DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS

• US 20130256373A1
• Filed: 03/28/2012
• Published: 10/03/2013
• Est. Priority Date: 03/28/2012
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schmid, Katherine J., Aronhalt, Taylor W., Morgan, Jerome R., Shelton, Frederick E. IV, Scheib, Charles J., Stammen, John L., Ortiz, Mark S., Aldridge, Jeffrey L.
• Application Number:
  US13/433,132
• Publication Number:
  US 20130256373A1
• Time in Patent Office: Days
• US Class Current: 227/176.1
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00889 antimicrobial, disinfectant
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

Surgical stapling instruments are disclosed. At least one embodiment includes a first jaw that supports a plurality of surgical staples and a second jaw that is movable relative to the first jaw. Various arrangements include a tissue thickness compensator that is configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of a firing motion to the surgical staples. Various attachment protrusion arrangements are disclosed to mechanically removably attach the tissue thickness compensator to the first or second jaw.

Claims

1. A surgical stapling instrument comprising:

a first jaw supporting a plurality of surgical staples therein operably responsive to an application of a firing motion thereto;

a second jaw movably supported relative to the first jaw such that a portion of the second jaw is movable into confronting relationship relative to the first jaw upon application of a closing motion to the second jaw;

a tissue thickness compensator configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of the firing motion to the surgical staples; and

at least one attachment protrusion on one of the first and second jaws for removably mechanically affixing a corresponding portion of the tissue thickness compensator thereto.

2. The surgical stapling instrument of claim 1 wherein the tissue thickness compensator comprises a fibrous body structure and wherein the at least one attachment protrusion comprises a plurality of attachment protrusions configured to removably retainingly engage the fibrous body structure.

3. The surgical stapling instrument of claim 1 wherein said tissue thickness compensator comprises a compressible body encapsulated by a film and wherein the at least one attachment protrusion is configured to removably retainingly engage at least one other corresponding other attachment protrusion on the film.

4. The surgical stapling instrument of claim 1 wherein the at least one attachment protrusion comprises at least one area of attachment protrusions selected from the group of attachment protrusions comprising attachment protrusions including a pyramidal shape, attachment protrusions having a hexagonal shape;

attachment protrusions including a protruding body portion and a distal end portion that is not coaxial with the body portion, attachment columns including a height that is greater than its cross-sectional area, hook-shaped attachment protrusions, loop-shaped protrusions, T-shaped protrusions and microfibers.

5. The surgical stapling instrument of claim 3 wherein the film includes at least one area of fluid-wicking members formed thereon.

6. The surgical stapling instrument of claim 1 wherein the tissue thickness compensator comprises a compressible body fabricated from woven material.

7. The surgical instrument of claim 1 wherein the tissue thickness compensator comprises a compressible body fabricated from non-woven material.

8. The surgical stapling instrument of claim 1 wherein the first jaw comprises a cartridge body defining a deck surface including a plurality of staple cavities through the deck surface and wherein the plurality of surgical staples are positioned within the staple cavities.

9. The surgical stapling instrument of claim 8 wherein the at least one attachment protrusion protrudes from the deck surface.

10. The surgical stapling instrument of claim 9 wherein the at least one attachment protrusion is integrally formed on the deck surface.

11. The surgical stapling instrument of claim 8 wherein the tissue thickness compensator comprises a fibrous body structure and wherein the at least one attachment protrusion comprises a plurality of attachment protrusions configured to removably retainingly engage the fibrous body structure.

12. The surgical stapling instrument of claim 8 wherein said tissue thickness compensator comprises a compressible body encapsulated by a film and wherein the at least one attachment protrusion is configured to removably retainingly engage corresponding at least one other attachment protrusion on the film.

13. The surgical stapling instrument of claim 8 wherein the cartridge body includes a longitudinally extending deck slot formed through the deck surface for receiving a portion of a tissue cutting member therein and wherein the at least one attachment protrusion comprises at least one area of attachment protrusions on one side of the deck slot and at least one other area of attachment protrusions on another side of the deck slot.

14. The surgical stapling instrument of claim 1 wherein the second jaw comprises an anvil including a staple-forming surface thereon and wherein the at least attachment protrusion protrudes from the staple forming surface.

15. The surgical stapling instrument of claim 14 wherein the at least one attachment protrusion comprises an area of attachment protrusions formed on a corresponding attachment carrier that is configured to be retainingly coupled to the anvil.

16. The surgical stapling instrument of claim 15 wherein each of the corresponding attachment carriers is configured to snappingly engage the anvil.

17. The surgical stapling instrument of claim 15 wherein the area of attachment protrusions are attached to the corresponding attachment carrier by adhesive.

18. The surgical stapling instrument of claim 15 wherein the area of attachment protrusions are integrally formed on the corresponding attachment carrier.

19. A surgical stapling instrument, comprising:

a staple cartridge, comprising;

a cartridge body defining a deck surface having a plurality of staple cavities through the deck surface;

a plurality of staples positioned within the staple cavities;

an anvil including a staple-forming surface thereon and being movably supported relative to the staple cartridge to bring the staple forming surface in confronting relationship relative to the deck surface of the cartridge body in response to closing motions applied thereto;

a tissue thickness compensator configured to be captured within the staples and assume different compressed heights within different staples; and

at least one area of attachment protrusions on the staple forming surface of the anvil for removably attaching the tissue thickness compensator thereto.

20. A surgical stapling instrument, comprising:

a staple cartridge, comprising;

a cartridge body defining a deck surface including a plurality of staple cavities through the deck surface;

a plurality of staples positioned within the staple cavities;

an anvil including a staple-forming surface thereon and being movably supported relative to the staple cartridge to bring the staple forming surface in confronting relationship relative to the deck surface of the cartridge body in response to closing motions applied thereto;

a tissue thickness compensator configured to be captured within the staples and assume different compressed heights within different staples; and

at least one area of attachment protrusions on the deck surface for removably attaching the tissue thickness compensator thereto.

21. A surgical stapling instrument comprising:

a first jaw supporting a plurality of surgical staples therein operably responsive to an application of a firing motion thereto;

a second jaw movably supported relative to the first jaw such that a portion of the second jaw is movable into confronting relationship relative to the first jaw upon application of a closing motion to the second jaw;

a tissue thickness compensator configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of the firing motion to the surgical staples, the tissue thickness compensator configured to establish a suction retention force between the tissue thickness compensator and one of the first and second jaws.

22. A surgical staple cartridge, comprising:

a cartridge body defining a deck surface including a plurality of staple cavities through the deck surface;

a plurality of staples positioned within the staple cavities; and

at least one area of attachment protrusions on the deck surface for removably attaching a tissue thickness compensator thereto.