FR2838952A1 - Anvil device for setting of clips used as mechanical sutures in surgical applications includes a level structure on which are grooves for setting of the clips - Google Patents

Anvil device for setting of clips used as mechanical sutures in surgical applications includes a level structure on which are grooves for setting of the clips Download PDF

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Publication number
FR2838952A1
FR2838952A1 FR0205260A FR0205260A FR2838952A1 FR 2838952 A1 FR2838952 A1 FR 2838952A1 FR 0205260 A FR0205260 A FR 0205260A FR 0205260 A FR0205260 A FR 0205260A FR 2838952 A1 FR2838952 A1 FR 2838952A1
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FR
France
Prior art keywords
crimping
staple
plane
grooves
wind
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
FR0205260A
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French (fr)
Inventor
Franck Marie Houe Zinzindohoue
Original Assignee
Franck Marie Houe Zinzindohoue
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Application filed by Franck Marie Houe Zinzindohoue filed Critical Franck Marie Houe Zinzindohoue
Priority to FR0205260A priority Critical patent/FR2838952A1/en
Publication of FR2838952A1 publication Critical patent/FR2838952A1/en
Application status is Pending legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320052Guides for cutting instruments

Abstract

The device includes a level rectilinear plane structure (1) on which are hollow grooves for setting of the clips (2). The planes of the level pass by an axis connecting a pair of grooves necessary for setting of a clip and are perpendicular to the plane of the setting of the clips.

Description

rigide munie de quatre crochets de maintien lateraux (15). rigid with four lateral holding brackets (15).

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La presente invention est une enclume en paliers pour sertissage d'agrafes, dont la forme permette ['application de plusieurs rangees d'agrafes ayant apres sertissage des The present invention is an anvil bearings for crimp staple, whose shape allows [the application of several rows of staples having after crimping

prises d'epaisseurs differentes. taken of different thicknesses.

La suture mecanique est un procede connu et utilise en chirurgie. The mechanical suture is a known method and used in surgery. Wile fait appel un systeme d'agrafage soit plan-lineaire, soit plan-circulaire, perrnettant ['application de plusieurs alignements d'agrafes disposes en rangees paralleles al' axe longitudinal des agrafes, dont le sertissage assure l'etancheite et la solidarisation de tissue ou materiaux entre eux. Wile uses a stapling system is level-linear or plane-circular perrnettant [application of several staple rows arranged in rows parallel al longitudinal axis of the staple, the crimp seals and the connecting tissue or materials together. En chirurgie digestive en particulier, une suture etanche est definie par ['absence d'ecoulement des fluides d'un cote al' autre de la suture. Digestive surgery in particular, a waterproof suture is defined by [lack of fluid flow from one side to the other of the suture. L' agrafage qui solidarise les tissue doit etre suffisamment lache pour permettre la vascularisation des berges de la suture (et done une cicatrisation) et eviter une traction excessive sur les mors des agrafes qui entramerait un lachage de la suture par necrose et dechirure du tissue trop fortement comprimes entre les mors des agrafes. The stitching that secures the tissue must be sufficiently loose to allow vascularization the banks of the suture (and therefore scarring) and avoid excessive traction on the jaws of staples entramerait a dehiscence of the suture by necrosis and tearing of the tissue too tablets strongly between the jaws of the clips. L'agrafage doit neanmoins etre suffisamment serree pour permettre une suture etanche telle que defini precedemment. Stapling must nevertheless be tight enough to allow a suture sealed as previously defined. I1 existe plusieurs epaisseurs d'agrafes, soit pour suture mince de type vasculaire (environ 1 mm apres fermeture), soit pour suture de tissu d'epaisseur moyenne (environ 1.5 mm apres fermeture), soit pour suture de tissue epais (environ 2 mm apres fermeture). I1 are several staple thickness, or for vascular-like thin suture (approximately 1 mm after closure), or to average thickness tissue fastener (about 1.5 mm after closure) or suture tissue thick (about 2 mm after closure). Le risque hemorragique par les berges des feuillets tissulaires sur une suture par agrafage est d'autant plus grand que le tissu suture est plus epais et plus richement vascularise. The hemorrhagic risk by the banks of tissue sheets on a staple suture is even larger than the suture tissue is thicker and more richly vascularized. Cela conduit certains chirurgiens a preferer utiliser pour suturer des tissue d'une epaisseur donnee des agrafes de dimension inferieure a celle recommandee, cherchant ainsi le compromis optimal entre le risque de survenue d'une hemorragie et celui d'un lachage de This leads some surgeons to prefer to use for suturing tissue of a given thickness of the lower dimension of staples has recommended that, seeking the optimal balance between the risk of occurrence of bleeding and the dropping of a

