FLEXIBLE STABILIZING MEMBER FOR A CLIP APPLIER

TECHNICAL FIELD

The present disclosure relates generally to clip appliers, and more particularly, to a flexible stabilizing member for a clip applier.

BACKGROUND

Ligation of tissue (e.g., blood vessels, lymph nodes, nerves, fallopian tubes, and cardiac tissue) is a common practice for many surgical procedures. This can be performed by closing the vessel with a surgical clip or by suturing the vessel with the surgical thread. The use of surgical thread requires complex manipulations of a needle and surgical thread to form knots required to secure the vessel. Such complex manipulations are time consuming and difficult to perform, particularly in endoscopic surgical procedures characterized by limited space and/or visibility. In contrast, surgical clips are relatively quick and easy to apply. Accordingly, the use of surgical clips in endoscopic and open surgical procedures has grown dramatically.

SUMMARY

The present inventors recognize that there is a need to improve one or more features of the clip appliers and/or surgical clips, such as stability of the surgical clip in a clip applier. Surgical clips are often applied by clip appliers with a pair of opposing jaw members. Currently available clip appliers often secure the clip with two points of contact between the opposing jaw members and the leg members of the surgical clip. The two points of contact do not provide sufficient stability to the surgical clip, which can unfavorably move relative to the clip applier during a surgical procedure, or even fall out of the jaw members. The disclosed methods and systems are directed to mitigating or overcoming one or more of the problems set forth above and/or other problems in the prior art.

A first aspect of the present disclosure is directed to a clip applier configured to apply a surgical clip to tissue. The clip applier may include first and second jaw members configured to engage distal portions of the surgical clip. The first and second jaw members may be configured to move relative to each other between an open configuration and a closed configuration. The clip applier may also include a stabilizing member having an end portion secured to the first jaw member. The stabilizing member may be configured to engage a proximal portion of the surgical clip and be compressed from a first configuration when the first and second jaw members are in the open configuration to a second configuration when the first and second jaw members are in the closed configuration.

In some embodiments, the stabilizing member may include first and second walls extending from the stabilizing member and defining a cavity therebetween configured to receive a proximal portion of the surgical clip and to reduce lateral movement of the surgical clip. In some embodiments, the stabilizing member may include an aperture configured to receive a proximal portion of the surgical clip and to reduce lateral movement of the surgical clip. In some embodiment, the stabilizing member may include at least one bend that facilitates compression of the stabilizing member when the first and second jaw members close. In some embodiments, at least one of the first and second jaw members may include a longitudinal channel configured to receive the stabilizing member when compressed. In some embodiments, the stabilizing member may include a second portion secured to the second jaw member. In some embodiments, the clip applier may include a second stabilizing member having an end portion secured to the second jaw member. The second stabilizing member may be configured to be compressed from a first configuration when the first and second jaw members are in the open configuration to a second configuration when the first and second jaw members are in the closed configuration. In some embodiments, the end portion of the stabilizing member may be secured in a longitudinal channel of the first jaw member. In some embodiments, the end portion of the stabilizing member may be releasably secured to the first jaw member. In some embodiments, the end portion of the stabilizing member may include an enlarged end configured to snap into the first jaw member. In some embodiments, the stabilizing member may include a spring element. In some embodiments, the stabilizing member may include a plastic element.

A second aspect of the present disclosure is directed to a stabilizing member configured to be received between first and second jaw members of a clip applier and engage a proximal portion of a surgical clip. The stabilizing member may include a first portion having an enlarged end configured to snap into a first jaw member, and a second portion having an enlarged end configured to snap into a second jaw member. The stabilizing may include at least one bend configured to facilitate compression of the stabilizing member when the first and second jaw members are in a closed configuration, and an aperture between the first and second portions configured to receive a proximal portion of the surgical clip and to reduce lateral movement of the surgical clip.

In some embodiments, the stabilizing member may include first and second walls defining a cavity configured to receive the proximal portion of the surgical clip. In some embodiments, the at least one bend may include a first bend on a first side of the aperture and a second bend on a second side of the aperture. In some embodiments, the stabilizing member may include a spring element. In some embodiments, the stabilizing member may include a plastic element.

A third aspect of the present disclosure is directed to a method of securing a surgical clip to a clip applier having first and second jaw members. The method may include engaging a first end portion of a stabilizing member with the first jaw member, and engaging a second end portion of the stabilizing member with the second jaw member. The method may also include receiving the surgical clip between the first and second jaw members, and securing the surgical clip with the stabilizing member to the clip applier.

In some embodiments, securing the surgical clip with the stabilizing member may include receiving a proximal portion of the surgical clip into an aperture of the stabilizing member. In some embodiments, the method may include: engaging a distal portion of a first leg member of the surgical clip with the first jaw member, and engaging a distal portion of a second leg member of the surgical clip with the second jaw member.

BRIEF DESCRIPTION OF THE DRAWINGS

In order that the disclosure may be readily understood, aspects of this disclosure are illustrated by way of examples in the accompanying drawings.

FIG. 1A illustrates a side view of a first exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 1B illustrates a perspective view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the first exemplary embodiment of FIG. 1A.

FIG. 2A illustrates a side view of a first configuration of a second exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 2B illustrates a side view of a second configuration of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the second exemplary embodiment of FIG. 2A.

FIG. 3A illustrates a side view of a third exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 3B illustrates a perspective view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the third exemplary embodiment of FIG. 3A.

FIG. 3C illustrates a perspective view of the exemplary stabilizing member of the third exemplary embodiment of FIGS. 3A-B.

FIG. 4 illustrates an exemplary embodiment of an exemplary surgical clip loaded in the exemplary clip applier having the exemplary stabilizing member of the third embodiment of FIGS. 3A-C.

