STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS

• US 20080210738A1
• Filed: 02/28/2008
• Published: 09/04/2008
• Est. Priority Date: 08/31/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hall, Steven G., Morgan, Jerome R., Hess, Christopher J., Murray, Michael A., Powell, Darrel M., Shelton, Frederick E., Weisenburgh, William B.
• Granted Patent: US 7,934,630 B2
• Time in Patent Office: Days
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00929 isolating electrical current
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07278 : characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/034 : abutting on parts of the device itself
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter

Abstract

A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.

Claims

1. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a crown comprised of a dissolvable material;

a first deformable member; and

a second deformable member, said crown connecting said first member and said second member when said crown is undissolved, said first member being unconnected to said second member after said crown has been dissolved;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver is driven toward the anvil when the anvil is in the closed position, said first staple driver defining a first staple support cradle therein for supporting said first staple thereon, said first staple support cradle located a first staple forming distance from a corresponding portion of the closed anvil;

a second staple; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the anvil when the anvil is in the closed position, said second staple driver defining a second staple support cradle therein for supporting said second staple thereon, said second staple support cradle located a second staple forming distance from another portion of the closed anvil, wherein said second staple forming distance differs from said first staple forming distance.

2. The staple cartridge of claim 1, wherein said second staple comprises:

a second crown comprised of a dissolvable material;

a first deformable member; and

a second deformable member, said second crown connecting said first member and said second member of said second staple when said second crown is undissolved, said first member being unconnected to said second member after said second crown has been dissolved.

3. The staple cartridge of claim 2, wherein said first deformable member of said first staple is the same length as said first deformable member of said second staple, and wherein said second deformable member of said first staple is the same length as said second deformable member of said second staple.

4. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a crown having a tissue-contacting surface; and

a deformable member extending from said crown, wherein said deformable member includes a cross-sectional width, and wherein said tissue-contacting surface is wider than said deformable member cross-sectional width;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver is driven toward the anvil when the anvil is in the closed position, said first staple driver defining a first staple support cradle therein for supporting said first staple thereon, said first staple support cradle located a first staple forming distance from a corresponding portion of the closed anvil;

a second staple; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the closed anvil when the anvil is in the closed position, said second staple driver defining a second staple support cradle therein for supporting said second staple thereon, said second staple support cradle located a second staple forming distance from another portion of the closed anvil, wherein said second staple forming distance differs from said first staple forming distance.

5. The staple cartridge of claim 4, wherein said second staple comprises:

a second crown having a second tissue-contacting surface; and

a second deformable member extending from said second crown, wherein said second deformable member includes a cross-sectional width, and wherein said second tissue-contacting surface is wider than said second deformable member cross-sectional width.

6. The staple cartridge of claim 5, wherein said deformable member of said first staple is the same length as said deformable member of said second staple.

7. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a base;

a deformable member extending from said base; and

a crown, wherein said base and said deformable member are slidable relative to said crown;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver is driven toward the anvil when the anvil is in the closed position, said first staple driver defining a first staple support cradle therein for supporting said first staple thereon, said first staple support cradle located a first staple forming distance from a corresponding portion of the closed anvil;

a second staple; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the anvil when the anvil is in the closed position, said second staple driver defining a second staple support cradle therein for supporting said second staple thereon, said second staple support cradle located a second staple forming distance from another portion of the closed anvil, wherein said second staple forming distance differs from said first staple forming distance.

8. The staple cartridge of claim 7, wherein said second staple comprises:

a second base;

a second deformable member extending from said second base; and

a second crown, wherein said second base and said second deformable member are slidable relative to said second crown.

9. The staple cartridge of claim 8, wherein said deformable member of said first staple is the same length as said deformable member of said second staple.

10. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a crown comprised of a dissolvable material;

a first deformable member having a first length; and

a second deformable member, said crown connecting said first member and said second member when said crown is undissolved, said first member being unconnected to said second member after said crown has been dissolved;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver and said first staple are driven toward the anvil when the anvil is in the closed position;

a second staple, comprising;

a first deformable member having a second length, wherein said second length is different than said first length; and

a second deformable member; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the anvil when the anvil is in the closed position.

11. The staple cartridge of claim 10, wherein said second staple further comprises a second crown comprised of a dissolvable material, said second crown connecting said first member and said second member of said second staple when said second crown is undissolved, said first member being unconnected to said second member of said second staple after said second crown has been dissolved.

12. The staple cartridge of claim 11, wherein said first staple driver is integrally-formed with said crown of said first staple, and wherein said second staple driver is integrally-formed with said second crown of said second staple.

13. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a crown having a tissue-contacting surface; and

a deformable member having a first length, wherein said deformable member includes a cross-sectional width, and wherein said tissue-contacting surface is wider than said deformable member cross-sectional width;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver and said first staple are driven toward the anvil when the anvil is in the closed position;

a second staple comprising a deformable member having a second length, wherein said first length differs from said second length; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the anvil when the anvil is in the closed position.

14. The staple cartridge of claim 13, wherein said second staple further comprises a second crown having a second tissue-contacting surface, wherein said second deformable member includes a cross-sectional width, and wherein said second tissue-contacting surface is wider than said second deformable member cross-sectional width.

