Fastener cartridge comprising a tissue thickness compensator and a gap setting element

• US 9,795,384 B2
• Filed: 03/27/2013
• Issued: 10/24/2017
• Est. Priority Date: 03/27/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Weaner, Lauren S., Aronhalt, Taylor W., Vendely, Michael J., Schellin, Emily A., Shelton, IV, Frederick E.
• Primary Examiner(s): Tecco, Andrew M
• Application Number:
  US13/851,684
• Publication Number:
  US 20140291380A1
• Time in Patent Office: 1,672 Days
• Field of Search: 2271761, 2271801
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge

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 arranged 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. The fastener cartridge can further comprise a gap setting element which can be configured to control the distance between the anvil, the support portion, and/or the tissue thickness compensator.

Claims

1. A fastener cartridge for use with a fastening instrument including an anvil and a longitudinally movable firing member, said fastener cartridge comprising:

a cartridge body, comprising;

a deck; and

fastener cavities;

fasteners removably stored in said cartridge body in an unfired position, wherein said fasteners are movable into a fired position;

a compressible tissue thickness compensator positioned on said deck, wherein said fasteners are configured to capture a portion of said tissue thickness compensator therein when said fasteners are moved from said unfired position to said fired position; and

a flexible gap-setting element extending from said cartridge body, wherein said gap-setting element establishes a relative position between the anvil and said tissue thickness compensator, and wherein the firing member contacts said gap-setting element to cause said gap-setting element to flex toward said deck of said cartridge body when the firing member approaches a distal end of said cartridge body.

2. The fastener cartridge of claim 1, wherein said cartridge body further comprises a proximal end, and wherein said gap-setting element extends from said distal end.

3. The fastener cartridge of claim 1, wherein said gap-setting element is configured to collapse as the firing member approaches said distal end of said cartridge body.

4. The fastener cartridge of claim 1, wherein said gap-setting element is integrally formed with said cartridge body.

5. The fastener cartridge of claim 1, wherein said tissue thickness compensator comprises a tissue contacting surface, and wherein relative movement between the anvil and said tissue thickness compensator is configured to compress said tissue thickness compensator and push said tissue contacting surface toward said deck until said relative movement is arrested by said gap-setting element.

6. The fastener cartridge of claim 1, wherein said flexible gap-setting element comprises a first flexible gap-setting element, wherein said fastener cartridge further comprises a second flexible gap-setting element extending from said cartridge body, and wherein said second flexible gap-setting element is configured to establish a relative position between the anvil and said tissue thickness compensator.

7. The fastener cartridge of claim 6, wherein said cartridge body comprises a longitudinal slot defined therein configured to receive the firing member, wherein said first flexible gap-setting element is positioned relative to a first side of said longitudinal slot, and wherein said second flexible gap-setting element is positioned relative to a second side of said longitudinal slot.

8. The fastener cartridge of claim 1, wherein the firing member comprises a cutting element and wherein said cartridge body comprises a longitudinal slot defined therein configured to receive the cutting element such that as the cutting element approaches said distal end of said cartridge body, the cutting element transects said gap-setting element.

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

an anvil;

a longitudinally movable cutting member;

a staple cartridge, comprising;

a cartridge body comprising a stepped deck;

a longitudinal row of first staples;

a longitudinal row of second staples; and

a longitudinal array of staple drivers configured to deform said first staples to a first formed height and said second staples to a second formed height, wherein said first formed height is different than said second formed height;

an implantable layer positioned on said stepped deck, wherein said first staples and said second staples are configured to capture a portion of said implantable layer therein when said first staples and said second staples are formed against said anvil; and

a gap-setting element extending over said stepped deck of said cartridge body, wherein said gap-setting element establishes a relative position between said anvil and said implantable layer, and wherein said cutting member contacts said gap-setting element to displace said gap-setting element relative to said stepped deck of said cartridge body when said cutting member approaches a distal end of said cartridge body.

10. The end effector of claim 9, wherein said gap-setting element extends from said distal end.

11. The end effector of claim 9, wherein said gap-setting element is integrally formed with said cartridge body.

12. The end effector of claim 9, wherein said cartridge body comprises a longitudinal slot defined therein configured to receive said cutting member, and wherein said gap-setting element is positioned in said longitudinal slot.

13. A surgical stapling instrument comprising:

an anvil;

a distal end;

a firing member movable toward said distal end during a staple firing stroke;

a cutting surface;

a staple cartridge, comprising;

a cartridge body, comprising;

a stepped deck; and

staple cavities; and

staples removably stored in said staple cavities in an unfired position, wherein said staples are movable into a fired position;

an implantable layer positioned on said stepped deck, wherein said staples are configured to capture a portion of said implantable layer therein when said staples are moved from said unfired position to said fired position; and

a flexible element positioned intermediate said anvil and said cartridge body, wherein said flexible element and said firing member establish a relative position between said anvil and said implantable layer during said staple firing stroke, and wherein said cutting surface contacts said flexible element to cause said flexible element to deflect when said firing member approaches said distal end of said cartridge body.

14. The surgical stapling instrument of claim 13, where said staples comprise:

a first row of staples configured to be formed to a first formed staple height; and

a second row of staples configured to be formed to a second formed staple height, wherein said first formed staple height is different than said second formed staple height.

15. The surgical stapling instrument of claim 13, wherein said flexible element extends from said distal end.

16. The surgical stapling instrument of claim 13, wherein said flexible element is integrally formed with said cartridge body.

17. The surgical stapling instrument of claim 13, wherein said cartridge body comprises a longitudinal slot defined therein configured to receive said firing member, and wherein said flexible element is positioned in said longitudinal slot.

18. The surgical stapling instrument of claim 17, wherein said cutting surface is positioned on a distal end of said firing member.