STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION

• US 20120080340A1
• Filed: 04/29/2011
• Published: 04/05/2012
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Baxter, Chester O. III, Swayze, Jeffrey S., Morgan, Jerome R., Rhee, Sora, Aronhalt, Taylor W.
• Granted Patent: US 10,136,890 B2
• Time in Patent Office: Days
• US Class Current: 206/339
• 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 17/0643 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 17/29 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, resorptive for implantable prostheses A61F2210/0004
• 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 2017/00473 : 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 2017/0409 : Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0641 : having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/0688 : Packages or dispensers for surgical staplers
• 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 2017/2902 : characterized by features of the actuating rod
• 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 2017/2916 : pins in guiding slots
• 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 2017/2944 : Translation of jaw members
• 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 2090/034 : abutting on parts of the device itself
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/0811 : for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: B25C 5/1686 : using pre-loaded cassettes

Abstract

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Claims

1. A staple cartridge for use with a surgical stapler comprising an anvil, wherein the anvil comprises a row of first forming pockets and a row of second forming pockets, and wherein said staple cartridge comprises:

a cartridge body, comprising;

a deck;

a row of first staple cavities, wherein the first forming pockets are positioned relative to said first staple cavities when the anvil is in a closed position; and

a row of second staple cavities, wherein the second forming pockets are positioned relative to said second staple cavities when the anvil is in its closed position, and wherein each said first staple cavity and said second staple cavity comprises an opening in said deck;

a plurality of first staple drivers movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle, and wherein a first distance is defined between each said first support cradle and a first forming pocket when said first staple drivers are in said unfired position;

a plurality of second staple drivers movable between an unfired position and a fired position, wherein each said second staple driver comprises a second staple support cradle, wherein a second distance is defined between each said second support cradle and a second forming pocket when said second staple drivers are in said unfired position, and wherein said first distance is different than said second distance;

a plurality of first staples, wherein each said first staple is positioned in a said first staple cavity and supported by a first cradle;

a plurality of second staples, wherein each said second staple is positioned in a said second staple cavity and supported by a second cradle; and

a tissue thickness compensator, wherein said tissue thickness compensator comprises a first portion having a first thickness and a second portion having a second thickness, wherein said first thickness is different than said second thickness, wherein said first portion is aligned with said first staple cavities and is configured to be captured within said first staples, and wherein said second portion is aligned with said second staple cavities and is configured to be captured within said second staples.

2. The staple cartridge of claim 1, wherein said cartridge body further comprises a slot configured to receive a cutting member, and wherein said row of first staple cavities is positioned closer to said slot than said row of second staple cavities.

3. The staple cartridge of claim 2, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said first unfired height is less than said second unfired height, and wherein said first thickness is less than said second thickness.

4. The staple cartridge of claim 2, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said first unfired height is less than said second unfired height, and wherein said second thickness is less than said first thickness.

5. The staple cartridge of claim 2, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said second unfired height is less than said first unfired height, and wherein said first thickness is less than said second thickness.

6. The staple cartridge of claim 2, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said second unfired height is less than said first unfired height, and wherein said second thickness is less than said first thickness.

7. The staple cartridge of claim 1, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said first unfired height is less than said second unfired height, and wherein said first thickness is less than said second thickness.

8. The staple cartridge of claim 1, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said first unfired height is less than said second unfired height, and wherein said second thickness is less than said first thickness.

9. The staple cartridge of claim 1, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said second unfired height is less than said first unfired height, and wherein said first thickness is less than said second thickness.

10. The staple cartridge of claim 1, wherein said first staples comprise a first unfired height, wherein said second staples comprise a second unfired height, wherein said second unfired height is less than said first unfired height, and wherein said second thickness is less than said first thickness.

11. A staple cartridge for use with a surgical stapler comprising an anvil, wherein the anvil comprises a row of first forming pockets and a row of second forming pockets, and wherein said staple cartridge comprises:

a cartridge body, comprising;

a deck, comprising;

a slot configured to receive a cutting member;

a first deck surface positioned on a first side of said slot; and

a second deck surface positioned on a second side of said slot;

a row of first staple cavities, wherein the first forming pockets are positioned relative to said first staple cavities when the anvil is in a closed position; and

a row of second staple cavities, wherein the second forming pockets are positioned relative to said second staple cavities when the anvil is in said closed position, and wherein each said staple cavity comprises an opening in said deck;

a plurality of first staple drivers movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle, and wherein a first distance is defined between each said first support cradle and a first forming pocket when said first staple drivers are in said unfired position;

a plurality of second staple drivers movable between an unfired position and a fired position, wherein each said second staple driver comprises a second staple support cradle, wherein a second distance is defined between each said second support cradle and a second forming pocket when said second staple drivers are in said unfired position, and wherein said first distance is different than said second distance;

a plurality of first staples, wherein each said first staple is positioned in a said first staple cavity and supported by a first support cradle;

a plurality of second staples, wherein each said second staple is positioned in a said second staple cavity and supported by a second support cradle; and

a tissue thickness compensator, wherein said tissue thickness compensator comprises a first portion positioned over said first deck surface and a second portion positioned over said second deck surface, and wherein said tissue thickness compensator is configured to be captured within said first staples and said second staples and assume different compressed heights within different said staples.

