Abstract: A staple cartridge system is disclosed which can be interchangeably used with a staple cartridge comprising wire staples and a staple cartridge comprising stamped staples.

Abstract: A suture clip includes a disc body having at least two adjacent portions joined by a hinge at one end and a latch at another end. Suture engagement surfaces are formed on a first and second portion of the disc body so that the first and second suture engagement surfaces can close sufficiently tightly to immobilize a pair of suture lengths therebetween when the two portions are closed and held together by the latch. A suture clip applier holds a plurality of such suture clips typically in a magazine, an open configuration where the suture engagement surfaces are held apart. Single suture clips are advanced by an advancement mechanism over a pair of suture ends having a midsection in tissue. A closing mechanism closes and latches the first and second portions of the disc body together to capture the pair of suture ends therebetween.

Abstract: The present disclosure relates to a method of treating or reducing adhesions in the peritoneum of a patient in need thereof. The method includes performing adhesiolysis on one or more adhesions involving the patient's peritoneum and/or one or more tissues or organs in the patient's peritoneal cavity; and administering to the peritoneum or the peritoneal cavity of the patient an effective amount of a composition comprising at least one glutamine source. The glutamine source is selected from one or more of L-glutamine, physiologically acceptable salts of L-glutamine, and dipeptides comprising L-glutamine.

Abstract: A staple cartridge system is disclosed. The staple cartridge system can be used interchangeably with different staple cartridges. For example, the staple cartridge system can be used interchangeable with a staple cartridge comprising wire staples and with a staple cartridge comprising stamped staples. The stamped staples can be stamped from a sheet of flat stock.

Abstract: A tissue clip including an electrode assembly having first and second electrodes with an insulator disposed therebetween. The electrodes are configured to connect to opposite potentials of an energy source. The electrodes and insulator are deformable to shape the tissue clip to include upper and lower legs with a twisted central portion defined therebetween. The upper leg includes an outer facing portion having one end of the first electrode removably coupled to a first jaw of a forceps and an inner facing portion including an end of the second electrode configured to grasp tissue. The lower leg includes an outer facing portion having an opposite end of the second electrode removably coupled to a second jaw and an inner facing portion that includes the opposite end of the first electrode and is configured to grasp tissue.

Abstract: Some disclosed suture securement devices comprise a flat, thin, generally planar body that has one or more suture engagement slots extending into the body from a perimeter inlet for receiving sutures laterally into the device. The slots can be resiliently widened to receive a suture and then released to clamp onto the suture. Some embodiments include two or more such suture engagement slots that independently receive and secure different sutures. Some embodiments include one or more locking tabs that have a closed position that retains the slots against widening and blocks the inlet to the slot. In some embodiment two or more slots are position next to each other on the same side of the device, while in other embodiments slots are positioned on opposite sides of the device. Other types of suture securement devices are also disclosed.

Abstract: Devices and methods for treating or repairing openings in an body wall are provided. The devices and methods can include acellular tissue matrices. The tissue matrices can be positioned within the abdominal opening and can be used to close the opening.

Abstract: Various methods and devices are provided for reducing the volume of the ventricles of the heart. In one embodiment, a method for reducing the ventricular volume of a heart chamber is provided including the steps of inserting an anchoring mechanism onto dysfunctional cardiac tissue, deploying one or more anchors into the dysfunctional cardiac tissue, raising the dysfunctional cardiac tissue using the anchors, and securing the anchors to hold the dysfunctional cardiac tissue in place. Further, a device for reducing the volume of the ventricles of a heart chamber is provided where the device has one or more clips for placement on dysfunctional cardiac tissue of a heart, one or more anchors for deployment and securement into the dysfunctional cardiac tissue, and a lifting mechanism for raising the one or more anchors and the dysfunctional cardiac tissue.

Abstract: An end effector for use with a surgical fastening instrument is disclosed which comprises a staple cartridge and an anvil. The staple cartridge comprises a cartridge body including a deck and, in addition, fasteners removably stored in the cartridge body, wherein each fastener comprises a base and a leg extending from the base. The anvil comprises a tissue compression surface and forming pockets defined in the tissue compression surface. Each forming pocket comprises a first end configured to receive a staple leg, a second end, a central axis extending between the first end and the second end, a concave turning surface extending between the first end and the second end, and a channel defined in the concave turning surface, wherein the channel is laterally offset from the central axis.

