JP6949826B2 - Surgical staples to minimize staple rotation - Google Patents

Description

The present invention relates to surgical instruments and, in various embodiments, to surgical staple fastening and cutting instruments, as well as staple cartridges for use with them.

Staple fasteners can include a pair of collaborative elongated jaw members, each jaw member being inserted into the patient and adapted to be positioned with respect to the tissue to be stapled and / or incised. can. In various embodiments, one of the jaw members can support a staple cartridge containing at least two rows of laterally spaced staples, and the other jaw member is a staple in the staple cartridge. Anvils with stapled pockets aligned with rows can be supported. Generally, staple fasteners further include a push bar and knife blade that are slidable with respect to the jaw member, via a cam surface on the push bar and / or a cam surface on the wedge thread that is pushed by the push bar. , Staples can be continuously ejected from the staple cartridge. In at least one embodiment, the cam surface is held by a cartridge to press the staples against the anvil and form laterally isolated rows of deformed staples within the grasped tissue between the jaw members. And it may be configured to activate multiple staple drivers associated with the staples. In at least one embodiment, the knife blade can follow the cam surface and cut tissue along the lines between the staple rows.
An example of staples is disclosed in Patent Document 1.
[Patent Document 1]
International Publication No. 2015/0999996

The above discussion is intended only to explain the various aspects of the art in the field of the invention at the time and should not be regarded as denying the claims.

Various features of the embodiments described herein are illustrated in detail within the appended claims. However, various embodiments relating to both the mechanism and the method of operation, along with their advantages, can be understood by the following description in conjunction with the accompanying drawings below.
FIG. 3 is a perspective view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. It is a side view of the staple of FIG. It is a top view of the staple of FIG. It is sectional drawing of the staple of FIG. 1 taken along line 4-4 of FIG. FIG. 3 is a perspective view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. It is a side view of the staple of FIG. FIG. 5 is a side view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. It is a side view of the staple of FIG. 7 in a molded structure. It is a top view of the staple of FIG. 7 in the molded structure of FIG. FIG. 7 is a side view of the staple of FIG. 7 in a molded configuration and a partial cross-sectional view of the anvil of the surgical staple fastener. FIG. 3 is a perspective view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. It is sectional drawing of a part of the staple of FIG. It is sectional drawing of a part of the staple of FIG. It is sectional drawing of a part of the staple of FIG. FIG. 3 is a perspective view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. FIG. 5 is a side view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. FIG. 3 is a partial top view of a molded staple configuration comprising a plurality of staples according to at least one embodiment. FIG. 3 is a perspective view of a staple for use with a surgical staple fastening instrument, according to at least one embodiment. FIG. 5 is a partial cross-sectional view of an anvil showing a portion of the staples of FIG. 15 that are molded from an unmolded configuration to a molded configuration. 9 is an elevational view of the staple of FIG. 15 in a molded configuration. Includes side views of a plurality of staple tips according to at least one embodiment. FIG. 3 is a bottom view of the staples according to at least one embodiment and the anvil molded pockets according to the first arrangement. FIG. 9 is a partial cross-sectional view of the anvil pocket of FIG. 19 taken along line 20-20 of FIG. FIG. 19 is a bottom view of the molded pocket of FIG. 19 with staples and a second arrangement. FIG. 19 is a bottom view of the molded pocket of FIG. 19 with staples and a third arrangement. FIG. 19 is a bottom view of the staples and molded pockets of FIG. 19 according to at least one embodiment. It is a partial cross-sectional view of the anvil pocket of FIG. 23 taken along line 24-24 of FIG. FIG. 19 is a bottom view of the staples and molded pockets of FIG. 19 according to at least one embodiment. FIG. 19 is a bottom view of the staples and molded pockets of FIG. 19 according to at least one embodiment. FIG. 3 is a partial perspective view of a staple leg according to at least one embodiment. FIG. 27 is a partial cross-sectional end view of the staple leg portion of FIG. 27. It is a partial longitudinal sectional view of the staple leg part of FIG. 27. It is a perspective view of a part of a staple strip manufactured by progressive punching. It is a partial cross-sectional view of a part of the staple strip of FIG. 28 taken along line 28A-28A of FIG. 28. FIG. 2 is a partial cross-sectional view of a portion of the staple strip of FIG. 28 taken along line 28B-28B of FIG. 28. FIG. 2 is a partial perspective view of a thread configured to engage the staple strip of FIG. 28. FIG. 5 is a perspective view of a portion of staple strips manufactured by progressive punching according to at least one embodiment. It is a bottom perspective view of the staple strip of FIG. FIG. 6 is a partial cross-sectional view of a staple cartridge and staples according to at least one embodiment. FIG. 3 is a perspective view of a staple cartridge assembly according to at least one embodiment. It is a top view of the staple cartridge assembly of FIG. FIG. 3 is a detailed view of the distal end of the staple cartridge assembly of FIG. FIG. 6 is a partial cross-sectional perspective view of a staple cartridge assembly according to at least one embodiment showing staples ejected from the staple cartridge assembly by a firing member. It is a partial exploded view of the staple cartridge assembly of FIG. 35. FIG. 35 is a partial cross-sectional view of the staple cartridge assembly of FIG. 35 showing staples deformed relative to anvil by a firing member. FIG. 3 is a partial plan view of the staples located in the staple cavities of the staple cartridge assembly of FIG. 35. It is a partial perspective view of the staple lifted by the firing member of the staple cartridge of FIG. 35. It is a bottom perspective view of the staple of FIG. 39. It is a figure which shows the staple of FIG. 39 which is in a horizontal position. It is a figure which shows the staple of FIG. 39 which is in a bent position. FIG. 5 is a cross-sectional plan view of a staple cavity configured to guide staples according to at least one embodiment. FIG. 5 is a cross-sectional perspective view of a staple cartridge assembly positioned within the jaw of a surgical staple fastener according to at least one embodiment, showing a launching member located within the cartridge body of the staple cartridge assembly. FIG. 4 is a partial cross-sectional perspective view of the staple cartridge assembly of FIG. 44 showing holding properties configured to hold the firing member within the cartridge body when the staple cartridge assembly is not positioned within the jaw of the surgical staple fastener. .. FIG. 4 is a partial cross-sectional exploded view of the staple cartridge assembly of FIG. FIG. 4 is a partial cross-sectional end view of the staple cartridge assembly of FIG. FIG. 4 is a partial cross-sectional perspective view of a staple cartridge assembly of FIG. 44 showing a holding feature configured to keep the staple cartridge assembly releasable within the jaw of a surgical staple fastener. FIG. 3 is a partial plan view of a staple located within a staple cavity of a staple cartridge assembly according to at least one embodiment. FIG. 5 is a detailed view of a holding feature configured to keep the staples releasable within the staple cartridge assembly of FIG. 49. FIG. 3 is a partial cross-sectional elevation view of a staple cartridge assembly according to at least one embodiment. FIG. 3 is a perspective view of staples according to at least one embodiment. It is a bottom perspective view of the staple of FIG. 52. It is a front view of the staple of FIG. It is a side view of the staple of FIG. It is a bottom view of the staple of FIG. FIG. 3 is a perspective view of a firing member of a staple cartridge assembly according to at least one embodiment, including an alignment channel. FIG. 57 shows staples positioned within the staple cavity of the firing member and staple cartridge assembly of FIG. 57. It is a figure which shows the firing member of FIG. 57 which aligns the staple of FIG. 58 in the staple cavity of FIG. 58. It is a perspective view of the launching member of FIG. 57 and the staples arranged in two longitudinal rows. FIG. 5 is a partial cross-sectional view of the alignment channel of the launching member of FIG. 57 and a portion of the staple of FIG. FIG. 5 is a partial cross-sectional perspective view of the staple cartridge assembly of FIG. 58. FIG. 5 is a partial exploded view of the staple cartridge assembly of FIG. FIG. 58 is a cross-sectional perspective view of a partial bottom surface of the staple cartridge assembly of FIG. FIG. 3 is a partial perspective view of a protrusion extending from the deck surface of the staple cartridge assembly according to at least one embodiment. FIG. 3 is a partial perspective view of a protrusion extending from the deck surface of the staple cartridge assembly according to at least one embodiment. It is a bottom perspective view of the cartridge body of a staple cartridge assembly. It is a bottom view of the cartridge body of FIG. 67. It is a bottom perspective view of the cartridge body of the staple cartridge assembly of FIG. 32. It is a bottom view of the cartridge body of FIG. 32. It is a figure which shows the cartridge body of FIG. 67 with respect to the alternative embodiment of the cartridge body. FIG. 3 is a partial plan view of the staple cartridge assembly according to at least one embodiment. It is a partial perspective view of the staple cartridge of FIG. 32. FIG. 3 is a cross-sectional view of the staple cartridge of FIG. 32 and the anvil of FIG. 37 showing some staples in the unlaunched position and some staples in the launched position. The staples of the staple cartridge of FIG. 32, which are deformed to three different heights, are shown. The staples of the staple cartridge of FIG. 32 implanted in the patient's tissue are shown. The staple of the modified staple cartridge of FIG. 32 is shown. FIG. 3 is a perspective view of staples according to at least one embodiment. It is sectional drawing of the staple of FIG. 78. FIG. 3 is a perspective view of a staple assembly according to at least one embodiment. FIG. 8 is an elevational view of the staple assembly of FIG. It is a perspective view of the staple accessory which can be embedded. FIG. 8 is a cross-sectional view of the staple accessory of FIG. 82. FIG. 8 is a partial perspective view of a staple assembly including the staple appendages of FIG. 82. The staple assembly of FIG. 84 embedded within the tissue is shown. FIG. 3 is a perspective view of staples according to at least one embodiment, shown in a modified configuration. FIG. 5 is a plan view of a circular cartridge body comprising the plurality of staple assemblies of FIG. 84, according to at least one embodiment. The staple spacing of FIG. 35 in the non-stretched tissue is shown. The staple spacing of FIG. 35 in the elongated tissue is shown. FIG. 3 is a perspective view of staples according to at least one embodiment. The staple of FIG. 90 embedded in the tissue is shown. The staples of FIG. 90 after being partially dissolved are shown. FIG. 3 is a cross-sectional perspective view of a portion of a surgical circular stapler according to at least one embodiment. FIG. 9 is a partial cross-sectional perspective view of the surgical circular stapler of FIG. 93. FIG. 9 is a partial perspective view of the surgical circular stapler of FIG. 93. FIG. 3 is a partially exploded perspective view of a surgical circular stapler according to at least one embodiment. FIG. 6 is a partial perspective view of the surgical circular stapler of FIG. 96 showing staples in pre-filling positions. It is a partial perspective view of the surgical circular stapler of FIG. 96. FIG. 3 is an end view of a surgical circular stapled configuration according to at least one embodiment. FIG. 3 is an end view of a surgical circular stapled configuration according to at least one embodiment. FIG. 3 is a partial cross-sectional view of a colon stapled with a circular staple fastening device disclosed herein. FIG. 3 is a partial perspective view of a curved stapler according to at least one embodiment. It is a partial exploded view of the curved stapler of FIG. 102. FIG. 10 is a partial perspective view of the curved stapler of FIG. 102. FIG. 3 is a partial perspective view of a curved stayer according to at least one embodiment. It is a partial perspective view of the curved stapler of FIG. 105.

Throughout the drawings, the corresponding reference numerals indicate the corresponding members. The illustrations described herein illustrate various embodiments of the invention in one form, and such illustrations should be construed as limiting the scope of the invention in any way. No.

The applicant of the present application owns the following US patent applications filed on the same date as the present application, the entire contents of which are incorporated herein by reference:
-US Patent Application No. ________, Invention Name "SURGICAL STAPLES COMPRISING FEATURES FOR IMPROVEED FASTENING OF TISSUE", Agent Reference No. END7678USNP / 150118,
-US Patent Application No. ________, Title of Invention "SURGICAL STAPLES COMPRISING HARDNESS VARIATIONS FOR IMPROVEED FASTENING OF TISSUE", Agent Reference No. END7727USNP / 150298,
-US Patent Application No. ________, Invention Name "SURGICAL STAPLE STRIPS FOR PERMITTING VARYING STAPLE PROPERTIES AND ENABLING EASY CARTRIGE LOADING", Agent Reference No. END76
-US Patent Application No. ________, Invention Name "SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR STAPLING INSTRUMENTS", Agent Reference No. END7682USNP / 150122,
-US Patent Application No. ________, Invention Name "STAPLE CARTRIDGE ASSEMBLY WITHOUT A BOTTOM COVER", Agent Reference No. END7679USNP / 150119,
-US Patent Application No. ________, Invention Name "STAPLE CARTRIGGE ASSEMBLY COMPRISING STAPLE CAVITIES FOR PROVIDING BETTER STAPLE GUIDANCE", Agent Reference No. END7681USNP / 150121
-US Patent Application No. ________, Invention Name "STAPLE CARTRIDGE ASSEMBLY INCLUDING STAPLE GUIDES", Agent Reference No. END7685USNP / 150125,
-US Patent Application No. ________, Invention Name "STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE ALIGNMENT FEATURES ON A FIRING MEMBER, Agent Reference No. END7688USNP / 150128,
-US Patent Application No. ________, Invention Name "STAPLE CARTRIDGE ASSEMBLY COMPRISING VARIOUS TISSUE COMPRESSION GAPS AND STAPLE FORMING GAPS", Agent Reference No. END7684USNP / 150124,
-US Patent Application No. ________, Invention Name "STAPLES CONFIGURED TO SUPPORT AN IMPLANTABLE ADJUNCT", Agent Reference No. END7686USNP / 150126,
-US Patent Application No. _____, Invention Name "STAPLES COMPRISING A COVER", Agent Reference No. END7689USNP / 150129, and US Patent Application No. _____, Invention Name "STAPLE CARTRIGGE ASSEMGRET FORMBLY INCLUDING FORETLENTO FORM STAPLES WHEN BEING EJECTED THE REFORM ", agent reference number END7683USNP / 150123.

The applicant of the present application also owns the following patent application, filed on December 23, 2013, the entire contents of which are incorporated herein by reference:
-US Patent Application No. 14 / 138,554, Title of Invention "Surgical Instruments With Articulable Shaft Arrangements",
-US Patent Application No. 14 / 138,465, Title of Invention "SURGICAL STAPLES AND STAPLE CARTRIDGES",
-US Patent Application No. 14 / 138,474, Title of Invention "Artificial Instruments With Specialate and Distinct Closing and Starting Systems",
-US Patent Application No. 14 / 138,485, Title of Invention "Surgical Cutting and Stapling Instruments With Independent Jaw Control Features",
-US Patent Application No. 14 / 138,475, Invention Title "SURGICAL STAPLES AND STAPLE CARTRIDGES",
-US Patent Application No. 14 / 138,481, Title of Invention "SURGICAL STAPLES AND METHODS FOR MAKING THE SAME",
-US Patent Application No. 14 / 138,489, Title of Invention "SURGICAL STAPLES, STAPLE CARTRIDGES AND SURGICAL END EFFECTORS",
-US Design Application No. 29 / 477,488, Invention Name "SURGICAL FASTENEER",
-US Patent Application No. 14 / 138,505, Title of Invention "FASTENEER CARTRIDGE COMPRISING AN EXTENDABLE FIRING MEMBER",
-US Patent Application No. 14 / 138,518, title of invention "FASTENEER CARTRIGGE COMPRISING A FIRING MEMBER CONFIGURED TO DIRECTLY ENGAGE AND EJECT FASTENEERS FROM THE FASTENE START"
-US Patent Application No. 14 / 138,530, Title of Invention "FASTENER CARTRIDGE COMPRISING A FIRING MEMBER INCLUDING FASTENEER TRANSFER SURFACES",
-US Patent Application No. 14 / 138,507, Invention Title "MODULAR SURGICAL INSTRUMENTS",
-US Patent Application No. 14 / 138,497, title of invention "Surgical Cutting and Stapleing Instruments", and-US Patent Application No. 14 / 138,516, title of invention "Surgical Cut". ..

Many specific details are provided to provide a complete understanding of the overall structure, function, manufacture, and use of embodiments described herein and shown in the accompanying drawings. Well-known behaviors, components, and elements are not described in detail to avoid obscuring the embodiments described herein. It is understood by the reader that the embodiments described and illustrated herein are non-limiting examples, and therefore the particular structural and functional details disclosed herein are exemplary and exemplary. It can be understood that it is possible. Modifications and changes to them can be made without departing from the claims.

The terms "comprise" (any form of comprise, such as "comprises" and "comprising"), "have" (any form of have, such as "has" and "having"), "include ( ”(Any word form of include, such as“ includes ”and“ inclusion ”),“ contain ”(any word form of content, such as“ context ”and“ contouring ”) are open concatenated verbs. Is. As a result, a surgical system, device, or device that "includes", "has", "contains", or "contains" one or more elements is one or more of them. It has elements, but is not limited to having only one or more of them. Similarly, one or two elements of a system, device, or device that "equips", "has", "contains", or "contains" one or more features. It has the above-mentioned feature parts, but is not limited to having only one or two or more of these feature parts.

The terms "proximal" and "distal" are used herein with reference to the clinician operating the handle portion of the surgical instrument. The term "proximal" refers to the part closest to the clinician and the term "distal" refers to the part located away from the clinician. For convenience and clarity, it is further understood that spatial terms such as "vertical", "horizontal", "top", and "bottom" can be used with respect to the drawings herein. Let's go. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limited and / or absolute.

Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, it is readily apparent to the reader that the various methods and devices disclosed herein can be used in many surgical procedures and applications, including those associated with, for example, open surgical procedures. Will be done. By reading "Forms for Carrying Out the Invention" herein, the reader can read that the various instruments disclosed herein are incised or punctured into tissue, eg, through a natural opening. You will further recognize that it can be inserted into the body in any way, such as through a hole. The working part or end effector part of these instruments can also be inserted directly into the patient's body, or such as a trocar with a passage of action that allows the end effector and long shaft of the surgical instrument to be advanced. It can also be inserted through an access device.

The staples or fasteners disclosed herein are configured for use with surgical staple fasteners. As discussed in more detail below, the staples are detachably housed within the staple cavities of the staple cartridge. The staple cartridge comprises a thread configured to receive a firing launch from a surgical staple fastening device that exerts a force on the staple to eject the staple from the staple cavity. When the staples are ejected or driven out of the staple cavity by threads, the staples undergo a transformation process in which the staples form a fired configuration from an unfired configuration. Staples form a fired configuration when the staples come into contact with the corresponding molded pockets on the anvil of the surgical staple fastener.

The various staples disclosed herein include, for example, flat shaped staples that can be cut and / or punched from a sheet of material. The sheet of material may be made of metal and may include, for example, stainless steel and / or titanium. In at least one example, the contour is traced, etched, and / or cut into a sheet of material that is machined and / or laser cut to shape the staples into the manufactured shape.

Staples include a pair of staple legs and a staple base or crown from which the staple legs extend. Each staple leg includes a staple tip or puncture portion configured to puncture the tissue and contact the corresponding molded pocket of the anvil of the surgical staple fastener. The staple legs are configured to change shape to achieve a molded configuration and secure the tissue. The staple base defines a first plane and the staple legs define a second plane that is laterally offset from the first plane but at least substantially parallel to the first plane. .. An embodiment in which the first and second planes are not parallel is recalled.

The flat shaped staple 100 shown in FIGS. 1 to 4 includes a proximal staple leg 110, a distal staple leg 120, and a staple base 130. Staples 100 further include vertical transitions or blends 118, 128 and lateral transitions or blends 116, 126. The vertical transition portions 118, 128 bend the legs 110, 120 vertically or upward from the staple base 130, or extend from the staple base 130. The lateral transition portions 116, 126 extend laterally outwardly or at least substantially perpendicular to the staple base 130, the staple legs 110, 120. The staple legs 110, 120 define a first plane, and the staple base 130 defines a second plane. The vertical transition portions 118, 128 and the lateral transition portions 116, 126 together allow the staple legs 110, 120 to be laterally offset and parallel to the staple base 130. In other words, the first plane is offset from the second plane and is at least substantially parallel to the second plane. In FIGS. 1 to 4, the first plane is offset in the negative Y-axis direction. Other staples may be used with the plurality of staples 100, and the other staples include a first plane offset in the positive Y-axis direction. By using both types of staples, the staple rows are nested or interwoven, and the staple legs of adjacent rows are at least substantially aligned and / or share a common longitudinal axis. .. In various examples, the staple rows can be nested to provide a denser staple row.

The proximal staple leg 110 and the distal staple leg 120 include staple tips 112, 122 and corners 114, 124, respectively. The tips 112, 122 are configured to puncture the tissue and contact the anvil molded pocket of the surgical staple closure device. The tips 112, 122 come into contact with the anvil when the staple 100 receives a driving force to eject the staple 100 from the corresponding staple cavity in the staple cartridge. The tips 112, 122 and / or legs 110, 120 of the staple 100 then begin to form the fired configuration from the unfired configuration. The proximal staple leg 120 further includes a leading engaging foot 117 including a chamfered surface or edge 119. When the thread comes into contact with the staple 100 during the distal translation of the thread, the thread feature engages the leading engaging foot 117 to help prevent, for example, longitudinal rolling or rotation of the staple. Can be done. The engaging foot portion 117 may include a pressing point that is pressed to fill the staple 100 into the staple cartridge.

Since the staple 100 is a flat shaped staple, the staple legs 110, 120, tips 112, 122, and / or other parts of the staple 100 after being punched from a flat, or at least substantially flat, raw material. Can be further developed or processed. Further deployment of the staple 100 may provide specific properties that generate and / or modify the preferred flex plane, toughness, and / or elasticity. Staples formed of conventional wires include the desired properties that favor surgical fixation and can mount staples 100. For example, the method for constructing the corners 114, 124 and / or the tips 112, 122 may include any suitable process, including, for example, cold working. The specific process involves imprinting the corners 114, 124 by processing into a rounded, angled, oblique and / or radial profile. Staple tips 112, 122 can also be machined using a similar method to provide suitable tips configured to puncture the tissue and form into the corresponding forming pocket of the anvil.

