Methods and devices for cutting and fastening tissue
US-8945163-B2 · Feb 3, 2015 · US
US10478188B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10478188-B2 |
| Application number | US-201514871056-A |
| Country | US |
| Kind code | B2 |
| Filing date | Sep 30, 2015 |
| Priority date | Sep 30, 2015 |
| Publication date | Nov 19, 2019 |
| Grant date | Nov 19, 2019 |
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A staple cartridge assembly is disclosed which comprises a cartridge body and an implantable layer. The implantable layer includes fibers comprised of a first material and a second material. The first material and the second material have different glass transition temperatures. After the fibers comprised of the first material and the second material have been intermixed or interwoven, the layer is exposed to a temperature which exceeds the lower of the two glass transition temperatures. This heating process causes the layer to constrict and increase in thickness. The layer, when implanted, can compensate for variations in tissue thickness within the staples.
Opening claim text (preview).
What is claimed is: 1. A staple cartridge assembly, comprising: a cartridge body comprising a deck; a plurality of staples; and an implantable layer positioned over said deck, wherein said implantable layer comprises: a first plurality of fibers comprised of a first material having a first thermal transition temperature, wherein said first fibers are interconnected at a plurality of nodes, wherein said plurality of nodes define a plane, and wherein said plurality of nodes is configured to reinforce a three-dimensional structure of said implantable layer; and a second plurality of fibers comprised of a second material having a second thermal transition temperature, wherein said second thermal transition temperature is lower than said first thermal transition temperature, wherein said second material is intermixed with said first material, wherein said second fibers are contracted within said implantable layer during a process which exposes said implantable layer to a process temperature which exceeds said second thermal transition temperature, and wherein a first portion of said second fibers are constricted at said plurality at nodes and a second portion of said second fibers are laterally expanded away from said plane. 2. The staple cartridge assembly of claim 1 , wherein said second plurality of fibers are arranged in a structural lattice frame, and wherein said structural lattice frame contracts during said process. 3. The staple cartridge assembly of claim 2 , wherein said second material comprises polydioxanone. 4. The staple cartridge assembly of claim 3 , wherein said first material comprises polyglycolic acid. 5. The staple cartridge assembly of claim 1 , wherein said implantable layer is part of an implantable layer assembly which further comprises a laminate film. 6. The staple cartridge assembly of claim 1 , wherein said process temperature is less than said first thermal transition temperature. 7. A staple cartridge assembly, comprising: a cartridge body comprising a deck; a plurality of staples; and an implantable layer positioned over said deck, wherein said implantable layer comprises: a mesh comprised of a first plurality of fibers comprised of a first material having a first thermal transition temperature; and a second plurality of fibers comprised of a second material having a second thermal transition temperature, wherein said first thermal transition temperature is lower than said second thermal transition temperature, wherein said second plurality of fibers are attached to one another at a plurality of nodes, wherein said plurality of nodes defines a plane, wherein said plurality of nodes is configured to reinforce a three-dimensional structure of said implantable layer, wherein said second plurality of fibers are interwoven with said mesh, wherein a first portion of said mesh is constricted at said plurality of nodes during a process which exposes said implantable layer to a process temperature which exceeds said first thermal transition temperature, and wherein said plurality of nodes define peaks and valleys at an exterior surface of said implantable layer. 8. The staple cartridge assembly of claim 7 , wherein said first material comprises polydioxanone. 9. The staple cartridge assembly of claim 8 , wherein said second material comprises polyglycolic acid. 10. The staple cartridge assembly of claim 7 , wherein said implantable layer is part of an implantable layer assembly which further comprises a laminate film. 11. The staple cartridge assembly of claim 7 , wherein said process temperature is less than said second thermal transition temperature. 12. A staple cartridge assembly, comprising: a cartridge body comprising a deck; a plurality of staples; and an implantable layer positioned over said deck, wherein said implantable layer comprises: a first plurality of fibers comprised of a first material having a first glass transition temperature, wherein said first fibers are interwoven to one another at a plurality of nodes, and wherein said plurality of nodes is configured to reinforce a three-dimensional structure of said implantable layer; and a second plurality of fibers comprised of a second material having a second glass transition temperature, wherein said second glass transition temperature is lower than said first glass transition temperature, wherein said second material is interwoven with said first material, and wherein said second glass transition temperature has been previously exceeded defining valleys at said plurality of nodes and peaks between said plurality of nodes. 13. The staple cartridge assembly of claim 12 , wherein said first material comprises polyglycolic acid. 14. The staple cartridge assembly of claim 13 , wherein said second material comprises polydioxanone. 15. The staple cartridge assembly of claim 12 , wherein said implantable layer is part of an implantable layer assembly which further comprises a laminate film. 16. A method of manufacturing an implantable layer, said method comprising the steps of: obtaining first fibers comprised of a first material having a first thermal transition temperature, wherein said first fibers are connected to one another at a plurality of nodes, wherein said plurality of nodes defines a plane, and wherein said plurality of nodes is configured to reinforce a three-dimensional structure of said implantable layer; obtaining second fibers comprised of a second material having a second thermal transition temperature, wherein said second thermal transition temperature is lower than said first thermal transition temperature; intermixing said first fibers with said second fibers; and heating said second fibers to a processing temperature which exceeds said second thermal transition temperature so that said second fibers contract after said intermixing step, wherein said heating step constricts a first portion of said second fibers at said plurality of nodes, and wherein said heating step laterally expands a second portion of said second fibers away from said plane. 17. The method of claim 16 , wherein said intermixing step comprises interweaving said first fibers and said second fibers. 18. The method of claim 16 , wherein said processing temperature does not exceed said first thermal transition temperature. 19. The method of claim 16 , wherein said intermixing step comprises interweaving said first fibers into a mesh of said second fibers.
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