Fastener system comprising a retention matrix and a cover

• US 8,474,677 B2
• Filed: 09/30/2010
• Issued: 07/02/2013
• 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: Woodard, James A. Jr., Scheib, Charles J., Bruewer, Dean B., Schwemberger, Richard F., Schall, Christopher J., Morgan, Jerome R., Simms, Robert J., Doll, Kevin R., Swayze, Jeffrey S., Ouwerkerk, John N.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US12/894,388
• Publication Number:
  US 20120080487A1
• Time in Patent Office: 1,006 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1, 606/139, 606/151, 606/153, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 1/00064 Constructional details of the endoscope body
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• 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 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• 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 17/072 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 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• 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 2017/00526 : Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 : Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00946 : malleable
• 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 2017/07285 : characterised by its cutter
• CPC Class Codes: A61B 2017/2902 : characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2905 : flexible
• 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 2017/2919 : 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 2017/2946 : Locking means
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: Y10T 29/49863 : with prestressing of part

Abstract

A surgical fastening system can comprise a plurality of fasteners, wherein each fastener can comprise, one, a base and, two, a leg extending from the base, wherein each leg can comprise a tip. The fastener system can further comprise a retention matrix comprising a first side facing toward the bases of the fasteners, a second side facing away from the bases of the fasteners, and a plurality of retention members configured to engage the legs. The fastener system can further comprise a cover configured to cover the staple tips, wherein the cover can comprise a sheet of material and/or a plurality of caps.

Claims

1. A surgical stapling system, comprising:

a first staple, comprising;

a first base; and

a first leg extending from said first base, the first leg comprising a first tip;

a second staple, comprising;

a second base; and

a second leg extending from said second base, the second leg comprising a second tip; and

a retention matrix, comprising;

a first layer, comprising;

a first side facing toward said first base and said second base;

a second side facing away from said first base and said second base;

a first retention member configured to engage said first leg; and

a second retention member configured to engage said second leg; and

a cover extending along said second side of said first layer, wherein said cover is configured to receive said first tip and said second tip.

2. The surgical stapling system of claim 1, wherein said cover comprises a top surface, a bottom surface, and a thickness defined between said top surface and said bottom surface, wherein said bottom surface is penetrable by said first tip and said second tip, and wherein said thickness is configured such that said first tip and said second tip do not extend through said top surface when said retention matrix is engaged with said first staple and said second staple.

3. The surgical stapling system of claim 1, wherein said cover comprises a second layer penetrable by said first tip and said second tip and a third layer impenetrable by said first tip and said second tip.

4. The surgical stapling system of claim 3, wherein said second layer is adhered to said first layer, and wherein said third layer is adhered to said second layer.

5. The surgical stapling system of claim 3, wherein said first layer is comprised of metal, and wherein said second layer is more flexible than said first layer.

6. The surgical stapling system of claim 1, wherein said cover comprises a second layer penetrable by said first tip and said second tip and a third layer comprises a toughness which is greater than said second layer.

7. A surgical stapling system, comprising:

a plurality of staples, each staple comprising a base, and a leg extending from said base, wherein each said leg comprises a tip; and

a retention matrix, comprising;

a first side facing toward said bases of said staples;

a second side facing away from said bases of said staples;

a plurality of retention members configured to engage said legs; and

covering means for covering said tips.

8. A surgical stapling system, comprising:

a first staple, comprising;

a first base; and

a first leg extending from said first base, the first leg comprising a first tip;

a second staple, comprising;

a second base; and

a second leg extending from said second base, the second leg comprising a second tip; and

a retention matrix, comprising;

a first layer, comprising;

a first side facing toward said first base and said second base;

a second side facing away from said first base and said second base;

a first retention member configured to engage said first leg; and

a second retention member configured to engage said second leg; and

protective means for protecting said first tip and said second tip.

9. A surgical stapling system, comprising:

a first staple, comprising;

a first body portion; and

a first tip extending from said first body portion;

a second staple, comprising;

a second body portion; and

a second tip extending from said second body portion; and

a retention matrix, comprising;

a first lamina, comprising;

a first retention member configured to engage said first body portion; and

a second retention member configured to engage said second body portion; and

a second lamina extending over said first lamina, wherein said second lamina is configured to receive said first tip and said second tip.

10. A surgical stapling system, comprising:

a first staple, said first staple comprising a first tip;

a second staple, said second staple comprising a second tip;

a retention matrix, comprising;

a layer, comprising;

a first retention member configured to engage said first staple; and

a second retention member configured to engage said second staple; and

a sheath extending over said layer, wherein said sheath is configured to receive said first tip and said second tip.