LAYER COMPRISING DEPLOYABLE ATTACHMENT MEMBERS

• US 20130256377A1
• Filed: 02/08/2013
• Published: 10/03/2013
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schmid, Katherine J., Swayze, Jeffrey S., Henderson, Cortney E., Smith, Bret W., Vendely, Michael J., Shelton, Frederick E. IV, Aronhalt, Taylor W.
• Granted Patent: US 9,788,834 B2
• Time in Patent Office: Days
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/2909 Handles
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00862 : elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00893 : pharmaceutically effective
• CPC Class Codes: A61B 2017/00951 : adhesive
• CPC Class Codes: A61B 2017/0641 : having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/07228 : Arrangement of the staples
• 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 2017/07257 : characterised by its anvil
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07271 : characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 : characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2908 : Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2916 : pins in guiding slots
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• CPC Class Codes: B25C 5/1686 : using pre-loaded cassettes

Abstract

An anvil-attachable layer and a retainer for aligning and attaching the layer to an anvil of a surgical stapler. Embodiments of the anvil-attachable layer can include one or more attachment features extending from the layer. A retainer can push the attachment features into a knife slot in the anvil so that the fit between the attachment features and the slot hold the anvil-attachable layer in place. Other embodiments of the anvil-attachable layer can include deployable attachment features formed in the layer. The deployable attachment features can be deployed from an undeployed position substantially in a plane defined by the layer to a deployed position extending out of the plane. In the deployed position, the deployable attachment features can extend into a slot in an anvil. A retainer can include features to push the deployable attachment features into the deployed position.

Claims

1. A staple cartridge assembly for use with a surgical stapler, wherein the surgical stapler includes an anvil configured for a facing relationship with said staple cartridge assembly, and wherein the anvil includes a slot, said staple cartridge assembly comprising:

a staple cartridge body, comprising;

a plurality of staple cavities; and

a plurality of staples positioned within said staple cavities;

a layer, comprising;

a body that is arrangeable relative to a surface of the anvil of the surgical stapler; and

a deployable attachment member formed in said body, wherein said deployable attachment member is movable between an undeployed position and a deployed position, wherein, when said deployable attachment member is in said undeployed position, said attachment member is substantially in a plane defined by said body, wherein, when said deployable attachment member is in said deployed position, said attachment member extends from said plane of said body, and wherein in said deployed position said deployable attachment member is configured to engage the slot in the anvil of the surgical stapler;

a retainer that is releasably engaged with said staple cartridge body and is positioned intermediate said staple cartridge body and said layer, said retainer comprising;

a surface configured to support at least a portion of said body of said layer against the anvil; and

a deployment member configured to deploy said deployable attachment member of said layer into the slot of the anvil after said layer is supported against the anvil.

2. The staple cartridge assembly of claim 1, wherein said deployable attachment member comprises a plurality of deployable attachment members formed in said body.

3. The staple cartridge assembly of claim 1, wherein said layer comprises a compressible material configured to be captured within staples formed by the surgical stapler and to assume different compressed heights within different staples.

4. The staple cartridge assembly of claim 1, wherein said body comprises a substantially incompressible material configured to be captured within staples formed by the surgical stapler.

5. The staple cartridge assembly of claim 1, wherein said deployable attachment member comprises:

a longitudinal portion attached to said body of said layer; and

a lateral portion attached to said longitudinal portion, wherein said lateral portion has a lateral dimension greater than a lateral dimension of said longitudinal portion, and wherein said lateral portion is configured to engage a lateral recess in the slot of the anvil.

6. The staple cartridge assembly of claim 1, wherein said deployment member of said retainer comprises a member extending from said surface toward said anvil, and wherein said member pushes said deployable attachment member from said undeployed position to said deployed position.

7. The staple cartridge assembly of claim 1, wherein said surface of said retainer defines an aperture aligned with said deployable attachment feature of said layer, wherein said deployment member of said retainer comprises a movable member that is movable between a first position and a second position relative to remaining portions of said retainer, and wherein said deployment member protrudes from said aperture and pushes said deployable attachment member from said undeployed position to said deployed position when said movable member moves between said first position and said second position.

8. The staple cartridge assembly of claim 1, wherein a proximal end portion of said layer is releasably engaged with a proximal portion of said cartridge body.

9. The staple cartridge assembly of claim 1, wherein said body of said layer comprises a first side and a second side opposite said first side, wherein said deployable attachment member extends from said first side, and wherein said body of said layer further comprises at least one tissue-engaging member extending from said second side.

10. A staple cartridge assembly for use with a surgical stapler, said staple cartridge assembly comprising:

a cartridge body;

a layer, comprising;

a layer body configured to be arranged relative to a surface of an anvil of the surgical stapler; and

deployable attachment means for attaching said layer body to the anvil; and

deployment means for deploying said deployable attachment means.

11. A layer for use with a surgical stapler, wherein the surgical stapler includes an anvil configured for a facing relationship with a staple cartridge, wherein the anvil includes a slot, said layer comprising:

a body configured to be arranged relative to a surface of the anvil of the surgical stapler; and

a deployable attachment member formed in said body, wherein said deployable attachment member is movable between an undeployed configuration and a deployed configuration, wherein, when said deployable attachment member is in the undeployed configuration, said attachment member is substantially in a plane defined by said body, wherein when said deployable attachment feature is in the deployed configuration said attachment member extends from the plane of said body, and wherein in the deployed configuration said deployable attachment feature is configured to engage the slot of the anvil of the surgical stapler.

