Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features

• US 8,668,130 B2
• Filed: 05/24/2012
• Issued: 03/11/2014
• Est. Priority Date: 03/15/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hess, Christopher J., Weisenburgh, William B. II
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US13/480,263
• Publication Number:
  US 20120292370A1
• Time in Patent Office: 656 Days
• Field of Search: 227/180.1, 227/176.1, 227/19
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/1114 of the digestive tract, e.g. bowels or oesophagus
• 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 17/135 inflatable for measuring blood pressure A61B5/022; inflatable pressure pads A61F5/34
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/00898 : expandable upon contact with fluid
• CPC Class Codes: A61B 2017/07228 : Arrangement of the staples
• 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 2017/2905 : flexible
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 : with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/031 : torque limiting
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 90/39 : Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 5/0086 : using clamps, folding means or the like
• CPC Class Codes: F01P 2023/08 : Microprocessor; Microcomputer
• CPC Class Codes: F01P 2031/30 : Cooling after the engine is stopped
• CPC Class Codes: F01P 2037/02 : starting
• CPC Class Codes: F01P 5/04 : Pump-driving arrangements
• CPC Class Codes: F01P 5/10 : Pumping liquid coolant; Arrangements of coolant pumps
• CPC Class Codes: F01P 7/08 : by cutting in or out of pumps
• CPC Class Codes: F01P 7/16 : by thermostatic control
• CPC Class Codes: F01P 7/162 : by cutting in and out of pumps
• CPC Class Codes: F02D 11/105 : characterised by the function converting demand to actuation, e.g. a map indicating relations between an accelerator pedal position and throttle valve opening or target engine torque
• CPC Class Codes: F02D 2011/102 : at least one throttle being moved only by an electric actuator
• CPC Class Codes: F02D 2011/104 : using electric step motors
• CPC Class Codes: F02D 2041/0095 : Synchronisation of the cylinders during engine shutdown
• CPC Class Codes: F02D 2041/389 : for injecting directly into the cylinder
• CPC Class Codes: F02D 2200/501 : Vehicle speed
• CPC Class Codes: F02D 2200/602 : Pedal position
• CPC Class Codes: F02D 2200/604 : Engine control mode selected by driver, e.g. to manually start particle filter regeneration or to select driving style
• CPC Class Codes: F02D 31/002 : controlling air supply
• CPC Class Codes: F02D 35/025 : by determining temperatures inside the cylinder, e.g. combustion temperatures
• CPC Class Codes: F02D 41/042 : for stopping the engine
• CPC Class Codes: F02D 41/065 : at hot start or restart F02D41/067 takes precedence
• CPC Class Codes: F02D 41/3094 : the fuel injection being effected by at least two different injectors, e.g. one in the intake manifold and one in the cylinder
• CPC Class Codes: F02D 41/3809 : Common rail control systems common rail apparatus F02M55/025, F02M63/0225
• CPC Class Codes: F02D 41/401 : Controlling injection timing F02D41/402 takes precedence
• CPC Class Codes: F02D 41/402 : Multiple injections
• CPC Class Codes: F02N 11/0814 : comprising means for controlling automatic idle-start-stop
• CPC Class Codes: F02N 19/02 : Aiding engine start by thermal means, e.g. using lighted wicks
• CPC Class Codes: Y02T 10/40 : Engine management systems
• CPC Class Codes: Y10S 227/902 : Surgical clips or staples

Abstract

A surgical staple having at least one projection formed thereon. In various embodiments, the projection is formed on a crown of the surgical staple. In one various embodiment, the projection surrounds, or is positioned adjacent to, at least one deformable member of the surgical staple. In one embodiment, the projection can apply an increased compressive force or pressure to soft tissue surrounding the deformable member prior to the deformable members puncturing a hole in the soft tissue. As a result of the increased compressive force or pressure on the tissue, after staple deployment, blood flow proximate deformable member puncture holes can be reduced.

Claims

1. A staple cartridge for use with a surgical stapler actuatable to fasten tissue captured by the surgical stapler, the staple cartridge comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown, wherein said crown and said deformable member are positioned on the same side of the captured tissue prior to actuating the surgical stapler to fasten the tissue; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, and wherein at least a portion of said crown is removably stored within said staple cartridge body.

2. The staple cartridge of claim 1, wherein said staple cartridge body comprises:

a deck;

a cavity configured to removably store at least a portion of said deformable member, wherein said cavity comprises an opening in said deck; and

a recess configured to removably store at least a portion of said crown, wherein said recess surrounds said opening such that said crown is aligned with said deformable member when said deformable member is positioned in said cavity and said crown is positioned in said recess.

3. The staple cartridge of claim 2, wherein said deck has a top surface, and wherein at least a portion of said crown extends above said top surface when said crown is positioned within said recess.

4. The staple cartridge of claim 1, wherein said staple cartridge body further comprises a deck, and wherein said crown is removably attached to said deck.

5. The staple cartridge of claim 1, wherein said deformable member is configured to pierce said crown.

6. The staple cartridge of claim 1, wherein said staple further comprises a base, wherein said deformable member extends from said base, wherein said crown comprises a recess, and wherein said recess is configured to receive at least a portion of said base.

