Ethicon Ligaclip Multiple Clip Applier (MCA)
Pack Sizes Available
Product Description
Technical Specifications
- Clip Material: Titanium — non-ferromagnetic, MRI-compatible, radiopaque
- Clip Loading: Preloaded: 20 clips (MCS20, MSM20, MCM20, MCL20); 30 clips (MCM30)
- Clip Advance: Automatic clip-advance on full handle release — no manual reloading between clips
- Available Models: MCS20 (Small), MSM20 (Medium, 9.375"), MCM20/MCM30 (Medium, 11"), MCL20 (Large, 13")
- Pack Size: 6 units per box
- Application: Open surgery — vessel and duct ligation; not for laparoscopic use (see endoscopic ER/LIGAMAX range)
Frequently asked questions
The Ligaclip MCA uses a spring-driven clip advance mechanism inside the applier body. After a clip is applied and the handles are fully released, a spring within the handle mechanism advances the clip magazine forward, positioning the next clip in the jaw loading position automatically. This eliminates the need for manual reloading between clip applications and allows continuous, rapid sequential ligation during procedures where multiple vessels are ligated in sequence — such as mesenteric vessel ligation in bowel resection.
Ligaclip ligating clips are made from commercially pure titanium. Titanium is non-ferromagnetic, which means Ligaclip clips are MRI-compatible and do not produce significant metallic artifact on MRI or CT imaging. Titanium clips are also resistant to corrosion in vivo, tissue-compatible with minimal foreign body reaction, and retain their formed shape after application without the risk of gradual deformation. They are radiopaque on fluoroscopy, which allows their position to be confirmed radiographically when needed.
The clip applier jaws are positioned so that the vessel runs perpendicular through the centre of the open jaw. The tissue being ligated must be visualised completely through the jaw before squeezing — partial jaw closure over tissue outside the intended ligation site causes inadvertent clip placement. The handles are squeezed in one smooth, complete motion until they are fully together. A partial squeeze can result in an incompletely formed clip that does not achieve complete vessel occlusion. After full closure, the handles are fully released to advance the next clip.
Clip size selection is based on the diameter and wall thickness of the tissue being ligated. The clip should be larger than the tissue being ligated, allowing the formed clip to compress the vessel walls together completely. A clip that is too small for the vessel will not close completely, leaving an open ligation that can fail. A clip that is too large will not apply adequate compression force for reliable occlusion. Small clips are used for vessels under approximately 3mm, medium clips for 3-5mm vessels, medium/large for larger mesenteric or pelvic vessels, and large for substantial vessels approaching the 10mm range.
The Ligaclip MCA range described here — MCS20, MSM20, MCM20, MCM30, MCL20 — are designed for use in open surgical procedures. The applier handles are not designed for passage through a trocar port. Ethicon manufactures a separate range of laparoscopic Ligaclip appliers for endoscopic use: the LIGACLIP Endoscopic Rotating Multiple Clip Applier (ER320/ER420) with 10mm or 12mm shaft diameter, and the LIGAMAX 5 Multi-fire laparoscopic clip applier with 5mm diameter shaft. Confirm the intended surgical approach before ordering.
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