METHODS FOR FORMING TISSUE THICKNESS COMPENSATOR ARRANGEMENTS FOR SURGICAL STAPLERS

• US 20160074040A1
• Filed: 11/25/2015
• Published: 03/17/2016
• Est. Priority Date: 09/30/2010
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Widenhouse, Tamara, Lang, Matthew M., Timm, Richard W., Hall, Steven G., Timmer, Mark D., Shelton, IV, Frederick E.
• Application Number:
  US14/952,486
• Publication Number:
  US 20160074040A1
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/072 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 or resorptive
• 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 2017/00884 enhancing wound closure
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• 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 2017/07257 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 2017/2919 : 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 2017/320052 : Guides for cutting instruments

Abstract

Tissue thickness compensators for use with surgical staplers that are configured to form staples having different formed heights. Various tissue thickness compensators are disclosed that have non-uniform cross-sectional thicknesses or profiles. The tissue thickness compensators may be formed with a surface that matches a non-planar surface of the anvil or the staple cartridge deck. Methods of forming tissue thickness compensators with non-uniform cross-sectional thicknesses or profiles are also disclosed.

Claims

1. A tissue thickness compensator for use with a surgical staple cartridge having a non-coplanar staple cartridge deck, the tissue thickness compensator comprising a body portion including a surface profile that substantially matches the non-coplanar surface of the surgical staple cartridge.

2. The tissue thickness compensator of claim 1, wherein the body portion is fabricated from biocompatible foam material.

3. The tissue thickness compensator of claim 1, further comprising an air permeable biocompatible film attached to the body portion.

4. A method of forming the tissue thickness compensator of claim 3.

5. A surgical stapling device, comprising:

a surgical staple cartridge including a deck surface and housing a plurality of surgical staples configured to be formed with different formed heights;

an anvil including a staple-forming surface and being movably supported relative to the surgical staple cartridge such that the staple-forming surface may be positioned in confronting relationship relative to the staple deck surface; and

a tissue thickness compensator including a non-uniform cross-sectional thickness and being positioned between the staple forming surface of the anvil and the staple deck surface.

6. The surgical stapling device of claim 5, wherein the plurality of surgical staples comprises a plurality of first surgical staples having a first unformed height and a plurality of second surgical staples having a second unformed height that is different from the first unformed height.

7. The surgical stapling device of claim 6, further comprising a plurality of third surgical staples having a third unformed height that differs from the first and second unformed heights.

8. The surgical stapling device of claim 7, wherein the surgical staple cartridge further comprises an elongate slot extend through a portion thereof for accommodating a tissue cutting member and wherein the first surgical staples are arranged in first lines of surgical staples located on each lateral side of the slot and the second surgical staples are arranged in second lines of surgical staples located on each lateral side of the slot and wherein each third surgical staple is arranged in third lines of surgical staples located on each lateral side of the slot.

9. The surgical stapling device of claim 5, wherein the deck surface of the surgical staple cartridge is non-planar and wherein the tissue thickness compensator includes a body portion including a surface profile that substantially matches the non-planar surface of the deck surface.

10. The surgical stapling device of claim 9, wherein the body portion is fabricated from biocompatible foam material.

11. The surgical stapling device of claim 9, further comprising an air permeable biocompatible film attached to the body portion.

12. The surgical stapling device of claim 5, wherein the staple-forming surface of the anvil is non-planar and wherein the tissue thickness compensator includes a body portion including a surface profile that substantially matches the non-planar staple-forming surface.

13. A method for forming a tissue thickness compensator for use with a surgical stapling device comprising:

suspending a bioabsorbable polymer material into a solvent to form a solution;

placing the solution into a mold cavity;

freezing the solution;

placing a biocompatible air permeable material onto an exposed surface of the frozen solution;

reducing pressure on the solution;

permitting the solution to warm and sublimate through the air permeable material to form a foam body within the cavity; and

removing the foam body from the cavity.

14. The method of claim 13, wherein the air permeable material comprises a film material with openings therethrough.

15. The method of claim 14, wherein the openings in the film are selected from the group of openings consisting of perforations, channels, holes and slits.

16. The method of claim 13, wherein said placing air permeable material onto the exposed surface comprises minimizing contact points between the air permeable material and the exposed surface.

17. The method of claim 16, wherein said minimizing further comprises:

forming standoff structures on the air permeable material; and

placing the standoff structures onto the exposed surface such that the air permeable material is spaced from the exposed surface by the standoff structures.

18. The method of claim 13, wherein said placing a biocompatible air permeable material onto an exposed surface of the solution comprises:

providing a biocompatible film member sized to cover the exposed surface;

forming cuts into the film member to define flap areas;

folding the flap areas to form standoff structures protruding on one side of the film member; and

placing the standoff structures onto the exposed surface such that the film member is supported above the exposed surface and wherein solvent vapor is permitted to exhaust through openings in the film member formed by the folded flap areas.

19. The method of claim 13, wherein said placing the solution into a cavity comprises introducing the solution into a cavity including a bottom surface shaped to match at least one profile of at least one portion of a surgical instrument component.