IMPLANTABLE LAYER ASSEMBLIES

• US 20150238187A1
• Filed: 02/24/2014
• Published: 08/27/2015
• Est. Priority Date: 02/24/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schellin, Emily A., Vendely, Michael J., Weaner, Lauren S., Shelton, Frederick E. IV, Aronhalt, Taylor W.
• Granted Patent: US 9,757,124 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/072 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• 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 2017/07257 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 2017/07285 characterised by its cutter
• CPC Class Codes: A61L 31/04 Macromolecular materials
• CPC Class Codes: A61L 31/146 Porous materials, e.g. foams or sponges
• CPC Class Codes: B29C 43/00 Compression moulding, i.e. applying external pressure to flow the moulding material; Apparatus therefor by liberation of internal stresses B29C61/006
• CPC Class Codes: B29C 43/52 : Heating or cooling
• CPC Class Codes: B29C 55/00 : Shaping by stretching, e.g. drawing through a die; Apparatus therefor B29C61/08 takes precedence
• CPC Class Codes: B29C 67/20 : for porous or cellular articles, e.g. of foam plastics, coarse-pored chemical aspects of working up macro-molecular substances to porous or cellular articles C08J9/00
• CPC Class Codes: B29K 2105/04 : cellular or porous
• CPC Class Codes: B29K 2995/0056 : Biocompatible, e.g. biopolymers or bioelastomers
• CPC Class Codes: B29L 2031/7546 : Surgical equipment

Abstract

An end effector for use with a surgical instrument is disclosed which includes a staple cartridge comprising a cartridge body, a plurality of staples, and a longitudinal slot extending longitudinally along a length of the cartridge body. The longitudinal slot includes a first side and a second side opposite the first side. In addition, the end effector includes a cutting member slidably movable along the longitudinal slot and an implantable assembly which includes a first layer and a second layer, wherein the second layer includes a first portion and a second portion spaced apart from the first portion, and wherein the first layer is attached to the first portion and the second portion.

Claims

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

a staple cartridge, comprising;

a cartridge body;

a plurality of staples;

a longitudinal slot extending longitudinally along a length of said cartridge body, said longitudinal slot comprising a first side and a second side opposite said first side; and

a cutting member slidably movable along said longitudinal slot; and

an implantable assembly, comprising;

a first layer; and

a second layer, comprising;

a first portion; and

a second portion spaced apart from said first portion, wherein said first layer is attached to said first portion and said second portion.

2. The end effector of claim 1, wherein said first layer is thinner than said second layer.

3. The end effector of claim 1, wherein said first layer comprises a first height, wherein said first portion comprises a second height, and wherein said first height is less than said second height.

4. The end effector of claim 1, wherein said first layer is at least partially disposed over said second layer.

5. The end effector of claim 1, wherein said first layer is partially embedded in at least one of said first portion and said second portion.

6. The end effector of claim 1, wherein said first layer comprises a film.

7. The end effector of claim 6, wherein said film comprises a plurality of perforations.

8. The end effector of claim 7, wherein the cutting member is configured to cut said film along said plurality of perforations.

9. The end effector of claim 1, wherein said first portion and said second portion define a gap therebetween, and wherein said first layer is configured to bridge said gap.

10. The end effector of claim 9, wherein said first layer is at least partially disposed across said gap.

11. The end effector of claim 1, wherein said first layer is comprised of a first material, and wherein said second layer is comprised of a second material different than said first material.

12. The end effector of claim 11, wherein said first material comprises a first biocompatible material, and wherein said second material comprises a second biocompatible material.

13. A fastener cartridge, comprising:

a plurality of fasteners;

a longitudinal slot;

a cutting member slidably movable along a length of said longitudinal slot; and

a compressible assembly, comprising;

a first compressible member comprising a first thickness, said first compressible member positionable on a first side of said longitudinal slot;

a second compressible member comprising a second thickness, said second compressible member positionable on a second side of said longitudinal slot opposite said first side; and

a bridging member comprising a third thickness less than at least one of said first thickness and said second thickness, said bridging member extending at least partially over said slot, wherein said bridging member connects said first compressible member to said second compressible member, and wherein said bridging member is partially embedded in at least one of said first compressible member and said second compressible member.

14. The fastener cartridge of claim 13, wherein said bridging member comprises a suture.

15. The fastener cartridge of claim 13, wherein said bridging member is comprised of a biocompatible material.

16. The fastener cartridge of claim 13, wherein said bridging member comprises a plurality of connectors.

17. The fastener cartridge of claim 16, wherein said plurality of connectors comprises a continuous suture.

18. An end effector for use with a surgical instrument, said end effector comprising:

a staple cartridge, comprising;

a cartridge body;

a plurality of staples;

a longitudinal slot extending longitudinally along a length of said cartridge body, said longitudinal slot comprising a first side and a second side opposite said first side; and

a cutting member slidably movable along said longitudinal slot; and

an implantable assembly, comprising;

a first layer; and

a second layer, comprising;

a first portion extending at least partially along said first side of said longitudinal slot; and

a second portion extending at least partially along said first side of said longitudinal slot, wherein said second portion is spaced apart from said first portion, wherein said first layer extends between said first portion and said second portion, and wherein said first layer is partially positioned within at least one of said first portion and said second portion.

19. The end effector of claim 18, wherein said first portion and said second portion define a gap therebetween, and wherein said first layer bridges said gap.

20. The end effector of claim 18, wherein said first layer is at least partially disposed over said longitudinal slot.