The staple base 130 includes an inclined drive surface 132, a final drive surface 131, and a distal wall 133. In various embodiments, the staple 100 is supported in the staple cartridge by a pan, and the final drive surface 131 is configured to rest on the pan. In various other embodiments where the staple cartridge does not have a pan, the final drive surface is not placed on the pan, rather the final drive surface includes an initial position on the bottom surface of the staple cartridge that does not have a pan. This allows the bottom of the thread and the bottom of the staple cartridge without pan to be at least substantially the same height as the thread translates through the cartridge. Drive surface 132 of each staple base 130 is configured to receive the driving force F _s from the thread of the surgical stapling instrument. As the thread translates distally through the staple cartridge, the thread contacts the drive surface 132 to lift the staple 100 out of the cartridge and further contacts the final drive surface 131 to form the staple 100 into its launched configuration. do.

The distal wall 133 functions as the most distal wall of the staple base 130 and is located proximal to the distal staple leg 120, thereby any of the staple base 130 under the distal staple leg 120. Lacking a part. By most of the mass is in the base 130 of the staple 100, the ability of the staple 100 to resist rotational movement caused by the moment M _S applied by the thread increases. Increasing the moment of inertia of the staple base 130 increases its ability to resist rotational movement. As a result, greater torque or greater moment is required to cause longitudinal staple rotation.

The staple base 130 further includes an upper surface or pressurized surface 136 including a proximal surface 139, an intermediate surface 138, and a distal surface 137. The proximal surface 139 is angled or tilted upwards towards the proximal leg 110. The distal surface 137 is angled or tilted upwards towards the distal leg 120. The intermediate surface 138 is at least substantially parallel to the final drive surface 131. This valley configuration limits the stress concentration of the tissue trapped near the transitions 118, 128, 116, 126, with the legs 110, 120 extending from the staple base 130. In various embodiments, these surfaces 137, 138, 139 may be curved to form a concave surface. In conventional staples, when molded, the connection where the legs intersect the staple base creates a highly localized position for tissue stress. This is especially true if such conventional staples are buckled, crushed, or flat rather than formed into a true "B" configuration.

In various embodiments, the dynamics of the staple 100 are predictable as they are ejected from the staple cartridge. The staple 100 is ejected from the corresponding staple cavity, the driving force F _S from the thread produces a moment M _s. One precautionary measure to prevent the staple from rotating is to increase the moment of inertia of the staple 100, which is configured to prevent longitudinal rolling or rotation of the staple as shown in FIG. including. When the staple 100 rolls distally longitudinally, in other words, counterclockwise around the Y-axis, the outer longitudinal staple leg surfaces 115, 125 of the staple 100 become the guide surface of the staple cartridge or the guide surface of the staple cartridge. It will come into contact with the side wall. This contact _produces a corresponding stress _{F C1} and _{F C2.} More specifically, the staple 100 is driven out of the staple cavity and rotates about the Y axis, and the wall 115 of the proximal staple leg 110 contacts the proximal side wall of the staple cartridge and is below the center of mass. It produces a reaction force _{F C2} acting on the staple legs 110. The wall 125 of the distal staple leg 120 contacts the distal side wall of the staple cartridge and creates _{a reaction force FC1 acting on the staple leg 120 above the center of mass.} Reaction force of both the F _C1 and _{F C2} contribute to reaction force moment _{M RC} to or balanced to counteract the added moment _{M S} acting on staple 100. The reaction forces discussed herein can be distributed loads acting on the respective surface areas of the staple legs 110, 120.

The moment of inertia of the staple 100 is also configured to prevent lateral rolling or rotation of the staple 100, as shown in FIG. The staple base 130 includes a notch 134 defined within the top surface 136 of the side portion of the staple base 130 closest to the legs 110, 120. The notch 134 contributes to the predictability of the dynamics of the staple 100 before and during molding when ejected from the staple cartridge. For example, primarily with reference to FIG. 4, the notch 134 is configured to induce rotation of the staple 100 towards a particular cavity sidewall. Or staples 100 from rolling laterally, or in other words, when rotated in the direction of the added moment M _S, longitudinal staple legs walls 111 and 121 of the outer staple 100, and the guide surface or side wall of the staple cartridge They will come into contact and produce the _{corresponding reaction forces FC1} and _FC2. For example, the staple 100 is driven out of the staple cavity and rotates in the direction of the added moment _{M S,} walls 111, 121 of the staple legs 110, 120, in contact with the corresponding side walls of the staple cartridge, the center of mass produce _{F C1} acting on the staple legs 110, 120 of the upper. The outer lateral wall 135 of the staple base 130 contacts another corresponding side wall of the staple cartridge and creates _{a reaction force FC2 acting on the staple base 130 below the center of mass.} Reaction force _{F C1} and _{F C2} produces a reaction force moment _{M RC} of or to balance counteract the appended moment _{M S} act of staples 100 from the thread. The reaction forces discussed herein can be distributed loads acting on the surface areas of the staple legs 110, 120, and the staple base 130, respectively. In various embodiments, the staple 100 is added to control which wall of the staple cavity is contacted to guide the staple as the staple 100 is ejected from the corresponding staple cavity of the staple 100. It is promoted to roll laterally in the direction of the moment M _S.

5 and 6 show a staple 200 made of wire, including a staple leg 210 and a staple base 230. The staple leg 210 is offset from the staple base 230 and bends at a substantially 90 degree angle from the staple base 230. The staple leg 210 is in a first plane that is at least substantially perpendicular to the second plane defined by the staple base 230 and the bend 220 of the staple leg 210.

7-10 show a staple 300 including a proximal staple leg 310, a distal staple leg 320, and a staple base or crown 330 having a driving surface 332. The staple legs 310, 320 extend from the staple base 330, and each staple leg 310, 320 includes a laterally outwardly bent portion and an upwardly bent portion. The laterally outwardly bent portion of the staple leg causes the staple leg to laterally bend outward with respect to the staple base. The upwardly bent portion of the staple leg bends the staple leg upward with respect to the staple base. The staple 300 includes a first zone 331 including a first hardness, second zones 311 and 321 including a second hardness, and a third zone 312 and 322 including a third hardness. Embodiments are recalled that include more or less zones than the staples 300 shown. Changing certain properties of different parts of the staple 300, such as hardness, provides greater control and predictability when molding staples against corresponding molding pockets, eg, molding pocket 341 of anvil 340. NS. The first hardness of the first zone 331 may be higher than the second hardness of the second zones 311 and 321. In many examples, it is flexible enough to support the staple legs 310, 320 and, for example, have the staple base 330 having a hardness higher than the staple legs 310, 320, yet be permanently reshaped without breaking. It is desirable to have staple legs 310, 320, in other words, to have staple legs 310, 320 with a high degree of plasticity. Higher hardness will increase the ability of the staple base 330 to resist deformation upon application of external and / or internal forces, such as forces from the staple legs when pressurized against the anvil. ..

The metalworking of different parts of the staples disclosed herein may include several advantages. One of these advantages is to prevent shattering or buckling of the staple legs during molding, instead the staple legs deform to the desired configuration as a result of contact with the corresponding molding pockets. It may include that it can be promoted.

The staples 300 can be molded into any desired shape. In the configuration of unformed staple legs 310 and 320 defines a first plane _{P 1,} the staple base 330 defines a second plane _{P 2.} Staple legs 310 and 320 an example of the shape of the staple 300 which is formed in the lateral direction toward the second plane _{P 2} is shown in FIGS. 9 and 10. Changes in hardness of specific zones and / or portions of staple 300 can be responsible for providing directional facilitation upon contact with the molding pocket 341. Staple legs 310 and 320, the embodiment is shaped in a direction away laterally from the second plane P ₂ will occur.

11-11C show staples 400 including staple legs 410 and staple bases 430 formed from flat plates of material. The staple base 430 includes a rectangular cross-section profile 431 and the staple legs include a circular cross-section profile 411. A circular staple leg 410 extending from a staple base 430 having a rectangular cross-sectional profile 431 can provide a staple base and a staple leg that does not include a preferred bending plane. The staple 400 includes a bend 420 in which the staple leg 410 extends from the staple base 430. The bend 420 comprises a substantially square cross-sectional profile 421. The square profile 421 and the rectangular profile 431 of the bend 420 and the staple base 430, respectively, provide a solid connection and skeleton to the circular staple leg 410. The circular staple leg 410 eliminates the preferred bending plane that a staple leg having a cross section of any shape or non-uniform shape with a square, rectangle, or apex may have.

FIG. 12 shows a staple 500 according to at least one embodiment, including a proximal staple leg 510, a distal staple leg 520, and a staple base 530 with the staple legs 510 and 520 extending. The proximal staple leg 510 is laterally bent outward from the staple base 530 in the first direction. The distal staple leg 520 bends laterally outward in a second direction from the staple base. The first direction is opposite to the second direction. The staple base 530 defines a first plane, and the staple legs 510 and 520 define a second plane that intersects the first plane. One advantage of having staple legs 510 and 520 bent in opposite directions is that they can help prevent lateral rotation by reacting with the applied thread moments on each side of the staple base 530. be. This results in an S-shaped configuration and requires an auxiliary molded pocket.

A staple 600 including a proximal leg 610, a distal leg 620, and a staple base 630 having a driving surface 632 is shown in FIG. The distal leg 620 is longer than the proximal leg 610, thereby providing offset contact timing for the tips 611, 621 of the staple legs 610, 620 with respect to the anvil molding pocket. In various embodiments, the distal leg may include a tip that includes a pre-bent initial configuration to aid the molding process when first contacting the anvil. The preformed tip 621 will require less pressure than the staple tip 611 to initiate deformation with respect to the anvil. Bringing the longer staple leg, which in this case the distal staple leg 620, into contact with the anvil in front of the shorter or proximal staple leg 610, the staple tip 621 of the longer leg 620 It may be necessary to have some preformed tips before the tips 611 are deformed.

FIG. 14 shows the arrangement 700 of the molded staples 711 and 721. The staples 711 are arranged in the first row 710 and the staples 721 are arranged in the second row 720 adjacent to the first row 710. Staples 711,712 may be similar to those of staple 600 shown in FIG. 13 discussed above. The staples 711 include laterally opposed legs 713,715. The staples 721 include laterally opposed legs 723,725. The laterally opposed legs 713 and 715 include tips configured to contact the anvil molding pocket at contact points 713c and 715c, respectively. The laterally opposed legs 723, 725 also include tips configured to contact the anvil molding pocket at contact points 723c, 725c, respectively. The legs 713 and 715 facing each other in the lateral direction are formed inward toward the staple base on which the legs extend from the legs, respectively. The laterally opposed legs 723, 725 are also molded inward towards the staple base from which the legs extend.

The staple rows 710, 720 are woven so that the contact points 723c, 713c are substantially aligned. Such an arrangement allows for a denser array of staple rows in the staple cartridge and / or a denser molded pocket configuration on the anvil. Also, weaving scaffold planes can provide higher quality scaffolds and scaffold coverage within tissues of larger area. The woven scaffold plane can ensure that what is trapped between the staple rows and the molding pocket is properly secured. This can help in stapling smaller and / or less easily visible vessels that can lead to stapling column separations that result in less than sufficient fixation with conventional staple arrangements.

15-17 show staples 800 including staple legs 810, 820 and staple bases 830 having a drive surface 832. The staple legs 810, 820 include a tip 842 configured to contact the anvil molding pocket, for example, the molding pocket 861 of the anvil 860. The staple tip 842 includes a puncture tip or portion 842T, a curl surface 842S, and a concave notch 842C. The puncture tip 842T is configured to puncture the tissue T when ejected from the staple cartridge and to deform within the molding pocket 861 when in contact with the molding pocket 861 of the anvil 860. Deformation of the staple tip 842 into a particular shape is facilitated by utilizing the predictable deformability of the concave notch 842C. The curled surface 842S of the staple tip 842 is configured to curl or deform from the puncture position 812A to the intermediate molding position 812B and the non-puncture position 812C. When the staple tip 842 is completely deformed, the puncture tip 842T is hidden or separated from the tissue T by the curl surface 842S. This prevents further puncture of tissue T after the tip 842 has punctured the tissue during drainage. This arrangement also prevents further damage and / or unnecessary irritation that the exposed puncture tip may inflict after the initial puncture. Preventing further puncture of the tissue T after the leg has been formed also reduces the likelihood that the staple 800 will be drawn into the tissue T. The curl surface 842S acts as a shield configured to hide the puncture tip 842T from the tissue T.

FIG. 18 shows a plurality of examples of different types of staple tips 871, 872, 873, 874, and 875 that can be used with any suitable surgical staple, such as the staples disclosed herein. Staple tip 871 includes a triangular shape with at least a substantially flat surface. Staple tip 872 includes a surface with varying contours. The staple tip 873 includes a rocket-like shape. Staple tip 874 includes a hump-like profile. The hump-like profile may, for example, be substantially vague. Staple tip 875 includes a pointed pencil-shaped profile.

In various embodiments, to facilitate deformation in the desired manner, the staple tips disclosed herein may include materials that are different from the material of the staple to which the staple tips are connected, but the staple tips. The material can be strong enough to prevent deployment of the staple tip after fixing the tissue.

Surgical staples can be facilitated to shape into the desired configuration by changing the shape, dimensions, configuration, and / or other aspects of the molding pocket configured to mold the staple. FIG. 19 shows molding pockets 911, 921 configured to mold staple 900. The staple 900 includes the staple legs 901 and 902, the staple tips 910 and 920, and the staple base 930, and the staple legs 901 and 902 extend from the staple base 930. The staple 900 is configured to contact the corresponding molding pockets 911, 921 and mold into the corresponding molding pockets 911, 921. The molding pocket 911 includes a molding channel surface 917 configured to receive the corresponding tip 910 and facilitate the tip 910 to mold in direction P1. As shown in FIG. 20, the molding pocket 911 has a lateral valley surface 915 and longitudinally configured to feed or receive the staple tip 910 in the event of minor misalignment during contact. Includes a valley surface 913. The staple 900, staple leg 901, and / or staple tip 910 can retreat with respect to the molding channel surface 917 as ejected from the cartridge. The trough surface allows longitudinal and lateral rotation of the staples. Although shown as a concave surface, the valley surface may be, for example, convex or flat.

The molding pocket 921 includes a molding channel surface 927 configured to receive the corresponding tip 920 of the staple 900 and facilitate molding of the tip 920 in direction D1. Direction D1 is the opposite of direction P1 and shows an example in which the staple legs are formed towards each other and at least substantially parallel to the staple base 930, as shown in FIG. Other embodiments are recalled in which the directions D1 and P1 guide the corresponding staple legs in opposite directions but outward with respect to each other. The molded pocket 921 further includes a lateral valley surface 925 and a longitudinal valley surface 923 configured to feed or receive the tip 920 of the staple 900 in the event of minor misalignment during contact. .. The staple 900, staple leg 902, and / or staple tip 920 may retreat with respect to the molding channel surface 927 as ejected from the cartridge.

In various embodiments, the longitudinal valley surface may include two separate valley surfaces. The two separate valley surfaces may include the initial valley surface closest to the intended contact point of the corresponding staple tip. The initial valley surface may include a larger range of defective alignment protection than the other of the separate valley surfaces. The initial valley surface may include, for example, poor alignment protection of greater width and / or height than the other of the separate valley surfaces.

FIG. 21 shows another arrangement of the staple pockets 911, 921. However, the staple pockets 911, 921 in the arrangement shown are configured to guide the staple tip inward towards the staple base 130. The leg 901 and the tip 910 are configured to be molded in direction P2. The leg 902 and the tip 920 are configured to be molded in direction D2. The directions P2 and D2 are transverse directions. Other embodiments are recalled in which the directions P2, D2 guide the corresponding staple legs and tips away from the staple base or outward.

FIG. 22 shows yet another arrangement of the staple pockets 911, 921. The staple pockets 911, 921 in the arrangement shown are configured to form the corresponding staple legs 901, 902 and tips 910, 920 in opposite directions, one of the staple legs 902 being guided towards the staple base 930. One 901 of the staple legs is guided away from the staple base 930. The leg 901 and the tip 910 are configured to be molded in direction P3. The leg 902 and the tip 920 are configured to be molded in direction D3. The directions P3 and D3 are at least substantially parallel. Other embodiments are recalled in which the directions P3, D3 are not parallel.

23 and 24 show another embodiment of a molded pocket that includes molded pockets 1011 and 1021 configured to deform the staple 900. Molded pockets 1011 and 1021 include ear-like shapes that provide nested pockets. This type of arrangement can save space on the staple molding surface of the anvil, allowing more staple pockets in the staple cartridge and, as a result, more staples in less space. The molding pocket 1011 includes a molding channel surface 1017 configured to receive the corresponding tip 910 and facilitate the tip 910 to mold in the bending direction P4. As shown in FIG. 24, the molding pocket 1011 has a first valley-shaped curved surface 1015A configured to send or receive the staple tip 910 in the event of minor misalignment during contact. Includes a second valley-shaped curved surface 1015B. The staple 900, the staple leg 901, and / or the staple tip 910 can retreat with respect to the forming channel surface 917 when ejected from its staple cavity. The trough surface allows some longitudinal and lateral rotation of the staples. Although shown as a concave surface, the valley surface may be, for example, convex or flat.

Molding pocket 1021 includes a molding channel surface 1027 configured to receive the corresponding tip 920 of the staple 900 and facilitate molding of the tip 920 in direction D4. FIG. 23 shows an example in which the staple legs 901 and 902 are formed toward each other, one staple leg 901 is formed away from the staple base 930, and one staple leg 902 is formed toward the staple base 930. Is shown. Other embodiments are recalled in which the directions P4, D4 guide the corresponding staple legs 901, 902 in opposite directions but outward with respect to each other. Molded pockets 1021 have a first valley-shaped curved surface 1025A and a second configured to feed or receive the tip 920 of the staple 900 in the event of minor misalignment before and / or during contact. Includes a valley-shaped curved surface of 1025B.

FIG. 25 shows yet another embodiment of a molding pocket including anvil molding pockets 1111, 1121 configured to deform the corresponding staple legs 901, 902 and tips 910, 920 towards the staple base 930. Molding pockets 1111 and 1121 are trapezoidal in shape and can be nested with other similar molding pockets using less space on the molding surface of the anvil. The molding pockets 1111 and 1121 are configured to mold the staple legs 901 and 902 and the tips 910 and 920 in directions P5 and D5, respectively.

FIG. 26 shows yet another embodiment of a molding pocket including anvil molding pockets 1211, 1221 configured to deform the corresponding staple legs 901, 902 and tips 910, 920 in directions P6, D6, respectively. .. The molded pockets 1111 and 1121 are triangular in shape and can be nested together, allowing for a more compact molded pocket arrangement on the anvil of the surgical staple closure device.

Next, with reference to FIGS. 27-27B, staple legs 1300 are shown. The staple leg 1300 includes a substantially circular staple tip and has a substantially square staple leg and a staple leg body portion 1301. The staple legs 1300 include hardened corners formed using the imprint process, for example, the corners 1303A, 1303B, 1303C, and 1303D are rounded to create a preferred bending plane. In other words, the staple leg 1300 includes a cross-sectional profile configured to facilitate bending of the staple leg 1300 in a particular direction due to hardening of the corners upon contact with the anvil. The corners 1303A, 1303B, 1303C, and 1303D may have different hardnesses for each corner, or may include two corners having a first hardness and two other corners having a second hardness. The corners 1303A, 1303B, 1303C, and 1303D can be imprinted to provide different radial profiles on the same staple leg. For example, the corners 1303A includes a radial profile having a radius _{R B} is greater than the radius _{R A} of the radial profile of the corner portion 1303B shown in Figure 27B.

Some of the staples disclosed herein can be cured at various points in the manufacturing process by any suitable means. For example, the curing process can include, for example, bronzing, chemical vapor deposition, physical vapor deposition, laser surface treatment, thermal oxidation, ion nitriding, and / or solid diffusion. Other parts of the staples can be prevented from being cured by these processes. Other parts of the staple, such as the staple tip, can be locally annealed. By specifically increasing the hardness of the region, the force required to disassemble the staple after the staple has taken the launched configuration can be increased.

28-28C show staples 1400 and threads 1460 according to at least one embodiment. The staple 1400 includes a staple legs 1410, 1420, a staple base 1430 extending the staple legs 1410, 1420, a drive surface 1432, and a bottom surface 1431. Staple legs 1410, 1420 extend from the staple base 1430 in a plane parallel to and offset from the plane defined by the staple base 1430. Staples 1400 are made by progressive punching utilizing a base strip 1450 and a connector portion 1451. Although only a single staple 1400 is shown, multiple staples 1400 are attached to the base strip 1450. The connector portion 1451 connects the staples 1400, specifically the staple base 1430, to the base strip 1450. The connector portion 1451 includes a cut or notch 1453 configured to allow the staple 1400 to be removed from the strip 1450. In at least one example, the thread 1460 includes a release portion or a striking portion 1461. The release portion 1461 of the thread 1460 engages with the cut 1453 or connector portion 1451 to separate, break, and / or shear the staple 1400 from the base strip 1450, and the staple is ejected from the staple cavity of the staple by the thread 1460. It is configured to allow that.

Embodiments are recalled in which the base strip 1450 includes an alignment feature, such as a hole that engages the corresponding alignment feature onto the staple cartridge. Such alignment features may include, for example, a protrusion that is aligned with the alignment features of the base strip 1450. In various examples, a person who fills a cartridge with staples can align the staples into the staple cavities and / or align the alignment features before pushing the staples into the staple cavities. A particular embodiment is recalled in which the staple cartridge comprises an engagement feature configured to engage the cut 1453 when the staple cartridge is filled with a strip assembly. The engagement feature allows the staple 1400 to separate from the strip 1450 when the staple 1400 is filled into the staple cartridge, not when the staple 1400 is fired. Manufacture of staples by progressive punching may allow the staples to have different crown dimensions, shapes and / or configurations, and staple leg dimensions, shapes and / or configurations. Another advantage of using progressive punching techniques may include the ability to vary the spacing of the staple rows in which the staples are aligned.

