Fastener system comprising a retention matrix and an alignment matrix

• US 8,757,465 B2
• Filed: 09/30/2010
• Issued: 06/24/2014
• 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., Boudreaux, Chad P., Bruewer, Dean B., Schwemberger, Richard F., Schall, Christopher J., Morgan, Jerome R., Simms, Robert J., Swayze, Jeffrey S., Ouwerkerk, John N.
• Primary Examiner(s): Truong, Thanh
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/894,330
• Publication Number:
  US 20120080503A1
• Time in Patent Office: 1,363 Days
• Field of Search: 227/175.1, 227/176.1, 227/179.1, 227/180.1, 206/339, 411/921, 411/520, 411/525, 606/219, 606/220
• 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 fastener system can comprise a plurality of fasteners which can be connected to each other by, one, a retention matrix which is assembled to the fasteners in order to capture tissue within the fasteners and, two, an alignment matrix configured to hold the fasteners together before the retention matrix is assembled thereto. In various embodiments, the retention matrix and the alignment matrix can each comprise a tissue-contacting surface configured to compress tissue therebetween.

Claims

1. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base;

a retention matrix, comprising;

a first matrix element, comprising;

first receiving means for receiving said first leg;

first alignment means for aligning said first leg with said first receiving means; and

first retention means for engaging said first leg;

a second matrix element, comprising;

second receiving means for receiving said second leg;

second alignment means for aligning said second leg with said second receiving means; and

second retention means for engaging said second leg; and

flexible connecting means for connecting said first matrix element and said second matrix element.

2. A surgical stapling system, comprising:

a first fastener comprising a first base and a first leg extending from said first base;

a second fastener comprising a second base and a second leg extending from said second base;

a retention matrix, comprising;

a first matrix element, comprising;

a first aperture configured to receive said first leg;

a first pocket surrounding said first aperture; and

a first retention tab configured to engage said first leg;

a second matrix element, comprising;

a second aperture configured to receive said second leg;

a second pocket surrounding said second aperture; and

a second retention tab configured to engage said second leg;

a flexible connector attached to said first matrix element and said second matrix element; and

an alignment matrix comprising a first alignment guide operably engaged with said first leg and a second alignment guide operably engaged with said second leg, wherein said alignment matrix is configured to align said first leg with said second leg.

3. A surgical stapling system, comprising:

a first staple comprising a first leg;

a second staple comprising a second leg;

a retention matrix, comprising;

a first matrix element, comprising;

a first aperture configured to receive said first leg;

a first alignment pocket at least partially surrounding said first aperture, wherein said first alignment pocket is configured to guide said first leg into said first aperture; and

a first retention portion configured to engage said first leg;

a second matrix element, comprising;

a second aperture configured to receive said second leg;

a second alignment pocket at least partially surrounding said second aperture, wherein said second alignment pocket is configured to guide said second leg into said second aperture; and

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

a connecting link connecting said first matrix element and said second matrix element; and

an alignment matrix comprising a first alignment guide operably engaged with said first leg and a second alignment guide operably engaged with said second leg, wherein said alignment matrix is configured to align said first leg with said second leg.

4. A surgical stapling system, comprising:

a first fastener comprising a first leg;

a second fastener comprising a second leg;

a retention matrix, comprising;

a first matrix element, comprising;

a first aperture configured to receive said first leg; and

a first retention portion configured to engage said first leg;

a second matrix element, comprising;

a second aperture configured to receive said second leg; and

a second retention portion configured to engage said second leg;

a flexible connector attached to said first matrix element and said second matrix element; and

an alignment matrix comprising a first alignment guide operably engaged with said first leg and a second alignment guide operably engaged with said second leg, wherein said alignment matrix is configured to align said first leg with said second leg.

5. A surgical stapling system, comprising:

a first staple comprising a first leg;

a second staple comprising a second leg;

a retention matrix, comprising;

a first matrix element, comprising;

first receiving means for receiving said first leg;

first alignment means for aligning said first leg with said first receiving means; and

first retention means for engaging said first leg;

a second matrix element, comprising;

second receiving means for receiving said second leg;

second alignment means for aligning said second leg with said second receiving means; and

second retention means for engaging said second leg; and

flexible connecting means for connecting said first matrix element and said second matrix element.

