Abstract: A transanal insertion device for surgically inserting an anastomosis ring having two unitary members into a tubular anatomic member comprises a distal adapter, a proximal adapter and an actuator. The distal adapter includes a hollow distal sleeve and a spring-loaded distal spool axially movable within the distal sleeve. The distal spool is biased in a first direction by a distal spring and includes alignment fingers pivotably connected thereon for aligning a first unitary member. The proximal adapter has a hollow proximal sleeve and a spring-loaded proximal spool axially movable within the proximal sleeve. The proximal spool is biased in a second direction by a proximal spring and includes alignment fingers connected thereon for aligning a second unitary member. The proximal member also includes a proximal gripper for securing the second unitary member on the proximal hollow sleeve.

Abstract: An improved surgical ligating instrument has been invented. The improvements comprise crimping means having canted jaws and advancing means having a clip actuator, said actuator having a first and second pawl in alternate relationship.A surgical ligating instrument has also been invented. The instrument comprisesa. a housing having a force activating and translating mechanism; b. loading mechanism having an injector, the terminal end adjacent a single clip; c. an advancing mechanism having a pair of aligned members, the initial end of said members contained in said housing and the terminal end containing jaws; a clip actuator rotatably mounted adjacent the initial end of said jaws; a spring, a pusher at the terminal end of said spring, and a plurality of clips, the rearmost clip adjacent said pusher and the frontmost clip contained by said actuator; and d. a crimping mechanism having a crimp bar.

Abstract: An improved surgical ligating instrument has been invented. The improvements comprise a crimping mechanism having canted jaws and an advancing mechanism having a clip actuator, said actuator having a first and a second pawl in alternate relationship.A surgical ligating instrument has also been invented. The instrument comprisesa. a housing having a force activating and translating mechanism; b. a loading mechanism having an injector, the terminal end adjacent a single clip; c. an advancing mechanism having a pair of aligned members, the initial end of the members contained in the housing and the terminal end containing jaws; a clip actuator rotatably mounted adjacent the initial end of the jaws; a spring, a pusher at the terminal end of the spring, and a plurality of clips, the rearmost clip adjacent the pusher and the frontmost clip contained by the actuator; and d. a crimping mechanism having a crimp bar.