29 and 30 show another embodiment of strip 1500 of staples 1501 made by progressive punching. Strip 1500 of staples 1501 includes a base strip 1550, a connector portion 1551, and staples 1501. Each staple 1501 first includes a staple base 1530 including a bottom surface 1531 and secondly a staple leg 1510 extending from the staple base 1530. The connector portion 1551 attaches the bottom surface 1531 of the staple base 1530 to the base strip 1550. The staple legs bend upward from the staple base 1530 so that the legs 1510 are offset from the plane defined by the staple base 1530 and laid in a plane that is at least substantially parallel. In the embodiments shown, the staple legs 1510 bend in a direction opposite to that of the connector portion 1551. By bending the leg portion 1510 and the connector portion 1551 in this manner, a higher density staple row arrangement is allowed. The connector portion 1551 ensures that the staple 1501 is released from the base strip 1550 when the staple 1501 is filled into the staple cartridge and / or when the staple 1501 is fired from the staple cartridge as discussed in the previous embodiment. It may include a break that allows it.

FIG. 31 shows a cross-sectional view of a plurality of staples 1601 and staple cartridges 1650 according to at least one embodiment. The staple 1601 is detachably housed in the corresponding staple cavity 1651 of the staple cartridge 1650. The staple cartridge 1650 includes a deck surface 1653 and staple leg supports 1655. The staple 1601 first includes a staple leg 1610, each containing a staple tip 1611, and second, a staple base 1630 extending the staple leg 1610. Each staple 1601 includes a prefilled configuration, a filled configuration, and a fired configuration in which the staple 1601 is ejected from the staple cartridge 1650 and molded into the corresponding molded pocket of the anvil. The staple leg 1610 is bent outward with respect to the staple base 1630 in the pre-filling configuration. The staple leg 1610 urges the side wall of the corresponding staple cavity 1651 in the filled configuration to define a first distance X between the staple leg 1610 tips 1611. In the pre-filling configuration, the distance between the staple tips 1611 of the staple legs 1610 is greater than X. This urging force helps to support the staple 1601 within the staple cartridge 1650.

Staple cartridges 2000 are shown in FIGS. 32-34. The staple cartridge assembly 2000 includes a cartridge body 2010. The cartridge body 2010 can be positioned at the jaw of the surgical stapler and is removable from the jaw of the surgical stapler. As a result, the staple cartridge 2000 is replaceable. However, other embodiments are recalled in which the staple cartridge 2000 is not replaceable. The cartridge body 2010 includes a proximal end 2011, a distal end 2012, and a deck 2014 extending between the proximal end 2011 and the distal end 2012. The deck 2014 is configured to support the patient's tissue when the tissue is pressed against the deck 2014.

The cartridge body 2010 further includes a plurality of staple cavities 2020 as defined in the present invention. Staple cavities 2020 are arranged in six longitudinal rows extending between the proximal end 2011 and the distal end 2012. However, any suitable arrangement of staple cavities 2020 can be utilized. For example, staples such as staples 2130 (FIG. 40) are detachably housed within each staple cavity 2020. As discussed in more detail below, the staples are ejected from the staple cavity 2020 by the launching member as the launching member moves from the proximal end 2011 to the distal end 2012 of the cartridge body 2010.

In addition to the above, the staples are moved from the unlaunched position to the launched position by the launching member. The launching member lifts the staples toward an anvil, such as the anvil 2190 (FIG. 37), to deform the staples between the unlaunched undeformed configuration and the launched deformed configuration. The cartridge body 2010 further includes an internally defined longitudinal slot 2013. The slot 2013 is configured to internally receive a staple firing member and / or a tissue cutting member as the staple is ejected from the staple cavity 2020.

In various embodiments, in addition to the above, the staples do not project onto the deck 2014 until the staples are moved towards the anvil by the launching member. Such embodiments often utilize small staples. In another embodiment, the legs of the staples project onto the deck 2014 when the staples are in their unlaunched position. In at least one such embodiment, the cartridge body 2010 further includes a protrusion 2050 extending from the deck 2014. The protrusion 2050 extends the staple cavity 2020 over the deck 2014 and guides the staple towards the anvil as the staple is ejected from the staple cartridge 2000. In such an embodiment, the staples may not project onto the protrusion 2050 until the staples are moved towards the anvil by the launching member.

Primarily with reference to FIG. 34, the protrusion 2050 does not extend around the entire staple cavity 2020. The first protrusion 2050 is positioned adjacent to the first end of each cavity 2020 and the second protrusion 2050 is positioned adjacent to the second end of each cavity 2020. Each first protrusion 2050 extends around the first staple leg guide 2022 of the staple cavity 2020, and each second protrusion 2050 is of the second staple leg guide 2023 of the staple cavity 2020. It extends around. Each first protrusion 2050 provides a proximal bracket capable of controlling and guiding the proximal leg of the staple, and each second protrusion 2050 controls and guides the distal leg of the staple. Provide a distal bracket that can. The first protrusion 2050 of each staple cavity 2020 is not symmetrical with respect to the first end of the staple cavity 2020 and does not extend around the entire first end of the cavity 2020. Similarly, the second protrusion 2050 of each staple cavity 2020 is not symmetrical with respect to the second end of the staple cavity 2020 and does not extend around the entire second end of the cavity 2020. The first protrusion 2050 and the second protrusion 2050 include a mirror image of each other and are symmetrically arranged with respect to the center of each staple cavity 2020. However, any suitable arrangement of protrusions can be utilized.

As shown in FIGS. 32 to 34, the cartridge body 2010 includes a step 2014'and a step 2014' that extend upward from the deck 2014. More specifically, the step 2014' extends upward from the deck 2014. However, the step 2014 "extends upward from the step 2014'. As a result, step 2014'can apply a compressive pressure greater than step 2014' to the tissue, similarly step 2014'can apply a compressive pressure greater than deck 2014 to the tissue. Steps 2014'and 2014' Although including a twisted longitudinal flat portion, steps 2014'and 2014' may include any suitable configuration. In addition to the above, the protrusion 2050 extending from step 2014' may include step 2014'. The protrusion 2050 extending from the step 2014'extends over the protrusion 2050 extending from the deck 2014, and similarly extends above the protrusion 2050 extending from the deck 2014. In other words, the deck 2014, the step 2014', and the protrusion 2050 extending from the step 2014'are twisted.

The staple cartridge 2100 is shown in FIGS. 35-38. The staple cartridge assembly 2100 comprises a cartridge body 2110 and is in many respects similar to the staple cartridge assembly 2000 and / or other staple cartridges disclosed herein. The cartridge body 2110 includes a deck 2114, a plurality of staple cavities 2120a, and a plurality of staple cavities 2120b. The staple cavity 2120a is similar to the staple cavity 2120b in many respects. For example, the staple cavities 2120a and 2120b both have a central slot 2121 having a proximal end and a distal end, and a proximal staple leg guide 2122 extending laterally from the proximal end of the central slot 2121. Includes a distal staple leg guide 2123 extending laterally from the distal end of central slot 2121. Therefore, the staple cavity 2120a and the staple cavity 2120b are oriented in different directions. More specifically, the staple leg guides 2122 and 2123 of the staple cavity 2120a extend toward the staple cavity 2120b, and similarly, the staple leg guides 2122 and 2123 of the staple cavity 2120b point toward the staple cavity 2120a. Is extended. However, any suitable arrangement can be utilized.

The staples 2130a are positioned within each staple cavity 2120a and the staples 2130b are located within each staple cavity 2120b. Staples 2130a and staples 2130b are similar in many respects. For example, each staple 2130a includes a base or crown 2131, a proximal leg 2132 extending from the proximal end of the base 2131, and a distal leg 2133 extending from the distal end of the base 2131. .. Therefore, the staples 2130a and 2130b are fitted in a manner for fitting into the staple cavities 2120a and 2120b, respectively. For example, when the staple 2130a is positioned within the staple cavity 2120a and the staple 2130b is positioned within the staple cavity 2120b, the legs 2132, 2133 of the staple 2130a extend toward the staple 2130b and the legs 2132 of the staple 2130b, 2133 extends towards the staple 2130a. However, other arrangements are possible.

In addition to the above, if the staples 2130a and 2130b are housed in the staple cavities 2120a and 2120b, respectively, the proximal leg 2132 of the staples 2130a and 2130b is positioned within the staple leg guide 2122. Similarly, if the staples 2130a and 2130b are housed in the staple cavities 2120a and 2120b, respectively, the distal leg 2133 of the staples 2130a and 2130b is positioned within the staple leg guide 2123. Further, when the staples 2130a and 2130b are housed in the staple cavities 2120a and 2120b, respectively, the base 2131 of the staples 2130a and 2130b is positioned in the central slot 2121 of the staple cavities 2120. Primarily with reference to FIG. 35, the tips of the staple legs 2132, 2133 extend over the deck 2114 of the cartridge body 2110 when the staples 2130a, 2130b are in their unlaunched positions. Thus, the tip of the staple leg 2132 is at least partially surrounded by the proximal protrusion 2152 extending from the deck 2114, and the tip of the staple leg 2133 is at least partially surrounded by the distal protrusion 2153 extending from the deck 2114. Partially surrounded. The proximal protrusion 2152 extends around the proximal staple leg guide 2122, but the proximal protrusion 2152 does not extend around the proximal end of the central slot 2121. Similarly, the distal protrusion 2153 extends around the distal staple leg guide 2123, but not around the distal end of central slot 2121.

Next, moving to FIG. 38, each proximal overhang 2152 extends around the proximal side of the proximal guide slot 2122 with a first portion 2154 and around the lateral portion of the proximal guide slot 2122. Includes a second portion 2155 extending in. The proximal protrusion 2152 does not extend around the distal side of the proximal guide slot 2122, but in an alternative embodiment, the proximal protrusion 2152 is around the distal side of the proximal guide slot. It is recalled that it can be postponed. Similarly, each garden position protrusion 2153 has a first portion extending around the distal side of the distal guide slot 2123 and a second portion extending around the lateral side of the distal guide slot 2123. Including the part of. The distal protrusion 2153 does not extend around the distal guide slot 2123, but in an alternative embodiment, the distal protrusion 2153 may extend around the proximal side of the distal guide slot. Is recalled. In either case, the arrangement shown in FIG. 38 protects the staple legs 2132, 2133 when the staples 2130a, 2130b are in their unlaunched positions, and further, the staples 2130a, 2130b when the staples are fired. To induce. Such an arrangement also adequately controls the flow of tissue to the deck 2114 of the cartridge body 2110.

With reference to FIG. 38 again, the staple cavities 2120a and staples 2130a are sized and configured to provide a gap between the staples 2130a and the staple cavities 2120a. For example, there is a gap 2156 between the proximal leg 2132 of the staple 2130b and the proximal side wall of the proximal guide slot 2122, as well as the proximal leg 2132 of the staple 2130b and the distal of the proximal guide slot 2122. There is a gap 2158 between the side wall and the side wall. Further, there is a gap 2157 between the lateral portion of the proximal leg 2132 and the proximal guide slot 2122. A similar gap can be seen between the distal leg 2133 and the distal guide slot 2123. Lateral gaps 2126, 2127 may also be provided between the base 2131 of the staple 2130b and the lateral portion of the central slot 2121. Such gaps can be transient and the staples can still contact one or more side walls.

The staple cartridge 2200 is shown in FIG. The staple cartridge 2200 is in many respects similar to the staple cartridges 2000, 2100, and other staple cartridges disclosed herein. The staple cartridge 2200 includes a cartridge body 2210 that includes an internally defined staple cavity 2220. Each of the staple cavities 2220 has staples, such as staples 2130, that are detachably housed inside. Each staple cavity 2220 has a first guide slot 2222 configured to guide the legs 2132 of the staple 2130, and a second guide slot 2223 configured to guide the legs 2133 of the staple 2130. Includes a central slot 2221. The guide slots 2222 and 2223 extend laterally from the central slot 2221, and the central slot 2221 includes an intermediate guide 2225 configured to guide the base 2131 of the staple 2130. The first guide slot 2222 is sized and configured such that the staple leg 2132 is snugly received at the corner of the first guide slot 2222. Similarly, the second guide slot 2223 is sized and configured such that the staple leg 2133 is snugly received at the corner of the second guide slot 2223. The intermediate guide 2225 is sized and configured to limit lateral movement of the staple 2130 within the staple cavity 2220. Further, the intermediate guide 2225 is sized and configured to keep the staple legs 2132 and 2133 in the staple leg guide slots 2222 and 2223, respectively.

As described above, the intermediate guide 2225 is sized and configured to hold the staple legs 2132 and 2133 against the side walls of the guide slots 2222 and 2223, respectively. Such an arrangement produces a lateral reaction force between the lateral side wall of the cavity 2220 and the staple 2130, which is shown as the force vector LT in FIG. Such lateral reaction forces generate frictional thrust between the side walls of the cavity 2220 and the staples 2130 as the staples 2130 are ejected from the cavity 2220. It should be understood that frictional thrust is a function of the surface area to which it is added, so that the intermediate guide 2225 does not extend along the overall length of the central slot 2221. Therefore, the intermediate guide 2225 has a sufficient longitudinal length to control the orientation of the staples 2130 within the cavity 2220. In addition, the intermediate guide 2225 has sufficient vertical length to control the orientation of the staple 2130 during the firing stroke of the staple 2130. In at least one example, the guide 2225 extends along the entire vertical depth of the cavity 2220.

The intermediate guide 2225 is flat and configured to join with a flat surface defined laterally to the base 2131 of the staple 2130, although any suitable arrangement can be utilized. In certain alternative embodiments, the intermediate guide 2225 includes, for example, an elastic urging member configured to apply urging forces to the base 2131 of the staple 2130. In at least one example, the elastic urging member may include, for example, a cantilever spring.

The staple cavity 2220 does not include a lateral guide located opposite the lateral intermediate guide 2225. In fact, there is a gap 2229 between the side wall 2228 and the staple 2130.

In addition to the above, again with reference to FIG. 43, the staple 2130 is not located at the end of the central slot 2221. More specifically, the central slot 2221 of the cavity 2220 includes a proximal end 2226 and a distal end 2227, and the staple 2130 extends to either the proximal end 2226 or the distal end 2227. do not. Rather, there is a gap between the ends 2226, 2227 and the staple 2130. Such a gap extends between the ends 2226, 2227 and the intermediate guide 2225. As a result, the ends 2226, 2227 of the staple cavity 2220 do not control the longitudinal position of the staple 2130. Instead, staple leg guides 2222, 2223 control the longitudinal position of the staples 2130. In fact, the legs 2132 and 2133 of the staples 2130 can be urged inward by the staple leg guides 2222 and 2223, respectively. Such an arrangement produces a longitudinal reaction force, shown in FIG. 43 as the force vector LG.

As a result of the above, the staple cavity 2220 includes three control points or positions where the staple cavity 2220 controls the orientation of the staple 2130. These control points include separate control positions with gaps defined between them. In other words, the guides 2222, 2223, and 2225 triangulate the controls on the staples 2130. An alternative embodiment involving more than three control points is recalled. In either case, the control points provided by the staple leg guides 2222 and 2223 are defined in the first control plane. The intermediate control points provided by the intermediate guide 2225 are defined in the second control plane. An alternative embodiment is recalled in which the first control plane and the second control plane are parallel, but the first control plane and the second control plane are not parallel. Further, the first control plane is aligned with or adjacent to the staple legs 2132 and 2133 of the staple 2130, and the second control plane is aligned with or adjacent to the base 2131 of the staple 2130.

The staple cartridge 2700 is shown in FIG. The staple cartridge 2700 includes a cartridge body 2710 that includes a deck 2714 and a plurality of staple cavities 2220 defined within the deck 2714. Like the cartridge body 2110, the cartridge body 2710 includes protrusions 2752 and 2753 extending over the deck 2714. The protrusion 2752 at least partially surrounds the staple leg guide 2222 of the staple cavity 2220, and the protrusion 2753 at least partially surrounds the staple leg guide 2223 of the staple cavity 2220. Like the overhangs 2152, 2153, the overhangs 2752, 2753 include an outer portion 2754 and a lateral portion 2755, respectively. The outer portion 2754 is positioned longitudinally with respect to the staple leg guides 2222 and 2223, while the lateral portion 2755 is positioned laterally with respect to the staple leg guides 2222 and 2223. Unlike the protrusions 2152, 2153, the protrusions 2752, 2753 include inner portions 2756 positioned longitudinally with respect to the staple leg guides 2222 and 2223, respectively. The inner portion 2756 is connected to the lateral portion 2755 and the lateral portion 2755 is connected to the outer portion 2754. Similar to the above, the protrusions 2752, 2753 extend into the staple cavities 2220 on the deck 2714.

The staple cartridge 2800 is shown in FIG. The staple cartridge 2800 includes a cartridge body 2810 including a deck 2814 and a plurality of staple cavities 2220 defined within the deck 2814. Like the cartridge body 2110, the cartridge body 2810 includes protrusions 2152, 2153 extending over the deck 2114. As outlined above, the protrusion 2152 at least partially surrounds the staple leg guide 2222 of the staple cavity 2220, and the protrusion 2753 at least partially surrounds the staple leg guide 2223 of the staple cavity 2220. Further, the cartridge body 2810 includes an internal protrusion 2856 positioned longitudinally with respect to the staple leg guides 2222 and 2223. The internal protrusion 2856 is not connected to the protrusions 2152, 2153.

With reference to FIG. 35 again, the staple 2130 is driven between a non-launched position and a fired position by a launching member, such as a thread 2140. Threads 2140 include wedges 2145 configured to engage directly with staples 2130 and lift staples 2130 towards anvils such as anvils 2190, for example, as shown in FIG. Thread 2140 includes wedges 2145 for each longitudinal row of staples 2130, but thread 2140 may have any suitable number of wedges 2145. Each wedge 2145 includes a drive surface 2141 at an angle that allows the thread 2140 to slide under the staple 2130 as it travels from the proximal end of the staple cartridge 2100 towards the distal end of the staple cartridge 2100. The base 2131 of each staple 2130 includes a drive surface 2135 at an angle that is in direct contact with the drive surface 2141. In other words, each staple 2130 includes a unique integrated driver with a drive surface 2135. The staples 2130 are made of metal and, as a result, the integrated driver is also made of metal. Therefore, the staples disclosed herein can be made of any suitable material.

In addition to the above, each drive surface 2141 includes an early or distal portion 2142, a second or intermediate portion 2143, and a third or apex portion 2144. The initial portion 2142 extends at a first angle as the thread 2140 is moved distally to provide an initial contact point for the thread 2140 with respect to the staple 2130. As the initial portion 2142 slides under the staples 2130, the staples 2130 are lifted upwards within the staple cavities 2120. As the thread 2140 continues to move distally, the intermediate portion 2143 comes into contact with the staple 2130. The intermediate portion 2143 extends at a second angle different from the first angle. If a rapid initial upward transposition of the staple 2130 is desired, the first angle may be steeper than the second angle and it is desired to provide a stepwise initial upward transposition of the staple 2130. In some cases, the first angle may be gentler than the second angle. In either case, the staples 2130 come into contact with the anvil 2190 while the staples 2130 are being lifted upwards by the intermediate portion 2143, as shown in FIG. 37, while the staples 2130 are upwards by the initial portion 2142. An alternative embodiment is recalled in which the staples 2130 come into contact with the anvil 2190 when being lifted. In each case, the proximal leg 2132 of the staple 2130 contacts the proximal molded pocket 2192 defined within the anvil 2190, and the distal leg 2133 is the distal molded pocket defined within the anvil 2190. Contact with 2193. Molded pockets 2192 and 2193 are configured to bend the legs 2132 and 2133 inward to deform the staples 2130 and capture the patient's tissue within the staples 2130. The apex 2144 of the drive surface 2141 slides under the staples 2130 to finish the molding process. The apex 2144 may include a tip of the driving surface 2141, a flat surface, and / or a surface extending at a third angle different from the first and / or second angle.

In various examples, each drive surface 2141 includes a portion that follows or is located proximal to the apex 2144 of the drive surface 2141. Such a rear portion may be lower than, for example, apex 2144. In addition, such rear portions may provide, for example, a gradual reduction in molding pressure on staples 2130.

Then, with reference to FIG. 39, the staple 2130 further includes a foot portion 2134 extending downward from the proximal leg portion 2132. When the staple 2130 is in its proper orientation within the staple cavity 2120 as shown in FIG. 41, the foot 2134 is not in contact with the thread 2140. In such an example, the placement flat portion 2146 of the thread 2140 passes under the foot portion 2134. When the staple 2130 is not in its proper position within the staple cavity 2120 as shown in FIG. 42, the thread 2140 can contact the staple 2130 and reorient the staple 2130. For comparison purposes, both improperly oriented staples 2130 and properly oriented staples 2130'are shown in FIG. The thread 2140 includes an angled alignment ramp 2148 configured to contact the foot 2134 and rotate the staple 2130 in the proper orientation. After the alignment tilt surface 2148 has properly oriented the staples 2130, the alignment flat portion 2146 can slide under the foot portion 2134. As can be seen from FIG. 39, the inclined surface 2148, the alignment flat portion 2146, and the foot portion 2134 are arranged in an alignment plane aligned with the molding planes of the legs 2132 and 2133 of the staple 2130. NS. The alignment plane is adjacent to the lifting plane that includes the molded surface 2141 of the thread 2140 and the base 2131 of the staple 2130.

The staple cartridge assembly 2300 is shown in FIGS. 44-48. The staple cartridge assembly 2300 is in many respects similar to the staple cartridges 2000, 2100, 2200, and other staple cartridges disclosed herein. The staple cartridge 2300 includes a cartridge body 2310 and a thread 2340 configured to eject staples detachably housed in the cartridge body 2310. Like thread 2140, thread 2340 includes a staple molding ramp 2145. The ramp 2145 is slidably positioned in a longitudinal slot 2115 defined within the cartridge body 2110 that is aligned with the lifting portion or flat surface of the staple. In particular, slot 2115 has an open end defined within the bottom 2316 of the cartridge body 2310, as discussed in more detail below.

