WO2020036967A1 - Surgical clip for simultaneous bleeding control of a blood vessel and cutting - Google Patents
Surgical clip for simultaneous bleeding control of a blood vessel and cutting Download PDFInfo
- Publication number
- WO2020036967A1 WO2020036967A1 PCT/US2019/046362 US2019046362W WO2020036967A1 WO 2020036967 A1 WO2020036967 A1 WO 2020036967A1 US 2019046362 W US2019046362 W US 2019046362W WO 2020036967 A1 WO2020036967 A1 WO 2020036967A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- surgical
- blood vessel
- clips
- cutting
- surgical clip
- Prior art date
Links
- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 58
- 230000000740 bleeding effect Effects 0.000 title claims abstract description 16
- 230000009471 action Effects 0.000 claims description 6
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 claims description 6
- 239000000463 material Substances 0.000 claims description 5
- 229910052751 metal Inorganic materials 0.000 claims description 5
- 239000002184 metal Substances 0.000 claims description 5
- 150000002739 metals Chemical class 0.000 claims description 5
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 3
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000000956 alloy Substances 0.000 claims description 3
- 229910052697 platinum Inorganic materials 0.000 claims description 3
- 239000002861 polymer material Substances 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- -1 talanum Substances 0.000 claims description 3
- 239000010936 titanium Substances 0.000 claims description 3
- 229910052719 titanium Inorganic materials 0.000 claims description 3
- 230000006378 damage Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 210000001349 mammary artery Anatomy 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 238000003306 harvesting Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/02—Inorganic materials
- A61L31/022—Metals or alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B2017/1225—Clamps or clips, e.g. for the umbilical cord for clipping and cutting in a single operation
Definitions
- the present disclosure is directed to surgical clips used to prevent or control bleeding during surgical procedures. Specifically, the present disclosure is directed to surgical clips that simultaneously cut blood vessels and control bleeding.
- Surgical clips are implantable devices that may be made from metals, such as stainless steel, titanium, talanum, platinum, or an alloy of metals, or made from polymer materials. Surgical clips have been in use since the first half of the twentieth century and have gained widespread use among different surgical disciplines with the advent of minimally invasive surgical procedures.
- a surgical clip is deployed using a clip applicator, which is a surgical instrument that places the surgical clip at a desired location, typically a blood vessel, and deforms the surgical clip into its final shape in order to occlude the blood vessel.
- the clip applicator has scissor-like handles and a plier-like tip, which both holds the surgical clip in its open position and exerts a force on the surgical clip in order to deform the surgical clip into its final, closed position.
- a surgical clip is placed on a blood vessel and closed in order to occlude the lumen of the blood vessel, the blood vessel may be safely divided without the risk of excessive bleeding.
- a surgical clip is placed at either side of the location where the blood vessel is to be divided.
- the blood vessel is divided with, for example, scissors. This involves three separate steps: placing the first surgical clip, placing the second surgical clip, and dividing the blood vessel. Accordingly, the technician in the surgical room must hand the surgeon instruments three times, and has to load a new surgical into the clip applicator each time, which can be time consuming.
- the present disclosure describes novel surgical clips that reduce the three steps required to divide a blood vessel with conventional surgical clips to just one step.
- the present disclosure is directed to surgical clips that simultaneously control bleeding and divide a blood vessel.
- the present disclosure is also directed to an applicator for the surgical clips that holds a minimum of two surgical clips and simultaneously applies both clips to the blood vessel thereby reducing the division of the blood vessel to a single step.
- the clip applicator includes two jaws for holding two surgical clips. After the closely adjacent surgical clips are advanced over a blood vessel that is to be divided, the applicator simultaneously closes both clips by bringing the two jaws together.
- the surgical clips are positioned very close to each other in order to create a scissoring action between them when the jaws of the applicator are closed. In one exemplary embodiment the surgical clips may be in contact with each other.
- the surgical clips themselves perform both the cutting of the blood vessel and the occluding of the lumen of the blood vessel. This allows for control of bleeding on each side of the blood vessel and at the same time for cutting of the blood vessel without the need for a separate blade or separate scissors as used with conventional surgical clips.
- a surgical clip for simultaneously cutting a blood vessel and controlling bleeding includes two legs, each including a flat surface and a cutting surface; and a curved section configured to join the two legs.
