Variable compression surgical fastener cartridge

• US 9,463,017 B2
• Filed: 04/26/2013
• Issued: 10/11/2016
• 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): Desai, Hemant M
• Assistant Examiner(s): Neacsu, Valentin
• Application Number:
  US13/871,048
• Publication Number:
  US 20130233909A1
• Time in Patent Office: 1,264 Days
• Field of Search: 2271751-1821, 411/457, 411/470, 606/219
• US Class Current: 1/1
• 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 tool assembly for use with a surgical fastener applying apparatus, the tool assembly comprising:

a first jaw including a cartridge assembly having a plurality of surgical fasteners disposed within the cartridge assembly, each surgical fastener in the plurality of surgical fasteners including a pair of legs terminating in penetrating ends, and a backspan connecting the pair of legs, the backspan defining a longitudinal axis and having a twisted configuration such that a face of the backspan is rotated along a length of the backspan around the longitudinal axis, creating a spiral backspan configuration.

2. The tool assembly of claim 1, wherein the cartridge assembly includes a plurality of first surgical fasteners disposed within the cartridge assembly, and a plurality of second surgical fasteners disposed within the cartridge assembly, each of the plurality of first surgical fasteners including a first backspan defining a first longitudinal axis and having a twisted configuration such that a face of the first backspan is rotated along at least a portion of the length of the first backspan about the first longitudinal axis, and each of the plurality of second surgical fasteners including a second backspan defining a second longitudinal axis and having a twisted configuration such that a face of the second backspan is rotated along at least a portion of the length of the second backspan about the second longitudinal axis, dimensions of the first backspan being different than dimensions of the second backspan.

3. The tool assembly of claim 2, wherein the first backspan defines a first height, and the second backspan defines a second height different than the first height 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.

4. The tool assembly of claim 2, wherein the plurality of first surgical fasteners and the plurality of second surgical fasteners are dimensioned such that the second height is greater than the first height, whereby the second compressive force is greater than the first compressive force.

5. The tool assembly of claim 4, 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 spaced apart from the first row.

6. The tool assembly of claim 5, wherein the cartridge assembly includes a channel configured to accommodate a cutting member for the creation of a cut-line in the tissue.

7. The tool assembly of claim 6, wherein the first row of surgical fasteners is positioned a first distance from the channel, and the second row is positioned a second, greater distance from the channel.

8. The tool assembly of claim 7, further comprising a plurality of third surgical fasteners, each of the surgical fasteners in the plurality of third surgical fasteners including a third backspan defining a third longitudinal axis and having a twisted configuration such that a face of the third backspan is rotated along a length of the third backspan about the third longitudinal axis, the dimensions of the third backspan being different than the dimensions of at least one of the first backspan and the second backspan.

9. The tool assembly of claim 8, wherein the third backspan defines a third height different than at least one of the first height and the second height such that the plurality of third surgical fasteners apply a third compressive force to tissue upon formation different than at least one of the first compressive force and the second compressive force.

10. The tool assembly of claim 9, wherein the plurality of third surgical fasteners define an overall height when formed that is equal to the overall height defined by the plurality of first surgical fasteners and the plurality of second surgical fasteners when formed.

11. The tool assembly of claim 10, wherein the plurality of third surgical fasteners are dimensioned such that the third height is greater than the second height, whereby the third compressive force is greater than the second compressive force.

12. The tool assembly of claim 1, wherein the backspan includes multiple twists such that at least two portions of the backspan extend in a same direction as the penetrating ends of the legs.

13. A surgical fastener for use in a medical procedure, the surgical fastener including a pair of legs terminating in penetrating ends configured to pass through tissue, and a backspan connecting the pair of legs defining a longitudinal axis and having a twisted configuration, such that a face of the backspan is rotated along a length of the backspan around the longitudinal axis, creating a spiral backspan configuration, such that the backspan defines a non-uniform tissue contacting surface.

14. A surgical fastener applying apparatus comprising:

a handle portion;

an elongate body portion extending distally from the handle portion; and

a tool assembly supported adjacent a distal end of the elongate body portion, the tool assembly including;

a first jaw including an anvil assembly; and

a second jaw pivotally coupled to the first jaw such that the tool assembly is repositionable to clamp tissue between the first jaw and the second jaw, the second jaw including a cartridge assembly having a plurality of surgical fasteners disposed within the cartridge assembly, each surgical fastener in the plurality of surgical fasteners including a pair of legs terminating in penetrating ends, and a backspan connecting the pair of legs having a twisted configuration, such that a face of the backspan is rotated along a length of the backspan around a longitudinal axis of the backspan, creating a spiral backspan configuration, such that the backspan defines a non-linear tissue contacting surface.

15. The surgical fastener applying apparatus of claim 14, wherein the backspan of each surgical fastener in the plurality of surgical fasteners includes multiple twists such that at least two portions of the backspan extend in a same direction as the penetrating ends of the legs.

16. The surgical fastener applying apparatus of claim 14, wherein the cartridge assembly includes a plurality of first surgical fasteners disposed therein, and a plurality of second surgical fasteners disposed therein, each of the surgical fasteners in the plurality of first surgical fasteners including a first backspan having a first face oriented in different directions along a length of the first backspan such that the first backspan defines a first non-linear tissue contacting surface, and each of the surgical fasteners in the plurality of second surgical fasteners including a second backspan having a second face oriented in different directions along a length of the second backspan such that the second backspan defines a second non-linear tissue contacting surface, the dimensions of the first backspan being different than the dimensions of the second backspan.

17. The surgical fastener applying apparatus of claim 16, wherein the first backspan defines a first height, and the second backspan defines a second height different than the first height 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.