Assembly for fastening tissue comprising a compressible layer

Patent metadata

Field	Value
Publication number	US-9814462-B2
Application number	US-201414311976-A
Country	US
Kind code	B2
Filing date	Jun 23, 2014
Priority date	Sep 30, 2010
Publication date	Nov 14, 2017
Grant date	Nov 14, 2017

Abstract

An assembly for fastening tissue is disclosed. The assembly may comprise a first jaw comprising a cartridge, wherein the cartridge comprises a plurality of fasteners. The plurality of fasteners comprises a first fastener comprising a first height and a second fastener comprising a second height, wherein the second height is different than the first height. The assembly further comprises a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other. The second jaw comprises a plurality of fastener-engaging portions. The plurality of fastener-engaging portions comprises a first fastener-engaging portion and a second fastener-engaging portion. The assembly further comprises a compressible layer intermediate the first jaw and the second jaw.

First claim

What is claimed is:

1. An assembly for fastening tissue, wherein the assembly comprises:
a first jaw comprising a cartridge, wherein the cartridge comprises a plurality of fasteners, and wherein the plurality of fasteners comprises:
a first fastener comprising a first height; and
a second fastener comprising a second height, wherein the second height is different than the first height;

a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw, wherein the second jaw comprises a plurality of fastener-engaging portions, and wherein the plurality of fastener-engaging portions comprises:
a first fastener-engaging portion configured to engage the first fastener to form a first fastener assembly with the first fastener; and
a second fastener-engaging portion configured to engage the second fastener to form a second fastener assembly with the second fastener; and

a compressible layer intermediate the first jaw and the second jaw.

2. The assembly of claim 1 , wherein the first fastener assembly comprises a first assembly height, wherein the second fastener assembly comprises a second assembly height, and wherein the second assembly height is different than the first assembly height.

3. The assembly of claim 1 , wherein the plurality of fasteners further comprises a third fastener comprising a third height, wherein the plurality of fastener-engaging portions further comprises a third fastener-engaging portion configured to engage the third fastener to form a third fastener assembly, and wherein the third height is different than the first height and the second height.

4. The assembly of claim 1 , wherein the cartridge further comprises an uneven tissue-contacting surface.

5. An assembly for fastening tissue, wherein the assembly comprises:
a first jaw comprising a cartridge, wherein the cartridge comprises a plurality of fasteners, and wherein the plurality of fasteners comprises:
a first fastener; and
a second fastener;

a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw, wherein the second jaw comprises a plurality of fastener-engaging portions, and wherein the plurality of fastener-engaging portions comprises:
a first fastener-engaging portion configured to engage the first fastener to form a first fastener assembly with the first fastener, wherein the first fastener assembly comprises a first height; and
a second fastener-engaging portion configured to engage the second fastener to form a second fastener assembly with the second fastener, wherein the second fastener assembly comprises a second height, and wherein the second height is different than the first height; and

a compressible layer positioned intermediate the first jaw and the second jaw, wherein the first fastener assembly is configured to capture a first portion of the compressible layer, and wherein the second fastener assembly is configured to capture a second portion of the compressible layer.

6. The assembly of claim 5 , wherein the first fastener comprises a first fastener height, wherein the second fastener comprises a second fastener height, and wherein the second fastener height is different than the first fastener height.

7. The assembly of claim 5 , wherein the plurality of fasteners further comprises a third fastener, wherein the plurality of fastener-engaging portions further comprises a third fastener-engaging portion configured to engage the third fastener to form a third fastener assembly, wherein the third fastener assembly comprises a third height, and wherein the third height is different than the first height and the second height.

8. The assembly of claim 7 , wherein the third fastener assembly is configured to capture a third portion of the compressible layer.

9. The assembly of claim 7 , wherein the first fastener comprises a first fastener height, wherein the second fastener comprises a second fastener height, wherein the second fastener height is different than the first fastener height, wherein the third fastener comprises a third fastener height, and wherein the third fastener height is different than the first fastener height and the second fastener height.

10. The assembly of claim 5 , wherein the cartridge further comprises the compressible layer.

11. The assembly of claim 5 , wherein the cartridge comprises an implantable cartridge body.

12. The assembly of claim 5 , wherein the cartridge further comprises an uneven tissue-contacting surface.

13. An assembly for fastening tissue, wherein the assembly comprises:
a first jaw comprising a cartridge, wherein the cartridge comprises a plurality of fasteners and a compressible layer, and wherein the plurality of fasteners comprises:
a first fastener; and
a second fastener; and

a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw, wherein the second jaw comprises a plurality of fastener-engaging portions, and wherein the plurality of fastener-engaging portions comprises:
a first fastener-engaging portion configured to engage the first fastener to form a first fastener assembly with the first fastener, wherein the first fastener assembly comprises a first height; and
a second fastener-engaging portion configured to engage the second fastener to form a second fastener assembly with the second fastener, wherein the second fastener assembly comprises a second height, and wherein the second height is different than the first height.

14. The assembly of claim 13 , wherein the first fastener comprises a first fastener height, wherein the second fastener comprises a second fastener height, and wherein the second fastener height is different than the first fastener height.

15. The assembly of claim 14 , wherein the plurality of fasteners comprises a third fastener, wherein the plurality of fastener-engaging portions comprises a third fastener-engaging portion configured to engage the third fastener to form a third fastener assembly, wherein the third fastener assembly comprises a third height, and wherein the third height is different than the first height and the second height.

16. The assembly of claim 15 , wherein the third fastener comprises a third fastener height, and wherein the third fastener height is different than the first fastener height and the second fastener height.

17. The assembly of claim 13 , wherein the compressible layer comprises a first compressible layer, wherein the second jaw further comprises a second cartridge comprising a second compressible layer, wherein the first fastener assembly is configured to capture a first portion of the first compressible layer and a first portion of the second compressible layer, and wherein the second fastener assembly is configured to capture a second portion of the first compressible layer and a second portion of the second compressible layer.

18. The assembly of claim 17 , wherein the first compressible layer comprises a first compressibility, and wherein the second compressible layer comprises a second compressibility.

19. The assembly of claim 13 , wherein the cartridge further comprises an uneven tissue-contacting surface.

Assignees

• Ethicon Endo Surgery Inc
• Ethicon Llc

Inventors

• Woodard Jr James A
• Scheib Charles J
• Boudreaux Chad P
• Bruewer Dean B
• Schwemberger Richard F
• Schall Christopher J
• Morgan Jerome R
• Simms Robert J
• Swayze Jeffrey S
• Ouwerkerk John N

Classifications

• A61B2017/07278

  characterised by its sled or its staple holder · CPC title

• A61B2017/2923

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

• A61B2017/2919

  details of linkages or pivot points · CPC title

• A61B17/0643

  with separate closing member, e.g. for interlocking with staple · CPC title

• A61B2017/003

  Steerable · CPC title