la suture consecutif a ['attrition et l'ecrasement excessif des tissue des berges agrafees. Consecutive the suture [attrition and excessive crushing of stapled tissue banks.

Actuellement aucun systeme ne permet ['application en 1 fois de plusieurs rangees Currently no system does not allow [the application in one time several rows

d'agrafes dont l'epaisseur apres sertissage serait differente d'une rangee a l'autre. staple whose thickness after crimp is different from one row to another.

L' utilisation d' une enclume en plusieurs paliers est [ ' innovation qui permet, a partir d' un seul chargeur d'agrafes, le sertissage de rangees agrafes d'epaisseurs differentes, et done The use of an anvil in several stages is [innovation which allows, from a single staple magazine, the crimping rows of staples different thicknesses, and therefore

exer,cant des compressions differentes sur un tissu d'epaisseur constante. exer, cant of different cuts on a fabric of constant thickness.

Subconsequemment, en disposant lenclume en paliers de sorte que la compression produite par le sertissage soit maximale du cote de la berge sectionnee de la suture on sertit les rangees d'agrafes tres serrees vers la berge sectionnee et les rangees les moins serrees de l'autre cote. Subconsequemment by arranging Hammerfell bearings so that the compression produced by the crimping is maximum on the side of the cut bank of the suture is crimped the very staple rows pressed to each other to cut the bank and rows least pressed to each of the other side. On obtient ainsi une cicatrisation dans des conditions optimales healing This results in optimal conditions

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entree les agrafes les moins fortement serties et une compression hemostatique sur la berge. entry the less strongly crimped staples and a compression styptic on the bank. Les rangees d'agrafes vent d'epaisseur progressivement decroissante d'un bord a l'autre de l'enclume par rapport al' axe longitudinal des agrafes ce qui permet le sertissage d'agrafes exer,cant une pression progressivement croissante sur les rangees d'agrafes d'un palier a l'autre ce qui evite la dechirure produite par un ecrasement non progressif. The rows of staples wind gradually decreasing thickness from one edge to the other of the anvil relative al longitudinal axis of staple which allows crimping exer staples, cant a gradually increasing pressure on the rows of clips of a bearing to the other which avoids the tear produced by a non-progressive crushing. Notre invention reprend le principe du dispositif classique de suture par plusieurs rangees d'agrafes ayant une epaisseur donnee. Our invention uses the principle of the suture conventional device by several rows of staples having a given thickness. Notre innovation offre la possibilite a partir d'un chargeur d'agrafe unique de sertir sur une meme enclume des rangees d'agrafes dont Our innovation offers the possibility from a single staple feeder crimp on a same anvil of the staple rows which

l'epaisseur des prises apres sertissage soit differente d'une rangee a l'autre. the thickness of the catch after crimping is different from a row to another.

