A
surgical staple-clip including a clip component and a securing member is used in a wide range of
surgical procedures. The staple-clip may be introduced to a
surgical site in an un-assembled condition through a small port or trocar. An applier for the staple-clip comprising a pair of opposed jaw-like channels is provided to position and apply the clip component and the securing member. The clip component is positioned around a
target tissue and is compressed or clamped upon the tissue using only the force required for a specific surgical procedure such as
occlusion,
ligation or fixation. When the clip component is properly applied, the securing member is urged forward and over the clip component to secure the staple-clip. The clip component may include traction enhancement features such as surface interruptions, bumps, valleys and ridges. With the staple-clip of the invention, the force required to constrict or occlude the tissue is separate from the force required to secure and maintain the staple-clip in position and, as a result, the
body tissue is not over-compressed and nourishment to the
body tissue is maintained. Other aspects of the invention include
thumb actuated clip appliers for use in hand assisted
laparoscopy (HAL). In one embodiment, a clip applier includes a
handle and a
thumb actuated mechanism that is used to slidably release clips onto a
body tissue or vessel by sliding the
thumb actuated mechanism forward and backward using only one hand. In another aspect of the invention, a two-stage clip is disclosed having a clip component and a staple component for securing the clip after it has been properly positioned.