- an applicator for installing a surgical clip that simultaneously divides a blood vessel and controls bleeding includes two jaws configured to simultaneously hold two surgical clips, and two handles configured to cause the two jaws to exert a deforming force on the two surgical clips.
- an applicator holds one or more clips on the outside of the middle cutting pair of clips on either or both side of the middle cutting pair of clips, in order to add additional stability and include an additional safety for the occlusion of the blood vessel and further reducing the risk of slipping of the cutting clips.
- FIG. 1A illustrates conventional surgical clips of three different sizes and their respective applicators
- Fig. 1B illustrates three different sizes of conventional surgical clips in various states from open to closed;
- FIG. 2A is a three-dimensional view of a surgical clip according to exemplary aspects of the present disclosure
- FIG. 2B is a side view of a surgical clip according to exemplary aspects of the present disclosure.
- FIG. 2C is a front view of a surgical clip in a closed state according to exemplary aspects of the present disclosure
- Fig. 2D is a cross-sectional view of 2 surgical clips according to exemplary aspects of the present disclosure
- Fig. 2E is a cross-sectional view of 2 surgical clips according to exemplary aspects of the present disclosure.
- Fig. 2F is a cross-sectional view of 2 surgical clips according to exemplary aspects of the present disclosure.
- Fig. 2G is a three-dimensional view of a surgical clip according to exemplary aspects of the present disclosure.
- Fig. 2H is a three-dimensional view of a surgical clip according to exemplary aspects of the present disclosure
- Fig. 3A is a first step in applying a surgical clip according to exemplary aspects of the present disclosure
- Fig. 3B is a second step in applying a surgical clip according to exemplary aspects of the present disclosure.
- Fig. 3C is a third step in applying a surgical clip according to exemplary aspects of the present disclosure.
- Fig. 3D is a fourth step in applying a surgical clip according to exemplary aspects of the present disclosure.
- Fig. 3E is a fifth step in applying a surgical clip according to exemplary aspects of the present disclosure.
- Fig. 3F is a sixth step in applying a surgical clip according to exemplary aspects of the present disclosure.
- FIG. 3G is a seventh step in applying a surgical clip according to exemplary aspects of the present disclosure showing both clips on each end of a divided blood vessel.
- FIG. 4A illustrates a cross-sectional view of surgical clips according to exemplary aspects of the present disclosure
- FIG. 4B illustrates another cross-sectional view of surgical clips according to exemplary aspects of the present disclosure
- FIG. 4C illustrates a cross-sectional view of surgical clips according to exemplary aspects of the present disclosure
- Fig. 4D illustrates a cross-sectional view of surgical clips according to exemplary aspects of the present disclosure
- Fig. 5A illustrates a three-dimensional view of surgical clips according to exemplary aspects of the present disclosure.
- Fig. 5B illustrates another three-dimensional view of surgical clips according to exemplary aspects of the present disclosure.
- Fig. 1 illustrates conventional surgical clips and their applicators. As illustrated, the surgical clips may come stacked in a carriers 1, 2, 3, and may be of different sizes to account for different application. Likewise, the applicators 4, 5, 6 for the surgical clips come in different sizes in order to accommodate the different sizes of surgical clips.
- Fig. 1A illustrates conventional surgical clips 2la-c, 22a-c, 23a-c of different dimensions in different states from fully open 2la-23a to fully closed 2lc-23c.
- the surgical clips 21 at the top is the largest, and the surgical clips 23 at the bottom is the smallest.
- the surgical clips 2la, 22a, 23a on the left are fully open while the surgical clips 2lc, 22c, 23c on the right are fully closed.
- the surgical clip regardless of size, is advanced onto a blood vessel while open so that the surgical clip surrounds the blood vessel.
- the surgical clip is closed, as shown on the right side of Fig. 1B (2lc, 22c, 23c), the surgical clip pinches the blood vessel shut, preventing bleeding.
- Such clips may be left in the body after a surgical procedure.
- the clips may also be removed, or made of a material that can be absorbed by the body, as one of ordinary skill would recognize.
- Fig. 2A is a three-dimensional view of a surgical clip according to exemplary aspects of the present disclosure.
- each leg 200 of the surgical clip includes a cutting edge 202 and a flat portion 204.