12. The staple cartridge of claim 11, wherein said first deck surface defines a first support plane and said second deck surface defines a second support plane, and wherein said first support plane is not parallel to said second support plane.

13. The staple cartridge of claim 12, wherein said first portion of said tissue thickness compensator comprises a first tissue-contacting surface, wherein said first tissue-contacting surface defines a first top plane, wherein said second portion comprises a second tissue-contacting surface, wherein said second tissue-contacting surface defines a second top plane, and wherein said first top plane is not parallel to said second top plane.

14. The staple cartridge of claim 13, wherein said first support plane is parallel to said first top plane, and wherein said second support plane is parallel to said second top plane.

15. The staple cartridge of claim 13, wherein said first support plane is not parallel to said first top plane, and wherein said second support plane is not parallel to said second top plane.

16. The staple cartridge of claim 11, wherein said first deck surface defines a first support contour and said second deck surface defines a second support contour, and wherein neither said first support contour nor said second support contour are flat.

17. The staple cartridge of claim 16, wherein said first portion of said tissue thickness compensator comprises a first tissue-contacting surface, wherein said first tissue-contacting surface defines a first top contour, wherein said second portion comprises a second tissue-contacting surface, wherein said second tissue-contacting surface defines a second top contour, and wherein neither said first top contour nor said second top contour are flat.

18. The staple cartridge of claim 17, wherein said first support contour is parallel to said first top contour, and wherein said second support contour is parallel to said second top contour.

19. The staple cartridge of claim 17, wherein said first support contour is not parallel to said first top contour, and wherein said second support contour is not parallel to said second top contour.

20. A staple cartridge for use with a surgical stapler comprising an anvil, wherein the anvil comprises a row of first forming pockets and a row of second forming pockets, and wherein said staple cartridge comprises:

a cartridge body, comprising;

a proximal end;

a distal end;

a deck surface extending between said proximal end and said distal end, wherein said deck surface comprises a contour between said proximal end and said distal end, wherein one of said proximal end and said distal end is positioned above the other of said proximal end and said distal end;

a row of first staple cavities, wherein the first forming pockets are positioned relative to said first staple cavities when the anvil is in a closed position; and

a row of second staple cavities, wherein the second forming pockets are positioned relative to said second staple cavities when the anvil is in said closed position, and wherein each said first staple cavity and said second staple cavity comprises an opening in said deck;

a plurality of first staple drivers movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle, and wherein a first distance is defined between each said first support cradle and a first forming pocket when said first staple drivers are in said unfired position;

a plurality of second staple drivers movable between an unfired position and a fired position, wherein each said second staple driver comprises a second staple support cradle, wherein a second distance is defined between each said second support cradle and a second forming pocket when said second staple drivers are in said unfired position, and wherein said first distance is different than said second distance;

a plurality of first staples, wherein each said first staple is positioned in a said first staple cavity;

a plurality of second staples, wherein each said second staple is positioned in a said second staple cavity; and

a tissue thickness compensator positioned against said deck surface, wherein said tissue thickness compensator is configured to be captured within said first staples and said second staples and assume different compressed heights within different said staples.

21. The staple cartridge of claim 20, wherein said proximal end is positioned above said distal end, wherein said tissue thickness compensator comprises a proximal portion removably positioned over said proximal end of said deck and a distal portion removably positioned over said distal end of said deck, and wherein said tissue thickness compensator comprises a proximal thickness at said proximal portion which is thinner than a distal thickness at said distal portion.

22. The staple cartridge of claim 21, wherein said tissue thickness compensator comprises a top surface, and wherein said top surface is flat.

23. A staple cartridge for use with a surgical stapler, wherein said staple cartridge comprises:

a cartridge body, comprising;

a deck;

a row of first staple cavities defined in said deck;

a plurality of first staples, wherein each said first staple comprises a first unfired height, and wherein a said first staple is positioned in each said first staple cavity;

a row of second staple cavities defined in said deck;

a plurality of second staples, wherein each said second staple comprises a second unfired height, wherein said second unfired height is different than said first unfired height, and wherein a said second staple is positioned in each said second staple cavity;

a tissue thickness compensator, wherein said tissue thickness compensator comprises a first portion having a first thickness and a second portion having a second thickness, wherein said first thickness is different than said second thickness, wherein said first portion is aligned with said first staple cavities and is configured to be captured within said first staples, and wherein said second portion is aligned with said second staple cavities and is configured to be captured within said second staples.

24. The staple cartridge of claim 23, wherein said tissue thickness compensator is comprised of a porous material.

25. The staple cartridge of claim 24, wherein said porous material comprises a porosity of 85% or more.

26. The staple cartridge of claim 23, further comprising a staple driver which is configured to move at least one said first staple and at least one said second staple toward an anvil simultaneously.

27. The staple cartridge of claim 23, further comprising:

a row of third staple cavities defined in said deck;

a plurality of third staples, wherein each said third staple comprises a third unfired height, wherein said third unfired height is different than said first unfired height and said second unfired height, wherein a said third staple is positioned in each said third staple cavity; and

wherein said tissue thickness compensator comprises a third portion having a third thickness which is aligned with said third staple cavities and is configured to be captured within said third staples.

28. The staple cartridge of claim 27, further comprising a staple driver which is configured to move at least one said first staple, at least one said second staple, and at least one said third staple toward an anvil simultaneously.