What is a Gold Hemoclip?

Polymer hemoclip or polymer ligating clip is a fast and efficient implant that is used by suitable applier (handpiece) in surgical site to control bleeding and block the vessels. This implant is also called hem-o-lok or ligating clip. These clips are produced in four different sizes, and we will focus on the extra large size in this article, which is called gold hemoclip.

Features

• Different sizes of appliers are used to place the clips with control and confidence.
• Audible and tactile feedback informs the surgeon of the secure connection of the hemoclip.
• When properly placed, hemoclip can provide adequate and reliable coagulation.
• This method is one of the minimally invasive methods of bleeding control and is considered an ideal option for use in general surgeries as well as laparoscopy.
• These clips reduce the complications caused by surgery, bleeding, and the risk of death and is considered as one of the effective methods to control bleeding.
• Many techniques used to control bleeding, including thermal techniques (eg, the use of electrocautery and lasers) can cause necrosis and tissue damage. But, control bleeding with mechanical methods, such as the use of hemoclips, can be a suitable alternative to other techniques.

What materials are hemoclips made of?

In general, the hemclips can be made of stainless steel, titanium or polymer. AJP gold hemoclips are made of polymeric materials. Polymeric hemoclips are made of non-conductive and safe polymers that can be easily used to control bleeding.

The polymer used is biocompatible, whose presence in the body does not cause stimulation of immune response. Polymer ligating clip do not interfere with imaging systems and can be absorbable or non-absorbable. While some metal ligating clip will interfere with imaging systems such as CT or MRI.

Types of AJP hemoclips

According to different sizes, these can be divided into four types. The selection of different colors and sizes varies according to the type of surgery and the area under surgery.

 To learn about the types of hemoclips and their appliers, we suggest you watch the following video:

AJP polymer ligating clip

Asia Jarah Pishro Company offers gold polymer hemoclips with code 15304 for hemostasis and vascular bleeding control in laparoscopic surgery. Neutral, non-conductive, non-absorbable and flexible polymer materials have been used to prepare gold polymer ligating clip.

Key benefits

• Easy to use
• Possibility of closing vessels up to 10 mm
• Adjustable opening allows the necessary connection to the tissue
• It’ s made of a high quality medical-grade polymer
• No interference with MRI, CT, and X-RAY
• Rotatable (360°) applier provides complete control for precise placement of hemoclips.
• The presence of grooves and ridges in the body of the clip makes it firmly connected to the tissue.
• These can be removed when necessary.
• Using this product in the short or long term is safe and does not cause tissue damage, sensitivity, and immune responses.
• Hemoclips are completely sterilized with ethylene oxide gas and do not infect the body.

Applications of polymer ligating clip

As previously mentioned, the use of hem-o-lok is an effective and safe method to control bleeding in open and laparoscopic surgeries. For example, these can be used to control bleeding in gastrointestinal surgeries (stomach, duodenum, esophagus, rectum, etc), liver, spleen, uterus, kidney and urinary tract, chest, varicose veins, tumors, etc.

How to use polymer ligating clip?

After finding the bleeding point, we remove the hemoclip from the package and raise it from the base using a suitable applier. The hemoclip is placed on the injured vessel in the desired direction using an applier and closed. We do it on both sides of the vessels to block the blood flow back and forth.

To see how to use hem-o-lok, watch the video below:

Why do surgeons use hemoclips?

Blocking vessels with hemoclips has several advantages, some of which are mentioned below:

• Simplicity and easy access
• Low cost
• Repeatability
• Minimal damage to the target site
• Low side effects
• Saving time
• There is no possibility of heat leakage to other vital parts of the body, which is a common concern of many surgeons when using energy-based coagulation methods.
• Non-interference with imaging systems, including X-ray imaging, CT scanning, and MRI.

Disadvantages and risks

Many factors such as age, location of the lesion, the physical condition of the patient, and experience of the physician are related to the function of the hemoclips. There are a few challenges in using polymer ligating clip.

• Difficult placement is one of these challenges. However, this problem will be solved only by getting familiar with the tool and how to use it. Surgeons and their assistants must be well-trained and experienced to use these clips. These experiences minimize the possibility of direct damage to the vessel or the opening of the clip in the body.
• The next challenge is the possibility of breaking the hem-o-loks. Using standard materials and optimum design can solve this problem. It is also important to select the right size of the clip for the injured vessel.

Durability of hemoclip in the body

Hemoclip duration in the body depending on the type of product can be a few months or permanent. If it is absorbable, it will be absorbed in a few months, and if it is not absorbable, it will remain in the body for life.

Warning for use polymer ligating clip

• Keep dry
• Use only one
• After using several clips, the rest of the clips are discarded
• Don’t use it when the package has been opened or damaged