12. The layer of claim 11, wherein said deployable attachment member comprises a plurality of deployable attachment members formed in said body.

13. The layer of claim 11, wherein said body comprises a longitudinal dimension corresponding to a longitudinal dimension of the anvil of the surgical stapler, and wherein said body comprises a lateral dimension corresponding to a lateral dimension of the anvil of the surgical stapler.

14. The layer of claim 11, wherein said layer comprises a compressible material configured to be captured within staples formed by the surgical stapler and to assume different compressed heights within different staples.

15. The layer of claim 11, wherein said body comprises a substantially incompressible material configured to be captured within staples formed by the surgical stapler.

16. The layer of claim 15, wherein said substantially incompressible material comprises a resilient material resistant to deforming out of the plane defined by said body.

17. The layer of claim 11, wherein said body comprises a first side and a second side opposite said first side, wherein said deployable attachment member extends from said first side, and wherein said body further comprises at least one tissue-engaging member extending from said second side.

18. A staple cartridge assembly for use with a surgical stapler, wherein the surgical stapler includes an anvil configured for a facing relationship with said staple cartridge assembly, said staple cartridge assembly comprising:

a cartridge body, comprising;

a plurality of staple cavities; and

a plurality of staples positioned within said staple cavities;

a layer, comprising;

a layer body that is arrangeable relative to a surface of the anvil; and

an attachment member protruding from said layer body toward the anvil;

a retainer that is releasably engaged with said cartridge body, said retainer comprising;

a surface facing said layer and, when said staple cartridge assembly is arranged in the surgical stapler, facing the surface of the anvil;

a deployment member extending from said surface; and

at least one holder extending from said surface and holding said layer relative to said surface such that said attachment member of said layer is aligned with said deployment member;

wherein, when said staple cartridge assembly is arranged in the surgical stapler and the anvil is closed on the surgical stapler, said deployment member pushes said attachment member into the slot of the anvil and deforms said attachment member into an interference fit within the slot of the anvil, and said at least one holder releases said layer.

19. The staple cartridge assembly of claim 18, wherein said at least one holder comprises:

a first tab extending from a first lateral side of said surface, wherein said first tab includes an inward-facing groove that releasably engages a first edge of said layer; and

a second tab extending from a second lateral side of said surface, wherein said second lateral side is opposite said first lateral side, wherein said second tab includes an inward-facing groove that releasably engages a second edge of said layer, and wherein said first tab and said second tab are outwardly deflectable by the anvil of the surgical stapler to release said first and second edges of said layer.

20. The staple cartridge of claim 18, wherein said attachment member comprises an elongate ridge.

21. The staple cartridge of claim 18, wherein said attachment member comprises a plurality of attachment members.

22. The staple cartridge of claim 21, wherein each of said plurality of attachment members comprises:

a peg extending from said layer body; and

a cap extending from said peg, wherein said cap includes a lateral dimension greater than a lateral dimension of said peg, and wherein said cap is configured to engage a lateral recess in the slot of the anvil.

23. The staple cartridge of claim 21, wherein each of said plurality of attachment members comprises a ridge.

24. A staple cartridge assembly for use with a surgical stapler, said staple cartridge assembly comprising:

a staple cartridge body;

a layer, comprising;

a layer body that is arrangeable relative to a surface of an anvil of the surgical stapler; and

attachment means for attaching said layer to the anvil;

retaining means for retaining said layer relative to said staple cartridge body until said layer is attached to the anvil; and

deployment means for attaching said attachment means of said layer to the anvil.

25. A staple cartridge assembly for use with a surgical stapler, said surgical stapler assembly comprising:

a staple cartridge body;

a layer comprising a layer body that is arrangeable relative to a surface of an anvil of the surgical stapler; and

a retainer that is releasably engaged with said staple cartridge body, comprising;

at least one displaceable member that is displaceable between a first position and a second position, wherein said at least one displaceable member is configured to releasably engage said layer in said first position, wherein said at least one displaceable member disengages said layer when moved to said second position, wherein in said first position, said at least one displaceable member aligns said layer with the anvil of the surgical stapler when said staple cartridge assembly is installed in the surgical stapler, and wherein said at least one displaceable member engages a surface of the anvil to move from said first position to said second position.

26. The staple cartridge assembly of claim 25, wherein said layer further comprises an attachment member protruding from said layer body toward the anvil, wherein the retainer further comprises a deployment member that is aligned with said attachment member, and wherein said deployment member supports said attachment member against the anvil.

27. The staple cartridge assembly of claim 25, wherein said attachment member comprises a ridge extending from said layer body toward the anvil and aligned with a slot in the anvil, wherein the retainer further comprises a deployment member that is aligned with the raised ridge, and wherein said deployment member pushes said raised ridge into the slot of the anvil.

28. The staple cartridge assembly of claim 27, wherein said deployment member deforms said raised ridge such that a lateral dimension of the raised ridge increases, and wherein said raised ridge provides an interference fit within the slot in the anvil.

29. The staple cartridge assembly of claim 25, wherein the anvil includes a plurality of staple forming pockets, wherein said layer further comprises a plurality of protrusions, and wherein each protrusion aligns with one of the plurality of staple forming pockets of the anvil.

30. The staple cartridge assembly of claim 25, wherein said layer body comprises a first side and a second side opposite said first side, wherein said attachment member extends from said first side, and wherein said layer body further comprises at least one tissue engaging member extending from said second side.