Apparatus for applying hemostatic clips
An apparatus includes a hemostatic clip assembly including at least one hemostatic clip, a first one of the at least one hemostatic clips having a tissue clamp movable between a tissue receiving configuration and a tissue clamping configuration and a deployment mechanism deploying a distal most one of the clips onto target tissue and a cautery apparatus applying energy to the distal most one of the clips to cauterize the target tissue.
1. An apparatus, comprising:
a hemostatic clip assembly comprising a plurality of hemostatic clips, a first one of the hemostatic clips having a tissue clamp movable between a tissue receiving configuration and a tissue clamping configuration, each of the hemostatic clips including an insulating layer along an inner surface for conductive isolation from other hemostatic clips;
a magazine receiving the hemostatic clips in a chain therein, with each clip coupling to an adjacent clip;
a deployment mechanism deploying a distal most one of the clips onto target tissue, the distal most one of the clips remaining on the chain until deployment; and
a cautery apparatus heating only the distal most one of the clips to cauterize the target tissue.
2. The apparatus according to claim 1 , wherein the cautery apparatus comprises an electric element transmitting electric energy to the distal most clip.
3. The apparatus according to claim 1 , wherein the deployment mechanism is coupled to a user operated actuator commanding deployment of the distal most clip.
4. The apparatus according to claim 1 , wherein the cautery element operates concurrently with the deployment mechanism to provide combination therapy.
5. The apparatus according to claim 1 , wherein the electric element extends through the magazine to couple to the distal most clip.
6. A device, comprising:
a mechanical compression element deploying a hemostatic clip onto target tissue, the hemostatic clip including an insulating layer along an inner surface for conductive isolation from a further proximally disposed hemostatic clip;
a magazine containing therein the hemostatic clip and a plurality of further hemostatic clips arranged in a chain, the hemostatic clip coupling to an adjacent further hemostatic clip and remaining on the chain until deployment; and
a heating mechanism heating only the hemostatic clip to cauterize the target tissue.
7. The device according to claim 6 , wherein the heating mechanism includes a conductor supplying electric energy to the hemostatic clip.
8. The device according to claim 6 , wherein the heating mechanism includes a conductor extending through a wall of the magazine to a location adjacent to a distal most one of the clips.
9. The device according to claim 6 , further comprising a shaft housing the mechanical compression element, the heating element, and the heated hemostatic clip, the shaft being dimensioned to fit through a working channel of an endoscope.