- the cutting edges 202 on the legs 200 of the surgical clip bypass each other to cut the blood vessel to which the surgical clip is attached by a scissoring action.
- Fig. 2B shows that the cutting edge 202 of each leg 200 is raised with respect to the flat portion 204 of each leg 200.
- the cutting edges 202 are on opposite sides so that when the legs 200 of the surgical clip are brought together they are able to bypass each other and perform the scissoring action.
- Fig. 2D is a cross-sectional view of surgical clips 300 and 400 according to exemplary aspects of the present disclosure when the surgical clips 300 and 400 are in a closed state. As illustrated in this figure, when the surgical clips 300 and 400 are closed, the cutting edges 202 bypass each other to cut the blood vessel. At the same time, the flat portions 204 meet each other in order to occlude the blood vessel and prevent bleeding.
- the cross-sectional view of Fig. 2D is merely exemplary and other cross- sectional profiles are possible without departing from the scope of the present disclosure, such as those illustrated in Figs. 2E and 2F.
- the exact pattern or texture applied to the surface of the flat portions 204 is not limiting upon the present disclosure, and other patterns or textures are also possible.
- Figs. 2D-2F each illustrates two clips 300 and 400 side by side as they would be positioned when used to cut/clamp a blood vessel.
- the clips 300 and 400 may be close to each other with our without touching, and are preferably applied by a single applicator as will be explained in greater detail below.
- any of the clips described herein may be used as a pair of clips as illustrated in Figs. 2D-2F.
- Figs. 2E-2F illustrate that clips 300 and 400 have the same cross-sectional profile, or cross-sectional profiles that are mirror images of each other. However, these are not requirements of the invention described in the present disclosure.
- the two clips 300 and 400 may have cross-sectional that are completely different from each other. As such the particular cross-sectional profile of the pair of clips used to cut/clamp a blood vessel is not limiting upon the present disclosure.
- Fig. 2G illustrates a surgical clip according to exemplary aspects of the present disclosure.
- the surgical clip in Fig. 2G includes a textured, or patterned, surface on the flat part 204 of each leg 200. This textured, or patterned, surface prevents slippage of the surgical clip once the clip is installed on a blood vessel.
- Fig. 2G also illustrates the cutting edge 202.
- the pattern illustrated in Fig. 2G includes a series of teeth on each of the legs 200 of the surgical clip.
- the teeth may be made so that the teeth of one leg are offset relative to the teeth of the other leg so that they interlock with the teeth of the other leg when the clip is closed.
- the teeth can also be made such that the teeth of one leg align with those of the other leg so that they do not interlock when the clip is closed.
- Other patterns are also possible without departing from the scope of the present disclosure.
- Fig. 2H illustrates two surgical clips 300 and 400 according to exemplary aspects of the present disclosure.
- the surfaces of the flat portions 204 of each surgical clip 300 and 400 are textured, or patterned, as described above, as are the outer surfaces of the legs 200 of each surgical clip 300 and 400 in order to prevent slippage of the surgical clips 300 and 400 while being held by the applicator.
- the two surgical clips 300 and 400 line up such that they are able to simultaneously divide a blood vessel and seal each side of the blood vessel to prevent bleeding.
- the leg 301 with the cutting edge 302 of surgical clip 300 aligns with the leg 401 without a cutting edge of the surgical clip.
- the leg 402 of the surgical clip 400 with the cutting edge aligns with the leg 303 of the surgical clip 300.
- the two surgical clips may be placed in contact with each other and held with a same applicator so that both surgical clips 300 and 400 may be applied simultaneously to the blood vessel.
- Fig. 2H illustrates using two clips with textured surfaces, two clips without textured surfaces may also be used, or one clip with a textured surface and another clip without a textured surface may be used, as one of ordinary skill in the art would recognize.
- FIG. 3A shows two surgical clips 300 and 400, such as those illustrated in Fig. 2H, being held in a clip applicator 500.
- the surgical clips 300 and 400 are deformed around the blood vessel 600 in a second step illustrated by Fig. 3B.
- Fig. 3C the surgical clips 300 and 400 partially close around the blood vessel 600
- Fig. 3D the surgical clips 300 and 400 are completely closed around the blood vessel 600.
