# US 9,433,417 B2 · Device and method for applying a medical lockable clip in a tissue area > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 9,433,417 B2 - Document ID: US9433417B2 - Status: Granted - Kind: B2 - Application number: 13/322,728 - Filed: 2010-05-25 - Published: 2012-03-22 - Granted: 2016-09-06 - Earliest claimed: 2009-05-26 - Assignees: Joimax GmbH; Karlsruher Institut für Technologie - Applicants: Bernhard Kneifel; Rainer Körber; Günter Herrmann; Klaus-Peter Brhel; Ekaterina Notheis; Wolfgang Ries - Inventors: Bernhard Kneifel; Rainer Körber; Günter Herrmann; Klaus-Peter Brhel; Ekaterina Notheis; Wolfgang Ries - Web page: https://patentgrep.com/patent/US9433417B2 ## CPC - A61B 17/0682: {for applying U-shaped staples or clamps, e.g. without a forming anvil} - A61B 17/0644: {penetrating the tissue, deformable to closed position} - A61B 17/08: Wound clamps {or clips, i.e. not or only partly penetrating the tissue (suture bridges A61B17/0466); Devices for bringing together the edges of a wound} - 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 17/105: {Wound clamp magazines (for packaging sharps A61B50/3001)} - A61B 2017/00539: {hydraulically} - A61B 2017/00544: {pneumatically} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A device and method are provided for clips or staples as an effective substitute for suture material when joining body tissue or covering body tissue with a mesh, such as is particularly used in fracture operations. The device for applying a medical lockable clip (1) in a tissue area, includes a) an automatic advancing mechanism oriented in the direction of the tissue area from a starting position and having a guide in the advancing direction for the clip, wherein the clip has two gripper teeth oriented in the advancing direction, b) a stop for the advancing mechanism, and c) a locking element displaceable with the advancing mechanism and having a locking mechanism on the clip side for locking the clip, wherein d) the locking element is displaceable together with and parallel to the advancing mechanism, and e) the stop does not limit the motion of the locking element. ## Claims ### Claim 1 A device for the application of a medical lockable clip in a tissue area, the device comprising: an automatic feed mechanism, which can be moved from a starting position in the direction of the tissue area, with a guide in a feed direction for the clip; a stop for the automatic feed mechanism; a locking element, which can be moved with the automatic feed mechanism; and a locking mechanism, wherein: the locking element is set into motion together with and in parallel to the automatic feed mechanism; the automatic feed mechanism is formed by a shoot-in cylinder with a shoot-in piston and the locking element is formed by a closing cylinder with a closing piston; the shoot-in cylinder and the closing cylinder are connected via a T-shaped distributor and a pressure line wherein a reducer is arranged in the pressure line leading to the closing cylinder; and the stop does not limit the motion of the locking element. ### Claim 2 (depends on 1) The device in accordance with claim 1, wherein the guide has a positive-locking and/or frictionally engaged mount for the clip. ### Claim 3 (depends on 1) The device in accordance with claim 1, wherein the locking mechanism has a toggle lever element. ### Claim 4 (depends on 1) The device in accordance with claim 1, further comprising a triggering mechanism comprising a triggering valve, an auxiliary cylinder and an opening valve. ### Claim 5 (depends on 4) The device in accordance with claim 4, wherein an air supply to the automatic feed mechanism can be pneumatically released by means of the triggering valve, the auxiliary cylinder and the opening valve only after a preset opening pressure has been reached. ### Claim 6 (depends on 4) The device in accordance with claim 4, wherein said triggering valve and said opening valve have vent holes to release pressure in pressure lines of the triggering valve and the opening valve. ### Claim 7 (depends on 1) The device in accordance with claim 1, further comprising a restoring means for moving the automatic feed mechanism and the locking element into their respective starting position. ### Claim 8 (depends on 7) The device in accordance with claim 7, wherein the restoring means comprises pneumatic restoring pistons. ### Claim 9 (depends on 7) The device in accordance with claim 7, further comprising a spring arranged between the automatic feed mechanism and the locking element and acting on the latter. ### Claim 10 (depends on 1) The device in accordance with claim 1, wherein the closing cylinder, within which the closing piston guides, runs in a cylinder liner. ### Claim 11 (depends on 1) The device in accordance with claim 1, further comprising a clip magazine with a serial clip feed in the starting position. ### Claim 12 (depends on 1) The device in accordance with claim 1, wherein the automatic feed mechanism is a pneumatic or hydraulic feed mechanism. ### Claim 13 A device for the application of a medical lockable clip in a tissue area, the device comprising: an automatic feed mechanism, which can be moved from a starting position in the direction of the tissue area, with a guide in the feed direction for the clip; a stop for the automatic feed mechanism; a locking element, which can be moved with the automatic feed mechanism; a triggering mechanism comprising a triggering valve, an auxiliary cylinder and an opening valve; and a locking mechanism, wherein: the locking element is set into motion together with and in parallel to the automatic feed mechanism; said triggering valve and said opening valve have vent holes to release a pressure in pressure lines of said triggering valve and said opening valve; and the stop does not limit the motion of the locking element. ### Claim 14 A system, comprising: a device for the application of a medical lockable clip having two gripping teeth directed in a feed direction in a tissue area, the device comprising: an automatic feed mechanism, which can be moved from a starting position in the direction of the tissue area, with a guide in a feed direction for the clip; a stop for the automatic feed mechanism; a locking element, which can be moved with the automatic feed mechanism; and a locking mechanism, wherein: the locking element is set into motion together with and in parallel to the automatic feed mechanism; the automatic feed mechanism is formed by a shoot-in cylinder with a shoot-in piston and the locking element is formed by a closing cylinder with a closing piston; the shoot-in cylinder and the closing cylinder are connected via a T-shaped distributor and a pressure line wherein a reducer is arranged in the pressure line leading to the closing cylinder; and the stop does not limit the motion of the locking element.