Ethicon, Gmbh

John S Pedlick

John R Menges

David Stefanchik

Robert J Cerwin

Jonathan B Gabel

John E Burbank, Iii

Guy L Osborne

John Di Giovanni

Laszlo Huebscher

Steven Failla

Lech Proszynski

Thomas Petrella

There is described herein a ligating clip applier which contains: a handle assembly; a jaw assembly connected to the handle assembly and containing a shaft and a pair of jaws. The shaft defines a longitudinal axis which lies in a central horizontal plane. A magazine of clips is stored on one side of the plane. The jaws are positioned so that they are on the opposite side of the plane. This configuration allows the clip to be loaded into the jaws across the plane, resulting in greater visibility of the clips as they are loaded into the jaws. Further, there is provided a jaw closure mechanism operable in connection with the jaws of this device so that the jaws contact the legs of a ligating clip first distally and then proximally. Thereafter the jaws are parallel at least once during closure, and the closure of the clip legs is, indeed, distal and then proximal. This improved procedure insures that in virtually all instances, the angle included between the clip legs at the crown is 0.degree.. Motion of the clip feeding and jaw closing mechanisms are accomplished without lost motion, via a pair of interengaged mechanisms connected by a single tension spring to one another, and operating separately from the body of the device. This configuration results in a more efficient, easier to operate more reliable clip applying device.

Ligating clip applier

A sterile, two-piece hemostatic clip for occluding vessels. The first piece has a vessel clamping surface and a pair of legs extending from that surface. The second piece has a vessel clamping surface and locks with the first piece so that the vessel clamping surfaces face each other. The clamping surfaces are configured such that the locking forces are increased the greater the stress placed on the vessel clamping surfaces.

Non-metallic, bio-compatible hemostatic clips (two piece configured to

A multiple clip applier including a handle and a cartridge which holds a large number of ligating clips and which snaps into a cartridge-receiving channel on the handle. The handle operates like an elongted scissors with scissors handles at one end and jaws at the other to which clips may be delivered in rapid succession. Opening and closing the scissors handles operates the mechanism of the handle to open and close the jaws and to provide a long stroke motion for delivering clips from the end of the cartridge to the nose section. Clips may be indexed through the cartridge by reciprocating parts of the cartridge with respect to one another with a short stroke cocking motion captured from the long stroke delivery motion from a cooperating slot and pin mechanism. These two motions are accomplished within the envelope of motion of the normal opening and closing of the scissors handles to operate the jaws of the applier and to feed and index clips from the cartridge to the nose. The mechanism of the present invention permits the overall shape of the handle to be small, compact and readily adaptable for use even deep in an incision site.

Ligating clip cartridge

A multiple clip applier including a handle and a cartridge which holds a large number of ligating clips and which snaps into a cartridge-receiving channel on the handle. The handle operates like an elongated scissors with scissors handles at one end and jaws at the other to which clips may be delivered in rapid succession. Opening and closing the scissors handles operates the mechanism of the handle to open and close the jaws and to provide a long stroke motion for delivering clips from the end of the cartridge to the nose section. Clips may be indexed through the cartridge by reciprocating parts of the cartridge with respect to one another with a short stroke cocking motion captured from the long stroke delivery motion from a cooperating slot and pin mechanism. These two motions are accomplished within the envelope of motion of the normal opening and closing of the scissors handles to operate the jaws of the applier and to feed and index clips from the cartridge to the nose. The mechanism of the present invention permits the overall shape of the handle to be small, compact and readily adaptable for use even deep in an incision site.

Multiple ligating clip applier instrument

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Butler, NJ, United States of America

John S Pedlick