Surgical stapling cartridge with layer retention features

• US 10,405,854 B2
• Filed: 02/08/2013
• Issued: 09/10/2019
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Schmid, Katherine J., Stammen, John L., Smith, Bret W., Shelton, IV, Frederick E.
• Primary Examiner(s): Lopez, Michelle
• Assistant Examiner(s): Rushing-Tucker, Chinyere J
• Application Number:
  US13/763,112
• Publication Number:
  US 20130256379A1
• Time in Patent Office: 2,405 Days
• Field of Search: 2271761
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• 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 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00862 : elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00893 : pharmaceutically effective
• CPC Class Codes: A61B 2017/00951 : adhesive
• CPC Class Codes: A61B 2017/0641 : having at least three legs as part of one single body
• 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 2017/2908 : Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2916 : pins in guiding slots
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• 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 2017/2933 : 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 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• CPC Class Codes: B25C 5/1686 : using pre-loaded cassettes

Abstract

A fastener cartridge assembly includes a plurality of fasteners and a layer configured to be captured by the fasteners. In addition, the layer includes a tissue contacting surface which includes a plurality of cleats, and/or any other suitable structures, configured to reduce slippage between the layer and the patient tissue. In various embodiments, the layer can include traction features extending therefrom.

Claims

1. A staple cartridge assembly, comprising:

a cartridge body, comprising;

a deck; and

a plurality of staples; and

an implantable layer configured to be captured by said staples, wherein said implantable layer comprises a tissue contacting surface, wherein said tissue contacting surface comprises a plurality of cleats configured to reduce tissue slippage relative to said implantable layer, wherein said cleats comprise small contact areas, wherein said small contact areas are configured to improve traction against said tissue by contacting without puncturing said tissue.

2. The staple cartridge assembly of claim 1, wherein said implantable layer comprises a tissue thickness compensator.

3. The staple cartridge assembly of claim 2, wherein said tissue thickness compensator comprises internal compression features within said implantable layer.

4. The staple cartridge assembly of claim 1, wherein said cleats comprise micro-structures.

5. The staple cartridge assembly of claim 1, wherein said cleats comprise nano-structures.

6. The staple cartridge assembly of claim 1, wherein said cleats comprise pillars.

7. The staple cartridge assembly of claim 1, wherein said implantable layer comprises a biocompatible film, and wherein said cleats are compression molded into said biocompatible film.

8. The staple cartridge assembly of claim 1, wherein said cleats are arranged in a pattern.

9. A surgical stapler, comprising:

an anvil; and

a staple cartridge assembly comprising;

a cartridge body, comprising;

a deck; and

a plurality of staples; and

an implantable layer configured to be captured by said staples, said implantable layer comprising a tissue contacting surface, wherein said tissue contacting surface comprises traction means for improving traction against tissue, wherein said traction means comprise small contact areas, wherein said small contact areas on said traction means are configured to reduce lateral movement of said tissue against said implantable layer, by contacting without piercing said tissue.

10. The surgical stapler of claim 9, wherein said implantable layer comprises a tissue thickness compensator.

11. The surgical stapler of claim 10, wherein said tissue thickness compensator comprises internal compression features within said implantable layer.

12. The surgical stapler of claim 9, wherein said traction means comprises micro-structures.

13. The surgical stapler of claim 9, wherein said traction means comprises nano-structures.

14. The surgical stapler of claim 9, wherein said traction means comprises a plurality of pillars.

15. The surgical stapler of claim 9, wherein said implantable layer comprises a biocompatible film, and wherein said traction means are compression molded into said biocompatible film.

16. The surgical stapler of claim 9, wherein said traction means comprises a plurality of protrusions arranged in a pattern.

17. A surgical stapler, comprising:

an anvil; and

a staple cartridge assembly, comprising;

a cartridge body, comprising;

a deck; and

a plurality of staples; and

an implantable layer configured to be captured by said staples, said implantable layer comprising a tissue contacting surface, wherein said tissue contacting surface comprises cleats each including small contact areas configured to reduce longitudinal movement of tissue against said implantable layer by atraumatically contacting said tissue.

18. A staple cartridge assembly, comprising:

a cartridge body, comprising;

a deck; and

a plurality of staples; and

an implantable layer configured to be captured by said staples, wherein said implantable layer comprises a tissue contacting surface, wherein said tissue contacting surface comprises cleats that include contact areas configured to improve traction against tissue in contact with said tissue contacting surface, and wherein said cleats comprise;

a first cleat comprising a first height; and

a second cleat comprising a second height, wherein said first cleat is positioned at a distance from said second cleat, and wherein said distance is greater than at least one of said first height and said second height.