Variable compression surgical fastener cartridge

• US 8,424,735 B2
• Filed: 03/23/2011
• Issued: 04/23/2013
• Est. Priority Date: 04/14/2008
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Viola, Frank J., Milliman, Keith L.
• Primary Examiner(s): Nash, Brian D
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US13/069,602
• Publication Number:
  US 20110168760A1
• Time in Patent Office: 762 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
• 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 each movable from an unformed condition to a formed condition, 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 in the formed condition, and the plurality of second surgical fasteners apply a second, different compressive force to tissue in the formed condition, wherein the first surgical fasteners include legs extending from the first backspan and terminating in penetrating ends, the first backspan including first and second projections in both the unformed and formed conditions extending towards the tissue to define a first height, and apply the first compressive force, when the first surgical fasteners are in the formed condition, the plurality of first surgical fasteners being arranged in a first row, and the plurality of second surgical fasteners being arranged in a second row disposed laterally outward of the first row, the first and second backspans of the first and second fasteners being configured and dimensioned such that the first compressive force is greater than the second compressive force.

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 each movable from an unformed condition to a formed condition, and arranged in a third row disposed 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 when the third fasteners are in the formed condition, 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 first surgical fasteners and the second surgical fasteners define a substantially equivalent overall height in the formed condition.

7. The surgical fastener applying apparatus of claim 1, wherein each of the second surgical fasteners includes legs extending from the second backspan and terminating in penetrating ends, the second backspan including first and second projections in both the unformed and formed conditions extending towards the tissue to define a second height, and apply the second compressive force, when the second surgical fasteners are in the formed condition, the second height being less than the first height.

8. The surgical fastener applying apparatus of claim 7, further comprising a plurality of third surgical fasteners movable from an unformed condition to a formed condition, the third surgical fasteners each having legs extending from a third backspan and terminating in penetrating ends, the third backspan including first and second projections in both the unformed and formed conditions extending towards the tissue to define a third height, and apply a third compressive force to the tissue, when the third surgical fasteners are in the formed condition, the third height being less than the second height such that the third compressive force is less than the second compressive force.

9. The surgical fastener applying apparatus of claim 8, wherein the first projection and the second projection of the third backspan are each curved in configuration.

10. The surgical fastener applying apparatus of claim 7, wherein the first and second projections of the first backspan and the first and second projections of the second backspan are positioned opposite a curve of each of the legs when the first and second surgical fasteners are in the formed condition.

11. The surgical fastener applying apparatus of claim 7, wherein the first projection and the second projection of the second backspan are each curved in configuration.

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. The surgical fastener applying apparatus of claim 1, wherein the first projection and the second projection of the first backspan are each curved in configuration.

17. The surgical fastener applying apparatus of claim 1, wherein the first surgical fasteners define a first compressive space between the first backspan and the legs in the formed condition, and the second surgical fasteners define a second compressive space between the second backspan and the legs in the formed condition, the first compressive space being different from the second compressive space.

18. The surgical fastener applying apparatus of claim 1, wherein the first and second projections are spaced from a center of the first backspan.

19. A surgical fastener cartridge comprising a cartridge body including a plurality of surgical fasteners disposed therein each configured and dimensioned for application to tissue, and movable from an unformed condition to a formed condition, the plurality of surgical fasteners including a plurality of first surgical fasteners arranged in a first row and having first legs connected by a first backspan with a first configuration, and a plurality of second surgical fasteners arranged in a second row and having second legs connected by a second backspan with a second configuration, the first backspan including first and second projections in both the unformed and formed conditions extending towards the tissue to define a first height, and apply a first compressive force to the tissue, when the first surgical fasteners are in the formed condition, the second backspan including first and second projections in both the unformed and formed conditions extending towards the tissue to define a second height, and apply a second compressive force to the tissue, when the second surgical fasteners are in the formed condition, the first height being different than the second height such that the first compressive force is different than the second compressive force, wherein the first legs extend from the first backspan and terminate in penetrating ends, and the second legs extend from the second backspan and terminate in penetrating ends, the first and second projections extending from the first backspan being curved in configuration, and the first and second projections extending from the second backspan being curved in configuration.

20. The cartridge of claim 19, 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.

21. The cartridge of claim 19, further comprising a plurality of third surgical fasteners each movable from an unformed condition to a formed condition, and having a third backspan with a third configuration such that the plurality of third surgical fasteners apply a third compressive force to the tissue when the third surgical fasteners are in the formed condition, the third compressive force being 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 in the formed conditions thereof, the third fasteners being disposed further from the central longitudinal axis than the second fasteners.

22. The cartridge of claim 19, 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.

23. The surgical fastener cartridge of claim 19, wherein the first surgical fasteners define a first compressive space between the first backspan and the first legs in the formed condition, and the second surgical fasteners define a second compressive space between the second backspan and the second legs in the formed condition, the first compressive space being different from the second compressive space.