FIG. 5A-B illustrate an exemplary method of loading an exemplary stabilizing member and an exemplary surgical clip into an exemplary clip applier.

FIG. 6A illustrates a side view of a fourth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 6B illustrates a perspective view of the exemplary stabilizing member of the fourth exemplary embodiment of FIG. 6A.

FIG. 7A illustrates a side view of a fifth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 7B illustrates a perspective view of the exemplary stabilizing member of the fifth exemplary embodiment of FIG. 7A.

FIG. 8A illustrates a side view of a sixth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 8B illustrates a perspective view of the exemplary stabilizing member of the sixth exemplary embodiment of FIGS. 8A-C.

FIG. 9A illustrates a perspective view of a seventh exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 9B illustrates a side view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the seventh exemplary embodiment exemplary of FIG. 9A.

FIG. 9C illustrates an enlarged view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the seventh exemplary embodiment of FIGS. 9A-B.

FIG. 10A illustrates a side view of an eighth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 10B illustrates a perspective view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the eighth exemplary embodiment of FIG. 10A.

FIG. 11A illustrates a side view of a ninth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 11B illustrates an enlarged view of the exemplary clip applier having the exemplary stabilizing member and loaded with the exemplary surgical clip of the ninth exemplary embodiment of FIG. 11A.

FIG. 11C illustrates a side view of the exemplary stabilizing member of the ninth exemplary embodiment of FIG. 11A.

FIG. 11D illustrates an exploded view the exemplary clip applier of the ninth exemplary embodiment of FIG. 11A.

FIG. 12A illustrates a side view of a tenth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 12B illustrates an enlarged perspective view of the clip applier and the stabilizing member and loaded with the exemplary surgical clip of the tenth exemplary embodiment of FIG. 12A.

FIG. 12C illustrates a side view of the exemplary stabilizing member of the tenth exemplary embodiment of FIGS. 12A-B.

FIG. 12D illustrates an enlarged view of the exemplary clip applier of the tenth exemplary embodiment of FIGS. 12A-B.

FIG. 13A illustrates a side view of an eleventh exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 13B illustrates an enlarged perspective view of the exemplary clip applier with the exemplary stabilizing member and loaded with the exemplary surgical clip of the eleventh exemplary embodiment of FIG. 13A.

FIG. 13C illustrates a side view of the exemplary stabilizing member of the eleventh exemplary embodiment FIGS. 13A-B.

FIG. 13D illustrates an enlarged view of the exemplary clip applier of the eleventh exemplary embodiment of FIGS. 13A-B.

FIG. 14A illustrates a side view of a twelfth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

FIG. 14B illustrates a side view of a thirteenth exemplary embodiment of an exemplary clip applier having an exemplary stabilizing member and loaded with an exemplary surgical clip.

The same or similar reference numbers are used in the drawings and the following detailed description to refer to the same or similar parts.

DETAILED DESCRIPTION

The invention will now be described with reference to the figures, in which like reference numerals may refer to like parts throughout. In accordance with conventional practice, as used herein, and unless otherwise indicated herein, the term “proximal portion” refers to the specified portion of a device or its component which is generally closer to the medical personnel handling or manipulating the device as it is intended to be used, and the term “distal portion” shall refer to the specified portion of a device or its component which is opposite the proximal portion.

The invention is generally directed to a flexible stabilizing member for a clip applier configured to provide increased stability to a surgical clip disposed between first and second jaw members of the clip applier. The flexibility of the stabilizing member allows for sufficient length to stabilize the surgical clip in an open configuration and for compression during closure of the first and second jaw members of the clip applier. The stabilizing member may also be received or nested in a longitudinal channel in one or both of the jaw members in the closed configuration, such that the stabilizing member does not impede closure of the jaw members. In some embodiments, the stabilizing member may be secured to only one of the first and second jaw members, and in some embodiments, the stabilizing member may be secured to both of the first and second jaw members. In some embodiments, the stabilizing member may be releasably attached to the jaw(s) to facilitate replacement of the component when damaged. In some embodiments, the stabilizing member may be fixed to the jaw(s) to facilitate manufacturing of the clip applier. The stabilizing members may include an aperture configured to receive a proximal portion of the surgical clip. The stabilizing members may be composed of a spring-based metal configured to provide a distal force on the surgical clip to retain the surgical clip in the clip applier, such that bosses may be omitted. The stabilizing member may, alternatively, be composed of a more cost-effective, malleable plastic.

FIGS. 1A-B illustrate a clip applier 100 having a stabilizing member 140 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 100 may have a first jaw member 102 and a second jaw member 104 pivotably coupled at a hinge member 106. The first and second jaw members 102, 104 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

The surgical clip 200 may have a first leg member 202 and a second leg member 204 pivotably joined at a hinge member 206. The first leg member 202 may have a generally convex inner surface, a generally concave outer surface, and a tip member 208 on a distal portion. The second leg member 204 may have a generally concave inner surface, a generally convex outer surface, and a hook member 210 on a distal portion. The hook member 210 may engage and deflect around the tip member 208, while one or both of the first and second leg members 202, 204 pivot, straighten, and/or lengthen. The tip member 208 may then be received in the hook member 210 to secure the surgical clip 200 in a latched configuration, as further described in U.S. Pat. No. 4,834,096, the disclosure of which is expressly incorporated herein in its entirety. Each of the first and second leg members 202, 204, may have one or more engagement members 212, 214 on a distal portion. The engagement members 212, 214 may include one or more angled surfaces formed by the leg members 202, 204. As further illustrated in FIG. 1A-B, the engagement member 212 of the first leg member 202 may include a distally facing notch at the tip member 208, forming a pair of angled surfaces, and the engagement member 214 of the second leg member 204 may include a distally facing angled surface on an outer surface, proximal of the hook member 210.

