# US 11,998,216 B2 · Surgical clip applier employing arcuate surgical clips > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,998,216 B2 - Document ID: US11998216B2 - Status: Granted - Kind: B2 - Application number: 17/092,864 - Filed: 2020-11-09 - Published: 2021-02-25 - Granted: 2024-06-04 - Earliest claimed: 2018-02-08 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Demetrius Harris; Joshua Young; Sarah Worthington; Stephen D. Geresy - Web page: https://patentgrep.com/patent/US11998216B2 ## CPC - A61B 17/1285: {for minimally invasive surgery} - A61B 17/122: Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)} - A61B 34/25: {User interfaces for surgical systems} - A61B 34/37: Leader-follower robots (A61B34/35 takes precedence) - A61B 34/71: {Manipulators operated by drive cable mechanisms} - A61B 17/10: for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines - A61B 34/70: {Manipulators specially adapted for use in surgery} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/2945: {Curved jaws} - A61B 2034/302: {specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities} - A61B 2034/305: {Details of wrist mechanisms at distal ends of robotic arms} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A method includes positioning a surgical tool with an end effector adjacent a surgical site, the end effector including a housing having a tapered section that defines an inner surface, first and second arcuate jaw members protruding distally from the housing and defining a channel therebetween, each arcuate jaw member exhibiting a curved profile shaped to receive an arcuate surgical clip, and a feedbar movable within the housing. The method further including urging the arcuate surgical clip against the inner surface, advancing the feedbar within the housing to engage and follow the inner surface and thereby flexing the feedbar downward and into engagement with the arcuate surgical clip, advancing the arcuate surgical clip with the feedbar into interposition between the first and second arcuate jaw members, and collapsing the first and second arcuate jaw members to crimp the arcuate surgical clip. ## Claims ### Claim 1 A method, comprising: positioning a surgical tool with an end effector adjacent a surgical site, the end effector comprising: a housing having a tapered section that defines an inner surface; first and second arcuate jaw members protruding distally from the housing and defining a channel therebetween, each arcuate jaw member exhibiting a curved profile shaped to receive an arcuate surgical clip; and a feedbar movable within the housing and disengaged from the arcuate surgical clip; urging the arcuate surgical clip against the inner surface; advancing the feedbar within the housing to engage and follow the inner surface and thereby flexing the feedbar downward and into engagement with the arcuate surgical clip; advancing the arcuate surgical clip with the feedbar into interposition between the first and second arcuate jaw members; and collapsing the first and second arcuate jaw members to crimp the arcuate surgical clip. ### Claim 2 (depends on 1) The method of claim 1, wherein the arcuate surgical clip comprises a distal-most arcuate surgical clip of a plurality of arcuate surgical clips positioned within a surgical clip feeder arranged within the housing, and wherein urging the arcuate surgical clip against the inner surface comprises: receiving the distal-most arcuate surgical clip from the surgical clip feeder into the channel defined between the first and second arcuate jaw members; and advancing the distal-most arcuate surgical clip with the feedbar from the channel into interposition between the first and second arcuate jaw members. ### Claim 3 (depends on 2) The method of claim 2, wherein the surgical clip feeder is arranged within a removable cartridge, and wherein positioning the surgical tool adjacent the surgical site is preceded by removably coupling the removable cartridge to the housing. ### Claim 4 (depends on 2) The method of claim 2, further comprising: proximally withdrawing the feedbar; urging a penultimate arcuate surgical clip of the plurality of arcuate surgical clips against the inner surface; advancing the feedbar within the housing thereby flexing the feedbar downward and into engagement with the penultimate arcuate surgical clip; advancing the penultimate arcuate surgical clip with the feedbar into interposition between the first and second arcuate jaw members; and collapsing the first and second arcuate jaw members to crimp the penultimate arcuate surgical clip. ### Claim 5 (depends on 4) The method of claim 4, wherein urging the penultimate arcuate surgical clip against the inner surface comprises applying a distal biasing force against the penultimate arcuate surgical clip with the surgical clip feeder. ### Claim 6 (depends on 4) The method of claim 4, wherein urging the penultimate arcuate surgical clip against the inner surface comprises: engaging the penultimate arcuate surgical clip against a spring-loaded stop included in the surgical clip feeder and thereby preventing the penultimate arcuate surgical clip from engaging the inner surface; and overcoming spring force of the spring-loaded stop by applying a distal biasing force against the penultimate arcuate surgical clip with the surgical clip