Abstract: A surgical staple. The staple can define a seamless unitary piece. In various instances, the staple can be formed and/or stamped from a sheet of material. The staple can include a base and staple legs. A staple drive surface can be integrally formed in the base, and a sled can directly contact the staple drive surface to directly drive the staple.

Abstract: A staple constructed from shape memory material provides the ability to move from a first shape to any point up to and including a second shape. The staple includes a bridge having a first member and a second member, and allows the second member of the bridge to change elevation with respect to the first member, thereby creating compressive forces, offset forces, or distraction forces. Upon the application of energy, the second member moves upward or downward to deliver forces, dependent upon a desired effect. The staple further includes first and second legs for attaching to first and second bones. The offsetting forces may be utilized to offset the second bone relative to the first bone, or to align offset bones. The bridge may include a transition member or plurality of transition members in communication with the first and second members, whereby the transition member moves about the first member.

Abstract: A surgical staple including a deformable member and a crown, where the deformable member can slide relative to the crown. In at least one embodiment, a staple cartridge can include a cavity and a deck, where the cavity can be configured to receive at least a portion of the deformable member and the crown can be positioned within an opening in the deck. In various embodiments, when soft tissue is captured between an anvil and the staple cartridge, the crown can apply a compressive force or pressure to the soft tissue even before the deformable member is deployed toward the anvil.

Abstract: An end effector includes an anvil and a staple cartridge. The staple cartridge includes a first deck surface, a second deck surface, a plurality of first staple cavities arranged in a first row extending along the first deck surface, a plurality of second staple cavities arranged in a second row extending along the second deck surface, a plurality of third staple cavities arranged in a third row, a driven element, and a plurality of staples engaged with the driven element and deployed into the tissue. The plurality of staples include a first staple removably stored in the first row, a second staple removably stored in the second row, and a third staple removably stored in the third row.

Abstract: A surgical apparatus for applying tissue fasteners is provided. The surgical apparatus includes a handle assembly, an elongated body that extends from the handle assembly, and a tool assembly mounted on the end of the elongate body. The tool assembly includes a cartridge assembly for receiving the tissue fasteners and a housing assembly for receiving a looped member. The tool assembly is configured to advance the tissue fasteners into the looped member to secure tissue between the fasteners and the looped member.

Abstract: A stapling element is provided, operative to pierce and penetrate a tissue by a first end, and close around the tissue. Three factors help prevent local necrosis: 1. The self-closing feature of the staple does not lead to tissue crushing. 2. Edge seams are applied generally perpendicular to the tissue edge, allowing for blood supply to the tissue edge. 3. Excess tissue is cut off at the seam, minimizing the amount of tissue that may undergo local necrosis. A physical feature prevents the staple from rotating, when in an application shaft, to maintain a predetermined closing direction. The stapling element may be formed of an alloy, a pure metal, a polymer, or a composite of at least two materials. Additionally, staplers, anastomosis devices, and methods for their applications are described.

Abstract: According to an aspect of the present disclosure, a biomechanical fastener is provided and includes a backspan defining an upper surface, a lower surface and a pair of side surfaces; at least a pair of legs depending from the backspan; and at least one contact pad extending from the lower surface to the upper surface of the backspan. At least one of the pair of legs contacts at least one of the contact pads upon a formation thereof.

Abstract: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Abstract: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Abstract: A surgical staple comprising a first deformable leg, a second deformable leg and a backspan having first and second transverse portions spaced apart to create a gap therebetween. The backspan further includes a third transverse portion spaced distally from the first and second transverse portions and distally of the gap. A first non-linear backspan portion extends between the first transverse portion and the first end portion of the third transverse portion and a second non-linear backspan portion extends between the second transverse portion and the second end portion of the third transverse portion.

Abstract: A surgical apparatus for applying tissue fasteners is provided. The surgical apparatus includes a handle assembly, an elongated body that extends from the handle assembly, and a tool assembly mounted on the end of the elongate body. The tool assembly includes a cartridge assembly for receiving the tissue fasteners and a housing assembly for receiving a looped member. The tool assembly is configured to advance the tissue fasteners into the looped member to secure tissue between the fasteners and the looped member.