As further illustrated, the first and second jaw members 102, 104 may include at least one engagement member 116 at a distal portion and the stabilizing member 140 proximal of the at least one engagement member 116. A first longitudinal channel 108 may extend through an inner portion of the first jaw member 102, separating the first jaw member 102 into a pair of first extensions 110. A second longitudinal channel 112 may extend through an inner portion of the second jaw member 104, separating the second jaw member 104 into a pair of second extensions 114. The at least one engagement member 116 may be disposed inside of the first and second channels 108, 112 and include an angled surface configured to engage the angled surfaces of the engagement member 212, 214 of the surgical clip 200. For example, the engagement member 116 of the first jaw member 102 may be received in the notch of the first leg member 202, and the engagement member 116 of the second jaw member 104 may abut the distal facing surface of the second leg member 204.

The stabilizing member 140 may have a first end portion 142 fixedly secured to the first jaw member 102 inside of the first channel 108 (e.g., through a weld or an adhesive), and a second end portion 144 configured to engage the proximal portion of the surgical clip 200. The stabilizing member 140 may be a spring element (e.g., spring steel) configured to provide a distal force on the surgical clip 200, urging the engagement members 212, 214 into engagement with the engagement members 116 of the clip applier 100. In this manner, the surgical clip 200 may be secured in the clip applier, without bosses on the surgical clip 200. The stabilizing member 140 may also include first and second longitudinal walls 146 on opposing sides of the second portion 144. The longitudinal walls 146 may define a cavity therein that receives the proximal portion (e.g., the hinge member 206) of the surgical clip 200 and aligns the surgical clip 200 by reducing lateral movement of the proximal portion. The stabilizing member 140 may compress and/or pivot proximally as the first and second jaw members 102, 104 close the surgical clip 200. For example, pivoting, straightening, and/or lengthening of the first and second leg members 202, 204 may apply a proximal force on the stabilizing member 140 to compress and/or pivot the stabilizing member 140 proximally. The stabilizing member 140 may further compress and/or pivot proximally as the stabilizing member 140 is engaged by the second jaw member 104. The stabilizing member 140 may be received into the first and/or second channels 108, 112 as the first and second jaw members 102, 104 approximate and/or close. The compressing and/or pivoting of the stabilizing member 140 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing member 140 from impeding the closure of the first and second jaw members 102, 104. The compressing and/or pivoting of the stabilizing member 140 may be facilitated by at least one bend 148 of about 180 degrees, as illustrated in FIGS. 1A-B. The stabilizing member 140 may further include an additional bend 149 proximate to the second end portion 144 to form a seat for the proximal portion of the surgical clip 200, providing additional vertical stability.

FIGS. 2A-B illustrate a clip applier 300 having first and second stabilizing members 340 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 300 may have a first jaw member 302 and a second jaw member 304 pivotably coupled at a hinge member 306. The first and second jaw members 302, 304 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 302, 304 may include at least one engagement member 316 at a distal portion and the first and second stabilizing members 340 proximal of the at least engagement member 316. A first longitudinal channel 308 may extend through an inner portion of the first jaw member 302, separating the first jaw member 302 into a pair of first extensions 310. A second longitudinal channel 312 may extend through an inner portion of the second jaw member 304, separating the second jaw member 304 into a pair of second extensions 314. The at least one engagement member 316 may be positioned inside of the first and second channels 308, 312 and include an angled surface configured to engage the angled surfaces of the engagement member 212, 214 of the surgical clip 200. For example, the engagement member 316 of the first jaw member 302 may be received in the notch of the first leg member 202, and the engagement member 316 of the second jaw member 304 may abut the distal facing surface of the second leg member 204.

Each of the stabilizing members 340 may have a first end portion 342 fixedly secured to one of the first and second jaw members 302 inside of the respective longitudinal channel 308, 312 (e.g., through a weld or an adhesive), and a second end portion 344 configured to engage the proximal portion (e.g., the hinge member 206) of the surgical clip 200. The stabilizing members 340 may be a spring element (e.g., spring steel) configured to provide a distal force on the surgical clip 200, urging the engagement members 212, 214 into engagement with the engagement members 316 of the clip applier 300. In this manner, the surgical clip 200 may be secured in the clip applier 300, without bosses on the surgical clip 200. The stabilizing members 340 may compress and/or pivot proximally as the first and second jaw members 302, 304 close the surgical clip 200. Pivoting, straightening, and/or lengthening of the first and second leg members 302, 304 may provide a proximal force to the stabilizing members 340 to compress and/or pivot the stabilizing member 340 proximally. The stabilizing members 340 may further compress and/or pivot proximally as the stabilizing members 340 are engaged by the opposing jaw member 302, 304 and/or stabilizing member 340. The stabilizing members 340 may be received into the first and/or second longitudinal channels 308, 312 as the first and second jaw members 302, 304 approximate and/or close. The compressing and/or pivoting of the stabilizing members 340 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing members 340 from impeding the closure of the first and second jaw members 302, 304. The compressing and/or pivoting of the stabilizing members 340 may also be facilitated by at least one bend 348 extending along substantially the entire length of the stabilizing member 340. The second end portion 344 may further include a rounded portion to increase contact surface between the stabilizing members 340 when the first and second jaw members 302, 304 are compressed. As further illustrated in FIGS. 2A-B, the stabilizing members 340 may be symmetric, and the jaw members 302, 304 may receive the surgical clip in either orientation.