7. The staple cartridge of claim 6, wherein said base is configured to be at least one of snap-fit and press-fit into said recess of said crown, and wherein said base is immovable relative to said crown when said base is positioned within said recess.

8. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, and wherein at least a portion of said crown is removably stored within said staple cartridge body, the staple cartridge further comprising a staple driver, wherein said staple cartridge body further comprises a deck, wherein said crown is unitarily-formed with said deck, wherein said staple further comprises a base, wherein said deformable member extends from said base, and wherein said staple driver is configured to force said base of said staple against said crown and dislodge said crown from said deck.

9. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably stored within said staple cartridge body, wherein said staple further comprises a base, and wherein said crown further comprises;

a first side comprising a tissue contacting surface;

a second side comprising a drive surface, wherein said drive surface is configured to be contacted by said base of said staple; and

an aperture extending between said first side and said second side, wherein said deformable member is slidable relative to said crown within said aperture.

10. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably stored within said staple cartridge body, wherein said staple further comprises a base, and wherein said crown further comprises;

a first side comprising a tissue contacting surface;

a second side comprising a drive surface, wherein said drive surface is configured to be contacted by said base of said staple; and

a slot, wherein said deformable member is slideable relative to said crown within said slot.

11. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably stored within said staple cartridge body, wherein said crown further comprise an aperture extending therethrough, wherein said deformable member is movable between an undeployed position and a deployed position, and wherein at least a portion of said deformable member is positioned within said aperture when said deformable member is in said undeployed position and said deployed position.

12. A staple cartridge for use with a surgical stapler actuatable to fasten tissue captured by the surgical stapler, the staple cartridge comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown, wherein said crown and said deformable member are positioned on the same side of the captured tissue prior to actuating the surgical stapler to fasten the tissue; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, and wherein at least a portion of said crown is removably engaged with said staple cartridge body.

13. The staple cartridge of claim 12, wherein said staple cartridge body comprises:

a deck;

a cavity configured to removably store at least a portion of said deformable member, wherein said cavity comprises an opening in said deck; and

a recess configured to removably store at least a portion of said crown, wherein said recess surrounds said opening such that said crown is aligned with said deformable member when said deformable member is positioned in said cavity and said crown is positioned in said recess.

14. The staple cartridge of claim 13, wherein said deck has a top surface, and wherein at least a portion of said crown extends above said top surface when said crown is positioned within said recess.

15. The staple cartridge of claim 12, wherein said staple cartridge body further comprises a deck, and wherein said crown is removably attached to said deck.

16. The staple cartridge of claim 12, wherein said deformable member is configured to pierce said crown.

17. The staple cartridge of claim 12, wherein said staple further comprises a base, wherein said deformable member extends from said base, wherein said crown comprises a recess, and wherein said recess is configured to receive at least a portion of said base.

18. The staple cartridge of claim 17, wherein said base is configured to be at least one of snap-fit and press-fit into said recess of said crown, and wherein said base is immovable relative to said crown when said base is positioned within said recess.

19. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably engaged with said staple cartridge body, wherein said staple cartridge body further comprises a deck, wherein said crown is unitarily-formed with said deck, wherein said staple further comprises a base, wherein said deformable member extends from said base, wherein said stable cartridge body further comprises a staple driver, and wherein said staple driver is configured to force said base of said staple against said crown and dislodge said crown from said deck.

20. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably engaged with said staple cartridge body, wherein said staple further comprises a base, and wherein said crown further comprises;

a first side comprising a tissue contacting surface;

a second side comprising a drive surface, wherein said drive surface is configured to be contacted by said base of said staple; and

an aperture extending between said first side and said second side, wherein said deformable member is slidable relative to said crown within said aperture.

21. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably engaged with said staple cartridge body, wherein said staple further comprises a base, and wherein said crown further comprises;

a first side comprising a tissue contacting surface;

a second side comprising a drive surface, wherein said drive surface is configured to be contacted by said base of said staple; and

a slot, wherein said deformable member is slideable relative to said crown within said slot.

22. A staple cartridge for use with a surgical stapler, comprising:

a staple comprising a crown and a deformable member, wherein said deformable member is slidable relative to said crown; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said crown is removably engaged with said staple cartridge body, wherein said crown further comprise an aperture extending therethrough, wherein said deformable member is movable between an undeployed position and a deployed position, and wherein at least a portion of said deformable member is positioned within said aperture when said deformable member is in said undeployed position and said deployed position.

23. A staple cartridge for use with a surgical stapler, comprising:

a staple movable between an unfired configuration and a fired configuration to fasten tissue, said staple comprising;

a base; and

a deformable member extending from said base;

a pressure distribution member, wherein said deformable member is slidable relative to said pressure distribution member, said pressure distribution member comprising;

a base facing side; and

a tissue facing side, wherein said tissue facing side and said deformable member define a tissue entrapment area therebetween when said staple is in said fired configuration; and

a staple cartridge body, wherein at least a portion of said deformable member is removably stored within said staple cartridge body, wherein at least a portion of said pressure distribution member is removably assembled to said staple cartridge body, wherein said pressure distribution member and said deformable member are positioned on the same side of the tissue prior to moving said staple to fasten the tissue, and wherein said deformable member is partially positioned within said pressure distribution member in said unfired configuration.