Compressible adjunct with crossing spacer fibers

Patent metadata

Field	Value
Publication number	US-12369915-B2
Application number	US-202418609804-A
Country	US
Kind code	B2
Filing date	Mar 19, 2024
Priority date	Sep 30, 2015
Publication date	Jul 29, 2025
Grant date	Jul 29, 2025

Abstract

A staple cartridge assembly for use with a surgical stapling instrument includes a staple cartridge including a plurality of staples and a cartridge deck. The staple cartridge assembly also includes a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises a first biocompatible layer comprising a first portion, a second biocompatible layer comprising a second portion, and crossed spacer fibers extending between the first portion and the second portion.

First claim

What is claimed is:

1. A staple cartridge assembly for use with a surgical stapling instrument, wherein the staple cartridge assembly comprises:
a staple cartridge comprising:
a plurality of staples; and
a cartridge deck;

a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises:
a tissue-facing layer; and
a deck-facing layer, wherein the tissue-facing layer is spaced apart from the deck-facing layer; and

structural cells defined by a plurality of walls, wherein the structural cells are positioned between the tissue-facing layer and the deck-facing layer.

2. The staple cartridge assembly of claim 1 , wherein the structural cells are configured to define first openings comprising a first size, wherein the compressible adjunct further comprises second openings comprising a second size different than the first size, and wherein the first openings and second openings cooperate to define a continuous path through the compressible adjunct.

3. The staple cartridge assembly of claim 1 , wherein a first subset of the structural cells has a first number of walls, wherein a second subset of the structural cells has a second number of walls that is different from the first number of walls.

4. The staple cartridge assembly of claim 1 , wherein each of the plurality of walls comprise a non-uniform thicknesses.

5. The staple cartridge assembly of claim 1 , wherein the structural cells include a first structural cell and a second structural cell, wherein the first structural cell is positioned adjacent to the second structural cell, and wherein the first structural cell and second structural cell share at least one wall of the plurality of walls.

6. The staple cartridge assembly of claim 1 , wherein each structural cell comprises an initial height, and wherein the initial height is reduced to a compressed height based on a compressive force applied to the compressible adjunct.

7. The staple cartridge assembly of claim 6 , wherein the initial height is a first initial height of a first structural cell and the compressed height is a first compressed height of the first structural cell, wherein a second structural cell has a second initial height that is reduced to a second compressed height based on the compressive force applied to the compressible adjunct, and wherein the first compressed height and the second compressed height are different.

8. A staple cartridge assembly for use with a surgical stapling instrument, wherein the staple cartridge assembly comprises:
a staple cartridge comprising:
a plurality of staples; and
a cartridge deck;

a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises:
a first biocompatible layer; and
a second biocompatible layer, wherein the first biocompatible layer and the second biocompatible layer are configured to define an intermediate portion therebetween; and

structural cells defined by a plurality of walls, wherein the structural cells extend in the intermediate portion, and wherein the structural cells cause the intermediate portion of the compressible adjunct to be more porous than the first biocompatible layer and the second biocompatible layer.

9. The staple cartridge assembly of claim 8 , wherein the structural cells are configured to define first openings comprising a first size, wherein the compressible adjunct further comprises second openings comprising a second size different than the first size, and wherein the first openings and second openings cooperate to define a continuous path through the compressible adjunct.

10. The staple cartridge assembly of claim 8 , wherein a first subset of the structural cells has a first number of walls, wherein a second subset of the structural cells has a second number of walls that is different from the first number of walls.

11. The staple cartridge assembly of claim 8 , wherein each of the plurality of walls comprise a non-uniform thickness.

12. The staple cartridge assembly of claim 8 , wherein the structural cells include a first structural cell and a second structural cell, wherein the first structural cell is positioned adjacent to the second structural cell, and wherein the first structural cell and second structural cell share at least one wall of the plurality of walls.

13. The staple cartridge assembly of claim 8 , wherein each structural cell comprises an initial height, and wherein the initial height is reduced to a compressed height based on a compressive force applied to the compressible adjunct.

14. The staple cartridge assembly of claim 13 , wherein the initial height is a first initial height of a first structural cell and the compressed height is a first compressed height of the first structural cell, wherein a second structural cell has a second initial height that is reduced to a second compressed height based on the compressive force applied to the compressible adjunct, and wherein the first compressed height and the second compressed height are different.

15. A compressible adjunct, comprising:
a first biocompatible layer;
a second biocompatible layer, wherein the first biocompatible layer is spaced apart from the second biocompatible layer; and
structural cells defined by a plurality of walls, wherein the structural cells are positioned between the first biocompatible layer and the second biocompatible layer.

16. The compressible adjunct of claim 15 , wherein the structural cells are configured to define first openings comprising a first size, wherein the compressible adjunct further comprises second openings comprising a second size different than the first size, and wherein the first openings and second openings cooperate to define a continuous path through the compressible adjunct.

17. The compressible adjunct of claim 15 , wherein a first subset of the structural cells has a first number of walls, wherein a second subset of the structural cells has a second number of walls that is different from the first number of walls.

18. The compressible adjunct of claim 15 , wherein the structural cells include a first structural cell and a second structural cell, wherein the first structural cell is positioned adjacent to the second structural cell, and wherein the first structural cell and second structural cell share at least one wall of the plurality of walls.

19. The compressible adjunct of claim 15 , wherein each structural cell comprises an initial height, and wherein the initial height is reduced to a compressed height based on a compressive force applied to the compressible adjunct.

20. The compressible adjunct of claim 19 , wherein the initial height is a first initial height of a first structural cell and the compressed height is a first compressed height of the first structural cell, wherein a second structural cell has a second initial height that is reduced to a second compressed height based on the compressive force applied to the compressible adjunct, and wherein the first compressed height and the second compressed height are different.

Assignees

• Cilag Gmbh Int

Inventors

• Vendely Michael J
• Shelton Iv Frederick E
• Harris Jason L
• Scheib Charles J
• Goldrein Howell T
• Moir Robert S
• Consonni Sofia Maria
• Akram Ismail
• Easter Ashley D
• Latham Helen S

Classifications

• A61B2017/00862

  elastic or resilient · CPC title

• A61B2017/07242

  achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes · CPC title

• A61B17/068

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title

• B32B7/05

  the layers not being connected over the whole surface, e.g. discontinuous connection or patterned connection (using interposed adhesives or bonding materials applied in spaced arrangements B32B7/14) · CPC title

• D04H1/565

  by melt-blowing · CPC title