the tissue 70.

Example five

As shown in fig. 12 and 13, in this embodiment, one end of the elastic compensation sheet 50 is connected to the first pressing arm 10, the other end is set to be a free end, and the elastic compensation sheet 50 and the first pressing arm 10 may be connected by welding or integrally forming, and the connection manner is not specifically limited in this embodiment.

Illustratively, the distal end of the elastic compensation sheet 50 is connected to the first pressing arm 10, and is connected to a portion near the middle of the first pressing arm 10 and located at the inner side of the first pressing arm 10, and the specific position of the end of the elastic compensation sheet 50 along the axial direction of the tissue closure clip 100 can be set according to the actual clamping requirement; the other end of the resilient compensation tab 50 extends obliquely toward the proximal end of the tissue closure clip 100, i.e., the proximal end of the resilient compensation tab 50 is inclined toward the U-shaped resilient member 40 into abutment with the clip arm 30.

It should be noted that, in the present embodiment, the shape of the elastic compensation sheet 50 may be an arc or an arc-like shape, as shown in fig. 12, the proximal portion of the elastic compensation sheet 50 abuts against the clamping arm 30 in the initial working condition of the tissue closing clip 100, as shown in fig. 13, when the tissue closing clip 100 is in the clamping working condition after clamping the tissue 70, the elastic compensation sheet 50 is further bent due to the pressure of the clamping arm 30 due to the elastic deformation of the clamping arm 30 moving toward the first pressing arm 10, and the proximal portion thereof is more attached to the clamping arm 30, so as to apply the pressure to the clamping arm 30 and the tissue 70.

In this embodiment, by providing the elastic compensation sheet 50 between the first pressing arm 10 and the clamping arm 30 at a position near the proximal end, the clamping force of the middle part and the proximal end part of the tissue closure clamp 100 to the tissue 70 is improved, meanwhile, the problem of uneven force application when the clamping arm 30 contacts the tissue 70 is avoided, and the uniformity of the clamping force of the clamping arm 30 when clamping the tissue 70 is ensured. In this embodiment, the elastic compensation piece 50 is set to be a free end on the clamping arm 30 side, so that the force application range of the elastic compensation piece 50 to the clamping arm 30 in the length direction under the clamping condition is increased, and the uniformity and reliability of the clamping force of the proximal end portion of the tissue closure clamp 100 are further improved.

Example six

As shown in fig. 14 and 15, in this embodiment, one end of the elastic compensation sheet 50 is connected to the clip arm 30, the other end is set to be a free end, and the elastic compensation sheet 50 and the clip arm 30 may be connected by welding or integrally forming, and the connection manner is not specifically limited in this embodiment.

Illustratively, one end of the elastic compensation sheet 50 is connected to the clamping arm 30, and is connected to a portion near the proximal end of the clamping arm 30 and located on the side of the clamping arm 30 facing the first pressing arm 10, and the specific position of the end of the elastic compensation sheet 50 along the axial direction of the tissue closure clip 100 can be set according to the actual clamping requirement; the other end of the resilient compensation tab 50 extends obliquely toward the distal end of the tissue closure clip 100, i.e., the distal end of the resilient compensation tab 50 is inclined away from the U-shaped resilient member 40 into abutment with the first press arm 10.

It should be noted that, in the present embodiment, the shape of the elastic compensation sheet 50 may be an arc or an arc-like shape, as shown in fig. 14, the distal end portion of the elastic compensation sheet 50 abuts against the first pressing arm 10 in the initial working condition of the tissue closing clip 100, as shown in fig. 15, when the tissue closing clip 100 is in the clamping working condition after clamping the tissue 70, the elastic compensation sheet 50 is further bent due to the pressure of the clamping arm 30 due to the elastic deformation of the clamping arm 30 moving toward the first pressing arm 10, and the distal end portion thereof is more attached to the first pressing arm 10, so as to apply the pressure against the clamping arm 30 and the tissue 70.

In this embodiment, by providing the elastic compensation sheet 50 between the first pressing arm 10 and the clamping arm 30 at a position near the proximal end, the clamping force of the middle part and the proximal end part of the tissue closure clamp 100 to the tissue 70 is improved, meanwhile, the problem of uneven force application when the clamping arm 30 contacts the tissue 70 is avoided, and the uniformity of the clamping force of the clamping arm 30 when clamping the tissue 70 is ensured. In this embodiment, the elastic compensation sheet 50 is disposed as a free end on the first pressing arm 10 side, so that the force application range of the elastic compensation sheet 50 to the clamping arm 30 in the length direction under the clamping condition is increased, and the uniformity and reliability of the clamping force of the proximal end portion of the tissue closure clamp 100 are further improved.