feeder. ### Claim 7 (depends on 4) The method of claim 4, wherein proximally withdrawing the feedbar is preceded by preventing the penultimate arcuate surgical clip from engaging the inner surface with the feedbar. ### Claim 8 (depends on 1) The method of claim 1, wherein advancing the arcuate surgical clip into interposition between the first and second arcuate jaw members comprises advancing the arcuate surgical clip with the feedbar into a groove defined on an inner surface of each arcuate jaw member, the groove exhibiting the curved profile. ### Claim 9 (depends on 1) The method of claim 1, wherein the inner surface of the tapered section is arcuate and a curvature of the inner surface matches a curved profile of the arcuate surgical clip, and wherein urging the arcuate surgical clip against the inner surface comprises: applying a longitudinal biasing force against the arcuate surgical clip; and preventing further distal advancement along a longitudinal axis of the end effector by engaging the arcuate surgical clip against the inner surface. ### Claim 10 (depends on 1) The method of claim 1, wherein collapsing the first and second arcuate jaw members comprises: proximally withdrawing the feedbar; urging the first and second arcuate jaw members toward one another; and receiving the feedbar within a lateral recess defined in each arcuate jaw member as the first and second arcuate jaw members move toward one another. ### Claim 11 (depends on 1) The method of claim 1, wherein urging the arcuate surgical clip against the inner surface occurs prior to advancing the feedbar. ### Claim 12 A method, comprising: positioning a surgical tool having an end effector adjacent a surgical site, the end effector comprising: a housing having a tapered section that defines an inner surface; first and second arcuate jaw members protruding distally from the housing and having a channel defined therebetween; a surgical clip feeder positionable within the housing and containing a plurality of arcuate surgical clips; and a feedbar movable between the inner surface and the surgical clip feeder; urging a distal-most arcuate surgical clip of the plurality of arcuate surgical clips against the inner surface and within the channel; advancing the feedbar within the housing to engage and follow the inner surface and thereby flexing the feedbar downward and into engagement with the distal-most arcuate surgical clip; advancing the distal-most arcuate surgical clip through the channel with the feedbar and into interposition between the first and second arcuate jaw members; and collapsing the first and second arcuate jaw members to crimp the distal-most arcuate surgical clip. ### Claim 13 (depends on 12) The method of claim 12, further comprising: proximally withdrawing the feedbar; and distally advancing a penultimate arcuate surgical clip of the plurality of arcuate surgical clips against the inner surface and into the channel with the surgical clip feeder. ### Claim 14 (depends on 13) The method of claim 13, wherein proximally withdrawing the feedbar is preceded by preventing the penultimate arcuate surgical clip from engaging the inner surface with the feedbar. ### Claim 15 (depends on 14) The method of claim 14, further comprising applying a distal biasing force with the surgical clip feeder to advance the penultimate arcuate surgical clip into the channel. ### Claim 16 (depends on 12) The method of claim 12, wherein the inner surface of the tapered section is arcuate and a curvature of the inner surface matches a curved profile of the arcuate surgical clip, and wherein urging the distal-most arcuate surgical clip against the inner surface comprises: applying a longitudinal biasing force against the distal-most arcuate surgical clip; and preventing further distal advancement along a longitudinal axis of the end effector by engaging the distal-most arcuate surgical clip against the inner surface. ### Claim 17 (depends on 12) The method of claim 12, wherein urging the distal-most arcuate surgical clip against the inner surface comprises: engaging the distal-most arcuate surgical clip against a spring-loaded stop included in the surgical clip feeder and thereby preventing the distal-most arcuate surgical clip from engaging the inner surface; and overcoming spring force of the spring-loaded stop by applying a distal biasing force against the distal-most arcuate surgical clip with the surgical clip feeder. ### Claim 18 (depends on 12) The method of claim 12, wherein collapsing the first and second arcuate jaw members comprises: proximally withdrawing the feedbar; urging the first and second arcuate jaw members toward one another; and receiving the feedbar within a lateral recess defined in each arcuate jaw member as the first and second arcuate jaw members move toward one another. ### Claim 19 (depends on 12) The method of claim 12, wherein the surgical clip feeder is arranged within a removable cartridge, and wherein positioning the surgical tool adjacent the surgical site is preceded by removably coupling the removable cartridge to the housing. ### Claim 20 (depends on 12) The method of claim 12, wherein the distal-most arcuate surgical clip of the plurality of arcuate surgical clips is urged against the inner surface and within the channel via a feed spring and a clip shoe of the surgical clip feeder.