Cartridge for applying varying amounts of tissue compression

• US 8,256,655 B2
• Filed: 09/08/2011
• Issued: 09/04/2012
• Est. Priority Date: 04/22/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Sniffin, Kevin, Soltz, Michael
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US13/228,017
• Publication Number:
  US 20110315739A1
• Time in Patent Office: 362 Days
• Field of Search: 227/176.1, 227/19, 227/175.1, 227/175.3
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 2017/07214 Stapler heads
• 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

Abstract

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

Claims

1. A surgical instrument, comprising:

an anvil; and

a cartridge defining a longitudinal axis along a length thereof, the cartridge having a tissue contacting surface with a substantially uniform width extending along the length of the cartridge, wherein the anvil and cartridge are adapted to grasp tissue positioned between the anvil and cartridge and to subject the tissue to at least two different values of compression along the longitudinal axis of the cartridge upon approximation of the anvil with respect to the cartridge.

2. The surgical instrument of claim 1, wherein the tissue is subjected to a compression gradient along the longitudinal axis.

3. The surgical instrument of claim 1, wherein the anvil and the cartridge define a first and a second gap along the longitudinal axis of the cartridge upon approximation of the anvil and the cartridge with respect to one another, the first and second gaps having different dimensions.

4. The surgical instrument of claim 1 further comprising a first fastener and a second fastener, wherein the first fastener includes a first leg, the second fastener includes a second leg, and the first leg has a different length than the second leg.

5. The surgical instrument of claim 4, wherein the values of compression include a first and a second value of compression, and wherein tissue subjected to the first value of compression is fastened by the first fastener, and wherein the tissue subjected to the second value of compression is fastened by the second fastener.

6. The surgical instrument of claim 1, wherein the cartridge includes retention slots along the longitudinal axis of the cartridge, the retention slots including a plurality of fasteners.

7. The surgical instrument of claim 6, wherein at least two of the fasteners have different dimensions.

8. The surgical instrument of claim 7, wherein the tissue has a thickness, and wherein the dimensions of the fasteners correspond to the thickness of the tissue.

9. The surgical instrument of claim 7, wherein the dimensions of the fasteners correspond to the value of compression to which the tissue is subjected.

10. The surgical instrument of claim 7, wherein the dimensions of the fasteners vary along the longitudinal axis of the cartridge.

11. The surgical instrument of claim 1, wherein the cartridge includes a first contact portion and a second contact portion, the first and second contact portions having different heights and being aligned along the longitudinal axis of the cartridge.

12. The surgical instrument of claim 1, wherein the cartridge includes a first and a second receiving section, the first and second receiving sections adjacently positioned along the longitudinal axis.

13. The surgical instrument of claim 12 further comprising a first and a second removable tissue contacting section, each of the first and second removable tissue contacting sections selectively attachable to the first and second receiving sections of the cartridge.

14. The surgical instrument of claim 13, wherein the first and second removable tissue contacting sections have different heights.

15. The surgical instrument of claim 1, wherein first and second stepped portions having a width equal to the tissue contacting surface arc positioned along at least a portion of the tissue contacting surface, the first stepped portion disposed proximal with respect to the second stepped portion and includes a height that is greater than a height of the second stepped portion.