Fastener system comprising a retention matrix

• US 8,529,600 B2
• Filed: 09/30/2010
• Issued: 09/10/2013
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Woodard, James A. Jr., Scheib, Charles J., Boudreaux, Chad P., Bruewer, Dean B., Schwemberger, Richard F., Schall, Christopher J., Morgan, Jerome R., Simms, Robert J., Siebenaler, Douglas J., Swayze, Jeffrey S., Ouwerkerk, John N.
• Primary Examiner(s): BUI, LUAN KIM
• Application Number:
  US12/894,361
• Publication Number:
  US 20120080333A1
• Time in Patent Office: 1,076 Days
• Field of Search: 206338-341, 206343-347, 206/206, 206/210, 227/175.1, 227/176.1, 227/180.1, 411/457, 606/219, 606/220, 606/151, 606/213, 606/215
• US Class Current: 606/219
• CPC Class Codes: A61B 1/00064 Constructional details of the endoscope body
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• 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 17/072 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 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 : Separate linked members
• CPC Class Codes: A61B 2017/00323 : Cables or rods
• CPC Class Codes: A61B 2017/00327 : with actuating members moving in opposite directions
• 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 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00946 : malleable
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07221 : curved
• 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 2017/07285 : characterised by its cutter
• CPC Class Codes: A61B 2017/2902 : characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/2908 : Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• 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 2017/2931 : with releasable head
• 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 90/92 : coded with colour
• CPC Class Codes: Y10T 29/49863 : with prestressing of part

Abstract

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

Claims

1. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a first layer of material including a first side facing toward said first base and said second base and a second side facing away from said first base and said second base, wherein said first layer is comprised of metal; and

a second layer of material attached to said first side of said first layer of material, wherein said second layer is comprised of compressible foam, and wherein said compressible foam comprises at least one tissue sealant.

2. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a first layer of material including a first side facing toward said first base and said second base and a second side facing away from said first base and said second base, wherein said first layer is comprised of metal; and

a second layer of material attached to said first side of said first layer of material, wherein said second layer is comprised of compressible foam, and wherein said compressible foam comprises a substrate and at least one tissue sealant releasably absorbed in said substrate.

3. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a first sheet of material comprising a first side facing toward said first base and said second base and a second side facing away from said first base and said second base; and

a second sheet of material positioned along said first side, wherein said second sheet of material comprises;

a first encapsulation aligned with said first retention aperture, wherein said first encapsulation contains a fluid, and wherein said first leg comprises a first sharp tip configured to pierce said first encapsulation when said first leg is inserted into said first retention aperture; and

a second encapsulation aligned with said second retention aperture, wherein said second encapsulation contains a fluid, and wherein said second leg comprises a second sharp tip configured to pierce said second encapsulation when said second leg is inserted into said second retention aperture.

4. The surgical stapling system of claim 3, wherein said first sheet of said retention matrix further comprises a first pocket surrounding said first retention aperture and a second pocket surrounding said second retention aperture, wherein at least a portion of said first encapsulation is positioned within said first pocket and at least a portion of said second encapsulation is positioned within said second pocket.

5. The surgical stapling system of claim 3, wherein said second sheet further comprises an encapsulated channel, and wherein said encapsulated channel is in fluid communicated with said first encapsulation and said second encapsulation.

6. The surgical stapling system of claim 3, wherein said first encapsulation is defined by a first outer wall, wherein said second encapsulation is defined by a second outer wall, and wherein said first outer wall and said second outer wall each include one or more thin sections configured to facilitate the rupture of said first outer wall and said second outer wall.

7. A surgical stapling system, comprising:

a first fastener, comprising;

a first base; and

a first leg extending from said first base;

a second fastener, comprising;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg, wherein said first retention aperture comprises a first perimeter;

at least one first retention member configured to engage said first leg, wherein said first retention member defines said first perimeter;

a second retention aperture configured to receive said second leg, wherein said second retention aperture comprises a second perimeter;

at least one second retention member configured to engage said second leg, wherein said second retention member defines said second perimeter; and

a first sheet of material including a first side facing toward said first base and said second base and a second side facing away from said first base and said second base, wherein said first retention member comprises a first cantilever extending away from said second side, and wherein said second retention member comprises a second cantilever extending away from said second side,

wherein said first cantilever defines a first pocket, wherein said second cantilever defines a second pocket, wherein said retention matrix comprises a second sheet of material comprising a first encapsulation at least partially positioned within said first pocket and a second encapsulation at least partially positioned within said second pocket, and wherein said first encapsulation comprises a first fluid and said second encapsulation comprises a second fluid.

8. The surgical stapling system of claim 7, wherein said first fluid is the same as said second fluid.

9. The surgical stapling system of claim 7, wherein said second fluid is different than said second fluid.

10. A surgical stapling system, comprising:

a first staple comprising a first leg;

a second staple comprising a second leg; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a layer of material comprising compressible foam, wherein said compressible foam comprises at least one tissue sealant.

11. A surgical stapling system, comprising:

a first staple comprising a first leg;

a second staple comprising a second leg; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a layer of material comprising compressible foam, wherein said compressible foam comprises a substrate and at least one tissue sealant releasably absorbed in said substrate.

12. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg;

a first retention member configured to engage said first leg;

a second retention aperture configured to receive said second leg;

a second retention member configured to engage said second leg;

a first encapsulation aligned with said first retention aperture, wherein said first encapsulation contains a fluid, and wherein said first leg comprises a first sharp tip configured to pierce said first encapsulation when said first leg is inserted into said first retention aperture; and

a second encapsulation aligned with said second retention aperture, wherein said second encapsulation contains a fluid, and wherein said second leg comprises a second sharp tip configured to pierce said second encapsulation when said second leg is inserted into said second retention aperture.

13. A surgical stapling system, comprising:

a first fastener, comprising;

a first base; and

a first leg extending from said first base;

a second fastener, comprising;

a second base; and

a second leg extending from said second base; and

a retention matrix, comprising;

a first retention aperture configured to receive said first leg, wherein said first retention aperture comprises a first perimeter;

at least one first retention member configured to engage said first leg, wherein said first retention member defines said first perimeter;

a second retention aperture configured to receive said second leg, wherein said second retention aperture comprises a second perimeter;

at least one second retention member configured to engage said second leg, wherein said second retention member defines said second perimeter;

a layer of material including a first side facing toward said first base and said second base and a second side facing away from said first base and said second base, wherein said first retention member comprises a first cantilever extending away from said second side, wherein said second retention member comprises a second cantilever extending away from said second side, wherein said first cantilever defines a first pocket, wherein said second cantilever defines a second pocket, wherein said layer of material comprises a first encapsulation at least partially positioned within said first pocket and a second encapsulation at least partially positioned within said second pocket, and wherein said first encapsulation comprises a first fluid and said second encapsulation comprises a second fluid.