A surgical clip having a sliding state and a crimped state is adapted for use in a surgical procedure initially to slide along suture ends to an operative position and ultimately to crimp the suture ends at the operative position. a sub straight, bendable between the sliding state and the crimped state carries at least one coating having either lubricious or traction enhancing properties. A second coating can be added to form a coating laminate with the outer coating having lubricious properties facilitating the sliding state and the inner coating having traction enhancing properties facilitating thee crimped state.
1. A surgical combination, including:
a pair of suture ends formed of a first material;
a clip having a sliding state facilitating a sliding relationship with the suture ends to an operative position, and a crimped state facilitating a fixed relationship with the suture ends at the operative position;
a coating forming a barrier to inhibit contact between the suture ends and the clip and a second coefficient of friction associated with the coating is less than a first coefficient of friction associated with the clip in order to facilitate the sliding relationship between the suture ends and the clip in the sliding state;
wherein the coating is a first layer and the coating further comprises:
a second layer having a third coefficient of friction associated with the second layer, the third coefficient of friction being greater than both the first coefficient of friction associated with the clip and the second coefficient of friction associated with the first layer.
2. The surgical combination recited in claim 1 wherein the second layer is disposed between the first layer and the clip.
3. The surgical combination recited in claim 1 wherein the first material of the suture ends is resorbable.
4. A method for applying a surgical clip to a pair of suture ends formed of a first material, the method comprising the steps of:
providing the surgical clip with a substrate having a first coefficient of friction with the first material of the suture ends and a coating on the substrate, the coating including a first layer of a third material carried by the substrate, the first layer having a second coefficient of friction with the first material greater than the first coefficient of friction, and a second layer carried by the first layer, the second layer having a third coefficient of friction with the first material of the suture ends less than the second coefficient of friction associated with the first layer;
sliding the clip along the suture ends to an operative position;
during the sliding step, contacting the suture ends with the second layer of the coating to facilitate the sliding step with the lesser third coefficient of friction;
moving the substrate relative to the suture ends to maintain the suture ends in a fixed relationship at the operative site; and
during the moving step, contacting the suture ends with the first layer of the coating to facilitate the fixed relationship with the greater second coefficient of friction.
5. The method recited in claim 4 wherein the moving step includes the step of bending the substrate relative to the suture ends.
6. The method recited in claim 5 wherein the bending step includes the step of crimping the surgical clip around the suture ends at the operative site.
7. The method recited in claim 4 wherein, prior to the end of the bending step, the method further comprises the step of:
penetrating the second layer of the coating with the suture ends to bring the suture ends in to contact with the first layer of the coating.