Harry Maryan designed the “improved bloodless circumcision clamp”, a combination of the Tibone and Gomco techniques. It had a baseplate with 3 different-sized apertures, 3 different-sized bells with screw thread tops, an inverted U-shaped yoke, a washer and a nut to tighten the clamp. With all these parts, the clamp was difficult to assemble, although effective. The aperture in the yoke was in the center of the inverted U, instead of in the open ends, allowing the arms to interfere with the maneuverability of the operator. It had all the disadvantages of the Tibone and Gomco clamps.

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