FIGS. 3A-B illustrate a clip applier 400 having a stabilizing member 440 and loaded with a surgical clip 200 in an open configuration, and FIG. 3C illustrates the stabilizing member 440. As illustrated, the clip applier 400 may have a first jaw member 402 and a second jaw member 404 pivotably coupled at a hinge member 406. The first and second jaw members 402, 404 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 402, 404 may include at least one recess 418 at a distal portion and the stabilizing member 440 proximal of the at least one recess 418. A first longitudinal channel 408 may extend through an inner portion of the first jaw member 402, separating the first jaw member 402 into a pair of first extensions 410. A second longitudinal channel 412 may extend through an inner portion of the second jaw member 404, separating the second jaw member 404 into a pair of second extensions 414. Each of the extensions 410, 414 may have a recess 418 configured to receive opposing boss members 216, and each of the longitudinal channels 408, 412 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 402, 404 may have an open distal end 415 into the longitudinal channels 408, 412 to receive the stabilizing member 440.

The stabilizing member 440 may have leg members 441 with end portions 442 releasably securable to the first and second jaw members 402 inside of the respective longitudinal channel 408, 412. As illustrated in FIG. 3C, the end portions 442 may be enlarged having a split-let configuration with segments spaced apart by an aperture and biased away from each other. The segments of the end portions 442 may be configured to collapse as the end portions 442 are received in the open distal ends 415, and the segments of the end portions 442 may expand to frictionally engage the longitudinal channel 408, 412 to releasably secure the stabilizing member 440 in the first and second jaw members 402, 404. In this configuration, the stabilizing member 440 may abut a proximal wall of the longitudinal channel 408, 412. After use, the stabilizing member 440 may be removed, for example, by pulling the stabilizing member 440 distally out of the first and second jaw members 402, 404. However, it is also contemplated that the end portions 442 may have the cylindrical configuration, as illustrated for example in FIGS. 6A-B.

The leg members 441 may have first bends 448 at their proximal ends that bend distally to join with angled leg members 443. The angled leg members 443 may extend from the first bends 448 to second bends 449 that bend proximally and attach to a central portion 451. The bends 448, 449 may provide the stabilizing member 440 a generally “M” shaped configuration. The bends 448, 449 may be living hinges that facilitate compression of the stabilizing members 440 as the first and second jaw members 402, 404 close the surgical clip 200. The stabilizing member 440 may be received into the first and/or second channels 408, 412 as the first and second jaw members 302, 304 approximate and/or close. The flexibility of the stabilizing members 440 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing members 440 from impeding the closure of the first and second jaw members 402, 404.

The central portion 451 may be configured to receive and stabilize the proximal portion (e.g., the hinge member 206) of the surgical clip 200. For example, the central portion 451 may have an aperture 450 configured to receive the proximal portion of the surgical clip 200 and reduce lateral movement of the surgical clip 200. The central portion 451 may, additionally or alternatively, have longitudinal walls 446 forming a cavity therein configured to receive the proximal portion of the surgical clip 200. The longitudinal walls 446 may extend proximally from the central portion 451 of the stabilizing member 440 toward the hinge member 406. In that sense, the longitudinal walls 446 may have a length and/or width greater than the immediately proximate portions of the stabilizing member 440. The longitudinal walls 446 may extend along the proximal portion of the surgical clip 200 to increase stability.

FIG. 4 illustrates a second embodiment of the surgical clip 200 loaded into the clip applier 400. As illustrated, the surgical clip 200 may include a tail or extension member 220 extending from the proximal portion of the surgical clip 200 configured to be received in the aperture 450 of the stabilizing member 400. The extension member 220 may extend proximally from a proximal portion (e.g., the hinge portion 206) and have a hook portion that curves vertically. The extension may have a width less than a width of the hinge portions 206 and/or the leg members 202, 204. The extension member 220 may facilitate loading of the surgical clip 200 between the first and second jaw members 402, 404 and into the aperture 450, when the surgical clip 200 is in either orientation. Although FIG. 4 illustrates the second embodiment of the surgical clip 200 being loaded into the clip applier 400, the second embodiment of the surgical clip 200 may be loaded into any number of other clip appliers, including the other embodiments of the present disclosure.

As illustrated in FIGS. 5A-B, the clip applier 400 may be assembled by receiving the stabilizing members 440 and/or the surgical clip 200 from a cartridge 500. The cartridge 500 may include a first compartment 502 containing a stabilizing member 440 and/or one or more second compartments 504 containing at least one surgical clip 200. For example, the cartridge 500 may include a single first compartment 502 and a plurality of second compartments 504 aligned along a longitudinal axis of the cartridge 500. The number of second compartments 504 may be based on the applicable surgical procedure.

As further illustrated in FIGS. 5A-B, the clip applier 400 may be assembled according to a method including inserting the first and second jaw members 402, 404 into the first compartment 502. The stabilizing member 440 may be secured to the first and second jaw members 402, 404 by receiving the stabilizing member 440 into the open distal ends 415 of the longitudinal channels 408, 412. The method may further include inserting the jaw members 402, 404 into the second compartment 404 to secure the surgical clip 200 to the jaw members 402, 404 and the stabilizing member 440. For example, the jaw members 402, 404 may receive a boss 216 of the surgical clip 200 in the recesses 418, and the hinge member 206 of the surgical clip 200 may be engaged by the stabilizing member 440. The clip applier 400 may be configured to compress and/or latch the loaded surgical clip 200 onto tissue. The clip applier 400 may then be loaded with a second surgical clip 200 using the same stabilizing member 440 for the second surgical clip 200 to be applied during the same procedure, for example on the same tissue. The stabilizing member 440 may be removed from the clip applier 400 and/or disposed of following the procedure.

