Cinch ligating assembly

A device and assembly for ligating a target tissue to restrict blood flow to the tissue, where the device is a ligating device that is irreversibly tightened by a cinch component. The device further has a hook to hold the ligating element on a delivery tool. The ligating element can be a continuous loop or can be a clip and can be repositionable until the cinch is used to tighten it. The cinch holds the ligating device on the loop while being positioned, and then secures the ligating device once it is positioned around target tissue to which a user desires to restrict blood flow. A method of using the assembly includes an actuator assembly, drive wire, and pusher element to manipulate the ligating device and cinch component.