In addition to the above, the staple cartridge assembly 2300 does not include a cover extending around the bottom 2316 of the cartridge body 2310. Primarily with reference to FIG. 48, the cartridge body 2310 is positioned directly with respect to the jaw portion 2180 of the staple fastening device. In embodiments where the staple cartridge is not easily removable from the jaw of the staple fastener and is not easily replaceable with another staple cartridge, the jaw 2180 is such that the staple falls from the bottom of the staple cavity 2120, and / Or the absence of the bottom cover is not necessarily a problem as it can prevent the threads 2340 from falling from the bottom of the longitudinal slot 2115. However, despite the fact that the staple cartridge assembly 2300 is replaceable and does not include a bottom cover, the staple cartridge assembly 2300 ensures that the staples and threads 2340 do not fall from the bottom 2316 of the cartridge body 2310, as discussed in more detail below. Includes the feature part to be. Such features can be adapted to any of the staple cartridges disclosed herein.

Primarily with reference to FIGS. 45-47, the cartridge body 2310 includes a retention feature configured to retain the thread 2340 internally. For example, the cartridge body 2310 includes a proximal holding feature 2317 configured to keep the threads 2340 in the longitudinal slot 2115 when the threads 2340 are in their proximal or unlaunched positions. The thread 2340 is in the unlaunched position when the staple cartridge assembly 2300 is inserted or filled into the jaw 2180 so that the proximal holding feature 2317 is threaded when the cartridge assembly 2300 is handled by the clinician. The 2340 is held in the cartridge body 2310. Each holding feature portion 2317 includes an angled surface 2318 and a shoulder portion 2319. Each thread 2340 is capable of aligning and / or contacting a corresponding recess 2348 configured to receive an angled surface 2318 and further a shoulder portion 2319 of the holding feature portion 2317. Includes shoulder 2349 and threads. When the thread 2340 is inserted into the slot 2115, the inclined surface 2145 and / or the side wall of the cartridge 2310 bends and the thread 2340 slides against the angled surface, with reference to FIG. When the shoulder portion 2349 of the thread 2340 is aligned with the shoulder portion 2319 of the cartridge body 2310 as shown in 45, it can be allowed to elastically bounce back to the original position of the thread 2340. The retention feature 2317 is also configured to prevent the thread 2340 from sliding proximally out of the longitudinal slot 2115.

As a result of the above, the proximal holding feature 2317 prevents the thread 2340 from falling from the cartridge body 2310 when the clinician is handling the staple cartridge assembly 2300. When the thread 2340 is advancing distally to fire the staples, the thread 2340 is no longer aligned with the proximal holding feature 2317. However, at this point, the staple cartridge assembly 2300 is already in the jaw 2180 and the thread holding feature is no longer needed. Therefore, the cartridge body 2310 may include additional holding features that can keep the threads 2340 within the cartridge body 2310 regardless of the position of the threads 2340. Such retention features may be configured to hold the threads 2340 within the cartridge body 2310, for example, when the threads 2340 are in their distal or fully fired positions.

In addition to the above, the staples of the staple cartridge disclosed herein may include one or more features configured to keep the staples within the staple cavities of the staple cartridge. The staple 2330 then includes a base 2331 and one or more staple legs 2332 extending from the base 2331, with reference to FIGS. 49 and 50. The staples 2330 are detachably housed in, for example, the staple cavities 2320 in the cartridge body 2310. The base 2331 includes a ridge 2338 extending from the base 2331 engaged to the side wall of the staple cavity 2320. The interaction between the ridge 2338 and the side wall of the staple cavity prevents the staple 2330 from falling out of the bottom 2316 of the cartridge body 2310. The interaction between the ridge 2338 and the side wall of the staple cavity includes a tightening spring, which does not prevent the thread 2340 from ejecting the staple 2330 from the staple cavity 2320. The ridge 2338 can be formed within the base 2331, for example, during the punching process. The punching process can form a ridge 2338 by creating a recess 2337 on the opposite side of the base 2331. The staple cavity 2320 includes a flute 2328 aligned with the ridge 2338. The groove 2328 increases the contact area between the side wall of the staple cavity 2320 and the ridge 2338. Further, the groove 2328 can control the orientation of the staples 2330 within the staple cavities 2320. An alternative embodiment that does not include the groove 2328 is recalled.

In addition to or instead of the above, the staples housed in the staple cartridges disclosed herein may include staple legs that are elastically engaged with the side walls of the staple cavities of the staples. Then, with reference to FIG. 51, the staple 2430 may include a base 2431 and staple legs 2432 and 2433 extending from the base 2431. Staples 2430 are in many respects similar to staples 2130, 2330, and / or other staples disclosed herein. The staple cartridge body 2410 may include, for example, a plurality of staple cavities 2120 defined internally and staples 2430 located within each staple cavity 2120. FIG. 51 shows a staple 2430 positioned inside the cavity 2120 and a staple 2430 positioned outside the staple cavity 2120 of the cartridge body 2430. When the staple 2430 is not positioned within the staple cavity 2120, the staple legs 2432, 2433 do not extend in parallel, but rather the staple legs 2432, 2433 extend outward away from each other. When the staple 2430 is positioned within the staple cavity 2120, the staple legs 2432, 2433 are bent inward by the side walls of the staple cavity 2120. In other words, the staple legs 2432, 2433 are elastically urged against the side walls of the staple cavity, and this urging engagement prevents the staple 2430 from falling out of the bottom 2436 of the cartridge body 2410. Has been done. As shown in FIG. 51, the distance between the staple legs 2432, 2433 when the staple 2130 is positioned in the staple cavity 2120 is X, and the staple when the staple 2130 is not positioned in the staple cavity. The distance between the legs 2432 and 2433 is greater than X.

In various embodiments, the cartridge body may include one or more shoulders that prevent the internally housed staples from falling out of the bottom of the cartridge body. The shoulders can extend at least partially under the staples.

In certain embodiments, the cartridge body of the staple cartridge assembly may be made of plastic or may be formed, for example, during an injection molding process. Injection molding may include two semifields that can move towards and away from each other. The joint surface between the injection-molded semifields is often referred to as the dividing line, where the plastic flushing or seepage between the semifields of the mold can often occur. In at least one embodiment, the injection molding dividing line may be defined at the interface between the deck of the staple cartridge and the staple cavity defined within the deck. As a result of the above, plastic flushing can occur around the staple cavity. Such flushing can keep the staples removable in the staple cartridge.

With reference to FIG. 48 again, the cartridge body 2310 is configured to engage directly with the jaw portion 2180. Jaw 2180 includes one or more internally defined holding shoulders 2315. The cartridge body 2310 includes a corresponding holding shoulder 2187 that, in cooperation with the holding shoulder 2315, removably holds the cartridge body 2310 within the jaw 2180. The cartridge body 2310 and / or jaw 2180 further includes an inclined surface surface 2314 configured to facilitate insertion of the cartridge body 2310 into the jaw 2180. As a result of the above, the cartridge body 2310 may have a snap-fitting relationship with the jaw portion 2180. The snap fit relationship can be overcome by pushing the cartridge body 2310 out of the jaw 2180 so that the staple cartridge assembly 2300 can be replaced.

Staples 2530 are shown in FIGS. 52-56. Staples 2530 are in many respects similar to staples 2130, 2330, 2340, and / or other staples disclosed herein. The staple 2530 includes a base 2531 and legs 2532 and 2533 extending from the base 2531. The staple 2530 also includes a protrusion 2538 extending upward from the base 2531. The protrusion 2538 is aligned with the staple drive plane including the base 2531 and not with the tissue capture plane including the staple legs 2532 and 2533. The protrusion 2538 can pressurize the tissue outside the staple capture plane.

The staple cartridge assembly 2600 is shown in FIGS. 57-64. The staple cartridge 2600 includes a cartridge body 2610 that includes a plurality of staple cavities 2220 defined internally. The staple cartridge 2600 further includes a staple 2530 located within each staple cavity 2220 and a thread 2640 configured to eject the staple 2530 from the staple cavity 2220. Thread 2640 is similar to thread 2140 in many respects. Each thread 2640 includes a plurality of inclined surfaces 2645, and each inclined surface 2645 includes a drive surface 2641 configured to slide under the staple 2530 and lift the staple 2530 within the staple cavity 2220. Each drive surface 2641 includes an inclined surface 2643 defined by a lateral side wall 2649 that defines a guide channel that aligns the staple 2530 with respect to the drive surface 2641 and / or the staple cavity 2220. The guide channel receives the base 2531 of the staple 2530 between the side walls 2649 and is configured to orient the staple 2530 laterally as the thread 2640 advances distally. Such lateral rearrangement is evident when comparing FIGS. 58 and 59. With reference to FIGS. 52-56 again, each staple 2530 includes a guide feature 2139 defined on its base 2531. The guide feature 2139 of each staple 2530 includes, for example, a curved end configured to interact with the lateral side wall 2649 of the guide channel to adjust the lateral position of the staple 2530. In various other embodiments, the guide feature 2139 may include any suitable configuration.

In addition to or instead of the above, thread 2640, primarily referring to FIG. 60, receives the downwardly extending foot portion 2134 of the staple 2530 and provides the staple 2530 to the drive surface 2641 and / or the staple cavity 2220. Includes a guide channel 2646 configured to be oriented. Each guide channel 2646 includes an inclined portion 2648 and a lateral side wall. The guide channel 2646 receives the base 2531 of the staple 2530 between the sidewalls of the channel 2646 and is configured to orient the staple 2530 laterally as the thread 2640 advances distally. Primarily with reference to FIG. 61, each foot 2134 includes an introduction or bevel surface 2137 configured to interact with the sidewalls of channel 2646 to guide staple 2530 into channel 2646. Thus, the foot 2134 may include any suitable shape that facilitates entry of staples 2530 into channel 2646. The reader should understand that the foot 2134 of the staple 2530 is lifted out of the channel 2646 as the staple 2530 is driven upward in the staple cavity 2220 by the drive surface 2641. When the staples 2530 are formed by the apex 2644 of the drive surface 2341, the foot 2134 is no longer positioned within the channel 2646.

Channel 2646 can also align threads 2640 with respect to the cartridge body 2610, primarily with reference to FIGS. 58, 59, and 64. More specifically, the cartridge body 2610 further includes a longitudinal rail 2616 extending downward within the channel 2646. The rail 2616 is snugly received within the channel 2646 to limit or prevent lateral movement of the thread 2640 and the cartridge body 2610, while the thread 2640 required to fire the staple 2530 as outlined above. Allows longitudinal movement. The foot 2134 of each staple 2530 is configured to properly orient the staple 2530 within its staple cavity 2220 if the staple 2530 is misoriented within its staple cavity 2220.

The arrangement disclosed herein allows the staple cartridge to be more compact than a conventional staple cartridge. In particular, the staple cartridges disclosed herein that do not utilize a staple driver between the launching member and the staples, i.e. the driverless staple cartridges, allow the staple cartridges to have a lower overall height. Similarly, staple cartridges that do not include a bottom cover also allow the staple cartridges to have a lower overall height. Driverless staple cartridges also allow more staple cavities to be used. Next, with reference to FIGS. 67 and 68, the cartridge body 2910 includes a staple cavity 2920 and a longitudinal slot 2013 as defined herein. Figures 67 and 68 show the bottom 2916 of the cartridge body 2910 and the bottom opening of the staple cavity 2920. The reader should understand that the staple cavity 2920 is sized and configured to accept a staple driver for driving the staples out of the cartridge body 2910. Next, with reference to FIGS. 69 and 70 showing the bottom 2016 of the cartridge body 2010, the staple cavity 2020 of the cartridge body 2010 is smaller than the staple cavity 2920. As the reader will recall, the driver is not positioned within the staple cavity 2020 and as a result can reduce the dimensions of the staple cavity 2020. FIG. 71 compares the bottom 2916 of the cartridge body 2910 with the bottom 3016 of an alternative embodiment of the cartridge body 3010. As seen in FIG. 71, the cartridge body 3010 includes a longitudinal row of staple cavities 3020 that is much narrower than a longitudinal row of staple cavities 2920. In various examples, such narrower staple cavities allow the centerlines of the staple cavities to be closer to each other. Next, with reference to FIG. 72, the staple cartridge body 3110 is located in the deck 3114 of the cartridge body 3110 positioned closer to each other than allowed in the embodiment in which the staple driver is used to lift the staples within the cartridge body. Includes longitudinal columns 3120a, 3120b, and 3120c of staple cavities defined in.

Various embodiments of the staple cartridge assembly disclosed herein may have any suitable number of staples and / or any suitable size of staples. In a particular example, all staples housed within the staple cartridge assembly 2000 (FIG. 73) have the same or at least substantially the same dimensions. With reference to FIG. 77, each staple 2130 in the staple cartridge 2000 includes an unmolded or unfired total height H1 defined between the bottom of the base 2131 and the tips of the staple legs 2132, 2133. Similarly, each staple 2130 includes a tissue capture area defined between the top of the base 2131 and the tips of the staple legs 2132, 2133, which is at the unmolded height of the staple 2130. Have the same height H2 at one time.

In contrast to the above, a first group of staples housed in the staple cartridge 2000 may have a first unmolded height H1 and a second group of staples may have a first unmolded. It may have a second unmolded height H1 that is different from the height H1. Also, in contrast to the above, the first group of staples housed in the staple cartridge 2000 may have a first tissue capture height H2 and the second group of staples may have a first group of staples. It may have a second tissue capture height H2 that is different from the tissue capture height H2.

A first group of staples may be located within the first longitudinal row of staple cavities 2120, while a second group of staples may be located within the second longitudinal row of staple cavities 2120. In at least one example, the first row of staple cavities 2120 may be adjacent to the knife slot 2013 in the stage 2014 ”of the cartridge body 2010, while the second row of staple cavities 2120 is of the cartridge body 2010. It may be adjacent to a first row of staple cavities 2120 in 2014'. In at least one such example, the first unmolded height H1 is, for example, lower than the second unmolded height H1.

In addition to the above, the third group of staples housed in the staple cartridge 2000 has a third unmolded height H1 that is different from the first unmolded height H1 and / or the second unmolded height H1. Can have. A third group of staples may be located within a third longitudinal row of staple cavities 2120. In at least one example, the third row of staple cavities 2120 may be adjacent to the second row of staple cavities 2120 in the deck 2014 of the cartridge body 2010. In at least one such example, the second unmolded height H1 is, for example, lower than the third unmolded height H1. In addition to or instead of the above, a third group of staples may have a third tissue capture height H2 greater than the second tissue capture height H2.

In various embodiments, the first group of staples, the second group of staples, and / or the third group of staples can be modified to have the same molded overall height. Alternatively, the first group of staples may be transformed to the first molded height, the second group of staples may be transformed to the second molded height and / or the staples. The third group of may be transformed into a third molded height. In such an example, the first group of staples can apply more pressure to the tissue than the second group of staples, and similarly, the second group of staples has a greater pressure than the third group of staples. Can be applied to the tissue.

Then, referring to FIGS. 74-76, staples having the same unmolded height may be deformed to different molded heights. For example, the first longitudinal row of staples represented by staples 2130'may be deformed to the first molded height, and the second longitudinal row of staples represented by staples 2130' may be deformed. , And / or the third row of staples represented by the staples 2130 may be transformed into a third molded height, eg. The first molded height is shorter than the second molded height and the second molded height is lower than the third molded height. In this example, the first group of staples is. Greater pressure than the second group of staples can be applied to the tissue, and similarly, the second group of staples can apply greater pressure than the third group of staples.

Staples 3230 are shown in FIGS. 78 and 79. The staple 3230 includes a base or crown 3231, a first leg 3232 extending from the base 3231, and a second leg 3233 extending from the base 3231. Like the base 2131 of the staple 2130, the base 3231 of the staple 3230 includes a tilted drive surface defined within the drive surface. However, unlike the staples 2130, the first leg 3232 and the second leg 3233 define a staple forming plane that is transverse or non-parallel to the drive plane.

Staples 3230 further include a platform 3238 extending from the base 3231. The platform 3238 is integrally formed with the base 3231 and is folded so that the platform 3238 extends transversely from the base 3231. Platform 3238 is not directly connected to legs 3232, 3233. Instead, there is a gap 3237 between the platform 3238 and the legs 3232, 3233. In various other embodiments, the platform 3238 is directly connected to the first leg 3232 and / or the second leg 3233. The platform 3238 extends in a plane transverse to the drive plane and staple forming plane, i.e. the support plane, but the platform 3238 may extend in any suitable direction. Platform 3238 is flat or at least substantially flat, but platform 3238 may include any suitable shape.

In certain embodiments, the platform 3238 of the staple 3230 can come into contact with the tissue to be stapled when the staple 3230 is embedded within the tissue. The wider platform 3238 can reduce the likelihood that staples 3230 will tear tissue.

In various embodiments, the staple cartridge assembly comprises a deck and a cartridge body that includes a staple cavity defined within the deck. The staple cartridge assembly further comprises a staple 3230 detachably housed in a staple cavity and an implantable layer located on the deck. The implantable layer may include any suitable appendages such as tissue thickness compensators and / or buttress materials. The tissue thickness compensator can compensate for variations in the thickness of the stapled tissue. The implantable layer may be composed of a woven fabric material and / or a non-woven material.

In addition to the above, the platform 3238 of the staple 3230 may contact the layer as the staple 3230 is implanted within the tissue. In such an example, platform 3238 supports the layer. Similar to the above, platform 3238 can also reduce the likelihood that staples 3230 will tear tissue. The platform 3238 and layers of the staple 3230 can form a collaborative system that distributes the forces, stresses, and / or tensions applied to the tissue over a wider area.

Staples 3230 are formed from a flat sheet of material using a punching process. During the punching process, the material is removed from the sheet to create the general shape of the staple 3230. The first leg 3232 bends in the first direction and the second leg 3233 bends in the second direction, but both the first leg 3232 and the second leg 3233 are single. It can be bent in any suitable direction depending on the mold utilizing the line of action of. The platform 3238 is bent in the same direction as the first leg 3232 during the punching process and / or different punching processes. In certain examples, the platform 3238 can be made utilizing the same single line of action that makes the legs 3232 and 3233. In another example, platform 3238 can be made utilizing a second line of action that is transverse or orthogonal to the first line of action.

The staple 3630 then includes a base or crown 3631 and legs 3632 and 3633 extending from the base 3631, with reference to FIG. 86. Like the staple 3230, the staple 3630 further includes a 3638 extending from the base 3631. The reader should understand that the platform 3238 of the staple 3230 and the platform 3638 of the staple 3630 can increase the moment of inertia or stiffness of the staple. The staple 3630 includes, for example, a cushioning or bending slot 3637 in the base 3631 that reduces the stiffness of the staple 3630. Further, or / or, the interference slot may be provided in the platform 3638. In either case, more than one interference slot can be utilized to provide the desired stiffness of the staple 3630. Moreover, such interference slots can be adapted to any of the staples disclosed herein.

In addition to or instead of the above, the staple assembly 3330 comprises a staple 3230 and an implantable appendage 3370 attached to the staple 3230, then with reference to FIGS. 80 and 81. Attachment 3370 includes a first hole 3372 configured to receive the first leg 3232 of the staple 3230 and a second hole 3373 configured to receive the second leg 3233. Includes the first end. As a result, the accessory 3370 is connected to the staple legs 3232, 3233, and the movement of the accessory 3370 with respect to the staple 3230 is restricted.

In addition to the above, Annex 3370 includes an elastic portion 3371 extending over platform 3238 of staple 3230. When the staple assembly 3330 is housed in the staple cartridge, there is a gap 3377 between the elastic portion 3371 of the accessory 3370 and the platform 3238 of the staple 3230. When the staple assembly 3330 is ejected from the staple cartridge, the staple legs 3232, 3233 of the staple 3230 penetrate the tissue to be stapled and the elastic portion 3371 of the appendage 3370 comes into contact with the tissue. The elastic portion 3371 is configured to flex, deflect, and / or transpose downward toward platform 3238 when the appendage 3370 comes into contact with tissue. When the tissue is trapped in the staples 3230, the elastic portion 3371 exerts an urging force on the tissue. The movement of the elastic portion 3371 is at least partially constrained by the platform 3238.

In addition to or instead of the above, the staple assembly 3430 then comprises a staple 3630 and an implantable appendage 3470 attached to the staple 3230, with reference to FIG. 84. Attachment 3470 includes a first hole 3472 configured to receive the first leg 3632 of the staple 3630 and a second hole 3473 configured to receive the second leg 3633. Includes the first end. As a result, the appendage 3470 is tethered to the staple legs 3632, 3633, limiting the movement of the appendage 3470 with respect to the staple 3630.

In addition to the above, the appendage 3470 includes an elastic portion 3471 extending over platform 3638 of staple 3630. When the staple assembly 3430 is housed in the staple cartridge, there is a very small gap, if any, between the elastic portion 3471 of the accessory 3470 and the platform 3638 of the staple 3630. When the staple assembly 3430 is ejected from the staple cartridge, the staple legs 3632, 3633 of the staple 3630 penetrate the tissue to be stapled and the elastic portion 3471 of the appendage 3470 comes into contact with the tissue. With reference to FIG. 85, the elastic portion 3471 is configured to flex, deflect, and / or transpose downward towards platform 3638 when the appendage 3470 comes into contact with the tissue. When the tissue is trapped in the staple 3630, the elastic portion 3471 applies urging force to the tissue. The movement of the elastic portion 3471 is at least partially constrained by the platform 3638.