FIG. 6A illustrates a clip applier 600 having a stabilizing member 640 and loaded with a surgical clip 200 in an open configuration, and FIG. 6B illustrates the stabilizing member 640. As illustrated, the clip applier 600 may have a first jaw member 602 and a second jaw member 604 pivotably coupled at a hinge member (not shown). The first and second jaw members 602, 604 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 602, 604 may include at least one recess 618 at a distal portion and the stabilizing member 640 proximal of the at least one recess 618. A first longitudinal channel 608 may extend through an inner portion of the first jaw member 602, separating the first jaw member 602 into a pair of first extensions (not labeled). A second longitudinal channel 612 may extend through an inner portion of the second jaw member 604, separating the second jaw member 604 into a pair of second extensions (not labeled). Each of the extensions may have a recess 618 configured to receive opposing boss members 216, and each of the longitudinal channels 608, 612 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 602, 604 may have an open distal end 615 into the longitudinal channels 608, 612 to receive the stabilizing member 640.

The stabilizing member 640 may have leg members 641 with end portions 642 releasably securable to the first and second jaw members 602, 604 of the respective longitudinal channel 608, 612. The end portions 642 may be enlarged cylindrical members extending perpendicularly of the leg members 641. For assembly, the end portions 642 may pass through the open distal ends 615 of the first and second jaw members 602, 604 and snap into a recess of the longitudinal channel 608, 612 to releasably secure the stabilizing member 640 in the first and second jaw members 602, 604. After use, the stabilizing member 640 may be removed, for example, by pulling the stabilizing member 640 distally out of the first and second jaw members 602, 604. However, it is also contemplated that the end portions 442 may have the split leg configuration, as illustrated for example in FIGS. 3A-C.

The leg members 641 may have a bend 648 at their proximal ends that bend distally to join with a central portion 651. The bends 648 may have an obtuse angle and be living hinges that facilitate compression of the stabilizing members 640 as the first and second jaw members 602, 604 close the surgical clip 200. For example, the stabilizing member 640 may be received into the first and/or second channels 608, 612 as the first and second jaw members 602, 604 approximate and/or close. The flexibility of the stabilizing members 640 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing members 640 from impeding the closure of the first and second jaw members 602, 604.

The central portion 651 may be configured to receive and stabilize the proximal portion (e.g., the hinge member 206) of the surgical clip 200. For example, the central portion 651 may have an aperture 650 configured to receive the proximal portion of the surgical clip 200 and reduce lateral movement of the surgical clip 200. The central portion 651 may, additionally or alternatively, have walls 646 forming a cavity therein configured to receive the proximal portion of the surgical clip 200. The walls 646 may extend laterally from the central portion 651 of the stabilizing member 640.

FIG. 7A illustrates a clip applier 700 having a stabilizing member 740 and loaded with a surgical clip 200 in an open configuration, and FIG. 7B illustrates the stabilizing member 740. As illustrated, the clip applier 700 may have a first jaw member 702 and a second jaw member 704 pivotably coupled at a hinge member (not shown). The first and second jaw members 702, 704 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 702, 704 may include at least one recess 718 at a distal portion and the stabilizing member 740 proximal of the at least one recess 718. A first longitudinal channel 708 may extend through an inner portion of the first jaw member 702, separating the first jaw member 702 into a pair of first extensions (not labeled). A second longitudinal channel 712 may extend through an inner portion of the second jaw member 704, separating the second jaw member 704 into a pair of second extensions (not labeled). Each of the extensions may have a recess 718 configured to receive opposing boss members 216, and each of the longitudinal channels 708, 712 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 702, 704 may have an open distal end 715 into the longitudinal channels 708, 712 to receive the stabilizing member 740.

The stabilizing member 740 may have leg members 741 with end portions 742 releasably securable to the first and second jaw members 702, 704 inside of the respective longitudinal channel 708, 712. The end portions 742 may be enlarged cylindrical members extending perpendicularly of the leg members 741. For assembly, the end portions 742 may be received into the open ends 715 and snap into a recess of the longitudinal channel 708, 712 to releasably secure the stabilizing member 740 in the first and second jaw members 702, 704. After use, the stabilizing member 740 may be removed, for example, by pulling the stabilizing member 740 distally out of the first and second jaw members 702, 704. However, it is also contemplated that the end portions 742 may have the split leg configuration, as illustrated for example in FIGS. 3A-C.

The leg members 741 may have a bend 748 along their lengths and be joined by a central portion 751 having a central pivot bend 749. The bend 748 may substantially match the curvature of the second leg member 204. The bends 748, 749 may facilitate compression of the stabilizing members 740 as the first and second jaw members 702, 704 close the surgical clip 200. For example, the stabilizing member 740 may be received into the first and/or second channels 608, 612 as the first and second jaw members 602, 604 approximate and/or close. The flexibility of the stabilizing members 740 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing members 740 from impeding the closure of the first and second jaw members 702, 704.

The central portion 751 may be configured to receive and stabilize the proximal portion (e.g., the hinge member 206) of the surgical clip 200. For example, the central portion 751 may have a plurality of walls 746 forming a cavity therein configured to receive the proximal portion of the surgical clip 200. As illustrated in FIG. 7B, the central portion 751 may have first and second walls 746 positioned on both sides of an aperture 750. The walls 746 may engage the proximal portion of the surgical clip 200 when the first and second jaw members 702, 704 are in an open configuration, while the proximal portion of the surgical clip 200 is not received within the aperture 750. However, the aperture 750 may be configured to receive the proximal portion of the surgical clip 200 during, if needed. The walls 746 may extend longitudinally from the central portion 751 of the stabilizing member 740 distally.

FIG. 8A illustrates a clip applier 800 having a stabilizing member 840 and loaded with a surgical clip 200 in an open configuration, and FIG. 8B illustrates the stabilizing member 840. As illustrated, the clip applier 800 may have a first jaw member 802 and a second jaw member 804 pivotably coupled at a hinge member (not shown). The first and second jaw members 802, 804 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 802, 804 may include at least one recess 818 at a distal portion and the stabilizing member 840 proximal of the at least one recess 818. A first longitudinal channel 808 may extend through an inner portion of the first jaw member 802, separating the first jaw member 802 into a pair of first extensions (not labeled) A second longitudinal channel 812 may extend through an inner portion of the second jaw member 804, separating the second jaw member 804 into a pair of second extensions (not labeled). Each of the extensions may have a recess 818 configured to receive opposing boss members 216, and each of the longitudinal channels 808, 812 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 802, 804 may have an open distal end 815 into the longitudinal channels 808, 812 to receive the stabilizing member 840.