- Additional force is applied to cause the surgical clips 300 and 400 to perform the scissoring action (Fig. 3E), and the clip applicator 500 is released in Fig. 3F showing that the blood vessel 600 has been cut and that a surgical clip 300 and 400 is attached to each cut end of the blood vessel 600.
- Fig. 3G illustrates a firmly applied clip 300 after the division of the blood vessel 600 has been completed.
- FIG. 4A illustrates a surgical clip cross-section according to exemplary aspects of the present disclosure.
- the cutting edge 202 of is the clip buried or shielded in the opposite clip leg 200 to avoid contact and possible damage to the surrounding tissue.
- Fig. 4B is another cross-section of a surgical clip whose cutting edge 202 is buried or shielded by the opposite clip leg to avoid contact and possible damage to the surrounding tissue.
- other surgical clip cross-sections are possible without departing from the scope of the present disclosure.
- Figs. 5A and 5B illustrates two loading configurations of the surgical clips according to exemplary aspects of the present disclosure in order to prevent exposure of the cutting edges to surrounding tissue.
- the clips 700 and 800 are loaded at a slight offset to each other such that each clip shields the other clip’s cutting blade.
- Fig. 5B illustrates how the cutting edges of the surgical clips 700 and 800 are exposed if loaded level to each other, risking injury to tissue during the placement of the clips on the blood vessel. Once in place, the clips can be brought level by the pressure exerted by the applicator as the surgical clips are deformed into their closed positions.
- the material from which the surgical clips described herein is not limiting upon the present disclosure.
- the surgical clips may be made from metals, such as stainless steel, titanium, talanum, platinum, an alloy of metals, or made from polymer materials.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Epidemiology (AREA)
- Chemical & Material Sciences (AREA)
- Inorganic Chemistry (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201980067467.9A CN113164175A (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control and cutting of blood vessels |
KR1020217007516A KR20210059718A (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control and cutting of blood vessels |
JP2021507670A JP2021533891A (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control and amputation of blood vessels |
CA3109375A CA3109375A1 (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
AU2019321664A AU2019321664A1 (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
EP19850651.1A EP3836854A4 (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
JP2024037365A JP2024060035A (en) | 2018-08-13 | 2024-03-11 | Surgical clip for simultaneous bleeding control of blood vessel and cutting |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201862718114P | 2018-08-13 | 2018-08-13 | |
US62/718,114 | 2018-08-13 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2020036967A1 true WO2020036967A1 (en) | 2020-02-20 |
Family
ID=69406985
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2019/046362 WO2020036967A1 (en) | 2018-08-13 | 2019-08-13 | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
Country Status (8)
Country | Link |
---|---|
US (2) | US11439405B2 (en) |
EP (1) | EP3836854A4 (en) |
JP (2) | JP2021533891A (en) |
KR (1) | KR20210059718A (en) |
CN (1) | CN113164175A (en) |
AU (1) | AU2019321664A1 (en) |
CA (1) | CA3109375A1 (en) |
WO (1) | WO2020036967A1 (en) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113194845A (en) * | 2018-08-02 | 2021-07-30 | 迈克·西根塔勒 | Laterally or tangentially applicable surgical clip for controlling bleeding |
EP3836854A4 (en) * | 2018-08-13 | 2022-12-21 | Siegenthaler, Michael | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
US20220265278A1 (en) * | 2021-02-25 | 2022-08-25 | Covidien Lp | End effector for multi-fire clip applier |
Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5591173A (en) * | 1994-07-28 | 1997-01-07 | Michael Schifano | Schifano obstetric scissors |
