Variable compression surgical fastener cartridge

• US 7,926,691 B2
• Filed: 04/03/2009
• Issued: 04/19/2011
• Est. Priority Date: 04/14/2008
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Milliman, Keith L., Viola, Frank J.
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US12/417,685
• Publication Number:
  US 20090255978A1
• Time in Patent Office: 746 Days
• Field of Search: 227/175.1, 227/178.1, 227/901, 227/902, 606/219, 411/457, 411/470
• US Class Current: 227/175.1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• 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 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: Y10S 227/901 Surgical clip appliers
• CPC Class Codes: Y10S 227/902 Surgical clips or staples

Abstract

A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Claims

1. A surgical fastener applying apparatus comprising a first jaw and a second jaw, the first jaw including a cartridge body having a plurality of surgical fasteners disposed therein, the plurality of surgical fasteners including a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second configuration, wherein the first configuration is different than the second configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation, and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation;

wherein the plurality of first surgical fasteners are arranged in a first row, and the plurality of second surgical fasteners are arranged in a second row laterally outward of the first row, and the first and second backspans of the first and second fasteners are configured and dimensioned such that the first compressive force is greater than the second compressive force, and the backspan of the plurality of first surgical fasteners has a twisted configuration defining a first height, and the backspan of the plurality of second surgical fasteners has a twisted configuration defining a second height, the first height being greater than the second height.

2. The surgical fastener applying apparatus of claim 1, wherein the cartridge body includes a channel configured to accommodate a cutting member for the creation of a cut-line in the tissue.

3. The surgical fastener applying apparatus of claim 1, further comprising a plurality of third fasteners arranged in a third row laterally outward of the plurality of second fasteners arranged in the second row, the third fasteners having a third backspan with a third configuration different than at least one of the respective first and second configurations of the first and second backspans.

4. The surgical fastener applying apparatus of claim 3, wherein the third configuration is different than both of the respective first and second configurations of the first and second backspans, the third fasteners applying a third compressive force to the tissue upon formation, the third compressive force being less than the first compressive force and less than the second compressive force.

5. The surgical fastener applying apparatus of claim 3, wherein the third backspan of the plurality of third surgical fasteners is substantially linear in configuration.

6. The surgical fastener applying apparatus of claim 1, wherein the backspan includes multiple twists such that at least two portions of the backspan extend toward penetrating ends of the legs.

7. The surgical fastener applying apparatus of claim 1, wherein the first surgical fasteners and the second surgical fasteners define a substantially equivalent overall height when formed.

8. The surgical fastener applying apparatus of claim 1, wherein the first surgical fasteners include legs extending from the first backspan and terminating in penetrating ends, the first backspan including at least one first curve extending towards the penetrating ends and dimensioned to define a first height.

9. The surgical fastener applying apparatus of claim 8, wherein the second surgical fasteners include legs extending from the second backspan and terminating in penetrating ends, the second backspan including at least one curve extending towards the penetrating ends and dimensioned to define a second height less than the first height.

10. The surgical fastener applying apparatus of claim 9, further comprising a plurality of third surgical fasteners having legs extending from a third backspan and terminating in penetrating ends, the third backspan dimensioned to define a third height, the third height being less than the second height.

11. The surgical fastener applying apparatus of claim 9, wherein the first backspan and the second backspan have a curve positioned opposite the curve of each of the legs in a formed condition of the fastener.

12. The surgical fastener applying apparatus of claim 1, wherein the first and second rows are substantially linear.

13. The surgical fastener applying apparatus of claim 1, wherein the first and second rows are substantially annular.

14. The surgical fastener applying apparatus of claim 1, wherein the first and second jaws are pivotally attached.

15. The surgical fastener applying apparatus of claim 1, wherein at least one of the first and second jaws are movable in a substantially linear direction to move the jaws to an approximated position to clamp tissue therebetween.

16. A surgical fastener applying apparatus comprising a first jaw and a second jaw, the first jaw including a cartridge body having a plurality of surgical fasteners disposed therein, the plurality of surgical fasteners including a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second configuration, wherein the first configuration is different than the second configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation, and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation, wherein the plurality of first surgical fasteners are arranged in a first row, and the plurality of second surgical fasteners are arranged in a second row laterally outward of the first row, and the first and second backspans of the first and second fasteners are configured and dimensioned such that the first compressive force is greater than the second compressive force, and a plurality of third fasteners arranged in a third row laterally outward of the plurality of second fasteners arranged in the second row, the third fasteners having a third backspan with a third configuration different than at least one of the respective first and second configurations of the first and second backspans, a third backspan having a twisted configuration defining a third height less than a first height of the first backspan.

17. A surgical fastener cartridge comprising a cartridge body including a plurality of surgical fasteners disposed therein, the plurality of surgical fasteners including a plurality of first surgical fasteners arranged in a first row and having a first backspan with a first configuration, and a plurality of second surgical fasteners arranged in a second row and having a second backspan with a second configuration, wherein the first backspan has a first height and the second backspan has a second height, the first height being less than the second height;

wherein the first and second backspans have a twisted configuration and the first surgical fasteners apply a first compressive force to tissue upon formation, and the second surgical fasteners apply a second, lesser compressive force to tissue upon formation.

18. The cartridge of claim 17, wherein the first surgical fasteners include first legs extending from the first backspan and terminating in penetrating ends and the second surgical fasteners include second legs extending from the second backspan and terminating in penetrating ends, wherein the first backspan includes at least one portion curving inwardly toward the penetrating ends of the first legs to form a humped configuration to define the first height, and the second backspan includes at least one portion curving inwardly toward the penetrating ends of the second legs to form a humped configuration to define the second height.

19. The cartridge of claim 17, wherein the cartridge includes a central longitudinal axis and the second fastener row is disposed further from the central longitudinal axis than the first fasteners.

20. The cartridge of claim 19, further comprising a plurality of third surgical fasteners having a third backspan with a third configuration such that the plurality of third surgical fasteners apply a third compressive force to the tissue upon formation that is different from at least one of the first compressive force and the second compressive force respectively applied to the tissue by the plurality of first surgical fasteners and the plurality of second surgical fasteners upon formation, the third fasteners being disposed further from the central longitudinal axis than the second fasteners.

21. The cartridge of claim 17, wherein the first backspan of the first surgical fasteners and the second backspan of the second surgical fasteners are dimensioned such that the first compressive force is greater than the second compressive force.