The Premium Surgiclip II clip applier can be used in many types of surgical procedures to occlude vessels and other tubular structures and for vagotomy, sympathectomy and radiographic markings. The Premium Surgiclip II clip applier is comprised of a body with attached handles and an applier shaft with an integrated cartridge containing 20 or 30 titanium clips. The instrument includes a selcetable ratchet function, which provides control of the closing sequence when ON. The clip will not be released from the jaw until the device is fully cycled. Once completed, the handles will then return to their original position and a new clip will be automatically fed into the jaw. When the ratchet is in the OFF position, the closing sequence is fully manual. Relaxation of pressure on the device handles at any time in the closing sequence will result in the clip being released from the jaw.