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JKSPE : Journal of the Korean Society for Precision Engineering

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"Ligation clip"

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Structural Analysis of a Cylindrical Superelastic Shape Memory Alloy Ligation Clip
Sang Wook Lee, Jae Hoon Kim, Jae Sung Cha, Ji Hoon Kang
J. Korean Soc. Precis. Eng. 2025;42(11):959-964.
Published online November 1, 2025
DOI: https://doi.org/10.7736/JKSPE.025.083

This study outlines a structural design process for a cylindrical superelastic shape memory alloy (SMA) ligation clip. Although polymer-based clips are widely used, they face challenges related to long-term stability and limited radiopacity, highlighting the necessity for metal clips. By systematically modifying two key design variables—the hole offset ratio and the cut-off ratio—the proposed clip effectively reduces excessive stress concentration and enhances superelastic behavior. Finite element analyses indicate that the stress deviation in the two cross-sectional deformation regions decreased by 83.9%, and the martensitic transformation remained confined to a small area, demonstrating robust strain recovery within the superelastic range. In conclusion, the improved SMA clip successfully withstood internal pressures exceeding 15 psi without leakage, showcasing its superior ligation performance and potential for durable, reliable use in minimally invasive surgical procedures.

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Article
Analysis of Stiffness Factors of Polymeric Ligation Clip
Gu Han Jeong, Jong Seo Na, Si Woo Lee, Sang Wook Lee
J. Korean Soc. Precis. Eng. 2024;41(6):417-421.
Published online June 1, 2024
DOI: https://doi.org/10.7736/JKSPE.024.004
With the increasing frequency of laparoscopic surgery, interest in the application of polymeric ligation clips as a method for ligating blood vessels has grown. Automatic clip appliers with built-in polymeric ligation clips have been developed to reduce ligation time. As the built-in clip is loaded into the jaw of the applier for ligation, a high spring constant, the elastic property of the clip is required to load properly. As the built-in clip loses its elastic properties due to stress relaxation over time, a polymeric ligation clip with a high spring constant is needed to increase the shelf life of the applier. In this study, four design factors of the cavity at the clip hinge (length, width, eccentricity, and angle of the cavity) were derived and applied to the Taguchi optimization method using finite element analysis to evaluate which factor was critical. The four design factors explained 93.5% of the variation in the spring constant. The factors related to cavity width and eccentricity were significant at p<0.05. Cavity width was the most crucial factor, explaining 70.8% of the variation in the spring constant. The spring constant of the improved clip model increased by 55.4% compared with the existing model.
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