The stabilizing member 840 may have leg members 841 with end portions 842 releasably securable to the first and second jaw members 802, 804 inside of the respective longitudinal channel 808, 812. The end portions 842 may be enlarged cylindrical members extending perpendicularly of the leg members 841. For assembly, the end portions 842 may pass through the open distal ends 815 of the first and second jaw members 802, 804 and snap into a recess of the longitudinal channel 808, 812 to releasably secure the stabilizing member 640 in the first and second jaw members 602, 604. After use, the stabilizing member 840 may be removed, for example, by pulling the stabilizing member 840 distally out of the first and second jaw members 802, 804. However, it is also contemplated that the end portions 842 may have the split leg configuration, as illustrated for example in FIGS. 3A-C.

The leg members 841 may have bends 848 connecting to the central portion 851, and the leg members 841 may extend proximally from the bends 848. The bends 848 may be greater than 90 degrees. The bends 848 may be living hinges that facilitate compression of the stabilizing members 840 as the first and second jaw members 802, 804 close the surgical clip 200. For example, the stabilizing member 840 may be received into the first and/or second channels 808, 812 as the first and second jaw members 302, 304 approximate and/or close. The flexibility of the stabilizing members 840 may allow the surgical clip 200 to lengthen as it closes and prevent the stabilizing members 840 from impeding the closure of the first and second jaw members 802, 804.

The central portion 851 may be configured to receive and stabilize the proximal portion (e.g., the hinge member 206) of the surgical clip 200. For example, the central portion 851 may have an aperture 850 configured to receive the proximal portion of the surgical clip 200 and reduce lateral movement of the surgical clip 200. The central portion 851 may, additionally or alternatively, have walls 846 forming a cavity therein configured to receive the proximal portion of the surgical clip 200. The walls 846 may extend laterally from the central portion 851 of the stabilizing member 840.

FIG. 9A-C illustrates a clip applier 900 having a stabilizing member 940 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 900 may have a first jaw member 902 and a second jaw member 904 pivotably coupled at a hinge member (not shown). The first and second jaw members 902, 904 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 902, 904 may include at least one recess 918 at a distal portion and the stabilizing member 940 proximal of the at least one recess 918. A first longitudinal channel 908 may extend through an inner portion of the first jaw member 902, separating the first jaw member 902 into a pair of first extensions 910. A second longitudinal channel 912 may extend through an inner portion of the second jaw member 904, separating the second jaw member 904 into a pair of second extensions 914. Each of the extensions 910, 914 may have a recess 918 configured to receive opposing boss members 216, and each of the longitudinal channels 908, 912 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 902, 904 may have an open distal end 915 into the longitudinal channels 908, 912 to receive the stabilizing member 940.

The stabilizing member 940 may be a spring element. The stabilizing element 940 may snap into the first and second jaw members 902, 904 and apply a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1002, 1004. For example, each of the first and second jaw members 902, 904 may include an opening 905 configured to releasably receive end portions 942 of the stabilizing member 940. In that sense, the stabilizing member 940 may be inserted between the first and second members 902, 904 in a compressed configuration through the open ends 915 and released for the end portions 942 to snap into the openings 905. After use, the stabilizing member 940 may be configured to be released by pressing the ends 942 to urge the stabilizing member 940 out of the openings 905, in order to be removed and/or disposed of. The stabilizing member 940 may be in the form of a single flat wire element having flat surfaces that overlap the proximal portion of the surgical clip 200 to reduce lateral movement of the surgical clip 200. For example, the stabilizing member 1040 may have a substantially rectangular cross-section. The proximal portion of the surgical clip 200 may be received in one or more cavities or spaces formed between opposing lateral flat surfaces of the wire element. Bends 948 of the wire element may also allow the flexible element to compress as the clip applier 900 compresses. Additional bends 949 may fit the wire element around the proximal end portion of the surgical clip 200. The stabilizing member 940 may also have proximal support members 960 configured apply a distal force on the surgical clip 200 to help retain the bosses 212 in the recesses 918.

FIG. 10A-B illustrate a clip applier 1000 having a stabilizing member 1040 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 1000 may have a first jaw member 1002 and a second jaw member 1004 pivotably coupled at a hinge member (not shown). The first and second jaw members 1002, 1004 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 1002, 1004 may include at least one recess 1018 at a distal portion and the stabilizing member 1040 proximal of the at least one recess 1018. A first longitudinal channel 1008 may extend through an inner portion of the first jaw member 1002, separating the first jaw member 1002 into a pair of first extensions 1010. A second longitudinal channel 1012 may extend through an inner portion of the second jaw member 1004, separating the second jaw member 1004 into a pair of second extensions 1014. Each of the extensions 1010, 1014 may have a recess 1018 configured to receive opposing boss members 216, and each of the longitudinal channels 1008, 1012 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 1002, 1004 may have an open distal end 1015 into the longitudinal channels 1008, 1012 to receive the stabilizing member 1040.