Primarily with reference to FIGS. 82 and 83, the elastic portion 3471 of the attachment 3470 includes an enclosure. The enclosure is sealed and contains at least one material inside. In various examples, the material comprises a medicinal product. When the enclosure ruptures, the drug is released from the enclosure. The enclosure may rupture when the staple assembly 3430 is embedded in the tissue or after a period of time. The appendage 3470 is composed of any suitable biocompatible material, and if the biocompatible material comprises a bioabsorbable material, the appendage 3470 can be absorbed in vivo. After a sufficient amount of appendage 3470 has been absorbed, the drug can be released from appendage 3470. In various alternative embodiments, the appendages include two separate enclosures. In at least one such embodiment, the first enclosure may contain a first drug and the second enclosure may contain a second drug. If the enclosure ruptures, the first drug can be mixed with the second drug.

In addition to the above, the material in the chamber of the elastic portion 3471 may be selected for its mechanical properties, such as its elasticity, and may provide the elastic portion 3471 with the desired properties for applying urging force to the tissue. can. In at least one example, it may be desirable for the elastic portion 3471 to have mechanical properties that closely resemble those of the patient's tissue. In another example, it may be desirable for the elastic portion 3471 to have a stiffness less than, for example, the stiffness of the patient tissue. Such embodiments may provide a suitable stenosis of blood flow within the tissue. In some examples, it may be desirable for the elastic portion 3471 to have a stiffness less than, for example, the stiffness of the base 3631 but greater than the stiffness of the patient tissue. Such embodiments may provide tension relief to the tissue.

The accessories 3370, 3470 may be composed of a woven fabric material and / or a non-woven fabric material. In at least one example, the appendages 3370, 3470 include a shell composed of a woven fabric material and / or a non-woven material. Accessories 3370, 3470 may be composed of, for example, PGA and / or PLA. In at least one example, appendages 3370, 3470 include, for example, a shell composed of PGA and / or PLA.

Accessories 3370, 3470 are configured to be attached to a single staple. In other words, each accessory 3370, 3470 is attached to only one staple. Such an appendage is sometimes referred to as a pledget. An alternative embodiment is recalled in which two or more staples are connected by an accessory.

The various staples disclosed herein, such as staples 2130, can then be implanted in the patient's tissue in longitudinal columns, with reference to FIGS. 88 and 89. Two longitudinal rows of staples 2130 are shown in FIGS. 88 and 89. In various examples, the tissue may extend in various directions, for example in the longitudinal direction. The longitudinal extension of the tissue T is shown in FIG. As seen in FIG. 89, the rows of staples 2130 can extend with the tissue T. In such an example, the gap between the staples 2130 can increase. This increase in the gap is easily apparent when the distance X1 of the non-extended gap X1 (FIG. 88) is compared with the distance X2 of the extended gap (FIG. 89). Staples 2130 in the third longitudinal row are aligned with the gap or have the same spread, regardless of whether the gap is extended (X2) or not (X1). Can be positioned and configured in. Such a concept can be easily adapted to, for example, circular and / or curved staple rows.

Next, with reference to FIG. 87, for example, the circular cartridge body 3510 can utilize the staple assembly 3430. The cartridge body 3510 includes a plurality of staple cavities 3520 arranged in a circular concentric row. As shown in FIG. 87, each staple cavity includes an internally positioned staple assembly 3430, but any suitable staple can be utilized.

The staples disclosed herein can be made of any suitable material. In various examples, the staples are composed of, for example, stainless steel and / or titanium. In certain examples, the staples disclosed herein are composed of magnesium. COMPARISON OF THE EFFECTS OF Mg-6Zn AND Ti-3Al-2.5V ALLOYS ON TGF-β / TNF-α / VEGF / b-FGF IN THE HEALING OF THE INTESTINAL TRACT IN VIV Mater. 9 (2014) 025011, published online on March 20, 2013, by Yan et al., COMPARISON OF THE EFFECTS OF Mg-6Zn AND TITANIUM ON INTERSTINAL TRACT IN VIVO, J. Mol. Mater. Sci. : Mater. Med. , Erdmann et al. EVALUATION OF THE SOFT TISSUE BIOCOMPATIONIBILITY OF MgCa0.8 AND SURGICAL STEEL 316L IN VIVO: A COMPARATIVE STUDY IN RABBITS. Eng. OnLine 2010 9:63, INVESTIGATION OF THE MECHANICAL AND DEGRADATION PROPERTIES OF Mg-Sr AND Mg-Zn-Sr ALLOYS FOR USE AS POTENTAL BIODER Mech. Behavior of Biomed. Mat. 7 (2012) 87-95, Mg-Zr-Sr ALLOYS AS BIODEGRADABLE IMPLANT MATERIALS by Li et al. , MECHANICAL BEHAVIOR, AND CYTOCOMPATABILITY OF AMORPHOUS Mg ₇₂ Zn ₂₃ Ca ₅ AND CRYSTALLINE Mg ₇₀ Zn ₂₃ Ca ₅ Pd ₂ ALLOYS AS TEMPORARY IMPLANT MARI Biomat. The entire disclosure of is incorporated herein by reference. In at least one example, the staples are composed of, for example, a magnesium alloy containing zinc and / or silver. Staples containing alloys of magnesium and zinc increase tissue healing performance. Staples containing silver provide an antibacterial effect. Staples containing all three alloys provide synergistic dynamics.

Staples made of magnesium, including those made of magnesium alloys, can be treated to improve the hardness of the staples. In various examples, a magnesium nitride coating can be applied to the magnesium staples. In certain examples, the magnesium nitride coating is applied to the entire magnesium staple, while in other examples, the magnesium nitride coating is applied to only a portion of the magnesium staple. For example, since the staple legs need to have sufficient hardness to penetrate the tissue, it may be desirable to coat only the tips of the staple legs and / or the staple legs with magnesium nitride. In at least one such example, when the magnesium nitride coating is applied to the staple legs, the mask can be applied to the rest of the magnesium staple. Magnesium nitride coatings can be made, for example, by introducing magnesium staples into a nitrogen-enriched environment at high temperature and / or high pressure.

In addition to or instead of the above, one or more surfaces of magnesium staples may contain a coating containing carbon.

In addition to or in place of the above, other surface hardening techniques can be utilized. For example, magnesium staples can be cured using a laser curing process and / or a plasma discharge curing process. In at least one example, a KERONITE ceramic surface treatment by Keronite International can be applied to the staples.

As mentioned above, certain parts of the magnesium staple may go through the hardening process, while other parts of the magnesium staple may not go through the hardening process. In some examples, certain parts of the magnesium staples can be hardened to a first hardness, while other parts of the magnesium staples can be hardened to a second hardness that is different from the first hardness. A portion of magnesium staples with lower hardness avoids magnesium, zinc, and / or silver ions faster than a portion of magnesium staples with higher hardness.

In addition to or instead of the above, magnesium staples, including those made of magnesium alloys, are at least partially covered with a coating containing silver. In at least one example, the silver coating may include, for example, ionized silver. In certain examples, an electroplating process can be utilized to apply a silver coating to the magnesium staples. In various examples, the entire magnesium staple is covered with a silver coating. In at least one example, a portion (s) of magnesium staples are masked during the electroplating process so that the masked portion is not coated with silver, or at least substantially uncoated.

In addition to or instead of the above, the staples disclosed herein can be coated with an antibacterial coating or at least partially coated. Such coatings may include, for example, triclosan. In at least one example, triclosan is mixed in the absorbent polymer coating. In certain examples, the coating may include, for example, LAE mixed with sodium stearate. The entire disclosure of International Publication No. 2012013577 (A1) by Gaffar et al., entitled COMPOSITION FOR COATING MEDICAL DEVICES CONTAINING LAE AND A POLYCATIONIC AMPHOTERIC POLYMER, is incorporated herein by reference.

The staples 3730 then include a metal frame and a coating 3739 over less than the entire metal frame, with reference to FIGS. 90-92. The metal frame includes staples 2130 and is composed of, for example, magnesium and / or magnesium alloys. The coating 3739 comprises a bioabsorbable polymer, while the coating 3739 may comprise any suitable material. The coating 3739 extends around the legs 2132, 2133 of the metal frame 2130. More specifically, the coating 3739 spirals around each of the legs 2132, 2133, although any suitable arrangement of the coating 3739 may be utilized. The coating 3739 also covers the transitions or corners between the legs 2132, 2133 and the base or crown 2131 of the metal frame 2130. The coating 3739 may also cover a portion of the base 2131. In various examples, the coating 3739 is strategically applied to areas of the metal frame 2130 that are inherently susceptible to faster bioabsorption, such as bends, edges, and / or corners of the metal frame 2130. Can be done. In each case, a portion of the metal frame 2130 is covered by the coating 3739, while a portion of the metal frame 2130 is exposed.

The magnesium or magnesium alloy metal frame 2130 is bioabsorbable. Primarily with reference to FIG. 91, a portion of the metal frame 2130 not covered by the coating 3739 is directly exposed to the body when implanted and is therefore immediately subject to the body's natural absorption process. The portion of the metal frame 2130 covered by the coating 3739 is not directly exposed to the body, at least initially, when implanted. The coating 3739 protects, or at least somewhat protects, the metal frame 2130 it covers, delaying bioabsorption of such parts. Over time, the unprotected portion of the metal frame 2130 is bioabsorbed, leaving the portion of the metal frame 2130 protected by the coating 3739, primarily with reference to FIG. The coating 3739 can substantially enclose a portion of the metal frame 2130 covered by the coating 3739, at least until the coating 3739 itself is bioabsorbed and / or the metal frame 2130 is sufficiently degraded. At this point, the portion of the metal frame 2130 that the coating 3739 temporarily protected is exposed and can be bioabsorbed by the body.

The bioabsorbable polymer of the coating 3739 may be composed of, for example, PGA and / or PLA, but the coating 3739 is composed of any suitable material including, but not limited to, bioabsorbable and non-bioabsorbable polymers. May be done. In certain examples, coating 3739 comprises, for example, a non-crosslinked polymer. Such a polymer can cause the coating 3739 to swell and enclose the sharp edges of the metal frame 2130 that are created when the metal frame 2130 deteriorates.

In various embodiments, the coating 3739 may be placed on the metal frame 2130 in a grid, mesh, and / or grid arrangement. In such an embodiment, the metal frame 2130 can be exposed in an opening in the grid, whereby the metal frame 2130 can be bioabsorbed in such an opening. As the metal frame 2130 begins to deteriorate, the grid-like coating 3739 can act as a net or cage, for example, to assemble fragments of the metal frame 2130 until at least the coating 3739 is bioabsorbed.

The coating 3739 can be applied to the metal frame 2130 in any suitable manner. In at least one example, the coating 3739 may be sprayed onto the metal frame 2130 such that the coating 3739 is applied in an irregular manner that creates irregular openings in which the metal frame 2130 can be bioabsorbed. In certain other examples, the coating 3739 can be applied in a pattern on the metal frame 2130. In at least one such example, the pattern may include a dot matrix pattern with islands of coating surrounded by exposed portions of the metal frame 2130.

In certain alternative embodiments, the staples may include two or more coatings. In at least one such example, the first coating may be bioabsorbed at a first rate and the second coating may be a second, for example to expose different parts of the metal frame 2130 at different times during the healing process. It can be bioabsorbed at a rate of 2. It is contemplated that such staples may still have uncovered parts, but all parts of the staples may be covered by at least one or more coatings.

The therapeutic effect provided by the materials disclosed herein is a function of the surface area of the staples exposed to the patient's body. Staples with a larger surface area can deliver a therapeutic effect that is faster than staples with a smaller surface area. Therefore, staples with a smaller surface area may provide a therapeutic effect that takes longer. Nevertheless, the surface area of the staples disclosed herein can be increased by introducing holes in the staples. For example, one or more holes or through holes can be made, for example, in the base or crown 2131 of the staple 2130. The through holes allow the tissue to grow through the staples 2130 and improve the assimilation of the staples 2130 into the body.

In at least one embodiment, in addition to the above, the coating 3739 is not positioned in the pores as it will reduce the available surface absorption area of the staple 2130. However, if it is desired to delay bioabsorption of these staple moieties, the pores within the staple 2130 may be filled or at least partially filled with coating 3739. As mentioned above, the coating 3739 can be configured to delay the absorption of the underlying metal frame, but any suitable coating can be utilized. For example, a coating on a metal frame can facilitate the infiltration of tissue into the structure of the staple. In at least one such example, the coating comprises small micropillars that produce a porous and / or barbed interaction with the tissue.

In various embodiments, in addition to the above, sutures or threads can extend through holes defined in the staples. Such sutures can join the staples together. In various examples, the suture is inserted into the hole while the staple is positioned within the staple cartridge. In another example, the suture is inserted into the hole after the staple has been implanted in the tissue. In at least one embodiment, the suture is located in a groove defined within the deck of the staple cartridge, and each staple is internally defined, configured to receive the suture as the staple is unfolded. Includes slots or staples. In either case, for example, in the drawstring suture tissue collection technique, the suture can be pulled and the stapled tissue can be collected together.

In various embodiments, the staples disclosed herein may include such staples. In at least one example, the hook is defined on the staple leg so that the layer in which the hook is embedded engages the tissue. Such a hook can reduce the relative movement between the layers and the staples. In certain embodiments, the hook is defined on the base of the staple. Such a hook can grip a layer of tissue positioned adjacent to the embedded staple.

The surgical circular stapler 5000 is shown in FIGS. 93-95. The surgical circular stapler 5000 includes a frame assembly 5020 that includes a mounting portion 5021 configured to operably connect the anvil to the surgical circular stapler 5000. The surgical circular stapler 5000 includes a knife member 5040 configured to incise the tissue captured by the surgical stapler 5000, a surgical staple cartridge 5010 that detachably accommodates a plurality of staples 5051 inside, and a staple. It further includes a push-in assembly or driver 5030 configured to eject the 5051 out of the staple cartridge 5010. The surgical staple cartridge 5010 includes a cartridge deck 5013 and a plurality of staple cavities 5011 defined in a cartridge deck 5013 that detachably houses the staples 5051. Staples 5051 are similar to the staples discussed in detail herein, but any suitable staple may be used. Staple 5051 includes staple legs in a plane offset from the plane defined by the staple base.

Primarily with reference to FIG. 95, the staple cavity 5011 of the staple cartridge 5010 includes an inner row of staple cavities 5011A, an intermediate row of staple cavities 5011B, and an outer row of staple cavities 5011C. The staple column spacing can include any suitable spacing, but nested columns may be closer to each other than non-nested columns. The intermediate row of the staple cavity 5011B is positioned radially outward with respect to the inner row of the staple cavity 5011A. The outer row of the staple cavity 5011C is located radially outward with respect to the intermediate row of the staple cavity 5011B. The staple cavity 5011A in the inner row includes an orientation that orients the staple legs of the internally housed staple 5051 so that the staple legs extend radially outward with respect to the staple base. The middle row of the staple cavity 5011B and the outer row of the staple cavity 5011C are oriented to orient the staple legs of the staple 5051 housed therein so that the staple legs extend radially inward with respect to the staple base. including.

The staple cavities 5011A in the inner row define a plurality of first gaps having a distance A between them. The middle row of staple cavities 5011B defines a plurality of second gaps having a distance B. The outer row of staple cavities 5011C defines a plurality of third gaps having a distance C. Distance A is smaller than distances B and C. Distance B is larger than distance A but smaller than distance C. Distance C is greater than distances A and B. The cavity 5011 is arranged so that the first gap includes a distance greater than the distance between the second gap and / or the third gap. The cavity 5011 is arranged so that the third gap includes a distance smaller than the distance between the first gap and / or the second gap. An embodiment without gaps associated with one or more rows of staple cavities is recalled.

The middle row of staple cavities 5011B is arranged such that the cavities 5011B overlap the first gap defined by the inner row of staple cavities 5011A to compensate for the lack of tissue ligation in the first gap. The outer row of the staple cavity 5011C is arranged so that the cavity 5011C overlaps the second gap defined by the intermediate row of the staple cavity 5011B to compensate for the lack of tissue ligation in the second gap. By overlapping these fastening gaps with such an arrangement, the ligation capacity of the surgical circular stapler 5000 is increased. This arrangement also allows the fastened tissue to bend upon fastening. Conventional arrangements utilize a higher number of staples in the middle and / or outer rows to increase ligation efficiency, but such conventional arrangements may limit the flexibility of the tissue after fastening.

Figures 96-98 show the surgical circular stapler 5100 according to at least one embodiment. The surgical circular stapler 5100 includes a frame assembly 5120 that includes a mounting portion configured to operably connect the anvil to the surgical circular stapler 5100. The surgical circular stapler 5100 includes a knife member 5140 configured to incise the tissue captured by the surgical stapler 5100, a surgical staple cartridge 5110 that detachably accommodates a plurality of staples 5151 inside, and staples. It further includes a push-in assembly or driver 5130 configured to eject the 5151 out of the staple cartridge 5110. The indentation assembly 5130 includes an inner row of staple drivers 5130A, an intermediate row of staple drivers 5130B, and an outer row of staple drivers 5130C. The surgical staple cartridge 5110 includes a cartridge deck 5113 and a plurality of staple cavities 5111 defined within the cartridge deck 5113 that internally houses the staples 5151. The surgical staple cartridge 5110 is a plurality of deck features, or staple supports, or guides 5115 configured to support, guide, and / or control the staples 5151 as the staples 5151 are ejected from the staple cartridges 5110. Further includes. The deck feature or cavity extension 5115 may, for example, assist in gripping the tissue between the anvil and the staple cartridge 5110, and / or contain, release, and deliver the drug to the tissue captured by the stapler 5100. Can have the purpose of.

The staple cavity 5111 of the staple cartridge 5110 is similar to the staple cavity 5011 in many respects. The staple cavity 5111 includes an inner row of staple cavities 5111A, an intermediate row of staple cavities 5111B, and an outer row of staple cavities 5111C. The deck feature section 5115 includes a plurality of first deck feature sections 5115A, a plurality of second deck feature sections 5115B, and a plurality of third deck feature sections 5115C. Each first deck feature 5115A includes an intermediate portion 5116 and two outer portions 5117 to define a T-structure. The intermediate portion 5116 is located between the two staple cavities 5111A and extends from the deck 5113 to guide and / or support adjacent staple legs. The outer portion 5117 branches from the intermediate portion 5116 in at least substantially opposite directions and extends from the deck 5113 to guide and / or support a portion of the staple base. By combining the deck features for more than one cavity in this manner, space on the cartridge deck 5113 can be saved.

Each second deck feature 5115B and each third deck feature 5115C includes an intermediate portion 5118 and two outer portions 5119 to define a configuration surrounding the cavity. The intermediate portion 5118 extends from the deck 5113 to guide and / or support the staple base of the staple detachably housed in the intermediate row of the staple cavity 5111B and the outer row of the staple cavity 5111C. The two outer portions 5119 branch off from the intermediate portion 5118 to support the staple legs extending from the staple base to which the intermediate portion 5118 guides and / or supports.

FIG. 99 shows a circular stapled configuration 5200 for use with a surgical circular stapler according to at least one embodiment. The circular staple fastening configuration 5200 is an arrangement of staples that can be used with a circular staple cartridge. A circular staple cartridge using a circular staple construction 5200 includes a corresponding staple cavity for detachably accommodating the staples discussed herein. The circular staple fastening configuration 5200 includes a plurality of staples 5210 including an inner row 5213 of staples, an intermediate row 5215 of staples, and an outer row 5217 of staples. Each staple 5213 is oriented so that its staple legs face outward toward the outer row of staples 5217. Each staple 5215 is oriented so that its staple legs face inward toward the inner row of staples 5113. Each staple 5217 is oriented so that its staple legs face outward away from the inner row of staples 5213 and the middle row of staples 5215. Each staple row is specific from other staple rows and / or cutting members, respectively, in order to better control blood flow and / or predict tissue behavior at specific points within the stapled tissue. Located at a distance.

The outer row of staples 5217 contains different properties than the inner and / or intermediate rows of staples 5213, 5215. For example, in various examples, the outer row of staples 5217 is formed into a larger "B" shape, with a larger capture volume and / or higher to alleviate high tissue compression near the outer row of staples 5217. Provides a stapled height. Larger B shapes can also improve blood flow towards the inner row. In various examples, the outer row of staples 5217 includes greater resistance to deployment by utilizing the larger staple crown, the width of the staple legs, and / or the thickness of the staple legs.

The amount of staples used in each row of staples can vary with circular and / or linear surgical staple cartridges. The outer row of staples 5217 contains a first quantity, contains a second quantity of staples 5215, and the inner row of staples 5213 contains a third quantity. FIG. 99 shows a case where the first quantity is equal to the second quantity but greater than the third quantity. In various embodiments, the first amount, the second amount, and the third amount are different. In various embodiments, the first amount is greater than the second amount and the second amount is greater than the third amount.

Different staple crown widths between staple rows may provide effective and / or efficient staple placement. For example, each outer row staple 5217 includes a staple crown having a width greater than the crown width of each inner row staple 5213 and each intermediate row staple 5215. The staple crowns of each outer row staple 5217 are laterally bent to have larger crown width staples while maintaining a compact circular staple fastening configuration. Several embodiments are recalled in which the crown of each outer staple 5217 is curved. One advantage of bending or curving the crown of the outer row staples 5217 may include, for example, the outer row staples 5217 being able to be nested closer to the middle row staples 5215 and the inner row staples 5213. Each outer row staple 5217 connects a plurality of gaps defined between the inner row staples 5213 and / or the middle row staples 5215. Each intermediate row staple 5215 connects, overlaps, or covers each gap defined between the inner rows of staples 5213.

In various embodiments, the clearance defined by the inner row staples 5213 can vary based on the radial position of the rows of inner staples. For example, a row of internal staples with a diameter much smaller than the diameter of the intestine to be stapled may include a much larger gap between the inner staples to provide radial flexibility and / or expansion. Rows of internal staples that are smaller than the stapled intestine but have a diameter close to it may have smaller gaps between the inner staples, as in this case may not require significant expansion and / or flexibility. ..