US5925052A (en) * | 1996-06-26 | 1999-07-20 | Simmons; Paul L. | Umbilical surgical scissors |
US20060100649A1 (en) * | 2002-12-17 | 2006-05-11 | Hart Charles C | Surgical staple-clip and applier |
DE202007003398U1 (en) * | 2007-02-28 | 2007-06-14 | Aesculap Ag & Co. Kg | Surgical instrument for endoscopic interference for treating body tissues, has deformation unit for simultaneous deformation of two clamping units with similar or same dimensions and/or deformation characteristics |
US20140236170A1 (en) * | 2011-03-21 | 2014-08-21 | The Administrators Of The Tulane Educational Fund | Multi-component detachable jaw tools and methods of using and making same |
US20150048142A1 (en) * | 2013-08-15 | 2015-02-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with clips having transecting blades |
US20150080914A1 (en) * | 2013-09-16 | 2015-03-19 | Oregon Health & Science University | Bioabsorbable clips and applicator for tissue closure |
US20150250474A1 (en) * | 2014-03-04 | 2015-09-10 | Maquet Cardiovascular Llc | Surgical implant and method and instrument for installing the same |
US20150359538A1 (en) * | 2014-06-17 | 2015-12-17 | New Life Innovations LLC | Compressible structure clamping and cutting device |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3106919A (en) * | 1962-07-26 | 1963-10-15 | Lawrence A Churchville | Umbilical clamp |
US4938215A (en) * | 1986-05-01 | 1990-07-03 | Norman M. Schulman | Umbilical cord clamp and cutters |
US4716886A (en) | 1986-05-01 | 1988-01-05 | Norman Schulman | Umbilical cord clamp and cutters |
US4979950A (en) * | 1987-04-08 | 1990-12-25 | Ethicon, Inc. | Surgical hemostatic clips |
US5584840A (en) * | 1995-09-05 | 1996-12-17 | Ramsey; James E. | Umbilical cord cutting and clamping device |
US5797922A (en) * | 1996-02-06 | 1998-08-25 | Balagan Medical Inc. | Umbilical cord clamping device |
US5913862A (en) * | 1997-04-25 | 1999-06-22 | James Ramsey | Umbilical cord cutting and clamping device |
US6217590B1 (en) * | 1999-01-22 | 2001-04-17 | Scion International, Inc. | Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor |
US6638282B2 (en) * | 2001-10-16 | 2003-10-28 | Cetus, Lc | Umbilical cord cutting and clamping device |
US6682538B2 (en) * | 2002-04-09 | 2004-01-27 | Yiau-Hung Qiu | Umbilical cord cutter retainer |
US9445820B2 (en) * | 2007-12-31 | 2016-09-20 | Teleflex Medical Incorporated | Ligation clip with flexible clamping feature |
US9775623B2 (en) * | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
US20120330326A1 (en) * | 2011-06-22 | 2012-12-27 | Tyco Healthcare Group Lp | Surgical clip applier including atraumatic jaw feature |
EP2755575B1 (en) * | 2011-09-14 | 2017-06-28 | Teleflex Medical Incorporated | Narrow profile surgical ligation clip |
EP2819595A1 (en) * | 2012-02-28 | 2015-01-07 | Boston Scientific Scimed, Inc. | Clip applier |
US10292712B2 (en) * | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10952730B2 (en) * | 2015-10-15 | 2021-03-23 | Ethicon Llc | End effector for surgical stapler with varying curve and taper |
US10265073B2 (en) * | 2015-10-15 | 2019-04-23 | Ethicon Llc | Surgical stapler with terminal staple orientation crossing center line |
EP3836854A4 (en) * | 2018-08-13 | 2022-12-21 | Siegenthaler, Michael | Surgical clip for simultaneous bleeding control of a blood vessel and cutting |
-
2019
- 2019-08-13 EP EP19850651.1A patent/EP3836854A4/en active Pending
- 2019-08-13 WO PCT/US2019/046362 patent/WO2020036967A1/en unknown
- 2019-08-13 CA CA3109375A patent/CA3109375A1/en active Pending
- 2019-08-13 AU AU2019321664A patent/AU2019321664A1/en active Pending
- 2019-08-13 JP JP2021507670A patent/JP2021533891A/en active Pending
- 2019-08-13 CN CN201980067467.9A patent/CN113164175A/en active Pending
- 2019-08-13 US US16/539,074 patent/US11439405B2/en active Active
- 2019-08-13 KR KR1020217007516A patent/KR20210059718A/en not_active Application Discontinuation
-
2022
- 2022-07-25 US US17/872,656 patent/US11998214B2/en active Active
-
2024
- 2024-03-11 JP JP2024037365A patent/JP2024060035A/en active Pending
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5591173A (en) * | 1994-07-28 | 1997-01-07 | Michael Schifano | Schifano obstetric scissors |
