# US 2015/0148827 A1 · Surgical clip and device for applying the clip

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- Number: US 2015/0148827 A1
- Document ID: US20150148827A1
- Status: Published application
- Kind: A1
- Application number: 14/370,978
- Filed: 2013-02-07
- Published: 2015-05-28
- Earliest claimed: 2012-02-16
- Assignees: Brigitte OTTEN; Peer OTTEN; Anja HONNEFELDER
- Inventors: Gert Otten; Brigitte Otten
- Web page: https://patentgrep.com/patent/US20150148827A1

## CPC

- A61B 17/083: {Clips, e.g. resilient}
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/105: {Wound clamp magazines (for packaging sharps A61B50/3001)}
- 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: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

The invention relates to a surgical clip for minimally invasive surgery and to a device for clamping organic tissue, consisting of a first clamping bar corresponding with a second clamping bar, wherein the first clamping bar and the second clamping bar each have, on both sides on their base, shoulders for guiding them into a cartridge, and one clamping bar has a continuous retaining bore into which, in order to clamp the organic tissue, a retaining pin provided on the other clamping bar engages with a force fit and form fit, the first clamping bar (1) is mounted by means of clamp pressing in a cartridge (11), and the second clamping bar (2) with the continuous retaining bore (3) has, at its lower end, an arm (5) which, upon joining to the first clamping bar (1), slides with a form fit under the shorter first clamping bar (1) with the retaining pin (4), thus clamping the organic tissue, or the first clamping bar (1) with the retaining pin (4) at its lower end has the arm (5) which, upon joining to the second clamping bar (2), slides with a form fit under the shorter second clamping bar (2) with the retaining bore (3), thus clamping the organic tissue, and a tissue clip is thus given considerable additional stability.

## Claims

### Claim at position 1

1-15. (canceled)

### Claim 16

A surgical clip for minimally invasive surgery, for clamping off organic tissue, to form a tissue clamp consisting of a first clamping bar corresponding to a second clamping bar, wherein the first clamping bar and the second clamping bar, at their base, on both sides, have shoulders for being guided in grooves of a cartridge, in each instance, and one clamping bar has a continuous holding bore into which a holding pin provided on the other clamping bar engages for clamping off the organic tissue, with force fit and shape fit, wherein
the first clamping bar (1) is positioned at the distal end of the cartridge (11);
the second clamping bar (2) can be joined together with the first clamping bar (1), in one plane with the clamping bar (1), in infinitely adjustable manner, with pressure clamping of the tissue;
the first clamping bar (1) or the second clamping bar (2) possesses a shank (5) at its lower end, which shank, during joining together with the other clamping bar (1; 2), in each instance, clamping off the organic tissue, pushes itself, with shape fit, under the shorter other clamping bar (1; 2), and thereby gives the tissue clamp significant additional stability;
a plunger (14) is mounted in the cartridge (11) for displacement of the second clamping bar (2) and for ejection of the tissue clamp, and the cartridge (11) has means for a releasable connection with an applicator at its proximal end;
the grooves (13; 22) are configured to be open toward the distal end of the cartridge (11);
the first clamping bar (1) and the second clamping bar (2), with the shoulders (6; 7), in each instance, consist of a resorbable material.

### Claim 17 (depends on 16)

The surgical clip according to claim 16, wherein the shoulders (6) of the first clamping bar (1) are configured to be flattened toward the distal end, over their entire length or only in part, corresponding, in each instance, with a reduction in the clear width between the grooves (13; 22) of the cartridge (11).

### Claim 18 (depends on 16)

The surgical clip according to claim 16, wherein the clamping surface (8) of the first clamping bar (1) and that of the second clamping bar (2; 14) are configured to be roughened or corrugated.

### Claim 19 (depends on 16)

The surgical clip according to claim 16, wherein the clamping surface (8) of the first clamping bar (1) and the clamping surface (8) of the corresponding second clamping bar (2) are configured in step shape.

### Claim 20 (depends on 16)

The surgical clip according to claim 16, wherein the shank (5) has a length that corresponds to at least the longitudinal width of the corresponding first clamping bar (1) at the base of the latter.

### Claim 21 (depends on 16)

The surgical clip according to claim 16, wherein the shoulders (6) of the first clamping bar (1) have vertically running ribbings (10).

### Claim 22 (depends on 16)

The surgical clip according to claim 16, wherein the clamping pressure of the first clamping bar (1) is brought about by means of the reduction in the clear width between the guide grooves (13; 22) that runs in the direction of the distal end of the cartridge (11) and/or by means of the ribs (10) of the shoulders (6) of the first clamping bar (1) that engage into the recesses that are provided for this purpose in the guide grooves (13; 22) at the distal end of the cartridge (11).

### Claim 23 (depends on 16)

The surgical clip according to claim 16, wherein the width of the shank (5) corresponds to the width of the bed (12) of the cartridge (11).

### Claim 24 (depends on 16)

The surgical clip according to claim 16, wherein the shoulders (6; 7) of the first clamping bar (1) and of the second clamping bar (2) demonstrate an elasticity such that the tissue clamp can be ejected by means of pressing pressure, even with rigid distal ends of the cartridge (11), without damage.

### Claim 25 (depends on 16)

The surgical clip according to claim 16, wherein the shoulders (6; 7) of the first clamping bar (1) and of the second clamping bar (2) consist of a non-elastic material, and wherein the distal end of the cartridge (11) is configured to be elastic and thereby allows ejection of the tissue clamp without damage.

### Claim 26 (depends on 16)

The surgical clip according to claim 16, wherein the means for the releasable connection with the applicator are a stop (15) and a fixation element (16) provided at the lower end of a sheathing tube section (17) of the cartridge (11) for accommodation of the applicator by means of a bayonet closure or wherein the means are engagement elements.

### Claim 27 (depends on 16)

The surgical clip according to claim 16, wherein the plunger (14) has a fixation element (18) that engages into corresponding recesses when the surgical clip is handled, which recesses are provided in the bottom of the sheathing tube section (17), at a distance from one another in the longitudinal direction.