FIG. 100 shows a circular stapled configuration 5300 for use with a surgical circular stapler according to at least one embodiment. The circular staple fastening configuration 5300 is an arrangement of staples that can be used with a circular staple cartridge. A circular staple cartridge using the circular stapled configuration 5300 includes a corresponding staple cavity for detachably accommodating the staples discussed herein. The circular staple fastening configuration 5300 includes a plurality of staples 5310 including inner row staples 5313A, 5313B, intermediate row staples 5315C, 5315D, and outer row staples 5317E, 5317F. The staples 5313A and 5313B are oriented so that their staple legs face outward toward the outer row staples 5317E and 5317F. The staples 5315C and 5315D are oriented so that their staple legs face inward toward the inner row staples 5313A and 5313B. The staples 5317E and 5317F are oriented so that their staple legs face outward in a direction away from the inner row staples 5313A and 5313B and the intermediate row staples 5315C and 5315D. An embodiment is recalled in which the various staples in the same row point in opposite directions. An embodiment is recalled in which all staples in all rows point in the same direction. For example, an embodiment is conceived in which the inner row staples face inward, the middle row staples face outward, and the outer row staples face inward.

Different staple crown widths between and within staple rows can also provide effective and / or efficient staple placement. For example, the inner row staples 5313A and 5313B each contain a different crown width, the middle row staples 5315C and 5315D each contain a different crown width, and the outer row staples 5317E and 5317F each contain a different crown width. In various embodiments, the crown widths of the staples 5313A, 5313B, 5315C, 5315D, 5317E, and 5317F are all different. An embodiment is recalled in which the crown width of a particular staple in one row is the same as the crown width of a particular staple in another row. Inner row staples define an extension zone labeled SZ. The extension zone SZ may include, for example, a gap defined between the staples 5313A. The extension zone SZ allows the stapled tissue to bend.

Surgical circular staplers, circular staple cartridges, and / or circular staple fastening configurations can be used, for example, in colectomy. FIG. 101 shows some examples of colectomy in which two parts of the intestine are joined to provide a new pathway or passage 5400 for the digestive system. The part T ₁ of the intestine contains the inner wall 5410 and the second part T ₂ of the intestine contains the inner wall 5420. Intestinal parts T ₁ and T ₂ are stapled by internal staples 5401, intermediate staples 5403, and external staples 5405. Parts T ₁ and T ₂ of the intestine are incised to create a new pathway PP for the digestive material to pass through. Incision, produce cutting portion 5411 and 5421 parts _{T 1} and _{T 2} of the intestine. Change in the diameter between the inner wall 5410,5420 and the cutting portions 5411,5421 portions _{T 1} and _{T 2} of the intestine, in some cases, that a path P-P contracted or narrowed, digested material passes Make it difficult. It may be desired to have the flexibility of the staple portion, including the internal staple 5401. One way to provide flexibility is to utilize the gaps in the staples defined between the staples in the various rows in which the staples are placed. Another way to provide flexibility is to utilize larger dimensional staples with larger staple crowns. In various examples, the gap between the staples and the staple rows allows flexibility in the stapled position, allowing digestive material to pass through more easily. In various examples, staples of different dimensions allow for tissue flexibility.

FIGS. 102-104 show a curved stapler 5500 according to at least one embodiment configured to capture, incise, and staple tissue. The curved staple fastener 5500 includes a frame assembly 5510, a staple cartridge 5520, and an anvil 5530. Upon receiving the first starting force, the staple cartridge 5520 is driven towards the anvil 5530, in the meantime capturing tissue. The curved staple fastener 5500 further includes a knife assembly 5540 that includes a cutting member 5541 configured to incise the tissue trapped between the staple cartridge 5520 and the anvil 5530. The staple cartridge 5520 includes a deck 5527 including a cutting slot 5521 configured to receive a cutting member 5541, a plurality of staple cavities 5523A and 5523B, and a plurality of staples removably housed in the staple cavities 5523A, 5523B. Includes 5560 and. The curved staple fastener 5500 further includes a driver assembly 5550 that includes a plurality of staple drivers 5551 configured to drive the staples 5560 towards the anvil 5530 upon application of a second starting force. The second starting force is responsible for lifting the driver assembly 5550 and knife assembly 5540 perpendicular to the curved staple fastener 5500 to incise and staple the tissue.

The staple cartridge 5520 further includes a plurality of deck feature 5525s extending from the deck 5527. An embodiment is recalled in which the deck feature portion 5525 is a separate portion configured to be attached to the deck 5527. The deck feature 5525 fills the cartridge 5560 with the staple 5560, accommodates or supports the staple 5560 before ejecting the staple 5560, and / or ejects the staple 5560 from the cartridge 5520. It may be an extension of the staple cavities 5523A, 5523B for supporting, guiding and / or controlling. A single deck feature 5525 supports two different staple legs of adjacent staples. The deck feature 5525 may include a plurality of support walls configured to support one or more sides, faces, and / or edges of each staple leg. An embodiment is recalled in which the deck feature 5525 on the outer row of outer staples farthest from the slot correlates only with every other staple cavity in each outer row. If the staple feature is positioned closer to the incision, the density of the staple feature can increase.

FIGS. 105 and 106 show a curved stapler 5600 according to at least one embodiment configured to capture, incise, and staple tissue. The curved staple fastener 5600 includes a frame assembly 5610, staple cartridges 5620, and anvil 5630. Upon receiving the first starting force, the staple cartridge 5620 is driven towards the anvil 5630, in the meantime capturing tissue. The curved staple fastener 5600 further includes a knife assembly that includes a cutting member configured to incise the tissue trapped between the staple cartridge 5620 and the anvil 5630. The staple cartridge 5620 comprises a deck 5627 including a cutting slot 5621 configured to receive a cutting member, a plurality of staple cavities 5623, and a plurality of staples 5660 detachably housed within the staple cavities 5623. The curved staple fastener 5600 further includes a driver assembly 5650 that includes a plurality of staple drivers 5651 configured to drive the staples 5660 towards the anvil 5630 upon application of a second starting force. The second starting force is responsible for lifting the driver assembly 5650 and knife assembly perpendicular to the curved staple fastener 5600 to incise and staple the tissue.

The staple cartridge 5620 further includes a plurality of deck feature 5625s extending from the deck 5627. An embodiment is recalled in which the deck feature portion 5625 is a separate portion configured to be attached to the deck 5627. The deck feature 5625 takes the staple 5660 while filling the cartridge 5620, accommodating or supporting the staple 5660 before ejecting the staple 5660, and / or ejecting the staple 5660 from the cartridge 5620. It may be an extension of the staple cavity 5623 for supporting, guiding and / or controlling. The deck feature 5625 may include a plurality of support walls configured to support one or more sides, faces, and / or edges of each staple leg. The deck feature 5625 extends from at least one of the staple leg walls of the staple cavity and at least one of the staple base walls.

The staple driver 5651 includes a flat profile that is at least substantially the same as the bottom profile of the staple 5660. Having a similar or same profile allows the proper force distribution of the staple driver 5651 on the staple base of the staple 5660. When molded against the anvil 5630, a similar profile between the driver 5651 and the staples 5660 prevents the staples 5660 from being misaligned.

Example 1-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly is defined in the proximal end, the distal end, and in the deck and distal from the proximal end. A staple cartridge assembly comprising a deck extending towards the end, a longitudinal slot, and a staple body that is a staple cavity in which the staple cavities are arranged in a longitudinal row. Each staple cavity extends between a top opening, a bottom opening, a proximal end, a distal end, and a proximal end and a distal end defined within the deck. Includes cavity sidewalls. The staple cartridge assembly further comprises staples that are detachably housed in the staple cavity, and each staple extends between the proximal leg, the distal leg, and the proximal leg and the distal leg. Includes an existing base and a holding protrusion extending from the base, the holding protrusion of the staple engages the side wall of the staple cavity to prevent the staple from falling out of the bottom opening of the staple cavity.

Example 2-The staple cartridge assembly according to Example 1, further comprising a thread that is movable from the proximal end to the distal end to eject the staple through the upper opening of the staple cavity.

Example 3-The cartridge body is a bottom surface defined on the opposite side of the deck and a longitudinal channel defined within the bottom surface, with at least a portion of the threads slidably positioned within the longitudinal channel. The staple cartridge assembly according to Example 2, further comprising a longitudinal channel and a holding portion configured to prevent the thread from falling from the longitudinal channel through the bottom surface.

Example 4-The thread is movable between the proximal and distal positions during the firing stroke, the holding portion engages the thread when the thread is in the proximal position, and the thread is in the distal position. The staple cartridge assembly according to Example 3, wherein the holding portion does not engage the thread when in.

Example 5-The staple cartridge assembly according to Example 1, 2, 3, or 4, wherein the staple cartridge assembly does not include a cover extending around the bottom surface of the cartridge body.

Example 6-The staple cartridge assembly according to Example 1, 2, 3, 4, or 5, wherein the cartridge body comprises at least one snap-fit feature that is configured to engage directly with the surgical stapler. ..

Example 7-The staple cartridge assembly according to Example 3, 4, or 5, wherein the thread engages directly with the staple and the staple cartridge assembly does not include a driver positioned between the thread and the staple.

Example 8-Each staple is punched out of a sheet of material, the proximal, distal leg, and base of each staple are molded in the staple plane and the retaining protrusions extend laterally from the staple plane. The staple cartridge assembly according to Example 1, 2, 3, 4, 5, 6, or 7.

Example 9-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly extends from the proximal end, the distal end, the bottom, and the proximal to the distal direction. A longitudinal slot defined in the existing deck, a longitudinal channel defined in the bottom, and a staple cavity, each staple cavity having a top opening defined in the deck and a bottom defined in the bottom. Staple cartridge assembly with staple cavities including openings. The staple cartridge assembly is a staple that is detachably housed in the staple cavity and a thread that is slidably positioned within the longitudinal channel and is proximal to eject the staple through the upper opening of the staple cavity. It further comprises a thread that is movable from end to distal end and a retaining portion that is configured to prevent the thread from falling from a longitudinal channel through the bottom.

Example 10-The thread can move between the proximal and distal positions during the firing stroke, the holding portion engages the thread when the thread is in the proximal position, and the thread is in the distal position. The staple cartridge assembly according to Example 9, wherein the holding portion does not engage the thread when in.

Example 11-The staple cartridge assembly according to Example 9 or 10, wherein the staple cartridge assembly does not include a cover extending around the bottom surface of the cartridge body.

Example 12-The staple cartridge assembly according to Example 9, 10, or 11, wherein the thread engages directly with the staple and the staple cartridge assembly does not include a driver positioned between the thread and the staple.

Example 13-A staple cartridge assembly for use with a surgical stapler, wherein the stapler includes a jaw that is configured to receive the staple cartridge assembly, and the staple cartridge assembly is proximal. With a cartridge body that includes an end, a distal end, a deck, and a bottom, a staple cartridge assembly extends from the proximal end to the distal end with an enclosure that extends around the bottom. Without a defined longitudinal slot within the existing deck, a defined longitudinal channel within the bottom, and a staple cavity, each staple cavity has a top opening defined within the deck and within the bottom. Staple cartridge assembly, including a defined bottom opening. The staple cartridge assembly is a staple that is detachably housed in the staple cavity and a thread that is slidably positioned within the longitudinal channel to eject the staple through the upper opening of the staple cavity during the firing stroke. For this purpose, a thread that can move from the proximal end to the distal end and a means for preventing the thread from falling from the longitudinal channel through the bottom are further provided.

Example 14-The staple cartridge assembly according to Example 13, wherein the thread engages the staple directly during the firing stroke.

Example 15-The staple cartridge assembly according to Example 13 or 14, further comprising means for preventing the staple from falling out of the staple cavity through the bottom opening.

Example 16-A staple cartridge assembly for use with a surgical stapler, wherein the stapler includes a jaw that is configured to receive the staple cartridge assembly, and the staple cartridge assembly is proximal. With a cartridge body that includes an end, a distal end, a deck, and a bottom, the staple cartridge assembly does not have an enclosure and staple cavities that extend around the bottom, and each staple cavity is in the deck. A staple cartridge assembly that includes a top opening defined in and a bottom opening defined in the bottom. The staple cartridge assembly further comprises staples that are detachably housed within the staple cavity, and the cartridge body has a shelf formed integrally with the cartridge body that prevents the staples from falling out of the staple cavity through the bottom opening. include.

Example 17-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly is defined in the proximal end, the distal end, the deck, and the proximal end. A staple cartridge assembly comprising a cartridge body that includes a longitudinal slot extending from to the distal end and a staple cavity. Staple cavities are defined in the deck with a top opening, a bottom opening, a proximal guide, a distal guide, a side wall extending between the proximal guide and the distal guide, and inside from the sidewall. Includes an intermediate guide that extends in the orientation. The staple cartridge assembly is a proximal leg located within the proximal guide, a distal leg located within the distal guide, and a base extending between the proximal leg and the distal leg. The intermediate guide guides the base and holds the proximal leg in the proximal guide and the distal leg in the distal guide. Positioned to do.

Example 18-The staple cartridge assembly according to Example 17, wherein the staple cavity further comprises a proximal cavity end proximal to the proximal guide and a distal cavity end distal to the distal guide. ..

Example 19-The staple cartridge assembly according to embodiment 18, wherein the staples are not located within the proximal cavity end and the distal cavity end.

Example 20-There is a first gap between the staple base, the intermediate guide and the distal cavity end, and a second gap between the staple base, the intermediate guide and the proximal cavity end. The staple cartridge assembly according to Example 18 or 19, wherein the stapling cartridge assembly is present.

21-The staple cartridge assembly according to Example 17, 18, 19, or 20, wherein the base comprises a flat guide surface joined with an intermediate guide.

22-The staple cartridge according to Example 17, 18, 19, 20, or 21, wherein the cartridge body further comprises a plurality of staple cavities and the staple cartridge assembly further comprises a plurality of staples located within the staple cavities. assembly.

23-. Staple cartridge assembly.

Example 24-The staple cartridge assembly according to Example 17, 18, 19, 20, 21, 22, or 23, wherein the proximal and distal guides extend over the deck.

25-The staple cartridge assembly according to Example 17, 18, 19, 20, 21, 22, 23, or 24, wherein the intermediate guide extends over the deck.

Example 26-Proximal and distal legs of the staple define the leg plane, the base includes the drive surface within the drive plane, and the drive plane is offset from the leg plane, Examples 17, 18 , 19, 20, 21, 22, 23, 24, or 25.

Examples 27-Proximal legs and distal legs are sandwiched by proximal and distal guides towards each other, Examples 17, 18, 19, 20, 21, 22, 23, 24, 25. , Or the staple cartridge assembly according to 26.

Example 28-An intermediate guide comprises an elastic urging member engaged to the base, which is configured to push the proximal leg into the proximal guide and the distal leg into the distal guide. The staple cartridge assembly according to Example 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, or 27.

Example 29-In Examples 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, or 28, where the intermediate guide is positioned closer to the distal guide than the proximal guide. Described staple cartridge assembly.

Examples 30-Intermediate guides are equidistant between the distal and proximal guides, Examples 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27. , Or the staple cartridge assembly according to 28.

Example 31-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly is defined in the proximal end, the distal end, the deck, and the proximal end. A staple cartridge assembly comprising a cartridge body that includes a longitudinal slot extending from to the distal end and a staple cavity. The staple cavity includes a top opening, a bottom opening, a proximal guide, a distal guide, and a side wall extending between the proximal and distal guides defined within the deck. The staple cartridge assembly consists of a proximal leg located within the proximal guide and a distal leg located within the distal guide, with the proximal and distal legs defining the leg plane. And extends between the distal leg and the proximal and distal legs, with the proximal and distal legs sandwiched towards each other by the proximal and distal guides. It further comprises a staple that is detachably housed in a staple cavity, including a base, wherein the base comprises a drive surface in the drive plane and the drive plane is offset from the leg plane.

Example 32-The staple cartridge assembly according to Example 31, wherein the leg plane is parallel to the drive plane.

33-The staple cartridge assembly according to Example 31 or 32, wherein the cartridge body further comprises a plurality of staple cavities, and the staple cartridge assembly further comprises a plurality of staples positioned within the staple cavities.

Example 34-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly is defined in the proximal end, the distal end, the deck, and the proximal end. A staple cartridge assembly comprising a cartridge body that includes a longitudinal slot extending from to the distal end and a staple cavity. The staple cavity is a staple with a top opening defined in the deck, a bottom opening, a proximal guide, a distal guide, a side wall extending between the proximal guide and the distal end guide, and a staple. Includes an intermediate guide extending inward from the side wall of the cavity. The staple cartridge assembly is a proximal leg located within the proximal guide, a distal leg located within the distal guide, and a base extending between the proximal leg and the distal leg. The proximal guide, the distal guide, and the intermediate guide further include a staple that is detachably housed in the staple cavity, including and triangulates the control of the staple as it is ejected from the staple cavity.

Example 35-The staple cartridge assembly according to Example 34, wherein the cartridge body further comprises a plurality of staple cavities, and the staple cartridge assembly further comprises a plurality of staples positioned within the staple cavities.

Example 36-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly is defined and proximal within the proximal cartridge end, the distal cartridge end, the deck, and the deck. A staple cartridge assembly comprising a cartridge body that includes a longitudinal knife slot extending from the end of the cartridge to the end of the distal cartridge and a staple cavity. The staple cavity is an upper opening defined in the deck, a proximal cavity end, a distal cavity end, a proximal guide, and a distal guide, the proximal guide and the distal guide being the deck. A cavity slot that extends over the proximal and distal guides and between the proximal cavity end and the distal cavity end, with the proximal and distal guides being the cavity slot. Includes cavity slots, which extend laterally with respect to. The staple cartridge assembly is a proximal leg located within the proximal guide, a distal leg located within the distal guide, and a base extending between the proximal leg and the distal leg. It further comprises a staple that is detachably housed in the staple cavity, including the base, the base of which is located in the cavity slot.

Example 37-The staple cartridge assembly according to Example 36, wherein the proximal and distal guides extend towards the knife slot.

Example 38-The staple cartridge assembly according to Example 36, wherein the proximal and distal guides extend away from the knife slot.

Example 39-The staple cartridge assembly according to Example 36, 37, or 38, wherein the proximal guide comprises a proximal bracket.

Example 40-The staple cartridge assembly according to Example 39, wherein the proximal bracket does not extend around the end of the proximal cavity.

Example 41-The staple cartridge assembly according to Example 39 or 40, wherein the cavity slot is defined by a longitudinal axis and the proximal bracket is not aligned with the longitudinal axis.

42-The staple cartridge assembly according to Example 36, 37, 38, 39, 40, or 41, wherein the distal guide comprises a distal bracket.

Example 43-The staple cartridge assembly according to Example 42, wherein the distal bracket does not extend around the distal cavity end.

Example 44-The staple cartridge assembly according to Example 42 or 43, wherein the cavity slot is defined by a longitudinal axis and the distal bracket is not aligned with the longitudinal axis.

Example 45-Proximal and distal legs define the staple leg plane, the base comprises the drive surface within the drive plane offset from the staple leg plane, and the proximal and distal guides. The staple cartridge assembly according to Example 36, 37, 38, 39, 40, 41, 42, 43, or 44, which is aligned with the staple plane and the proximal and distal guides are not aligned with the drive plane. ..

Example 46-Proximal and distal legs define the staple leg plane, the base comprises the drive surface within the drive plane offset from the staple leg plane, and the proximal and distal guides. The staple cartridge assembly according to Example 36, 37, 38, 39, 40, 41, 42, 43, or 44, defining a bracket plane aligned with the staple leg plane.

Example 47-Examples 36, 37, 38, 39, 40, 41, 42, wherein the cartridge body further comprises a plurality of staple cavities, and the staple cartridge assembly further comprises a plurality of staples located within the staple cavities. 43, 44, 45, or 46. The staple cartridge assembly.

Example 48-A portion of the proximal guide extending over the deck includes a staple cavity extension and a portion of the distal guide extending over the deck includes a staple cavity extension. 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, or 47. The staple cartridge assembly.

Example 49-A staple cartridge assembly for use with a surgical stapler, wherein the staple cartridge assembly includes a proximal cartridge end, a distal cartridge end, a deck, and a staple cavity. With staple cartridge assembly. The staple cavities are the proximal cavity end, the distal cavity end, the proximal guide extending above and below the deck, the distal guide extending above and below the deck, and the proximal cavity end and distal. Proximal and distal guides extend laterally with respect to the connection slot, including a connection slot that extends to and from the cavity end. The staple cartridge assembly is a proximal leg located within the proximal guide, a distal leg located within the distal guide, and a base extending between the proximal leg and the distal leg. It further comprises a staple that is detachably housed in the staple cavity, including a base whose base is located in the cavity slot.

Example 50-The staple cartridge assembly according to Example 49, wherein the cartridge body further comprises a plurality of staple cavities, and the staple cartridge assembly further comprises a plurality of staples positioned within the staple cavities.

Example 51-Part of the proximal guide extending over the deck includes a staple cavity extension and part of the distal guide extending over the deck includes a staple cavity extension. 49 or 50. The staple cartridge assembly.

Example 52-A fastener cartridge assembly for use with a surgical fastener instrument, wherein the fastener cartridge assembly includes a proximal cartridge end, a distal cartridge end, a deck, and a fastener pocket. Fastener cartridge assembly with body. The fastener pockets are the end of the proximal pocket, the end of the distal pocket, the proximal guide, the distal guide, and the proximal pocket extension, with the proximal pocket extension extending over the deck. Proximal pocket extension and distal pocket extension, extending between the proximal pocket extension and the distal pocket extension, where the proximal pocket extends over the deck, and between the proximal pocket end and the distal pocket end. An existing pocket opening, including a pocket opening in which the proximal guide and the distal guide extend laterally with respect to the pocket opening. The fastener cartridge assembly is a proximal leg located within the proximal guide, a distal leg located within the distal guide, and a base extending between the proximal leg and the distal leg. It further comprises a fastener detachably housed in the fastener pocket, including a base located within the pocket opening.

53-The fastener cartridge assembly according to Example 52, wherein the cartridge body further comprises a plurality of fastener pockets, and the fastener cartridge assembly further comprises a plurality of fasteners positioned within the fastener pockets.

