BRIEF DESCRIPTION OF THE DRAWINGS
The present invention will be more fully understood and its features and advantages will become apparent to those skilled in the art by reference to the ensuing description, taken in conjunction with the accompanying drawings, in which:
FIG. 1A is an overall isometric view of an endoscopic system constructed according to the present invention;
FIG. 1B is an enlarged view of the distal end of the endoscopic system shown in FIG. 1A;
FIG. 1C is an enlarged view of the proximal end of the endoscopic system shown in FIG. 1A;
FIG. 2 shows an isometric view of the compression clip constructed according to a first embodiment in its closed position;
FIGS. 3A and 3B show isometric top and bottom views of the compression clip shown in FIG. 2 in its open position;
FIGS. 4A, 4B and 4C show isometric views of different configurations of spring elements constructed according to various embodiments of the present invention;
FIG. 5 is an isometric view of a clip applier constructed according to one embodiment of the present invention, the applier in its closed position;
FIG. 6 is an isometric view of the clip applier in FIG. 5, the applier in its open position;
FIG. 7 is an isometric view of the clip applier in FIG. 5 without its base element, the applier in its open position;
FIG. 8 is an isometric view of the clip applier of FIG. 5 used to position the clip in FIG. 2, the clip being attached to the applier and in its closed position;
FIG. 9 is an isometric view of a clip applier used to position the clip in FIG. 2, the clip being attached to the applier and in its open position;
FIG. 10 is an isometric view of a clip applier constructed according to a second embodiment of the present invention, the applier in its closed position;
FIG. 11 is an isometric view of the clip applier in FIG. 10, the applier in its open position;
FIG. 12 is an isometric view of the clip applier of FIG. 10, attached to a clip constructed as in FIG. 2, the clip being attached to the applier and in its closed position;
FIG. 13 is an isometric view of the clip applier of FIG. 10, attached to a clip constructed as in FIG. 2, the clip being attached to the applier and in its open position;
FIGS. 14 and 15 show isometric views of a second embodiment of a surgical compression clip constructed according to the present invention, wherein FIG. 14 and FIG. 15 show the clip in its closed and open positions, respectively;
FIG. 16 shows an exploded view of the clip in FIGS. 14 and 15;
FIGS. 17 and 18 show isometric partially cut-away views of the compression clip shown in FIGS. 14 and 15, respectively;
FIGS. 19 and 20 show isometric views of a clip applier used with the clip shown in FIGS. 14-18, FIG. 19 showing the applier engaged to the clip and FIG. 20 disengaged from the clip;
FIG. 21 shows an isometric view of the applier in FIGS. 19 and 20;
FIG. 22 shows a partially exploded view of the applier in FIGS. 19 and 20;
FIG. 23 shows a cross-sectional view of the applier shown in FIGS. 19 and 20;
FIG. 24A shows an exploded view of a third embodiment of a compression clip constructed according to the present invention;
FIG. 24B shows an isometric partially cut-away view of the clip shown in FIG. 24A;
FIGS. 25A and 25B are an isometric top and bottom view of a clip constructed according to a fourth embodiment of the present invention, the clip being in its closed position;
FIGS. 26A and 26B are an isometric top and bottom view of a clip constructed according to the embodiment of FIGS. 25A and 25B, the clip being in its open position;
FIGS. 27A and 27B are isometric views of a clip applier constructed according to another embodiment of the present invention, the applier shown in its closed and open position, respectively;
FIGS. 27C and 27D are cross-sectional views of the clip applier shown in FIGS. 27A and 27B, the applier shown in its closed and open position, respectively;
FIGS. 28A and 28B are isometric views of the clip applier shown in FIGS. 27A and 27B constructed in its closed and open position, respectively, when attached to and operating the clip shown in FIGS. 25A-26B;
FIG. 29 is an exploded view of another embodiment of a clip applier for use with the clips in the specification herein;
FIGS. 30A and 30B are isometric views of the clip applier shown in FIG. 29 in its closed and open position, respectively;
FIG. 30C is a revealed inner view of FIG. 30B;
FIG. 31A is a cross-sectional view of a surgical compression clip constructed according to a fifth clip embodiment of the present invention, the clip being in its open position and attached to its associated applier;
FIG. 31B is an enlarged view of a portion of the distal end of the clip shown in FIG. 31A;
FIGS. 32 and 33 are different partially exploded views of the surgical compression clip and applier in FIG. 31A;
FIG. 34 shows different views of the shape memory spring element of the clip in FIG. 31A;
FIG. 35 shows different views of the latch arm of the clip presented in FIG. 31A;
FIG. 36 shows an isometric view of the clip's spring element at the hinge region of the clip shown in FIG. 31A;
FIG. 37 shows an isometric front side view of the clip in FIG. 31A, the clip in its open position;
FIGS. 38 and 39 show different views of the clip in FIG. 31A where the wire of the clip has been drawn taut;
FIG. 40 shows an enlarged view of the clip shown in FIG. 31A including the clip's distal end and its locking process;
FIG. 41 shows an enlarged cross-sectional view of the distal end of the clip shown in FIG. 31A, the clip in its latched position;
FIGS. 42 and 43 show additional enlarged views of the distal end of the clip shown in FIG. 31A, the clip being in its closed position;
FIG. 44 shows an isometric view of the clip shown in FIG. 31A, the clip in its closed position and ready for insertion into a clip applier;
FIG. 45 shows an endoscope prior to insertion into a multi-lumen sleeve;
FIG. 46 shows the endoscope of FIG. 45 being inserted into a multi-lumen sleeve;
FIG. 47A shows the endoscope after insertion into the multi-lumen sleeve;
FIG. 47B shows an enlarged view of the distal end of the endoscope in FIG. 47A;
FIG. 48 shows the sleeve-encased endoscope as it approaches a polyp in the gastrointestinal tract;
FIG. 49 shows a view of a surgical clip attached to an applier being advanced to the site of the polyp through a secondary lumen of the sleeve;
FIG. 50 shows a top side view of the surgical clip attached to an applier being positioned proximate to the polyp;
FIG. 51 shows a top side view of a surgical clip and applier positioned proximate to a polyp and a grasper assembly being positioned proximate to the polyp after advancing through a working channel of the endoscope;
FIG. 52 shows a top side view of the opened clip proximate to the polyp;
FIG. 53 shows a top view of the grasper of the grasper assembly beginning to pull the polyp through the opened clip shown in FIG. 52;
FIG. 54 shows a top side view of the grasper of the grasper assembly grasping the polyp;
FIG. 55 shows a top side view of the grasper continuing to pull the polyp through the opened surgical clip;
FIG. 56 shows a top side view of the grasper and grasper transporting element rotating and wrapping the pulled polyp around the grasper transporting element;
FIG. 57 shows a cross-sectional view along line AA′ of FIG. 56 of the grasper and grasper transporting element rotating and wrapping the pulled polyp around the grasper transporting element;
FIG. 58 shows a top side view of the surgical clip closing around the wrapped polyp;
FIG. 59 shows a top side view of the closed surgical clip and polyp without the applier that has been withdrawn through a secondary lumen from the region of the resected polyp;
FIG. 60 shows a top side view of the closed surgical clip and polyp with a severing device approaching the rotated polyp for severing;
FIG. 61 shows a top side view of the tissue held by the clip at the resection site; and
FIGS. 62A and 62B show two side views of the tissue held by the clip at the resection site.
Patent Application
20070213747
