Tissue thickness compensator comprising resilient members

Patent metadata

Field	Value
Publication number	US-9795383-B2
Application number	US-201615273389-A
Country	US
Kind code	B2
Filing date	Sep 22, 2016
Priority date	Sep 30, 2010
Publication date	Oct 24, 2017
Grant date	Oct 24, 2017

Abstract

A tissue thickness compensator comprising at least one woven lattice can be positioned in the end effector of a surgical instrument. A fastener cartridge that is positioned in the end effector can comprise at least one cavity configured to receive a fastener. The fastener can be moveable between an initial position, wherein the fastener is at least partially position in a cavity, and a fired position, wherein the fastener is configured to compress a woven lattice of the tissue thickness compensator. The woven lattice can comprise a resilient material such that compression of the woven lattice generates a restoring force. The woven lattice can also comprise an axis that can laterally traverse the fastener cartridge, diagonally traverse the fastener cartridge, or intersect a deck surface of the fastener cartridge. The woven lattice can comprise a hydrophilic substance, which can expand when the woven lattice is severed by a cutting element.

First claim

What is claimed is:

1. A fastener cartridge assembly for a surgical instrument, the fastener cartridge assembly comprising:
a cartridge body comprising a first longitudinal side and a second longitudinal side;
a tissue thickness compensator comprising a plurality of discrete severable tubular lattices, wherein said plurality of discrete severable tubular lattices are laterally arranged intermediate said first longitudinal side and said second longitudinal side; and
a fastener moveable between an initial position and a fired position, wherein said fastener is configured to engage a portion of said tissue thickness compensator when said fastener is moved between said initial position and said fired position.

2. The fastener cartridge assembly of claim 1 , wherein at least one severable tubular lattice of said plurality of discrete severable tubular lattices comprises a hydrophilic material, and wherein said hydrophilic material expands after said at least one severable tubular lattice is severed.

3. The fastener cartridge assembly of claim 1 , wherein said fastener is configured to puncture at least one severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position, and wherein said fastener does not puncture a second severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position.

4. The fastener cartridge assembly of claim 1 , wherein said plurality of discrete severable tubular lattices are at least partially filled with a material selected from a group comprising a haemostatic agent, an antimicrobial agent, an anti-inflammatory agent, an anticoagulant agent, and an antibiotic agent.

5. An end effector assembly for a surgical instrument, the end effector assembly comprising:
said fastener cartridge assembly of claim 1 ;
an anvil; and
a cutting element configured to translate along a longitudinal path intermediate said first longitudinal side and said second longitudinal side of said cartridge body, wherein said cutting element is configured to sever at least one severable tubular lattice of said plurality of discrete severable tubular lattices as said cutting element translates along said longitudinal path, and wherein said cutting element does not sever a severable tubular lattice of said plurality of discrete severable tubular lattices as said cutting element translates along said longitudinal path.

6. The end effector assembly of claim 5 , wherein a firing member is configured to eject said fastener from a fastener cavity, wherein said anvil is configured to deform said ejected fastener such that a portion of said tissue thickness compensator is captured within said deformed fastener.

7. The end effector assembly of claim 5 , wherein at least one severable tubular lattice of said plurality of discrete severable tubular lattices comprises a hydrophilic material, and wherein said hydrophilic material expands after said at least one severable tubular lattice is severed.

8. The end effector assembly of claim 5 , wherein said fastener is configured to puncture at least one said severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position, and wherein said fastener does not puncture a severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position.

9. The end effector assembly of claim 5 , wherein said plurality of discrete severable tubular lattices are at least partially filled with a material selected from a group comprising a haemostatic agent, an antimicrobial agent, an anti-inflammatory agent, an anticoagulant agent, and an antibiotic agent.

10. A fastener cartridge assembly for a surgical instrument, the fastener cartridge assembly comprising:
a cartridge body comprising a first longitudinal portion, a second longitudinal portion, and a longitudinal slot positioned between said first longitudinal portion and said second longitudinal portion;
a tissue thickness compensator comprising a plurality of discrete severable tubular lattices, wherein said plurality of discrete severable tubular lattices are laterally arranged intermediate said first longitudinal portion and said second longitudinal portion; and
a fastener moveable between an initial position and a fired position, wherein said fastener is configured to engage a portion of said tissue thickness compensator when said fastener is moved between said initial position and said fired position.

11. The fastener cartridge assembly of claim 10 , wherein at least one severable tubular lattice of said plurality of discrete severable tubular lattices comprises a hydrophilic material, and wherein said hydrophilic material expands after said at least one severable tubular lattice is severed.

12. The fastener cartridge assembly of claim 10 , wherein said fastener is configured to puncture at least one severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position, and wherein said fastener does not puncture a severable tubular lattice of said plurality of discrete severable tubular lattices when said fastener is moved to said fired position.

13. The fastener cartridge assembly of claim 10 , wherein said plurality of discrete severable tubular lattices are at least partially filled with a material selected from a group comprising a haemostatic agent, an antimicrobial agent, an anti-inflammatory agent, an anticoagulant agent, and an antibiotic agent.

14. An end effector assembly for a surgical instrument, the end effector assembly comprising:
said fastener cartridge assembly of claim 10 ;
an anvil; and
a cutting element configured to translate along said longitudinal slot intermediate said first longitudinal portion and said second longitudinal portion of said cartridge body, wherein said cutting element is configured to sever at least one severable tubular lattice of said plurality of discrete severable tubular lattices as said cutting element translates along said longitudinal slot, and wherein said cutting element does not sever a severable tubular lattice of said plurality of discrete severable tubular lattices as said cutting element translates along said longitudinal slot.

15. An end effector assembly for use with a surgical instrument, the end effector assembly comprising:
a fastener cartridge assembly, the fastener cartridge assembly comprising:
a cartridge body comprising a first longitudinal portion and a second longitudinal portion;
a tissue thickness compensator comprising a plurality of discrete severable tubular lattices, wherein said plurality of discrete severable tubular lattices are laterally arranged intermediate said first longitudinal portion and said second longitudinal portion; and
a fastener moveable between an initial position and a fired position, wherein said fastener is configured to engage a portion of said tissue thickness compensator when said fastener is moved between said initial position and said fired position; and

an anvil.

16. The end effector assembly of claim 15 , further comprising a cutting element configured to translate along a longitudinal slot intermediate said first longitudinal portion and said second longitudinal portion of said cartridge body, wherein said cutting element is configured to sever at least one severable tubular lattice of said plurality of discrete severable tubular lattices as said cutting element translates along said longitudinal s

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Aldridge Jeffrey L
• Yang Chunlin
• Scheib Charles J
• Mandakolathur Vasudevan Venkataramanan
• Aronhalt Taylor W
• Contiliano Joseph H
• Cropper Michael S
• Timperman Eugene L
• Henderson Cortney E
• Schmid Katherine J
• Shelton Iv Frederick E

Classifications

• A61B2017/07278

  characterised by its sled or its staple holder · CPC title

• A61B17/0644

  penetrating the tissue, deformable to closed position · CPC title

• A61B2017/0725

  with settable gap between anvil and cartridge, e.g. for different staple heights at different shots · CPC title

• A61B2017/2923

  Toothed members, e.g. rack and pinion · CPC title

• A61B2017/00889

  antimicrobial, disinfectant · CPC title