Example 54-A staple cartridge assembly for use with surgical instruments, wherein the staple cartridge assembly includes a proximal end, a distal end, a deck, and a staple cavity defined within the deck. Staple cartridge assembly with cartridge body including. The staple cartridge assembly further comprises a staple located removably within the staple cavity and a launching member containing a channel aligned with the staple, the channel having a first lateral side wall and a second lateral side wall. Including, the channel is configured to receive staples between the first lateral side wall and the second lateral side wall.

Example 55-The staple cartridge assembly according to Example 54, wherein the channel is defined on an inclined surface of the launching member.

Example 56-Channel molding of staples to a final molded height with respect to an inclined surface portion configured to lift the staples within the staple cavity during the firing stroke of the launching member and the anvil of the surgical instrument. The staple cartridge assembly according to Example 54 or 55, comprising a vertex portion configured to.

Example 56. The staple cartridge assembly according to Example 56, wherein the channel comprises a posterior portion located proximal to the apex portion and the apex portion is located above the posterior portion.

Example 58-The staple cartridge assembly according to Example 54, 55, 56, or 57, wherein the launching member comprises a thread comprising a plurality of wedges and a channel is defined on one of the wedges.

Example 59-In Example 54, 55, 56, 57, or 58, wherein the launching member further comprises an inclined surface that is configured to first lift the staple in the staple cavity and guide the staple into the channel. Described staple cartridge assembly.

Example 60-Channels include a mouth portion and a longitudinal portion, the mouth portion provides an introduction to the longitudinal portion, and the mouth portion is wider than the longitudinal portion, Examples 54, 55, 56, 57. , 58, or 59.

Example 61-The staple cartridge assembly according to Example 54, 55, 56, 57, 58, 59, or 60, wherein the staples are received within the channel without a staple driver located between the staples and the channel.

62-The staple cartridge assembly according to Example 54, 55, 56, 57, 58, 59, 60, or 61, wherein the first lateral side wall is parallel to the second lateral side wall.

Example 63-1 The staple cartridge assembly according to Example 54, 55, 56, 57, 58, 59, 60, or 61, wherein the first lateral side wall is not parallel to the second lateral side wall.

Example 64-The staple according to Example 54, 55, 56, 57, 58, 59, 60, or 61, wherein the first lateral wall and the second lateral are angled with each other to create a staple entry introduction. Cartridge assembly.

Example 65-Channels include a first channel and the launching member further comprises a second channel configured to receive staples, Examples 54, 55, 56, 57, 58, 59, 60. , 61, 62, 63, or 64.

Example 66-described in Example 65, wherein each staple comprises a drive portion configured to enter a first channel and a molded portion configured to enter a second channel. Staple cartridge assembly.

Example 67-The staple cartridge assembly according to Example 65 or 66, wherein the first channel extends at an angle to the second channel.

Example 68-Ibid. 65, 66, or 67, wherein the first and second channels are parallel to each other in the first region and non-parallel to each other in the second region. Staple cartridge assembly.

Example 69-In Example 65, 66, 67, or 68, where the launching member is configured to receive staples in front of the first channel as the launching member advances towards the distal end. Described staple cartridge assembly.

Example 70-A staple cartridge assembly for use with surgical instruments in which the staple cartridge assembly is detachably positioned within the staple cavity and the cartridge body, including the deck and the staple cavities defined within the deck. The staples are provided with an inclined surface configured to engage the staple directly and a launching member including a rail extending from the inclined surface configured to orient the staple with respect to the inclined surface. Staple cartridge assembly.

Example 71-In Example 70, wherein the rail comprises a first rail and the launching member further comprises a second rail extending from an inclined surface configured to orient the staples with respect to the inclined surface. Described staple cartridge assembly.

Example 72-The staple cartridge assembly according to Example 71, wherein the first rail is parallel to the second rail.

Example 73-A staple cartridge assembly for use with surgical staple fasteners, including anvils, wherein the anvil comprises a molded pocket and the staple cartridge assembly is located at the proximal and distal ends. A staple cartridge assembly that includes a deck and a cartridge body that includes a staple cavity defined within the deck. The staple cartridge assembly is a staple that is detachably positioned within the staple cavity, with each staple containing a staple drive portion and a staple molded portion, and a first guide channel aligned with the staple drive portion of the staple. And a launching member that includes a second guide channel aligned with the stapled portion of the staple, the first and second guide channels collaborate as the launching member moves towards the distal end. It comprises a launching member that is configured to work and align the staples with the staple molding pockets on the anvil.

Example 74-A staple cartridge assembly comprising a cartridge body comprising a deck, a first longitudinal row of staple cavities, and a second longitudinal row of staple cavities. The staple cartridge assembly is a plurality of first staples, each first staple being detachably housed in a first longitudinal row of staple cavities, each first staple being a first drive surface. Extends from the first base and the first base, including an integral structure that includes a first staple leg that includes a first tip, between the first drive surface and the first tip. A plurality of first staples and a plurality of second staples in which an unmolded distance of 1 is defined, each second staple being detachably housed in a second longitudinal row of staple cavities. , Each second staple extends from a second base including a second drive surface and a second base, including an integral structure including a second staple leg including a second tip, second A second staple, a first staple and a second staple, in which a second unmolded distance different from the first unmolded distance is defined between the driving surface and the second tip of the It further comprises a launching member configured to engage directly.

Example 75-The staple cartridge assembly according to Example 74, wherein the first staple and the second staple are formed from a sheet of metal.

Example 76-Each first base comprises a first tissue support surface, a first tissue capture distance is defined between the first tissue support surface and the first tip, and each second base A second tissue capture distance is defined between the second tissue support surface and the second tip, including a second tissue support surface, and the first tissue capture distance is different from the second tissue capture distance. , The staple cartridge assembly according to Example 74 or 75.

Example 77-A second deck along a second longitudinal row of staple cavities that differs from the first deck height along the first longitudinal row of staple cavities and the first deck height. The staple cartridge assembly according to Example 74, 75, or 76, including with deck height.

Example 78-The cartridge body further comprises a longitudinal slot configured to receive the cutting member, the first longitudinal row of staple cavities is adjacent to the longitudinal slot, and the second longitudinal of the staple cavity. The staple cartridge assembly according to Example 77, wherein the directional row is adjacent to the first longitudinal row of the staple cavity and the second deck height is lower than the first deck height.

Example 79-The cartridge body further comprises a longitudinal slot configured to receive the cutting member, the first longitudinal row of staple cavities is adjacent to the longitudinal slot, and the second longitudinal of the staple cavity. The staple cartridge assembly according to Example 74, 75, 76, 77, or 78, wherein the directional row is adjacent to a first longitudinal row of staple cavities.

Example 80-The staple cartridge assembly according to Example 74, 75, 76, 77, 78, or 79, wherein the first unmolded distance is shorter than the second unmolded distance.

Example 81-The staple cartridge assembly according to Example 74, 75, 76, 77, 78, 79, or 80, further comprising an anvil configured to deform the staples.

Example 82-Anvil is configured to transform the first staple to a first deformed height and the second staple to a second deformed height that is different from the first deformed height. The staple cartridge assembly according to Example 81.

Example 83-The staple cartridge assembly according to Example 81 or 82, wherein the cartridge body is movable towards the anvil to secure tissue between the anvil and the deck of the cartridge body.

Example 84-The staple cartridge assembly according to Example 81, 82, or 83, wherein the anvil is movable towards the cartridge body to secure tissue between the anvil and the deck of the cartridge body.

Example 85-The staple cartridge assembly according to Example 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, or 84, further comprising a staple cavity extension extending from the deck.

Example 86-The staple cartridge according to Example 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, or 85, further comprising an implantable layer located on the deck. assembly.

Example 87-A staple cartridge assembly comprising a cartridge body comprising a deck, a first longitudinal row of staple cavities, and a second longitudinal row of staple cavities. The staple cartridge assembly is a plurality of first staples, each first staple being detachably housed in a first longitudinal row of staple cavities, each first staple being a first drive surface. And an integral structure including a first base including a first tissue support surface and a first staple leg extending from a first base including a first tip, the first support surface and the first. A plurality of first staples and a plurality of second staples in which a first tissue capture distance is defined between the tip and the second staple, each of which is within the second longitudinal row of the staple cavity. Removably housed in, each second staple extends from a second base that includes a second driving surface and a second tissue support surface and a second base that includes a second tip. A plurality of second tissues comprising an integral structure including staple legs, wherein a second tissue capture distance different from the first tissue capture distance is defined between the second tissue support surface and the second tip. It further comprises a staple and a launching member configured to directly engage the first staple and the second staple.

Example 88-A second deck along a second longitudinal row of staple cavities that differs from the first deck height along the first longitudinal row of staple cavities and the first deck height. The staple cartridge assembly according to Example 87, including with deck height.

Example 89-The cartridge body further comprises a longitudinal slot configured to receive the cutting member, the first longitudinal row of staple cavities is adjacent to the longitudinal slot, and the second longitudinal of the staple cavity. The staple cartridge assembly according to Example 88, wherein the directional row is adjacent to the first longitudinal row of the staple cavity and the second deck height is lower than the first deck height.

Example 90-The staple cartridge assembly according to Example 87, 88, or 89, further comprising an anvil configured to deform the staples.

Example 91-Anvil is configured to transform the first staple to a first deformed height and the second staple to a second deformed height that is different from the first deformed height. The staple cartridge assembly according to Example 90.

Example 92-The staple cartridge assembly according to Example 90 or 91, wherein the cartridge body is movable towards the anvil to secure tissue between the anvil and the deck of the cartridge body.

Example 93-A first longitudinal row of staple cavities, a second longitudinal row of staple cavities, and a plurality of first staples detachably housed within a first longitudinal row of staple cavities. Each first staple is made of punched metal and includes a plurality of first staples, including an integrated metal driver, and a plurality of detachably housed staples in a second longitudinal row of staple cavities. A plurality of second staples, each of which is composed of punched metal and includes an integrated metal driver, and a first staple to a first modified height. A cartridge body that includes means for molding and shaping the second staple to a second deformed height, wherein the first deformed height is different from the second deformed height. Staple cartridge assembly with.

Example 94-A stapling cartridge body comprising a deck and a staple cavity defined in the deck, and staples removably housed in the staple cavity, wherein each staple extends from a base, a leg extending from the base, and a staple. A staple containing a platform that extends laterally from the base and an implantable layer located on the deck so that the staple platform contacts the layer when the staple is implanted within the patient's tissue. A staple cartridge assembly with an implantable layer that is configured.

Example 95-The staple cartridge assembly according to Example 94, wherein each staple is punched out of a sheet of material, the base defines a base plane, and the platform folds out of the base plane.

Example 96-The staple cartridge assembly according to Example 94 or 95, wherein the implantable layer comprises a woven fabric material.

Example 97-The staple cartridge assembly according to Example 94, 95, or 96, wherein the implantable layer comprises a non-woven material.

Example 98-A holding member extending from a leg adjacent to the base is further provided so that the holding member engages an implantable layer when the staple is implanted in the patient's tissue. The staple cartridge assembly according to Example 94, 95, 96, or 97.

Example 99-The staple cartridge assembly according to Example 94, 95, 96, 97, or 98, wherein the platform is flat.

Example 100-The staple cartridge assembly according to Example 94, 95, 96, 97, 98, or 99, wherein the platform is not directly attached to the leg.

Example 101-A stapling cartridge body that includes a deck and a staple cavity defined within the deck, and staples that are detachably housed in the staple cavity, with each staple extending from the crown to the crown. Staples containing a part and a second leg, as well as a platform extending laterally from the crown, and an implantable layer located on the deck when the staples are implanted within the patient's tissue. A staple cartridge assembly with an implantable layer in which the staple platform is configured to support the layer.

Example 102-The staple cartridge assembly according to Example 101, wherein each staple is punched out of a sheet of material, the crown defines the crown plane, and the platform folds out of the crown plane.

Example 103-The staple cartridge assembly according to Example 101 or 102, wherein the implantable layer comprises a woven fabric material.

Example 104-The staple cartridge assembly according to Example 101, 102, or 103, wherein the implantable layer comprises a non-woven material.

Example 105-A holding member extending from a leg adjacent to the crown is further provided so that the holding member engages an implantable layer when the staple is implanted in the patient's tissue. The staple cartridge assembly according to Example 101, 102, 103, or 104.

Example 106-The staple cartridge assembly according to Example 101, 102, 103, 104, or 105, wherein the platform is flat.

Example 107-The staple cartridge assembly according to Example 101, 102, 103, 104, 105, or 106, wherein each staple comprises a flexible appendage positioned adjacent to the crown.

Example 108-The staple cartridge assembly according to Example 107, wherein the flexible appendages extend between the first leg and the second leg.

Example 109-The staple cartridge assembly according to Example 107 or 108, wherein flexible accessories are attached to the first and second legs.

Example 110-A flexible appendage comprises a first hole and a second hole, the first leg extends through the first hole, and the second leg extends through the second hole. The staple cartridge assembly according to Example 107, 108, or 109, which extends through.

Example 111-The staple cartridge assembly according to Example 107, 108, 109, or 110, wherein the flexible appendage comprises a cavity and at least one medicinal product located within the cavity.

Example 112-The staple cartridge assembly according to Example 107, 108, 109, 110, or 111, wherein the flexible appendage comprises a compressible enclosure.

Example 113-A staple cartridge body that includes a deck and a staple cavity defined within the deck, and staples that are detachably housed within the staple cavity, with each staple extending from the crown to the crown. A staple cartridge assembly comprising a staple and a second leg, a platform extending laterally from the crown, and a flexible accessory located adjacent to the crown.

Example 114-The staple cartridge assembly according to Example 113, wherein the flexible appendages extend between the first leg and the second leg.

Example 115-The staple cartridge assembly according to Example 113 or 114, wherein flexible accessories are attached to the first and second legs.

Example 116-A flexible appendage comprises a first hole and a second hole, the first leg extends through the first hole, and the second leg extends through the second hole. The staple cartridge assembly according to Example 113, 114, or 115, which extends through.

Example 117-The staple cartridge assembly according to Example 113, 114, 115, or 116, wherein the flexible appendage comprises a cavity and at least one medicinal product located within the cavity.

Example 118-The staple cartridge assembly according to Example 113, 114, 115, 116, or 117, wherein the flexible appendage comprises a compressible enclosure.

Example 119-A cartridge body containing a deck and a plurality of staple cavities defined in the deck, and a plurality of staples housed in the staple cavities, each of which is composed of an alloy containing zinc and magnesium. Includes a first portion that is and a second portion that is composed of an absorbent polymer, the second portion is disposed over the first portion, and the second portion is less than the entire first portion. Staple cartridge assembly with staples to cover.

Example 119. The staple cartridge assembly according to Example 119, wherein the first portion comprises a base and a staple leg extending from the base, and a second portion extends in a spiral pattern around the staple leg. ..

The staple cartridge assembly according to Example 119 or 120, wherein the second portion is coated with a dot matrix pattern on the first portion.

Example 122-An embodiment in which a first portion comprises a base and a staple leg extending from the base, a corner is defined between the base and the staple leg, and a second portion covers the corner. 119, 120, or 121. The staple cartridge assembly.

Example 123-The staple cartridge assembly according to Example 119, 120, 121, or 122, wherein the absorbent polymer comprises a non-crosslinked polymer.

Example 124-The staple cartridge assembly according to Example 119, 120, 121, 122, or 123, wherein the second portion is coated on the first portion with a mesh pattern.

Example 125-1 120, 121, 122, 123, or 124.

Example 126-Staples further include an ionized silver coating on at least a portion of the first portion that is not coated by the second portion, Examples 119, 120, 121, 122, 123, 124, or 125. Staple cartridge assembly as described in.

Example 127-The staple cartridge assembly according to Example 119, 120, 121, 122, 123, 124, 125, or 126, further comprising at least one hole in the first portion.

Example 128-A cartridge body comprising a deck and a plurality of staple cavities defined within the deck, and a plurality of staples housed within the staple cavities, each staple coated on a magnesium alloy and metal frame. Staple cartridge assembly with staples that include a metal frame composed of absorbent polymer, with the absorbent polymer not covering all parts of the metal frame.

Example 129-A cartridge body comprising a deck and a plurality of staple cavities defined in the deck, and a plurality of staples housed in the staple cavities, each of which comprises a metal frame made of a magnesium alloy. Staple cartridge assembly with staples, the metal frame comprising a base and a leg extending from the base, the leg comprising a magnesium nitride coating on a tissue penetrating tip and tip.

Example 130-The staple cartridge assembly according to Example 129, wherein each staple further comprises an absorbent polymer coated on a metal frame, wherein the absorbent polymer does not cover all parts of the metal frame.

Example 131-The staple cartridge assembly according to Example 129 or 130, wherein each staple further comprises a coating containing silver in at least a portion of the metal frame.

Example 132-A cartridge body comprising a deck and a plurality of staple cavities defined within the deck, and a plurality of staples housed within the staple cavities, each of which comprises a metal frame made of a magnesium alloy. Staple cartridge assembly comprising staples, the metal frame comprising a base and a leg extending from the base, the leg comprising a tissue penetrating tip and a coating containing silver in at least a portion of the metal frame.

Example 133-The staple cartridge assembly according to Example 132, wherein each staple further comprises an absorbent polymer coated on a metal frame, wherein the absorbent polymer does not cover all parts of the metal frame.

Example 134-The staple cartridge assembly according to Example 132 or 133, further comprising a magnesium nitride coating at the tip.

Example 135-A cartridge body comprising a deck and a plurality of staple cavities defined within the deck, and a plurality of staples housed within the staple cavities, each of which comprises a metal frame made of a magnesium alloy. A staple cartridge assembly comprising staples, the metal frame comprising a base and a leg extending from the base, the leg comprising a tissue penetrating tip and a hole defined within the metal frame.

Example 136-The staple cartridge assembly according to Example 135, wherein each staple further comprises an absorbent polymer coated on a metal frame, wherein the absorbent polymer does not cover all parts of the metal frame.

Example 137-The staple cartridge assembly according to Example 135, wherein each staple further comprises an absorbent polymer coated on a metal frame and the absorbent polymer is not positioned in the pores.

Example 138-The staple cartridge assembly according to Example 135, wherein each staple further comprises an absorbent polymer coated on a metal frame, the absorbent polymer being located in the pores.

Example 139-The staple cartridge assembly according to Example 135, wherein each staple further comprises an absorbent polymer coated on a metal frame and the pores are filled with the absorbent polymer.

Example 140-A staple cartridge assembly for stapling tissue, with a cartridge body containing proximal ends, distal ends, and multiple staple cavities, and multiple staples located within the staple cavities. Each staple is a base, a foot extending from the base, a foot including a tip in which the leg is configured to penetrate tissue, a foot extending from the base, and a staple. A launching member that is configured to eject from a staple cavity, and the launching member is mistaken before ejecting any staple that is misoriented within the staple cavity of the staple from the staple cavity. A staple cartridge assembly with a staple that includes a launcher that is configured to contact the foot of any staple oriented in the direction.

Example 141-A launch slope configured such that the launch member contacts the base of the staple and ejects the staple out of the staple cavity, and the foot of the staple if the staple is misoriented. The staple cartridge assembly according to Example 140, which includes an aligned inclined surface that is configured to come into contact with.

Example 142-The launch member is aligned with the launch slope and is configured to receive the base of the staple. The launch channel is aligned with the alignment tilt surface. The staple according to Example 140 or 141, further comprising an alignment channel that is a alignment channel that is configured to receive the foot of the staple when the alignment channel is properly oriented. Cartridge assembly.

Example 143-The alignment slope extends distally to the launch slope so that the alignment slope can contact the foot of the staple before the launch slope contacts the base of the staple. An existing staple cartridge assembly according to embodiment 141 or 142.

Example 144-The staple cartridge assembly according to Example 140, 141, 142, or 143, wherein the foot of the staple is located proximal to the base of the staple.

Example 140, 141, 142, 143, or 144, wherein the launching member is not configured to contact the foot of the staple when the staple is properly oriented within the staple cavity. Staple cartridge assembly.

Example 146-A staple cartridge assembly for stapling tissue, comprising a cartridge body comprising a proximal end, a distal end, and a plurality of staple cavities, each staple cavity having an upper opening. Staple cartridge assembly, including proximal wall, and distal wall. The staple cartridge assembly further comprises a firing member and a plurality of staples located within the staple cavity, each staple having a base, a proximal leg extending from the base, and a distal leg extending from the base. Containing a portion and a center of mass defined within the base, the distal wall provides the distal reaction force to the staple above the center of mass, and the proximal wall is proximal to the staple below the center of mass. Providing force, the staples are lifted towards the upper opening by the launching member. The staple cartridge assembly further comprises a launching member that is configured to eject the staples from the staple cavity and launches any staple that is misoriented within the staple cavity before ejecting it from the staple cavity. The member is configured to contact the foot of any staple oriented in the wrong direction.

Example 147-The staple cartridge assembly according to Example 146, wherein the base defines the drive plane and the proximal and distal legs are not present in the drive plane.

Example 148-The staple cartridge assembly according to Example 146 or 147, wherein the proximal and distal legs are laterally offset from the center of mass of the staple.

Example 149-Staple cartridge assembly according to Example 146, 147, or 148, wherein the distal wall exerts a distal reaction force on the distal leg and the proximal wall exerts a proximal reaction force on the proximal leg. ..

Example 150-The staple cartridge assembly according to Example 147, wherein the proximal leg extends to the first side of the drive plane and the distal leg extends to the second side of the drive plane.

Example 151-Example 146, 147, 148, 149, or 150, wherein the base is defined within the base and comprises a notch configured to shift the center of mass of the staple towards the side of the staple cavity. Staple cartridge assembly as described in.

Example 152-A staple cartridge assembly comprising a cartridge body comprising a proximal end, a distal end, and a plurality of staple cavities. A staple cartridge assembly is a plurality of staples located within a staple cavity, each staple comprising a base defining a drive plane and legs extending from the base, the legs extending to the sides of the drive plane. Multiple staples, a launching member configured to eject the staples out of the staple cavity, and to reduce the rotation of the staples in the staple cavity as the launching member drives the staples out of the staple cavity. Further provided with means.