15. The staple cartridge of claim 14, wherein said first staple driver is integrally-formed with said crown of said first staple, and wherein said second staple driver is integrally-formed with said crown of said second staple.

16. The staple cartridge of claim 13, wherein said first staple further comprises a second deformable member, wherein said crown is comprised of a dissolvable material, and wherein said crown is configured to connect said deformable members of said first staple when said crown is undissolved, said deformable members of said first staple being disconnected after said crown has been dissolved.

17. The staple cartridge of claim 16, wherein said first dissolvable material dissolves at a first rate, wherein said crown is further comprised of a second dissolvable material which dissolves at a second rate, and wherein said first rate is different than said second rate.

18. The staple cartridge of claim 16, wherein said crown includes a first portion having a first cross-section and a second portion having a second cross-section, and wherein said first cross-section is smaller than said second cross-section such that said first portion can dissolve away before said second portion.

19. The staple cartridge of claim 16, wherein said crown includes at least one score mark or at least one groove for reducing the cross-sectional thickness of said crown.

20. The staple cartridge of claim 16, wherein said crown is comprised of a dissolvable material.

21. The staple cartridge of claim 16, wherein said crown is comprised of a material which is both expandable and dissolvable.

22. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a base;

a deformable member having a first length; and

a crown, wherein said base and said deformable member are slidable relative to said crown;

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver and said first staple are driven toward the anvil when the anvil is in the closed position;

a second staple comprising a deformable member having a second length, wherein said first length differs from said second length; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver is driven toward the anvil when the anvil is in the closed position.

23. The staple cartridge of claim 22, wherein said second staple further comprises:

a second base; and

a second crown, wherein said second base and said second deformable member are slidable relative to said second crown.

24. The staple cartridge of claim 23, wherein said first staple driver is integrally-formed with said crown of said first staple, and wherein said second staple driver is integrally-formed with said second crown of said second staple.

25. A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions, said staple cartridge comprising:

a cartridge body supportable within the stapling device for selective confronting relationship with the anvil portion thereof when in a closed position, said cartridge body configured to receive the actuator therein;

a first staple, comprising;

a first crown having a first bottom surface and a first tissue-contacting surface, wherein said first bottom surface is configured to receive a force thereto to move said first staple toward the anvil, and wherein said first bottom surface and said first tissue-contacting surface define a first distance therebetween; and

a first deformable member extending from said first crown; and

a second staple, comprising;

a second crown having a second bottom surface and a second tissue-contacting surface, wherein said second bottom surface is configured to receive a force thereto to move said second staple toward the anvil, wherein said second bottom surface and said second tissue-contacting surface define a second distance therebetween, and wherein said first distance differs from said second distance; and

a second deformable member extending from said second crown.

26. The staple cartridge of claim 25, further comprising:

a first staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said first staple driver and said first staple are driven toward the anvil when the anvil is in the closed position; and

a second staple driver movably supported within said cartridge body for contact by the actuator such that, as the actuator is advanced through said cartridge body, said second staple driver and said second staple are driven toward the anvil when the anvil is in the closed position.

27. The staple cartridge of claim 26, wherein said first staple driver is integrally-formed with said first staple, and wherein said second staple driver is integrally-formed with said second staple.

28. The staple cartridge of claim 25, wherein said first crown of said first staple and said second crown of said second staple are comprised of a bio-absorbable material.

29. The staple cartridge of claim 25, wherein said first deformable member includes a cross-sectional width, and wherein said first tissue-contacting surface is wider than said first deformable member cross-sectional width.

30. A staple cartridge for use with a stapling device, said staple cartridge comprising:

a cartridge body;

a row of first staples supported within said cartridge body, wherein each said first staple comprises;

a first crown having a first tissue-contacting surface; and

a first deformable member extending from said first crown, wherein said first deformable member includes a cross-sectional width, and wherein said first tissue-contacting surface is wider than said first deformable member cross-sectional width;

first deforming means for deforming said first staples to a height within a first height range;

a row of second staples supported within said cartridge body, wherein each said second staple comprises;

a second crown having a second tissue-contacting surface; and

a second deformable member extending from said second crown, wherein said second deformable member includes a cross-sectional width, and wherein said second tissue-contacting surface is wider than said second deformable member cross-sectional width; and

second deforming means for deforming said second staples to a height within a second height range, wherein said first height range is different than said second height range.

31. The staple cartridge of claim 30, wherein said staple cartridge further comprises:

a row of third staples supported within the staple cartridge, wherein each said third staple comprises;

a third crown having a third tissue-contacting surface;

a third deformable member extending from said third crown, wherein said third deformable member includes a cross-sectional width, and wherein said third tissue-contacting surface is wider than said third deformable member cross-sectional width; and

third deforming means for deforming said third staples to a height within a third height range, wherein said third height range is different than said first height range and said second height range.

32. The staple cartridge of claim 30, wherein said first crowns of said first staples are dissolvable.

33. The staple cartridge of claim 30, wherein said first height range and said second height range are mutually exclusive.

34. The staple cartridge of claim 30, wherein said first row of staples is arcuate.