The stabilizing member 1040 may be a spring element. The stabilizing element 1040 may snap into the first and second jaw members 1002, 1004 and apply a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1002, 1004. For example, each of the first and second jaw members 1002, 1004 may include an opening 1005 configured to releasably receive end portions 1042 of the stabilizing member 1040. In that sense, the stabilizing member 1040 may be inserted into a distal open ends 1015 between the first and second members 1002, 1004 in a compressed configuration and released for the end portions 1042 to expand and snap into the openings 1005. After use, the stabilizing member 1040 may be released by pressing the ends 1042 to urge the stabilizing member 1040 out of the openings 1005, and be removed and/or disposed of. The stabilizing member 1040 may be in the form of one or more flat wire element having a flat shape configured to overlap the proximal portion of the surgical clip 200 to reduce lateral movement of the surgical clip 200. For example, the stabilizing member 1040 may have a substantially rectangular cross-section. The proximal portion of the surgical clip 200 may be received in one or more cavities or spaces formed between opposing flat portions of the wire element. Bends 1048 of the wire element may also allow the flexible element to compress as the clip applier 1000 compresses. The flat wire element may be welded at a proximal end. The stabilizing member 1040 may also have proximal support members 1060 configured apply a distal force on the surgical clip 200 to help retain the bosses 212 in the recesses 1018.

FIG. 11A-D illustrate a clip applier 1100 having a stabilizing member 1140 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 1100 may have a first jaw member 1102 and a second jaw member 1104 pivotably coupled at a hinge member 1106. The first and second jaw members 1102, 1104 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 1102, 1104 may include at least one recess 1118 at a distal portion and the stabilizing member 1140 proximal of the at least one recess 1118. A first longitudinal channel 1108 may extend through an inner portion of the first jaw member 1102, separating the first jaw member 1102 into a pair of first extensions 1110. A second longitudinal channel 1112 may extend through an inner portion of the second jaw member 1104, separating the second jaw member 1104 into a pair of second extensions (not labeled). Each of the extensions 1110 may have a recess 1118 configured to receive opposing boss members 216, and each of the longitudinal channels 1108, 1112 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 1102, 1104 may have an open distal end into the longitudinal channels 1108, 1112 to receive the stabilizing member 1140.

The stabilizing member 1140 may be a spring element. The stabilizing element 1140 may snap into the first and second jaw members 1102, 1104 and apply a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1102, 1104. For example, each of the first and second jaw members 1102, 1104 may include an opening 1105 configured to releasably receive terminal end portions 1142 of the stabilizing member 1140. In that sense, the stabilizing member 1140 may be inserted into the open distal ends in a compressed configuration and released for the end portions 1142 to expand and snap into the openings 1005. After use, the stabilizing member 1140 may be released by pressing the ends 1142 to urge the stabilizing member 1140 out of the openings 1105, in order to be removed and/or disposed of. The stabilizing member 1140 may be in the form of a single wire element extending between the first and second jaw members 1102, 1104. The stabilizing member 1140 may include first and second longitudinal walls 1146 having a cavity configured to receive the proximal portion of the surgical clip 200 and to reduce lateral movement of the surgical clip 200. Bends 1148, 1149 of the flexible element may be living hinges to allow the flexible element to compress as the clip applier 1100 compresses. As illustrated in FIGS. 11A,D, the longitudinal channels 1108, 1112 may be sized to receive the wire element 1140 when the first and second jaw members 1102, 1104 are in a closed configuration.

FIG. 12A-D illustrate a clip applier 1200 having a stabilizing member 1240 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 1200 may have a first jaw member 1202 and a second jaw member 1204 pivotably coupled at a hinge member (not shown). The first and second jaw members 1202, 1204 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 1202, 1204 may include at least one recess 1218 at a distal portion and the stabilizing member 1240 proximal of the at least one recess 1218. A first longitudinal channel 1208 may extend through an inner portion of the first jaw member 1202, separating the first jaw member 1202 into a pair of first extensions 1210. A second longitudinal channel 1212 may extend through an inner portion of the second jaw member 1204, separating the second jaw member 1204 into a pair of second extensions (not labeled). Each of the extensions 1210 may have a recess 1218 configured to receive opposing boss members 216, and each of the longitudinal channels 1208, 1212 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 1202, 1204 may have an open distal end into the longitudinal channels 1208, 1212 to receive the stabilizing member 1240.

The stabilizing member 1240 may be a spring element that applies a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1202, 1204. A first end portion 1242 of the stabilizing member 1240 may be releasably interlaced with an opening 1205 of the first jaw member 1202. As further illustrated, the first end portion 1242 may be wrapped around an open distal end of the first jaw member and received in the opening 1205 such that a terminal end of the end portion 1242 may be received in a recessed portion of the first longitudinal slot 1208. A second end portion 1242 may be slidably received in the second longitudinal channel 1212 and have a hooked end to reduce friction between the stabilizing member 1240 and the second jaw member 1204. After use, the stabilizing member 1240 may be released by pulling the first end portion 1242 out of the opening 1205, in order to be removed and/or disposed of. The stabilizing member 1240 may include first and second longitudinal walls 1246 having a cavity configured to receive the proximal portion of the surgical clip 200 and to reduce lateral movement of the surgical clip 200. Bends 1248, 1249 of the flexible element 1240 may allow the flexible element 1240 to compress as the clip applier 1200 compresses. The second portion 1242 may be configured to slide along the second jaw member 1204, and the first and/or second longitudinal channels 1208, 1212 may receive the stabilizing member 1240 in a closed configuration.

FIG. 13A-D illustrate a clip applier 1300 having a stabilizing member 1340 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 1300 may have a first jaw member 1302 and a second jaw member 1304 pivotably coupled at a hinge member (not shown). The first and second jaw members 1302, 1304 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 1302, 1304 may include at least one recess 1318 at a distal portion and the stabilizing member 1340 proximal of the at least one recess 1318. A first longitudinal channel 1308 may extend through an inner portion of the first jaw member 1302, separating the first jaw member 1302 into a pair of first extensions 1310. A second longitudinal channel 1312 may extend through an inner portion of the second jaw member 1304, separating the second jaw member 1304 into a pair of second extensions (not labeled). Each of the extensions 1310 may have a recess 1318 configured to receive opposing boss members 216, and each of the longitudinal channels 1308, 1312 may be configured to receive a portion of the surgical clip 200. Each of the first and second jaw members 1302, 1304 may have an open distal end into the longitudinal channels 1308, 1312 to receive the stabilizing member 1340.