Abstract: A surgical fastener applying apparatus comprising a cartridge body including a plurality of fastener retention slots arranged in a plurality of rows including at least an inner row and an outer row, a plurality of surgical fasteners disposed in inner and outer rows and configured such that a plurality of fasteners disposed in the inner row have a backspan that has a greater height than a backspan of a plurality of surgical fasteners disposed in the outer row, and an anvil having an inner row and an outer row of depressions for forming the fasteners. A plurality of pushers are operably associated with the plurality of surgical fasteners and configured to eject the surgical fasteners toward a respective depression in an anvil for formation thereof such that upon formation, the plurality of surgical fasteners ejected from the inner row provide a greater compressive force to tissue than the plurality of surgical fasteners ejected from the outer row.

Abstract: A system for making anastomoses between hollow structures by mechanical means is provided with a device in the shape of an annular or tubular element comprising circumferentially provided means, such as pin-shaped elements, for joining the abutting walls of the hollow structures together. An applicator is intended for moving said annular or tubular element in position and activating the joining means thereof, so as to make the anastomosis. Possibly, intraluminal joining means can be inserted without using an annular or tubular element.

Abstract: A surgical stapler which includes or onto which a tool assembly can be mounted for deforming a plurality of surgical fasteners through and fastening tissue includes a housing having a fixed handle and a clamping handle mountable to the housing. The clamping handle is selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. An adapter yoke is included which translates within the housing upon actuation of the clamping handle. The adapter yoke mechanically cooperates with a lead screw to actuate the tool assembly to clamp tissue. A drive assembly is also included for rotating a shaft which mechanically engages the lead screw. Upon selective activation of the drive assembly, the shaft rotates the lead screw to advance a roll nut and force a firing piston into the tool assembly to deform the surgical fasteners through and fasten the tissue.

Abstract: A multiple coil staple is provided which includes a backspan and a pair of spaced legs. The backspan includes one or more pockets configured to induce coiling of the legs of the staple. A multiple coil staple applier is also provided which includes a pusher having a distal face defining a staple engagement surface and one or more staple deforming pockets. Each staple deforming pocket is configured to induce coiling of the legs of a staple. The multiple coil staple and staple applier facilitate joining of tissues having wider ranges of thicknesses using a single size staple.

Abstract: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Abstract: A multiple coil staple is provided which includes a backspan and a pair of spaced legs. The backspan includes one or more pockets configured to induce coiling of the legs of the staple. A multiple coil staple applier is also provided which includes a pusher having a distal face defining a staple engagement surface and one or more staple deforming pockets. Each staple deforming pocket is configured to induce coiling of the legs of a staple. The multiple coil staple and staple applier facilitate joining of tissues having wider ranges of thicknesses using a single size staple.

Abstract: A surgical stapler including an anvil, a staple cartridge, and a buttress material removably retained to the anvil and/or staple cartridge. In various embodiments, the staple cartridge can include at least one staple removably stored therein which can, when deployed, or fired, therefrom, contact the buttress material and remove the buttress material from the anvil and/or staple cartridge. In at least one embodiment, the anvil can include at least one lip and/or groove configured to removably retain the buttress material to the anvil until deformable members extending from the surgical staple are bent by the anvil and are directed toward and contact the buttress material.

Abstract: A surgical stapler which includes or onto which a tool assembly can be mounted for deforming a plurality of surgical fasteners through and fastening tissue includes a housing having a fixed handle and a clamping handle mountable to the housing. The clamping handle is selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. An adapter yoke is included which translates within the housing upon actuation of the clamping handle. The adapter yoke mechanically cooperates with a lead screw to actuate the tool assembly to clamp tissue. A drive assembly is also included for rotating a shaft which mechanically engages the lead screw. Upon selective activation of the drive assembly, the shaft rotates the lead screw to advance a roll nut and force a firing piston into the tool assembly to deform the surgical fasteners through and fasten the tissue.