US5925052A (en) * | 1996-06-26 | 1999-07-20 | Simmons; Paul L. | Umbilical surgical scissors |
US20060100649A1 (en) * | 2002-12-17 | 2006-05-11 | Hart Charles C | Surgical staple-clip and applier |
DE202007003398U1 (en) * | 2007-02-28 | 2007-06-14 | Aesculap Ag & Co. Kg | Surgical instrument for endoscopic interference for treating body tissues, has deformation unit for simultaneous deformation of two clamping units with similar or same dimensions and/or deformation characteristics |
US20140236170A1 (en) * | 2011-03-21 | 2014-08-21 | The Administrators Of The Tulane Educational Fund | Multi-component detachable jaw tools and methods of using and making same |
US20150048142A1 (en) * | 2013-08-15 | 2015-02-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with clips having transecting blades |
US20150080914A1 (en) * | 2013-09-16 | 2015-03-19 | Oregon Health & Science University | Bioabsorbable clips and applicator for tissue closure |
US20150250474A1 (en) * | 2014-03-04 | 2015-09-10 | Maquet Cardiovascular Llc | Surgical implant and method and instrument for installing the same |
US20150359538A1 (en) * | 2014-06-17 | 2015-12-17 | New Life Innovations LLC | Compressible structure clamping and cutting device |
Non-Patent Citations (1)
Title |
---|
See also references of EP3836854A4 * |
Also Published As
Publication number | Publication date |
---|---|
US20220354500A1 (en) | 2022-11-10 |
US11439405B2 (en) | 2022-09-13 |
EP3836854A4 (en) | 2022-12-21 |
CN113164175A (en) | 2021-07-23 |
AU2019321664A1 (en) | 2021-02-25 |
CA3109375A1 (en) | 2020-02-20 |
US20200046360A1 (en) | 2020-02-13 |
KR20210059718A (en) | 2021-05-25 |
US11998214B2 (en) | 2024-06-04 |
EP3836854A1 (en) | 2021-06-23 |
JP2021533891A (en) | 2021-12-09 |
JP2024060035A (en) | 2024-05-01 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US11998214B2 (en) | Surgical clip for simultaneous bleeding control of a blood vessel and cutting | |
US8282654B2 (en) | Clip and clip applicator for closing blood vessels | |
CA2514542C (en) | Surgical clip without protusions | |
US8945159B2 (en) | Surgical clip and surgical method for treating an aneurysum | |
EP2389878A1 (en) | Surgical hemostatic clip including work-hardened, movement-inhibiting structure | |
US10201353B2 (en) | Ligation clip | |
US20170095257A1 (en) | Devices and methods for occluding an atrial appendage | |
US20150011925A1 (en) | Method and device for temporary emergency vessel anastomoses | |
WO2017210724A1 (en) | A surgical clamp for clamping an organ | |
JP2014188376A (en) | Blood vessel marking system | |
JP7419371B2 (en) | Surgical clips applicable laterally or tangentially for bleeding control | |
KR102383542B1 (en) | Kidney parenchyma binding structure, kidney parenchyma binding device, applier providing the kidney parenchyma binding structure and kidney renorrhaphy kit comprising the same | |
KR101800856B1 (en) | Medical Stick for Ligation | |
RU2240735C1 (en) | Clip for obturating hollow extended organs | |
KR102186708B1 (en) | Surgical asymmetric clip for vascular ligation | |
KR20170073228A (en) | Cerebral aneurysm clip of closed end type | |
KR101840415B1 (en) | Cerebral aneurysm clip of closed end type | |
EP1654991A1 (en) | Screw for vascular occlusion | |
WO2021096472A1 (en) | A surgical instrument used for removal of varicose veins | |
TW201309255A (en) | Vascular support structure to be used with endoclip |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 19850651 Country of ref document: EP Kind code of ref document: A1 |
|
ENP | Entry into the national phase |
Ref document number: 3109375 Country of ref document: CA |
|
ENP | Entry into the national phase |
Ref document number: 2021507670 Country of ref document: JP Kind code of ref document: A |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
ENP | Entry into the national phase |
Ref document number: 2019321664 Country of ref document: AU Date of ref document: 20190813 Kind code of ref document: A |
|
ENP | Entry into the national phase |
Ref document number: 2019850651 Country of ref document: EP Effective date: 20210315 |