Example seven

As shown in fig. 16 and 17, in some embodiments of the present invention, the compensation member is provided as a compensation post 60, the compensation post 60 being disposed proximate the distal end of the tissue closure clip 100 and being connected to the first compression arm 10 or clip arm 30. The compensation column 60 in this embodiment may be provided as a rigid member or as an elastic member. The compensation post 60 and the first pressing arm 10 or the clamping arm 30 may be connected by welding or integrally forming, and the connection manner is not particularly limited in this embodiment.

Further, in some embodiments of the present invention, the compensation post 60 is provided as a rigid member, one end of the compensation post 60 is connected to the clamping arm 30, and the other end extends toward the first pressing arm 10 and is capable of abutting the first pressing arm 10 under clamping conditions. Specifically, one end of the compensation column 60 is connected to the clamping arm 30, and is connected to a portion near the distal end of the clamping arm 30 and located on the side of the clamping arm 30 facing the first pressing arm 10, and the specific position of the end of the compensation column 60 along the axial direction of the tissue closing clamp 100 can be set according to actual clamping requirements; the other end of the compensation post 60 may extend toward the first press arm 10 in a direction perpendicular to the clamp arm 30. As shown in fig. 16, in the initial condition of the tissue closing clip 100, the end of the compensating column 60 has a certain gap or slight contact with the first pressing arm 10, and as shown in fig. 17, when the tissue closing clip 100 is in the clamping condition after clamping the tissue 70, the compensating column 60 moves along with the clamping arm 30 toward the first pressing arm 10 due to the elastic deformation of the clamping arm 30 moving toward the first pressing arm 10 until the end abuts against the inner side of the first pressing arm 10, thereby exerting pressure against the clamping arm 30 and the tissue 70.

In this embodiment, the rigid compensation column 60 is disposed between the first pressing arm 10 and the clamping arm 30 near the distal end, the force arm of the clamping arm 30 is shortened by using the compensation column 60, and the moment when the tissue 70 is clamped at the proximal end side of the clamping arm 30 is reduced by shortening the force arm, so that the clamping force of the middle part and the proximal end position of the clamping arm 30 to the tissue 70 is compensated, the problems that the clamping force of the proximal end side of the tissue closure clamp 100 to the tissue 70 is insufficient and the overall force application of the tissue closure clamp 100 is uneven are avoided, and the uniformity of the clamping force of the clamping arm 30 when the tissue 70 is clamped is ensured.

The present invention is not limited to the above-mentioned embodiments, and any changes or substitutions that can be easily understood by those skilled in the art within the technical scope of the present invention are intended to be included in the scope of the present invention. Therefore, the protection scope of the invention is subject to the protection scope of the claims.

Claims

1. The tissue closing clamp is characterized by comprising a first pressing arm, a second pressing arm and a clamping arm, wherein the proximal end of the first pressing arm is connected with the proximal end of the second pressing arm, the clamping arm is arranged between the first pressing arm and the second pressing arm, the distal end of the clamping arm is connected with the distal end of the first pressing arm, the clamping arm extends along the length direction of the second pressing arm, and the clamping arm is in elastic contact with the second pressing arm under an initial working condition.

2. The tissue closure clip of claim 1 wherein said clip arms and said second pressure arms have tissue gripping surfaces disposed thereon, said tissue gripping surfaces being planar, convex or undulating.

3. The tissue closure clip of claim 1 further comprising a U-shaped resilient member connected to the proximal end of the first pressure arm and the proximal end of the second pressure arm, respectively.

4. The tissue closure clip of claim 1 further comprising a compensation member disposed between the first pressing arm and the clip arm.

5. The tissue closure clip of claim 4 wherein the compensation member is provided as a resilient compensation tab disposed proximate the proximal end of the tissue closure clip and connected to at least one of the first pressing arm and the clip arm.

6. The tissue closure clip of claim 5 wherein one end of said resilient compensation tab is connected to said first pressure arm and the other end of said resilient compensation tab extends obliquely proximally and is connected to said clip arm.

7. The tissue closure clip of claim 5 wherein one end of said resilient compensation tab is connected to said first pressure arm, the other end of said resilient compensation tab extends obliquely proximally, and said resilient compensation tab portion abuts said clip arm.

8. The tissue closure clip of claim 5 wherein one end of said resilient compensation tab is connected to said clip arm, the other end of said resilient compensation tab extends obliquely distally, and said resilient compensation tab portion abuts said first pressure arm.

9. The tissue closure clip of claim 4 wherein the compensation member is provided as a compensation post provided as a rigid or resilient member, the compensation post being provided proximate to the distal end of the tissue closure clip and being connected to the first pressure arm or the clip arm.

10. The tissue closure clip of claim 9 wherein said compensation post is provided as a rigid member, one end of said compensation post being connected to said clip arm and the other end extending toward said first pressure arm and being capable of abutting said first pressure arm during a clamping condition.