Dans le cas d'une enclume pour un dispositif de sertissage d'agrafes (Fig 1), ltenclume est faite de la juxtaposition de plusieurs paliers sur lesquels vent creuses les gorges dans lesquelles vent serties les rangees d'agrafes. In the case of an anvil for crimping a staple device (Fig 1), ltenclume is made of juxtaposing a plurality of bearings on which the hollow vent grooves in which the wind crimped staple rows. Ces paliers peuvent etre plan rectilignes ou plan-courbes. These bearings can be straight-plan or map curves. La courbure des plan-courbe est dans le plan perpendiculaire au plan de sertissage des agrafes passant par l'axe de la padre de gorges necessaire au sertissage d'une des agrafes. The curvature of the curved plane is in the plane perpendicular to the staple crimping plane passing through the axis of the Padre of grooves necessary to crimping a staple. En suivant ce plan courbe les gorges de sertissage des agrafes vent disposees selon des cercles ou arcs de cercles concentriques. Following this plan curve wind staple crimping grooves arranged in concentric circles or arcs. Les paliers ont des hauteurs decroissantes d'un cote al' autre le long de l' axe perpendiculaire au plan de sertissage des agrafes, formant une sorte d'escalier d'un bord a l'autre de l'enclume. Levels have decreasing heights of a shelf al another along the axis perpendicular to the staple crimping plane, forming a sort of stairs from one edge to the other of the anvil. Ainsi le sertissage des rangees d'agrafes est progressivement croissant d'un bord a l'autre et la And crimping the staple rows is gradually increasing from one side to the other and

section est faite du cote du sertissage le plus serre pour obtenir le resultat desire. section is made on the side of most greenhouse setting to get the desired result.

Dans le cas d'une enclume pour un dispositif de double sertissage d'agrafes et section dans le meme temps, l'enclume est faite de la juxtaposition de deux enclumes a paliers pour dispositif de sertissage simple comme decrit precedemment. In the case of an anvil for crimping a double staple device section and in the same time, the anvil is made of the juxtaposition of two anvils has bearings for simple crimping device as described above. Ces deux enclumes a paliers pour dispositif de sertissage simple vent juxtaposees de part et d'autre d'un plan de symetrie parallele au plan de sertissage des agrafes. Both anvils has juxtaposed bearings for wind simple crimping device on either side of a symmetry plane parallel to the staple crimping plane. I1 s'agit d'une symetrie en miroir et les paliers vent de hauteur croissante vers le plan de symetrie et decroissante vers les bords de l'enclume de section et double suture. I1 is a symmetry in mirror and the increasing height of the wind bearing to the plane of symmetry and decreasing towards the edges of the anvil section and double suture. Une gorge est creusee au centre, dans le plan de symetrie, pour le passage du dispositif de section. A groove is dug in the center, in the plane of symmetry for the passage section of the device. (Fig 2). (Fig 2). Les paliers peuvent etre plan-reGtilignes ou plan-courbes. The bearings may be plan-reGtilignes or plane-curves. La courbure des plan-courbe est dans le plan perpendiculaire au plan de sertissage des agrafes passant par l'axe de la padre de gorges necessaire au sertissage d'une des agrafes. The curvature of the curved plane is in the plane perpendicular to the staple crimping plane passing through the axis of the Padre of grooves necessary to crimping a staple. En suivant cette courbure les gorges de By following this curvature Gorge

sertissage des agrafes vent dispose selon des cercles ou arcs de cercles concentriques. crimping the staples has wind in circles or arcs of concentric circles.

Selon une variante non illustree le nombre de rangees de gorge de sertissage des According to a variant not shown the number of crimping groove of rows of

3 2838952 3 2838952

agrafes par pallier est variable. staples in stages is variable.

Les dessins annexes illustrent ['invention: The accompanying drawings illustrate [Invention:

La figure 1 represente en coupe le dispositif de ['invention pour un agrafage simple. 1 shows in section the device of [the invention for a simple stapling.

La figure 2 represente en coupe le dispositif de ['invention pour un agrafage double avec section au centre des lignes d'agrafes le long du plan de symetrie. Figure 2 represents in section the device of [the invention for a double stapling section with the lines of staples along the center plane of symmetry. En reference a ces dessins, le dispositif comporte une structure en paliers (1), a la surface desquels vent creusees les gorges de sertissage des agrafes (2). Referring to these drawings, the device comprises a bearing structure (1), the surface which the wind dug staples crimping grooves (2). Sur la figure 2, la In Figure 2, the

gorge du dispositif de section (3) se trouve dans le plan de symetrie. groove section device (3) is in the plane of symmetry.