Abstract: The present invention relates to new and useful apparatus, systems and methods for providing an effective tool for intraluminally directed vascular anastomosis of a graft vessel to a receiving blood vessel that is performed according to a minimally invasive procedure. The intraluminally directed vascular anastomosis does not require the interruption of blood flow in the receiving blood vessel and it is versatile enough to suitably combine a variety of cutting, welding, soldering, sealing, and joining techniques. The intraluminally directed anvil apparatus comprises an anvil and a wire used for signaling the optimal anastomosis site; this signaling can be performed when the initial exploration is performed. An anastomosis device is used in conjunction with the intraluminally directed anvil apparatus for opening the anastomosis fenestra and joining the anastomosed structures.

Abstract: A surgical fastening system includes a fastener having a plurality of individual fastener pairs each having a piercing element with a pin that pierces the tissue to be repaired and a receiver portion that interlocks with the pin of a corresponding piercing element. A fastener dispenser holds the piercing elements and receiver elements in relative juxtaposition and in a predetermined geometric configuration, such as a circle. After the tissues to be joined are positioned between the piercing and receiving elements held in the dispenser, the dispenser is adjusted to draw the elements together capturing the tissue therebetween. The dispenser then pushes the piercing elements through the tissue and into the receiving elements causing the elements to interlock. Because the anastomosed junction is formed by a plurality of independent pairs, the junction retains flexibility. When used to anastomose a tubular organ, the fastener allows radial expansion of the organ permitting peristalsis.

Abstract: A surgical stapler utilizing plastic staples and ultrasonic welding to secure the staples in body tissue. The stapler includes a pair of jaws movable between open and closed positions, a handle and trigger assembly for controlling operation of the jaws, and an elongated tubular structure connecting the handle and trigger assembly to the jaws. The stapler also includes an ejection assembly for ejecting at least one staple from one of the jaws against the other of the jaws. An anvil and a horn are positioned in the other of the jaws and are arranged to receive ends of the ejected staple such that the ends overlap between the anvil and the horn. The horn is for melting and bonding at least a portion of the overlapping ends of the staple upon being energized by a predetermined form of energy, and one of the anvil and the horn is movable from within the bonded staple to allow the jaws to be moved to an open position.

Abstract: A system for making anastomoses between hollow structures by mechanical means is provided with a device in the shape of an annular or tubular element comprising circumferentially provided means, such as pin-shaped elements, for joining the abutting walls of the hollow structures together. An applicator is intended for moving said annular or tubular element in position and activating the joining means thereof, so as to make the anastomosis. Possibly, intraluminal joining means can be inserted without using an annular or tubular element.

Abstract: A helical fastener having a high retentive surface area is provided and has a first end for enhancing penetration into tissue and a second end comprising a coil sectioning a diameter of the fastener for receiving longitudinal and rotational forces. The helical fasteners are attached to body tissue by a fastener applicator having a proximal portion comprising a handle and an actuator and an elongate distal portion for housing a plurality of fasteners. A transferring action of the actuator provides longitudinal and rotational movement of the fasteners out of the distal portion and into body tissue.

Abstract: An apparatus for inserting a staple into torn tissue such as the meniscus of the knee. The apparatus includes a pair of shafts individually movable in a longitudinal directing which are actuable from a handle mechanism. The shafts are movable sequentially so that the shafts disjunctively advance the prongs of the staple which is releasably held adjacent distal end portions of the shafts. A further embodiment of the device consists of a pair of needles detachably secured to a pair of anchoring members having a plurality of barb-like projections extending outwardly therefrom. The anchoring members are joined by a suture which connects adjacent the trailing ends of the anchoring members opposite the penetration end of the needles.

Abstract: A disposable clip which finds application in the temporary occlusion of blood vessels, bowels, ducts, and so forth, consumes a small volume within an operative field during use, and may be removed without the need for highly specialized tools. In terms of construction, a pair of substantially rigid, spaced-apart members are joined by way of a malleable hinge. Each member includes an inwardly oriented surface which oppose and face one another and outwardly oriented surfaces which face away from one another. A layer of compressible material is supported against the inwardly oriented surface of each member and, with an externally applied pressure exerted upon the outwardly oriented surfaces, the pair of rigid members are urged toward one another, thereby compressing and at least temporarily occluding the vessel between the layers of compressible material, with the malleable hinge maintaining the clip in this configuration until removal.