The stabilizing member 1340 may be a spring element that applies a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1302, 1304. A first end portion 1342 be slidably received in the second longitudinal channel 1308 and have a hooked end to reduce friction between the stabilizing member 1340 and the first jaw member 1304. A second end portion 1342 of the stabilizing member 1340 may be releasably secured into an opening 1305 of the second jaw member 1304, where the second end portion 1342 may slide longitudinally in the opening 1305. The stabilizing member 1340 may be inserted into the first and second jaw members 1302, 1304 by feeding the second end portion 1342 through the open distal end of the second leg member and into the opening 1305. The stabilizing member 1340 may then be rotating into place. After use, the stabilizing member 1340 may be released by pulling the first end portion 1342 out of the opening 1305, in order to be removed and/or disposed of. The stabilizing member 1340 may include first and second longitudinal walls 1346 having a cavity configured to receive the proximal portion of the surgical clip 200 and to reduce lateral movement of the surgical clip 200. Bends 1348 of the flexible element 1240 allow the flexible element 1340 to compress as the clip applier 1300 compresses. The first end portion 1342 may be configured to slide along the second jaw member 1304, and the first and/or second longitudinal channels 1308, 1312 may receive the stabilizing member 1240 in a closed configuration.

FIG. 14A-B illustrate a clip applier 1400 having one or more stabilizing members 1440 and loaded with a surgical clip 200 in an open configuration. As illustrated, the clip applier 1400 may have a first jaw member 1402 and a second jaw member 1404 pivotably coupled at a hinge member (not shown). The first and second jaw members 1402, 1404 may be configured to compress the surgical clip 200 onto tissue, for example, to ligate a blood vessel.

As further illustrated, the first and second jaw members 1402, 1434 may include at least one engagement member 1416 at a distal portion and the one or more stabilizing members 1440 proximal of the at least engagement member 1416. A first longitudinal channel 1408 may extend through an inner portion of the first jaw member 1402, separating the first jaw member 1402 into a pair of first extensions (not labeled). A second longitudinal channel 1412 may extend through an inner portion of the second jaw member 1404, separating the second jaw member 1404 into a pair of second extensions (not labeled). The engagement members 1416 may be positioned in the longitudinal channels 1408, 1412, and each of the longitudinal channels 1408, 1412 may be configured to receive a portion of the surgical clip 200. The engagement members 1416 may be configured to engage the engagement members 214 as the surgical clip is pushed forward by the stabilizing member 1440. Each of the first and second jaw members 1402, 1404 may have an open distal end into the longitudinal channels 1408, 1412 to receive the stabilizing members 1440.

FIG. 14A illustrates an embodiment of the clip applier 1400 having a first stabilizing member 1440, and FIG. 14B illustrates an embodiment of the clip applier having first and second stabilizing members 1440. The stabilizing members 1440 may be spring elements that apply a distal force to the surgical clip 200 to retain the surgical clip 200 between the jaw members 1402, 1404. A first end portion 1442 for the first stabilizing member 1440 may be received in an opening 1405 of the first jaw member 1402, and a second end portion 1442 of the first stabilizing member 1440 may be pivotable received in the first jaw member. A first end portion 1442 for the second stabilizing member 1440 may be received in an opening 1405 of the second jaw member 1402, and a second end portion 1442 of the second stabilizing member 1440 may be pivotable received in the second jaw member. The flexible elements 1440 may be configured to compress as the clip applier 1400 compresses the surgical clip 200, and the flexible elements 1440 may be received in the first and/or second longitudinal channels 1408, 1412 in a closed configuration. For example, in the embodiment of FIG. 14B, the first stabilizing member 1440 may be received in the first longitudinal channel 1408, and the second stabilizing member 1440 may be received in the second longitudinal channel 1412.

The various embodiments of the clip applier may therefore provide at least three-points of contact with the surgical clip. The clip applier may engage the distal portion of the surgical clip, and the clip applier may laterally align the surgical clip by receiving the proximal portion of the surgical clip in the cavity of the stabilizing member. The stabilizing member may pivot and/or compress as the surgical clip is compressed by the clip applier. The stabilizing member may also nest one or more longitudinal channels of jaw members of the surgical clip as the stabilizing member pivots and/or compresses.

The various embodiments of the surgical clip 200 of the present disclosure may be made of any suitable size and may be applied to any number of tissues, such as blood vessels, lymph nodes, nerves, fallopian tubes, or cardiac tissue. The surgical clip 200 may be constructed from any suitable biocompatible material, such as certain metals and polymers. However, the present invention is particularly suitable for practice with polymeric clips. Thus, the surgical clip 200 preferably has a one-piece integral polymeric body formed from a suitable strong biocompatible engineering plastic such as the type commonly used for surgical implants. Exemplary materials include homopolymer or co-polymer polyacetal, polyethylene terephthalate (PET), polybutylene terephthalate (PBT), polyoxymethylene, or other thermoplastic materials having similar properties that can be injection-molded, extruded or otherwise processed into like articles.

The many features and advantages of the invention are apparent from the detailed specification, and thus, it is intended by the appended claims to cover all such features and advantages of the invention which fall within the true spirit and scope of the invention. Further, since numerous modifications and variations will readily occur to those skilled in the art, it is not desired to limit the invention to the exact construction and operation illustrated and described, and accordingly, all suitable modifications and equivalents may be resorted to, falling within the scope of the invention.

	Number	Date	Country
Parent	15927885	Mar 2018	US
Child	18088368		US

FLEXIBLE STABILIZING MEMBER FOR A CLIP APPLIER

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