Wide hemostasis clip

Abstract

A device for treating tissue includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, the capsule releasably coupled to a proximal portion of the device and clip jaws, proximal ends of which are slidably received within the channel of the capsule so that the clip jaws are movable between an open configuration and a closed configuration. Clip jaws are configured so that a distance between the distal ends of the clip jaws in an open configuration is between 15 and 18 millimeters. Clip jaws further include barbs extending from a distal portion thereof.

1 - 35 . (canceled) 
     
     
         36 . A device for treating a tissue, comprising:
 a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough;   first and second clip jaws, proximal ends of which are slidably received within the channel of the capsule so that the first and second clip jaws are movable between an open configuration, in which distal ends of the first and second clip jaws extend distally past the distal end of the capsule to be separated from one another, and a closed configuration, in which the first and second clip jaws are restrained via an interior surface of the capsule so that distal ends of the first and second clips jaws are drawn toward one another, a distance between distal ends of the first and second clip jaws in the open configuration being between 15 and 20 millimeters, each of the first and second clip jaws including lateral wings extending from lateral edges thereof toward the wings of the other of the first and second clip jaws; and   a first projection extending from a distal portion of a first one of the lateral wings of the first clip jaw inward toward the second clip jaw radially inward beyond a projection of the first lateral wing of the first clip jaw.   
     
     
         37 . The device of  claim 36 , wherein the first and second clip jaws are formed of a material having a yield strength between 200 and 260 ksi or a yield strain between 0.7 and 1.1 percent. 
     
     
         38 . The device of  claim 36 , wherein the first and second clip jaws are formed of 17-7 Stainless Steel. 
     
     
         39 . The device of  claim 36 , wherein the distance between distal ends of the first and second clip jaws in the open configuration is 16 millimeters. 
     
     
         40 . The device of  claim 36 , wherein the first distal portion of the clip jaws includes a stamped rib feature. 
     
     
         41 . The device of  claim 36 , further comprising a second projection extending from a distal portion of a second one of the lateral wings of the first clip jaw inward toward the second clip jaw radially inward beyond a projection of the second lateral wing of the first clip jaw. 
     
     
         42 . The device of  claim 41 , wherein the first lateral wing includes a plurality of first projections extending inward toward the second clip jaw radially inward beyond a projection of the first lateral wing of the first clip jaw and the second lateral wing includes a plurality of second projections extending from the second lateral wing of the first clip jaw inward toward the second clip jaw radially inward beyond a projection of the second lateral wing of the first clip jaw. 
     
     
         43 . The device of  claim 42 , wherein the first and second projections are formed on portions of the first clip jaw which, in the closed configuration, remain outside the capsule. 
     
     
         44 . The device of  claim 42 , further comprising a third projection extending from a distal portion of a third one of the lateral wings of the second clip jaw inward toward the first clip jaw radially inward beyond a projection of the third lateral wing. 
     
     
         45 . The device of  claim 44 , further comprising a plurality of third projections extending from a distal portion of a third one of the lateral wings of the second clip jaw inward toward the first clip jaw radially inward beyond a projection of the third lateral wing. 
     
     
         46 . A clipping device, comprising:
 a proximal portion;   a distal portion releasably coupled to the proximal portion so that the distal portion is deployable therefrom, the distal portion including:
 a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough; 
 first and second clip jaws, proximal ends of which are slidably received within the channel of the capsule so that the first and second clip jaws are movable between an open configuration, in which distal ends of the first and second clip jaws extend distally past the distal end of the capsule to be separated from one another, and a closed configuration, in which the first and second clip jaws are restrained via an interior surface of the capsule so that distal ends of the first and second clips jaws are drawn toward one another, a distance between distal ends of the first and second clip jaws in the open configuration being between 15 and 20 millimeters, each of the first and second clip jaws including lateral wings extending from lateral edges thereof toward the wings of the other of the first and second clip jaws; and 
 a first projection extending from a distal portion of a first one of the lateral wings of the first clip jaw inward toward the second clip jaw radially inward beyond a projection of the first lateral wing of the first clip jaw; and 
   a control member extending from a proximal end to a distal end, the distal end coupled to proximal ends of the first and second clip jaws.   
     
     
         47 . The device of  claim 46 , wherein the first and second clip jaws are formed of a material having a yield strength between 200 and 260 ksi or a yield strain between 0.7 and 1.1 percent. 
     
     
         48 . A method for treating target tissue, comprising:
 inserting a distal portion of a clipping device to a target area within a living body, the distal portion including a capsule and first and second clip jaws slidably received within the capsule to be movable between an open configuration, in which distal ends of the first and second clip jaws are separated from one another, and a closed configuration, in which the distal ends of the first and second clip jaws are drawn toward one another, the first and second clip jaws being configured so that, in the open configuration, a distance between distal ends of the first and second clip jaws is between 15 and 20 millimeters, and each of the first and second clip jaws including lateral wings extending from lateral edges thereof toward the wings of the other of the first and second clip jaws and a first projection extending from a distal portion of a first one of the lateral wings of the first clip jaw inward toward the second clip jaw radially inward beyond a projection of the first lateral wing of the first clip jaw;   positioning the first and second clip jaws in contact with target tissue within a living body; and   clipping the target tissue by positioning the target tissue between the first and second clip jaws in the open configuration and drawing the first and second clip jaws toward the closed configuration to grip the target tissue.   
     
     
         49 . The method of  claim 48 , wherein positioning the first and second clip jaws in contact with the target tissue includes gripping the target tissue with the first projection. 
     
     
         50 . The method of  claim 49 , wherein the clipping device includes a control member extending from a proximal end which remains outside the living body accessible to a user to a distal end coupled to proximal ends of the first and second clip jaws.