Abstract: A clip, clip applier and method for ligating a tissue structure is provided. The applier has a two stage actuation. In the first stage, a tissue structure is positioned into the jaws of the clip applier The jaws close and lock to a preset force to compress and temporarily occlude the tissue structure. If satisfactorily positioned, the second stage is initiated in which a clip is advanced through the shaft of the clip applier in a closed position. At the distal end of the clip applier, the clip is opened slightly to capture the pre-compressed tissue structure, and is placed over the structure. The clip is then dissociated from the business end of the instrument. Preferably the clip comprises two leg members disposed in close proximity to one another joined from opposing directions by a connecting element. The connecting element restricts separation of the leg members with opposing spring members so as to provide substantially uniform parallel deflection of the leg members from each other.

Abstract: A vessel or biological duct repair device and method includes a strap of material that is placed around the exterior surface of the vessel and drawn snugly about the vessel. The device can be used to seal an incision or rupture in a vessel, to correct an aneurysm, or to apply pressure to the exterior of the vessel. The device may also include a projection or other means to aid grasping and positioning the device. The device may include a closure mechanism that allows the device to assume various internal diameters or to exert varying amounts of pressure to a vessel. A layer of pro-coagulant material may be provided on a vessel contacting surface of the device to promote clotting of any blood that escapes the vessel. The device may be prevented from moving relative to a surrounded vessel by ridges provided on the vessel contacting surfaces, by suturing the device to surrounding tissue, or by applying an adhesive to fix the device to the vessel.

Abstract: A new eye hook has a groove in the muscle engaging surface to house a muscle clip. Passage of the muscle clip under a muscle in a single step is made possible. The muscle clip has a smooth upper surface on the lower jaw to minimize friction with the muscle.

Abstract: A staple and stapler for injecting the staple in a manner so that the staple maintains a near constant width upon penetration of material to be joined and during staple closure/forming such that material perturbation and staple to staple spacing may be minimized. The staple has a rectilinear bridge part from which depend oppositely positioned side parts and from the side parts a pair of straight legs. In a preferred embodiment, the oppositely positioned side parts consist of a proximal arcuate section attached to the bridge part and an oppositely directed distal arcuate section attached to the legs. The legs may have sharpened points. Also disclosed is a stapler adapted to force the oppositely directed distal arcuate sections outward, in one embodiment, thereby forcing a reaction of the legs of the staple to face each other in linear alignment and form a closed staple.

Abstract: A surgical staple has a base having first and second base segments defining in an un-deformed state a substantially V-shaped configuration having an apex, each base segment having a first end and a second end. The first end of the first base segment is joined to the first end of the second base segment at the apex of the V-shaped configuration so as to define a first angle between the first base segment and the second base segment of less than about 180.degree. and first and second legs each having a first end and a second end, the first and second legs being connected substantially perpendicularly at the first ends to the second ends of the first and second base segments respectively. A surgical stapler for applying surgical staples according to the invention is also disclosed.

Abstract: A surgical staple is provided which includes a bridge portion having at least two adjacent arcuate sections, each defining a constant radius of curvature along the arc length thereof. Transition portions are disposed at opposed end portions of the bridge portion, each having a curved profile. The surgical staple is further provided with legs having first end portions connected to the transition portions and second end portions extending therefrom. The surgical staple is constructed such that the legs move between an undeformed position substantially transverse to the bridge portion and a deformed position in which at least a portion of each of the legs is in approximation with the bridge portion. A drive member is also disclosed which is configured to urge a plurality of surgical staples from a staple cartridge when acted upon by an applied actuating force. The drive member has a support portion which complements the geometry of the bridge portion of the staple.

Abstract: A clip, clip applier and method for ligating a tissue structure is provided. The applier has a two stage actuation. In the first stage, a tissue structure is positioned into the jaws of the clip applier The jaws close and lock to a preset force to compress and temporarily occlude the tissue structure. If satisfactorily positioned, the second stage is initiated in which a clip is advanced through the shaft of the clip applier in a closed position. At the distal end of the clip applier, the clip is opened slightly to capture the pre-compressed tissue structure, and is placed over the structure. The clip is then dissociated from the business end of the instrument. Preferably the clip comprises two leg members disposed in close proximity to one another joined from opposing directions by a connecting element. The connecting element restricts separation of the leg members with opposing spring members so as to provide substantially uniform parallel deflection of the leg members from each other.