6. A surgical stapling system, comprising:

a first staple comprised of a wire, wherein said first staple comprises;

a first base; and

a first leg extending from said first base;

a second staple comprised of a wire, wherein said second staple comprises;

a second base; and

a second leg extending from said second base;

a retention matrix, comprising;

a first matrix element, comprising;

a first aperture configured to receive said first leg;

a first alignment pocket at least partially surrounding said first aperture, wherein said first alignment pocket is configured to guide said first leg into said first aperture; and

a first retention member configured to engage said first leg;

a second matrix element, comprising;

a second aperture configured to receive said second leg;

a second alignment pocket at least partially surrounding said second aperture, wherein said second alignment pocket is configured to guide said second leg into said second aperture; and

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

a connecting link connecting said first matrix element and said second matrix element; and

an alignment matrix comprising a first alignment guide operably engaged with said first leg and a second alignment guide operably engaged with said second leg, wherein said alignment matrix is configured to align said first leg with said second leg.

7. The surgical stapling system of claim 6, wherein said first matrix element, said second matrix element, and said connecting link are comprised of a unitary piece of material.

8. The surgical stapling system of claim 7, wherein said first matrix element, said second matrix element, and said connecting link are formed from a sheet of metal.

9. The surgical stapling system of claim 8, wherein said connecting link comprises a sheet thickness and at least one thickness which is thinner than said sheet thickness.

10. The surgical stapling system of claim 6, wherein said first matrix element and said second matrix element are comprised of a metal material, and wherein said connecting link is comprised of a plastic material.

11. The surgical stapling system of claim 10, wherein said plastic material of said connecting link at least partially surrounds said first matrix element and said second matrix element.

12. The surgical stapling system of claim 10, wherein said connecting link comprises a first aperture and a second aperture, wherein said first matrix element is positioned within said first aperture of said connecting link, and wherein said second matrix element is positioned within said second aperture of said connecting link.

13. The surgical stapling system of claim 12, wherein said connecting link is molded around said first matrix element and said second matrix element.

14. The surgical stapling system of claim 6, wherein said first matrix element comprises a first width, wherein said second matrix element comprises a second width, and wherein said connecting link comprises a width which is narrower than said first width and said second width.

15. The surgical stapling system of claim 6, wherein said connecting link comprises a first link portion and a second link portion, wherein said first link portion extends from said first matrix element in a first direction, wherein said second link portion extends from said second matrix element in a second direction, and wherein said first direction is different than said second direction.

16. The surgical stapling system of claim 15, wherein said connecting link further comprises a first hinge connecting said first link portion to said first matrix element and a second hinge connecting said second link portion to said second matrix element.

17. The surgical stapling system of claim 16, wherein said connecting link further comprises an intermediate hinge connecting said first link portion and said link second portion.

18. The surgical stapling system of claim 6, wherein said first alignment pocket comprises a first frustoconical configuration, and wherein said second alignment pocket comprises a second frustoconical configuration.

19. The surgical stapling system of claim 6, wherein said first alignment pocket comprises a first angled surface and said second alignment pocket comprises a second angled surface.

20. The surgical stapling system of claim 6, further comprising:

a third staple comprised of a wire, wherein said third staple comprises;

a third base; and

a third leg extending from said third base, wherein said retention matrix further comprises a third matrix element, comprising;

a third aperture configured to receive said third leg;

a third pocket surrounding said third aperture;

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

a second connecting link connecting said second matrix element and said third matrix element.

21. The surgical stapling system of claim 6, wherein said retention matrix further comprises a flexible sheet, and wherein said first matrix element and said second matrix element are embedded within said flexible sheet.

22. The surgical stapling system of claim 21, wherein said flexible sheet is comprised of a woven mesh material.

23. The surgical stapling system of claim 21, wherein said flexible sheet is comprised of an elastomeric material.

24. The surgical stapling system of claim 6, wherein said retention matrix comprises a first tissue-contacting surface, and wherein said alignment matrix comprises a second tissue-contacting surface.