Surgical stapling instrument having a releasable buttress material

• US 9,872,682 B2
• Filed: 03/14/2016
• Issued: 01/23/2018
• Est. Priority Date: 03/15/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Hess, Christopher J., Weisenburgh, II, William B., Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US15/069,614
• Publication Number:
  US 20160206309A1
• Time in Patent Office: 680 Days
• Field of Search: 227 19, 2271751, 2271761, 2271801, 227902, 606139, 606153, 606219
• 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

An end effector for use with a surgical instrument is disclosed. The end effector comprises an anvil including a staple forming portion, a cutting member, and a staple cartridge. The staple cartridge comprises a cartridge body, an elongate slot, and a deck. The deck comprises a first deck surface and a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one of the first deck surface and the second deck surface. The staple cartridge further comprises a plurality of first staple cavities, a plurality of second staple cavities, and a plurality of third staple cavities, a driven element, a securement member releasably engaged with the deck, an implantable portion, and a plurality of staples deployable concurrently into tissue captured between the anvil and the staple cartridge.

Claims

1. An end effector for use with a surgical instrument, the end effector comprising:

an anvil including a staple forming portion;

a cutting member; and

a staple cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable distally relative to the elongate slot between the proximal end and the distal end to cut tissue captured between the anvil and the staple cartridge;

a deck, comprising;

a first deck surface; and

a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one of the first deck surface and the second deck surface;

a plurality of first staple cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row extends along the first deck surface;

a plurality of second staple cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of third staple cavities arranged in a third row on the lateral side of the elongate slot, wherein the third row is closer to the elongate slot than the second row;

a driven element;

a securement member releasably engaged with the deck, wherein the cutting member is movable toward the distal end of the cartridge body, and wherein the securement member is released during the distal movement of the cutting member;

an implantable portion, wherein the securement member is configured to resist release of the implantable portion; and

a plurality of staples deployable concurrently into the tissue captured between the anvil and the staple cartridge, the plurality of staples comprising;

a first staple removably stored in the first row of staple cavities, the first staple comprising;

a first proximal leg; and

a first distal leg, wherein the first distal leg is located distal to the first proximal leg;

a second staple removably stored in the second row of staple cavities, the second staple comprising;

a second proximal leg; and

a second distal leg, wherein the second distal leg is located distal to the second proximal leg; and

a third staple removably stored in the third row of staple cavities, the third staple comprising;

a third proximal leg; and

a third distal leg, wherein the third distal leg is located distal to the third proximal leg, wherein the third proximal leg is located distal to the second proximal leg, wherein the second proximal leg is located distal to the first proximal leg, wherein the third distal leg is located distal to the second distal leg, wherein the second distal leg is located distal to the first distal leg, wherein the third proximal leg is located distal to the first distal leg, and wherein the plurality of staples are engaged with the driven element.

2. The end effector of claim 1, wherein the securement member is located between the proximal end and the distal end.

3. An end effector for use with a surgical instrument, the end effector comprising:

an anvil including a fastener forming portion;

a cutting member; and

a fastener cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable distally relative to the elongate slot between the proximal end and the distal end to cut tissue captured between the anvil and the fastener cartridge;

a plurality of first fastener cavities arranged in a first row on a lateral side of the elongate slot;

a plurality of second fastener cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row;

a plurality of third fastener cavities arranged in a third row on the lateral side of the elongate slot, wherein the third row is closer to the elongate slot than the second row;

a deck, comprising;

a first deck surface, wherein one of the first row, the second row, and the third row extends along the first deck surface; and

a second deck surface, wherein one of the first row, the second row, and the third row extends along the second deck surface, and wherein the first deck surface is elevationally offset from the second deck surface;

a driven element;

a securement member releasably engaged with the deck, wherein the cutting member is movable toward the distal end of the cartridge body, and wherein the securement member is released during the distal movement of the cutting member;

an implantable portion, wherein the securement member is configured to resist release of the implantable portion; and

a plurality of fasteners deployable concurrently into the tissue captured between the anvil and the fastener cartridge, the plurality of fasteners comprising;

a first fastener removably stored in the first row of fastener cavities, the first fastener comprising;

a first proximal leg; and

a first distal leg, wherein the first distal leg is located distal to the first proximal leg;

a second fastener removably stored in the second row of fastener cavities, the second fastener comprising;

a second proximal leg; and

a second distal leg, wherein the second distal leg is located distal to the second proximal leg; and

a third fastener removably stored in the third row of fastener cavities, the third fastener comprising;

a third proximal leg; and

a third distal leg, wherein the third distal leg is located distal to the third proximal leg, wherein the third proximal leg is located distal to the second proximal leg, wherein the second proximal leg is located distal to the first proximal leg, wherein the third distal leg is located distal to the second distal leg, wherein the second distal leg is located distal to the first distal leg, wherein the third proximal leg is located distal to the first distal leg, and wherein the plurality of fasteners are guided by the driven element.

4. The end effector of claim 3, wherein the securement member is located between the proximal end and the distal end.

5. An end effector for use with a surgical instrument, the end effector comprising:

an anvil including a fastener forming portion;

a cutting member; and

a fastener cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable distally relative to the elongate slot between the proximal end and the distal end to cut tissue captured between the anvil and the fastener cartridge;

a plurality of first fastener cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row extends along the cartridge body;

a plurality of second fastener cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row;

a plurality of third fastener cavities arranged in a third row on the lateral side of the elongate slot, wherein the third row is closer to the elongate slot than the second row;

a deck, comprising;

a first deck surface, wherein one of the first row, the second row, and the third row extends along the first deck surface; and

a second deck surface, wherein one of the first row, the second row, and the third row extends along the second deck surface, wherein the first deck surface is vertically offset from the second deck surface;

a guiding member;

a tether releasably engaged with the deck, wherein the cutting member is movable toward the distal end of the cartridge body, and wherein the tether is released during the distal movement of the cutting member;

an implantable portion, wherein the tether is configured to resist release of the implantable portion; and

a plurality of fasteners deployable concurrently into the tissue captured between the anvil and the fastener cartridge, the plurality of fasteners comprising;

a first fastener removably stored in the first row of fastener cavities, the first fastener comprising;

a first proximal leg; and

a first distal leg, wherein the first distal leg is located distal to the first proximal leg;

a second fastener removably stored in the second row of fastener cavities, the second fastener comprising;

a second proximal leg; and

a second distal leg, wherein the second distal leg is located distal to the second proximal leg; and

a third fastener removably stored in the third row of fastener cavities, the third fastener comprising;

a third proximal leg; and

a third distal leg, wherein the third distal leg is located distal to the third proximal leg, wherein the third proximal leg is located distal to the second proximal leg, wherein the second proximal leg is located distal to the first proximal leg, wherein the third distal leg is located distal to the second distal leg, wherein the second distal leg is located distal to the first distal leg, wherein the third proximal leg is located distal to the first distal leg, wherein the plurality of fasteners are engaged with the guiding member, and wherein the plurality of fasteners are movable with the guiding member.

6. The end effector of claim 5, wherein the tether is located between the proximal end and the distal end.