Abstract: A device for use in securing a thread includes a tube having a distal end and a proximal end. The tube defines a recess at the distal end to receive therein a sleeve having a cavity in which a plug is removably inserted. The device further includes a generally U-shaped stirrup that is movably connected to the tube. The U-shaped stirrup is movable between a first position in which the base of the U holds the sleeve and plug in the recess and a second position in which the sleeve and plug are free to leave the recess. The base of the U is continuous.

Abstract: The invention provides a system and method for performing less-invasive surgical procedures within a body cavity. In a preferred embodiment, the invention provides a system and method for temporarily occluding a blood vessel in an arterial graft in a thoracoscopic coronary artery bypass grafting procedure. The system comprises a clamp (2) and an introducer (1) for introducing the clamp through a percutaneous penetration into the body cavity and applying the clamp to a tissue structure such as a blood vessel. The clamp has a pair of movable jaws (65, 67) coupled to one another, each jaw having a distal portion for engaging the tissue structure and a proximal portion having a camming surface (66, 68). The introducer has a longitudinal shaft (3) with a clamp engaging member (25) slidably coupled to the distal end of the shaft for releasably holding the clamp. A handle (11) is coupled to the proximal end of the shaft.

Abstract: The present invention pertains to an apparatus and method which enable the performance of vertical banded gastroplasty (VBG) without the use of staples. Further, a laparoscopic instrument which can be used in combination with the VBG apparatus and method is also disclosed.The laparoscopic instrument can also be used in combination with surgically functional elements other than the VBG apparatus. A particular advantage of the laparoscopic instrument is that surgically functional elements attached at the leading edge of levered jaws of the instrument can be rotated at least 180 degrees in a plane which is substantially parallel to a plane passing horizontally through the longitudinal centerline of the levered jaws.

Abstract: A surgical fastener is comprised of a center span with two locking arms extending therefrom, each locking arm containing an indentation adapted to receive a locking point and an indentation adapted to receive a locking nub. An inner bendable member extends from the center span terminating in a staple point member, the staple point member terminating in a tissue piercing point. An outer bendable member extends from the staple point member parallel to the inner bendable member, terminating in a locking point and locking nub. In the closed position the locking point of the outer bendable member locks into the indentation in the locking arm, to lock the staple in the closed position. In the open position the locking nub of the outer bendable member locks into the locking nub indentation in the locking arm to hold the staple in the open position.

Abstract: In order to destroy vascular deformations in the human body, a clamp is provided which is made from titanium. The clamp is expanded in the relieved state and is transferable into the clamping position by a clamping ring, which is displaceable along the clamp in the attached state. The clamp is introduced into the body by a probe, which has a tubular casing and a positioning bar guided therein. The clamp is transferred into the region of the deformation and applied at the application location as a result of the clamping ring being transferred into the clamping position. The transfer is caused by a relative movement between tubular casing and positioning bar. The probe is then released from the positioned clamp.

Abstract: A hemostatic clip for application to body tissue is disclosed which includes opposed leg portions connected by a bail portion with each leg portion having a tissue contacting surface defined thereon. A pair of projections and a pair of recessed areas are defined on each tissue contacting surface and are disposed in an alternating arrangement such that the movement inhibiting structures on one leg portion are in juxtaposed alignment with those on the opposed leg portion.

Abstract: A surgical clamp combination includes a clamp movable between a free state and operable state, the clamp including a pair of jaws which can be operated to occlude a body conduit. A clamp applier is adapted to releasibly engage the clamp in the free state and to operate the clamp in the operable state to close the jaws. The applier has a housing disposed at a proximal end and a tube extending distally and configured to receive the clamp in the operable state. A shaft is disposed within the tube and movable between an extended position to engage the clamp in the free state and a retracted position to releasibly hold the clamp in the operable state. With the clamp in the operable state, the shaft is rotatable by operation of a handle and aladdin screw, to alternatively rotate in opposite directions to open and close the jaws of the clamp.

Abstract: An improved surgical instrument and sterile clip for ligating the vessel of a mammal. The clip has a pair of legs which are urged apart by the instrument to allow the clip to be placed on the vessel to be ligated.