Methods and devices for cutting and fastening tissue
US-8945163-B2 · Feb 3, 2015 · US
US10285699B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10285699-B2 |
| Application number | US-201514871119-A |
| Country | US |
| Kind code | B2 |
| Filing date | Sep 30, 2015 |
| Priority date | Sep 30, 2015 |
| Publication date | May 14, 2019 |
| Grant date | May 14, 2019 |
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A compressible adjunct has a first portion, a second portion, and a middle portion. The middle portion is disposed between the first portion and the second portion. The middle portion comprises a first pillar, a second pillar, and an interconnecting member. The first pillar and the second pillar extend substantially between the first portion and the second portion. The interconnecting member is configured to engage at least the first pillar and the second pillar. When the compressible adjunct is compressed by a force, the first pillar is configured to deflect a first deflection and the second pillar is configured to deflect a second deflection. The first deflection differs from the second deflection.
Opening claim text (preview).
What is claimed is: 1. A compressible adjunct, comprising: a first portion; a second portion; and a middle portion, wherein the middle portion is disposed between the first portion and the second portion, and wherein the middle portion comprises: a first pillar; a second pillar, wherein the first pillar and the second pillar extend substantially between the first portion and the second portion; and an interconnecting member, wherein the interconnecting member is configured to engage at least the first pillar and the second pillar, wherein when the compressible adjunct is compressed by a force, the first pillar is configured to deflect a first deflection and the second pillar is configured to deflect a second deflection, and wherein the first deflection differs from the second deflection. 2. The compressible adjunct of claim 1 , wherein the interconnecting member fixably engages the first pillar and the second pillar. 3. The compressible adjunct of claim 1 , wherein the interconnecting member slidingly engages the first pillar and the second pillar. 4. The compressible adjunct of claim 1 , wherein the first pillar comprises a first cross sectional diameter, wherein the second pillar comprises a second cross sectional diameter, and wherein the first diameter differs from the second diameter. 5. The compressible adjunct of claim 4 , wherein the first cross sectional diameter is greater than the second cross sectional diameter, and wherein the second deflection is greater than the first deflection. 6. The compressible adjunct of claim 1 , wherein the first pillar comprises a first density, wherein the second pillar comprises a second density, and wherein the first density differs from the second density. 7. The compressible adjunct of claim 6 , wherein the first density is greater than the second density, and wherein the second deflection is greater than the first deflection. 8. The compressible adjunct of claim 1 , wherein the first pillar comprises a first cross sectional diameter, wherein the second pillar comprises a second cross sectional diameter, wherein the interconnecting member comprises a third cross sectional diameter, and wherein the first cross sectional diameter and the second cross sectional diameter differ from the third cross sectional diameter. 9. The compressible adjunct of claim 1 , wherein the first pillar comprises a first density, wherein the second pillar comprises a second density, wherein the interconnecting member comprises a third density, and wherein the first density and the second density differ from the third density. 10. The compressible adjunct of claim 1 , wherein the first pillar comprises: a first end; a second end; and a middle section, wherein the first end engages the first portion, wherein the second end engages the second portion, and wherein the interconnecting member engages the middle section. 11. A compressible adjunct, comprising: a base portion; and a plurality of pillars, wherein the plurality of pillars comprises: a first support, comprising: a first pillar; and a second pillar, wherein the first pillar and the second pillar engage the base portion, and wherein the first pillar and the second pillar are interconnected; and a second support, comprising: a third pillar; and a fourth pillar, wherein the third pillar and the fourth pillar engage the base portion, wherein the third pillar and the fourth pillar are interconnected, wherein when the compressible adjunct is compressed by a force, the first support is configured to deflect a first deflection and the second support is configured to deflect a second deflection, and wherein the first deflection differs from the second deflection. 12. The compressible adjunct of claim 11 , wherein the first support comprises a first material, and wherein the second support comprises a second material, and wherein the first material differs from the second material. 13. The compressible adjunct of claim 12 , wherein the first support has a first average density, and wherein the second support has a second average density, and wherein the first average density differs from the second average density. 14. The compressible adjunct of claim 13 , wherein the first average density is greater than the second average density, and wherein the second deflection is greater than the first deflection. 15. The compressible adjunct of claim 11 , wherein the first pillar comprises a first cross sectional diameter, wherein the second pillar comprises a second cross sectional diameter, and wherein the first diameter differs from the second diameter. 16. The compressible adjunct of claim 11 , wherein the first pillar comprises a first cross sectional diameter, wherein the second pillar comprises a second cross sectional diameter, wherein the third pillar comprises a third cross sectional diameter, and wherein the fourth pillar comprises a fourth cross sectional diameter. 17. The compressible adjunct of claim 16 , wherein the first diameter differs from the third diameter, and wherein the second diameter differs from the fourth diameter. 18. The compressible adjunct of claim 11 , wherein the first support comprises a first average height, wherein the second support comprises a second average height, and wherein the first average height differs from the second average height. 19. The compressible adjunct of claim 18 , wherein the first average height is greater than the second average height and the first deflection is greater than the second deflection. 20. The compressible adjunct of claim 11 , wherein the first pillar and the second pillar are woven together, and wherein when the compressible adjunct is compressed, the first pillar and the second pillar are configured to partially unwind. 21. A compressible adjunct, comprising: a first portion; a second portion; and a middle portion, wherein the middle portion is disposed between the first portion and the second portion, and wherein the middle portion comprises: a first pillar; a second pillar, wherein the first pillar and the second pillar extend substantially between the first portion and the second portion; and an interconnecting member, wherein the interconnecting member is configured to engage at least the first pillar and the second pillar, wherein when the compressible adjunct is compressed by a force, the first pillar is configured to flex a first amount and the second pillar is configured to flex a second amount, and wherein the first amount differs from the second amount.
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