A titre d'exemple non limitatif, les paliers peuvent etre au nombre de 2 ou plus. By way of example, the bearings can be the number of 2 or more.

Le dispositif selon ['invention est particulierement destine a la realisation des The device according to [invention is particularly intended for the production of

sutures chirurgicales. surgical sutures.

4 2838952 4 2838952

Claims (4)

Revendications claims
1- Dispositif pour sertissage d'agrafes caracterise par une structure en paliers plan-rectilignes sur lesquels vent creusees les gorges de sertissage des agrafes. 1- A device for crimping staples characterized by a structure in rectilinear plane bearings on which wind dug the staple crimping grooves. Les plans des paliers passent par l'axe reliant la padre de gorges necessaire au sertissage d'une des agrafes et vent perpendiculaires au plan de sertissage des agrafes. The planes of the bearings pass through the axis linking the Padre of grooves necessary to crimping a staple and perpendicular wind staples crimping plane. 2- Dispositif pour sertissage d'agrafes caracterise par une structure en paliers plancourbes sur lesquels vent creusees les gorges de sertissage des agrafes. 2- An apparatus for staple crimping characterized by a bearing structure on which wind dug plancourbes the staple crimping grooves. Les paliers vent dans des plans paralleles a un plan perpendiculaire au plan de sertissage des agrafes et qui passe par l'axe reliant la padre de gorges necessaire au sertissage d'une des agrafes. Wind bearings in planes parallel to a plane perpendicular to the staple crimping plane and which passes through the axis linking the Padre of grooves necessary to crimping a staple. La courbure de chaque palier est dans un plan perpendiculaire au plan de sertissage des agrafes et qui passe par l'axe reliant la padre de gorges necessaire au sertissage d'une des agrafes sur ce palier. The curvature of each bearing is in a plane perpendicular to the staple crimping plane and which passes through the axis linking the Padre of grooves necessary to crimping a staple on that tier. En suivant cette courbure les gorges de sertissage des agrafes vent creusee en suivant des cercles ou arcs de cercles concentriques. Following this the curvature of staple crimping grooves dug wind along circles or arcs of concentric circles.
3- Dispositif selon l'une des revendications 1 ou 2, caracterise en ce que les 3- Device according to one of claims 1 or 2, characterized in that the
paliers ont des hauteurs decroissantes suivant une direction parallele a l'axe levels have decreasing heights along a direction parallel to the axis
perpendiculaire au plan de sertissage des agrafes, formant en coupe une sorte d'escalier. perpendicular to the staple crimping plan, section forming a sort of stairs.
4- Dispositif caracterise en ce que deux dispositifs selon la revendication 3 vent juxtaposes de part et d'autre d'un plan de symetrie qui est parallele au plan de sertissage des agrafes. 4- device characterized in that said two devices according to claim 3 juxtaposed wind on either side of a plane of symmetry which is parallel to the staple crimping plane. I1 s'agit d'une symetrie en miroir et les paliers les plus teas vent les plus I1 is a symmetry in mirror and most teas most wind bearings
eloignes du plan de symetrie, formant en coupe une sorte de pyramide a degree. distant from the plane of symmetry, forming a kind of sectional pyramid degree.
- Dispositif selon la revendication 4 caracterise en ce que une gorge est creusee dans le plan de symetrie au centre des paliers les plus hauts, pour le passage d'un - Device according to claim 4, characterized in that a groove is cut in the plane of symmetry at the highest levels of the center for the passage of a
dispositif de section. section device.
6- Dispositif selon la revendication S caracterise en ce que le nombre de gorges de sertissage des agrafes creusees par palier est variable dans les 2 directions plan de 6- A device according to claim S CHARACTERIZED IN THAT the number of staples crimping grooves dug by bearing is variable in two directions plan
FR0205260A 2002-04-26 2002-04-26 Anvil device for setting of clips used as mechanical sutures in surgical applications includes a level structure on which are grooves for setting of the clips Pending FR2838952A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR0205260A FR2838952A1 (en) 2002-04-26 2002-04-26 Anvil device for setting of clips used as mechanical sutures in surgical applications includes a level structure on which are grooves for setting of the clips

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0205260A FR2838952A1 (en) 2002-04-26 2002-04-26 Anvil device for setting of clips used as mechanical sutures in surgical applications includes a level structure on which are grooves for setting of the clips

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FR2838952A1 true FR2838952A1 (en) 2003-10-31

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1754445A3 (en) * 2005-08-15 2007-04-11 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US8186556B2 (en) 2008-05-09 2012-05-29 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8205780B2 (en) 2007-03-22 2012-06-26 Tyco Healthcare Group Lp Apparatus for forming variable height surgical fasteners
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US8348972B2 (en) 2007-07-11 2013-01-08 Covidien Lp Surgical staple with augmented compression area
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
US8579938B2 (en) 2008-07-23 2013-11-12 Covidien Lp Staple for use in surgical procedures
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8967446B2 (en) 2008-05-09 2015-03-03 Covidien Lp Variable compression surgical fastener cartridge
US9016541B2 (en) 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US9636111B2 (en) 2007-05-07 2017-05-02 Covidien Lp Method of stapling tissues with a staple assembly

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US3822818A (en) * 1973-02-20 1974-07-09 A Strekopytov Surgical instrument for joining osseous tissues by staples
US5655698A (en) * 1994-07-13 1997-08-12 Yoon; Inbae Surgical stapler with curved jaws
EP1090592A1 (en) * 1999-10-05 2001-04-11 Ethicon Endo-Surgery Surgical stapler having two staple forming surfaces
WO2001054594A1 (en) * 2000-01-24 2001-08-02 Ethicon Endo-Surgery (Europe) Gmbh Surgical stapling instrument

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US3822818A (en) * 1973-02-20 1974-07-09 A Strekopytov Surgical instrument for joining osseous tissues by staples
US5655698A (en) * 1994-07-13 1997-08-12 Yoon; Inbae Surgical stapler with curved jaws
EP1090592A1 (en) * 1999-10-05 2001-04-11 Ethicon Endo-Surgery Surgical stapler having two staple forming surfaces
WO2001054594A1 (en) * 2000-01-24 2001-08-02 Ethicon Endo-Surgery (Europe) Gmbh Surgical stapling instrument

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US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
EP1915954A3 (en) * 2005-08-15 2008-05-07 Tyco Healthcare Group, LP Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7455676B2 (en) 2005-08-15 2008-11-25 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7472816B2 (en) 2005-08-15 2009-01-06 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7481349B2 (en) 2005-08-15 2009-01-27 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7588174B2 (en) 2005-08-15 2009-09-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7726539B2 (en) 2005-08-15 2010-06-01 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7726538B2 (en) 2005-08-15 2010-06-01 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7828189B2 (en) 2005-08-15 2010-11-09 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7837081B2 (en) 2005-08-15 2010-11-23 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7837079B2 (en) 2005-08-15 2010-11-23 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US10105138B2 (en) 2005-08-15 2018-10-23 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US9675350B2 (en) 2005-08-15 2017-06-13 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8070035B2 (en) 2005-08-15 2011-12-06 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US9675349B2 (en) 2005-08-15 2017-06-13 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US9668736B2 (en) 2005-08-15 2017-06-06 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8113406B2 (en) 2005-08-15 2012-02-14 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8113407B2 (en) 2005-08-15 2012-02-14 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8123100B2 (en) 2005-08-15 2012-02-28 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US9662111B2 (en) 2005-08-15 2017-05-30 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8157152B2 (en) 2005-08-15 2012-04-17 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8608047B2 (en) 2005-08-15 2013-12-17 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US9579102B2 (en) 2005-08-15 2017-02-28 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US9370365B2 (en) 2005-08-15 2016-06-21 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US9192387B1 (en) 2005-08-15 2015-11-24 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US8925785B2 (en) 2005-08-15 2015-01-06 Covidien Lp Surgical stapling instruments including a cartridge having multiple staple sizes
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