Example 153-A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge is detachably housed in a cartridge body, multiple staple cavities, and multiple staple cavities. Each staple has a staple base defining a first plane, a mass center located within the staple base, a first staple leg extending from the staple base, and extending from the staple base. Including the existing second staple leg, the first staple leg and the second staple leg define a second plane that is offset and at least substantially parallel to the first plane. , Surgical staple cartridge.

Example 154-The surgical staple cartridge according to Example 153, wherein the first staple leg and the second staple leg are configured to be molded towards the staple base.

Example 155-Surgical staple cartridge according to Example 153 or 154, wherein the staple base comprises a compressed surface comprising a contour configured to limit tissue compression.

Example 156-The surgical staple cartridge according to Example 153, 154, or 155, wherein the staple base comprises a bottom surface and the first staple leg further comprises an engaging foot raised above the bottom surface.

Example 157-Example 153, 154, 155, or example, wherein the staple base comprises an inner wall and an upper surface, and the inner wall and the upper surface include a notch configured to tilt the staple base toward the staple leg. 156. The surgical staple cartridge.

Example 158-The surgical staple cartridge according to Example 153, 154, 155, 156, or 157, wherein the first staple leg extends higher than the second staple leg.

Example 159-The surgical staple cartridge according to Example 153, 154, 155, 156, 157, or 158, wherein the staple base comprises a rectangular cross-sectional profile.

Example 160-Surgical use according to Example 153, 154, 155, 156, 157, 158, or 159, wherein the first staple leg and the second staple leg include a substantially circular cross-sectional profile. Staple cartridge.

Example 161-Surgical use according to Example 153, 154, 155, 156, 157, 158, 159, or 160, wherein the first staple leg and the second staple leg include imprinted corners. Staple cartridge.

Example 162-The first staple leg is proximal to the second staple leg, the staple base includes the distal wall, and the distal wall is proximal to the second leg. , 153, 154, 155, 156, 157, 158, 159, 160, or 161 of the surgical staple cartridge.

Examples 163-First staple legs include a first height and second staple legs include a second height different from the first height, Examples 153, 154, 155, 156. The surgical staple cartridge according to 157, 158, 159, 160, 161 or 162.

Example 164-The first staple leg and the second staple leg each include a staple tip that is configured to be molded against the corresponding molding pocket of the anvil, with the corresponding molding pocket forming a valley. 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, or 163, wherein the valley is configured to feed the staple tip towards the molded surface, including the surface. Surgical staple cartridge.

Example 165-A first staple leg and a second staple leg are configured to form into a corresponding molding pocket, the corresponding molding pocket directing the first staple leg in a first direction. 153, 154, wherein the first staple is formed in the second direction and the first direction is opposite to the second direction and at least partially parallel to the second direction. , 155, 156, 157, 158, 159, 160, 161., 162, 163, or 164. Surgical staple cartridge.

Example 166-The surgical staple cartridge according to Example 165, wherein the first direction is away from the staple base and the second direction is towards the staple base.

Example 167-A first staple leg and a second staple leg are configured to form into a corresponding molding pocket, the corresponding molding pocket having a first curvature of the first staple leg. Examples 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, which are configured to form in the direction and form the second staple leg in the second curved direction. The surgical staple cartridge according to 164, 165, or 166.

Example 168-A staple base defining a first plane, a first staple leg extending at least substantially perpendicular to the staple base, and a second staple extending at least substantially perpendicular to the staple base. A surgical staple that comprises a staple leg, the first staple leg and the second staple leg defining a second plane, and the first and second planes intersecting.

Example 169-Surgical staple cartridge, according to Examples 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, or 168. Surgical staple cartridge with multiple surgical staples, with surgical staples arranged in multiple woven rows.

Example 170-The surgical staple according to Example 168 or 169, wherein the staples are configured to form an S-shaped configuration.

Example 171-Staple base including a bottom surface defining a bottom plane, a mass center located within the staple base, and a staple leg extending from the staple base and offset from the staple base and at least substantially parallel to the staple base. A first staple leg and a second staple leg defining a plane, including an engaging foot in which the first staple leg is lifted onto a bottom plane. A surgical staple with a second staple leg.

Example 172. The surgical staple according to Example 171 in which the engaging foot is laterally offset with respect to the staple base.

Example 173-A surgical staple cartridge for use with a surgical stapler including an anvil for stapling tissue, wherein the anvil contains multiple molding pockets and the surgical staple cartridge is with the cartridge body. , A staple having a plurality of staple cavities and a plurality of staples detachably housed in the staple cavity, each staple including a base and a staple leg extending from the base, and a staple leg including a puncture portion. The puncture portion, including the tip, is configured to pierce the tissue and deform with respect to the molded pocket of the anvil, and the puncture portion is configured to deform into a staple configuration so that the puncture tip is separated from the tissue. There are surgical staple cartridges.

Example 174. The surgical staple cartridge according to Example 173, wherein the nested configuration comprises a hook configuration that is configured to prevent the surgical staples from being drawn into the tissue.

Example 175-The surgical staple cartridge according to Example 173 or 174, wherein the puncture tip further comprises a notch configured to receive the puncture site when the puncture site is deformed.

Example 176-The surgical staple cartridge according to Example 175, wherein the notch is concave.

Example 177-Each staple comprises another staple leg extending from the base, another staple leg comprises another staple tip including another notch, and the notch and another notch include each other. The surgical staple cartridge according to Example 175 or 176, facing each other.

Example 178-The surgical staple cartridge according to Example 173, 174, 175, 176, or 177, further comprising a curled surface in which the staple tip is configured to ride against the corresponding molded pocket of the anvil.

Example 179-Each staple comprises another staple leg, the staple leg and another staple leg define a first plane, the staple base defines a second plane, the first plane and the first 173. The surgical staple cartridge according to Example 173, 174, 175, 176, 177, or 178, wherein the planes of the two are laterally offset from each other.

Example 180-Surgical staples for use with surgical staples, including anvils, where the anvils include molded pockets and the surgical staples have staple bases and staple legs extending from the staple bases. Including, the staple leg includes the staple tip, the staple tip includes a puncture tip configured to come into contact with the molding pocket to deform the staple leg, and a notch, the puncture tip is the staple tip. Surgical staples that are configured to curl towards the notch when in contact with the molded pocket, as if in a non-puncture configuration.

Example 180. The surgical staple according to Example 180, wherein the non-puncture configuration comprises a hook configuration that is configured to prevent the surgical staple from being drawn into the tissue.

Example 182. The surgical staple according to Example 180 or 181, wherein the notch is configured to receive the puncture tip when the staple tip is deformed.

Example 183-The surgical staple according to Example 180, 181 or 182, wherein the notch is concave.

Example 184. The surgical staple according to Example 180, 181, 182, or 183, wherein the staple tip further comprises a deformable surface that is configured to form into an anvil molding pocket.

Example 185-A surgical staple cartridge for use with a surgical stapler, including anvil, wherein the surgical staple cartridge is detachably housed in a cartridge body, multiple staple cavities, and staple cavities. Each staple contains a staple base and a staple leg extending from the base, the staple leg including a staple tip containing a circular profile and a puncture portion. Surgical staple cartridge.

Example 186-The surgical staple cartridge according to Example 185, wherein the circular profile has been achieved by a cold working process.

Example 187-The surgical staple cartridge according to Example 185 or 186, comprising a portion where the staple tip is imprinted.

Example 188-The surgical staple cartridge according to Example 185, 186, or 187, wherein the staple tip further comprises a deformable surface that is configured to form into an anvil molding pocket.

Example 189-The surgical staple cartridge according to Example 185, 186, 187, or 188, wherein the staple tip comprises a first hardness and the staple leg comprises a second hardness that is different from the first hardness.

Example 190-The surgical staple cartridge according to Example 189, wherein the first hardness is higher than the second hardness.

Example 191-A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge is detachably housed in a cartridge body, a plurality of staple cavities, and a staple cavity. With a plurality of staples, each staple contains a staple base and a pair of staple legs extending from the staple base, each staple leg contains a staple tip, and the staple legs have a first hardness. A surgical staple cartridge comprising a first zone comprising, and a staple tip comprising a second zone comprising a second hardness different from the first hardness.

Example 192-The surgical staple cartridge according to Example 191 in which the second hardness is higher than the first hardness.

Example 193-The surgical staple cartridge according to Example 191 in which the second hardness is lower than the first hardness.

Example 194. The surgical staple cartridge according to Example 191, 192, or 193, wherein the staple base comprises a first hardness and a third zone containing a third hardness different from the second hardness.

Example 195-Surgical staple cartridge according to Example 191, 192, 193, or 194, wherein the staple legs include corners imprinted with a first hardness.

Example 196-The surgical staple cartridge of Example 195, wherein the corners provide a preferred flexion plane.

Example 197-In Examples 191, 192, 193, 194, 195, or 196, where the first zone contains a first ductility and the second zone contains a second ductility lower than the first ductility. Described surgical staple cartridge.

Example 198-A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge comprises a cartridge body, a plurality of staple cavities, and the like.
A plurality of staples detachably housed in a staple cavity, each staple having a staple base, a pair of staple legs extending from the staple base, a first zone containing a first hardness, and a first zone. A surgical staple cartridge comprising a second zone containing a second hardness that is different from the first hardness.

Example 199-described in Example 198, wherein the first zone is cured using a first method and the second zone is cured using a second method different from the first method. Surgical staple cartridge.

Example 200-The surgical staple cartridge according to Example 198, wherein only one of the first and second zones is cured by a curing method.

Example 201-Each staple further comprises a bend between the staple leg and the staple base, the bend comprises a first zone, and the staple base comprises a second zone, Examples 198, 199, Or the surgical staple cartridge according to 200.

Example 202-The surgical staple cartridge according to Example 198, 199, 200, or 201, wherein the staple base comprises a first zone and the staple legs comprise a second zone.

Example 203-The staple legs are not cured and the staple bases are cured so that the staple legs are facilitated to take a molded configuration and the staple bases are configured to avoid plastic deformation. The surgical staple cartridge according to Example 198, 199, 200, 201, or 202.

Example 204-Each staple leg includes a transition portion extending from the staple base and a vertical leg extending from the transition portion, the staple base includes a first zone, and the vertical leg includes a second zone. 198, 199, 200, 201, 202, or 203 of Examples 198, 199, 200, 201, 202, or 203.

Example 205-Surgical staples in a non-launched configuration A surgical staple that is configured to be detachably housed in a cartridge, wherein the surgical staple contains a non-uniform hardness profile and the staple is the first. Includes a first zone with a hardness of 1 and a second zone with a second hardness, the first zone is cured to the first hardness when the staples are in the pre-fill configuration, and the staples are pre-filled. Surgical staples where the second zone is cured to a second hardness when in the configuration.

Example 206-A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge is detachably housed in a cartridge body, a plurality of staple cavities, and a staple cavity. A staple base and a plurality of bends extending from the staple base, comprising a plurality of staples, each staple being a staple base, the staple base defining a first zone having a first hardness. A third hardness in which the bent portion defines a second zone containing the second hardness, a bent portion and a staple leg portion extending from the bent portion, and each staple leg portion has a different hardness from the first hardness. A surgical staple cartridge that includes a staple leg that defines a third zone that includes.

Example 207-The surgical staple cartridge according to Example 206, wherein the first hardness is higher than the third hardness.

Example 208-The surgical staple cartridge according to Example 206, wherein the first hardness is higher than the second and third hardnesses.

Example 209-The surgical staple cartridge according to Example 206, 207, or 208, wherein each staple leg comprises a staple tip defining a fourth zone containing a fourth hardness lower than a third hardness.

Example 210-A surgical staple cartridge for use with a surgical staple fastener, the surgical staple cartridge being removable within a thread, cartridge body, multiple staple cavities, and staple cavities. Containing a strip of staples contained, the strips of staples include a plurality of staples and a strip and a plurality of connector portions that bond the staples to the strip, the connector portion being configured to eject the staples from the strip. Surgical staple cartridge.

Example 211-The surgical staple cartridge according to Example 210, wherein each connector portion comprises a cut that is configured to facilitate separation of the staple from the strip.

Example 212-Surgical Example 210, wherein each connector portion comprises a cut that is configured to facilitate separation of the staple strip from the staple strip when the staple strip is filled into the cartridge body. Staple cartridge.

213-Surgical Example 210 or 211, wherein the thread is configured to separate the plurality of staples from the strip by breaking the connector portion as the thread is translated through the staple cartridge. Staple cartridge.

Example 214-Including a pair of outwardly urged staple legs, each staple being configured to engage the cartridge body and keep the staple strips within the surgical staple cartridge, Example 210, 211, 212, or 213. The surgical staple cartridge.

Example 215-Surgical staple cartridge according to Example 210, 211, 212, 213, or 214, wherein the cartridge body comprises a bottom and strips of staples are configured to fill the bottom of the cartridge body. ..

Example 216-A plurality of staples are arranged in the first and second rows, and strips are joined to the staples in the first and second rows, Examples 210, 211, 212, 213, 214, or 215. The surgical staple cartridge.

Example 217-Example 210, wherein the plurality of staples comprises a first group of staples having a first configuration and a second group of staples having a second configuration different from the first configuration. 211, 212, 213, 214, 215, or 216. Surgical staple cartridge.

218-The surgical staple cartridge according to Example 210, 211, 212, 213, 214, 215, 216, or 217, wherein the connector portion comprises a peened portion.

219-Surgical staple cartridge according to Example 210, 211, 212, 213, 214, 215, 216, 217, or 218, wherein the thread comprises a striking portion configured to break the connector portion. ..

Example 220-Examples 210, 211, 212, 213, 214, 215, 216, wherein the staple comprises a chamfered surface that is configured to engage the thread as it is translated through the cartridge body. 217, 218, or 219. Surgical staple cartridge.

Examples 210, 211, 212, 213, 214, 215, 216, wherein the 221-strip comprises an alignment feature configured to engage a corresponding alignment feature on the cartridge body. 217, 218, 219, or 220. The surgical staple cartridge.

Example 222-A surgical staple cartridge for use with a surgical staple fastening device, wherein the surgical staple cartridge is detachably housed in the cartridge body, a plurality of staple cavities, and the cartridge body. A strip of staples, the staple strip containing a strip of staples containing multiple staples, and a strip and a plurality of connector portions connecting the staples to the strip, for the connector portion to eject the staples from the strip. Surgical staple cartridges that are engageable and have metal staples, strips, and connector parts.

Example 223-A plurality of staples comprising a first plurality of staples including a first crown width and a second plurality of staples containing a second crown width different from the first crown width. The surgical staple cartridge according to Example 222.

Example 224-A plurality of staples include a first group of staples that include staple legs that define a first height and staple legs that define a second height that is different from the first height. The surgical staple cartridge according to Example 222 or 223, comprising a second group of staples.

Example 225-The surgical staple cartridge according to Example 222, wherein the staple strip comprises a uniform composition.

22. The surgical staple according to Example 222, 223, 224, or 225, wherein the 226-strip comprises an alignment feature configured to engage a corresponding alignment feature on the cartridge body. cartridge.

Example 227-The strip of the second staple further comprises a plurality of second staples, a second strip, and a plurality of second connector portions that join the second staple to the second strip. , A plurality of staples are arranged in a plurality of columns defining a first column spacing, a plurality of second staples are arranged in a plurality of second columns defining a second column spacing, and a first 22. The surgical staple cartridge according to Example 222, 223, 224, 225, or 226, wherein the row spacing and the second row spacing are different.

Example 228-A metal strip of surgical staples configured for use with a surgical staple cartridge, wherein the metal strip of surgical staples combines a plurality of staples, a ribbon, and staples with a ribbon. Metal strips of surgical staples, including multiple connector pieces and let.

Example 229-A metal strip of surgical staples according to Example 228, wherein the connector portion comprises a cut notch.

Example 230-A surgical staple cartridge for use with a circular stapler, wherein the surgical staple cartridge is removable within the cartridge body, a plurality of staple cavities defined within the cartridge body, and the staple cavity. A first staple comprising a plurality of staples housed in, wherein the plurality of staples is an inner row of staples containing the amount of the first staple, each first staple defining a width of the first staple crown. The inner row of staples, including the staple crown, and the middle row of staples positioned radially outward with respect to the inner row of staples, each of which contains the amount of second staple. The second staple is the middle row of staples, including the second staple crown defining the width of the second staple crown, and the outer row of staples located radially outward with respect to the middle row of staples. The outer row of staples comprises the amount of the third staple, and each third staple comprises the outer row of staples, including the third staple crown defining the width of the third staple crown, the first. One of the staple crown width, the second staple crown width, and the third staple crown width is different from the first staple crown width, the second staple crown width, and the third staple crown width. Surgical staple cartridge that is different from the staple crown width of.

231-Surgery according to Example 230, wherein the inner row of staples defines a plurality of first gaps between the first staples, and the second staple in the middle row of staples overlaps the first gap. Staple cartridge for.

Example 232-The middle row of staples defines a plurality of second gaps between the second staples, the second gap is larger than the first gap, and the third staple in the outer row of staples is second. 231. The surgical staple cartridge according to Example 231, which overlaps the gap between the two.

233-The surgical staple cartridge according to Example 231 or 232, wherein the third staple in the outer row of staples also overlaps the first gap.

Example 234-The inner row of staples defines the plurality of first gaps between the first staples, the middle row of staples defines the plurality of second gaps between the second staples, and the second 230. The surgical staple cartridge according to Example 230, wherein the staples overlap the first gap, and the first gap and the second gap are at least substantially equal.

An inner row of embodiments 235-staples defines a plurality of first gaps between the first staples, an intermediate row of staples defines a plurality of second gaps between the second staples, each first. The surgical staple cartridge according to Example 230, wherein the gap of 1 defines a first distance, and each second gap defines a second distance that is smaller than the first distance.

Example 236-The surgical staple cartridge according to Example 230, 231, 232, 233, 234, or 235, wherein the first staple crown width is smaller than the second staple crown width.

Example 237-The surgical staple cartridge according to Example 230, 231, 232, 233, 234, or 235, wherein the first staple crown width is at least substantially equal to the second staple crown width.

Example 238-Surgery according to Example 230, 231, 232, 233, 234, 235, 236, or 237, wherein the third staple crown width is greater than the first staple crown width and the second staple crown width. Staple cartridge for.

Example 239-A surgical staple cartridge for use with a circular stapler, wherein the surgical staple cartridge is removable within the cartridge body, a plurality of staple cavities defined within the cartridge body, and the staple cavity. With a plurality of staples housed in, the plurality of staples is an inner row of staples containing a first amount of the first staple, each first staple defining a width of the first staple crown. The inner row of staples, including the first staple crown, and the middle row of staples positioned radially outward with respect to the inner row of staples, with the middle row of staples being the second staple of the second staple. Each second staple was positioned radially outward with respect to the middle row of staples and the middle row of staples, including the second staple crown defining the width of the second staple crown. Staples that are outer rows of staples, wherein the outer row of staples contains a third amount of third staple, and each third staple contains a third staple crown that defines the width of the third staple crown. One of the first staple crown width, the second staple crown width, and the third staple crown width includes the first staple crown width, the second staple crown width, and the third staple crown width. Unlike another staple crown width of the three staple crown widths, one of the first, second, and third quantities is the first, second, and second. A surgical staple cartridge that differs from another of the three quantities.

Example 240-The surgical staple cartridge according to Example 239, wherein the second amount is less than the first amount.

Example 241-2 The surgical staple cartridge according to Example 239 or 240, wherein the second amount is less than the third amount.

Example 242 The surgical staple cartridge according to Example 239, 240, or 241 in which the plurality of staple cavities comprises a plurality of non-uniform cavity extensions.

Example 243-In Example 239, 240, 241 or 242, each first staple in the inner row of staples comprises a pair of staple legs extending radially outward from each first staple crown. Described surgical staple cartridge.

Example 239, 240, 241, 242, or Example 239, 240, 241, 242, or example, wherein each second staple in the middle row of staples comprises a pair of staple legs extending radially inward from each second staple crown. 243. Surgical staple cartridge.

Examples 239, 240, 241, 242, 243, each third staple in the outer row of the 245-staple comprises a pair of staple legs extending radially inward from each third staple crown. , Or the surgical staple cartridge according to 244.

Example 246-A surgical staple cartridge for use with a surgical stapler, wherein the surgical staple cartridge is removed into the cartridge body, a plurality of staple cavities defined within the cartridge body, and into the staple cavities. With a plurality of staples optionally housed, the plurality of staples is an inner row of staples containing a first amount of the first staple, each first staple having a first staple crown width. An inner row of staples, including a demarcating first staple crown, and an intermediate row of staples positioned outward with respect to the inner row of staples, with the intermediate row of staples being the second staple of the second staple. The middle row of staples, each containing the amount, each second staple contains a second staple crown defining the width of the second staple crown, and the outside of the staples positioned outward with respect to the middle row of staples. Outer row of staples, wherein the outer row of staples contains a third amount of third staple, and each third staple contains a third staple crown that defines the width of the third staple crown. One of the first staple crown width, the second staple crown width, and the third staple crown width includes the first staple crown width, the second staple crown width, and the third staple. Another staple of the crown width A surgical staple cartridge that is different from the crown width.

Example 247-One of the first, second, and third quantities is different from the first, second, and third quantities. 246. The surgical staple cartridge.

Example 248-The surgical staple cartridge according to Example 246, wherein the first and second amounts are equal.

Example 249-The inner row of staples defines the plurality of first gaps between the first staples, the intermediate row of staples defines the plurality of second gaps between the second staples, each first. The surgical staple cartridge according to Example 246, 247, or 248, wherein one gap defines a first distance, and each second gap defines a second distance that is less than the first distance.

The entire contents of the following disclosure are incorporated herein by reference. That is,
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U.S. Patent Application Publication No. 2010/0264194 filed on April 22, 2010, the title of the invention "SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR", now U.S. Patent No. 8,308,040.

Although various embodiments of the device have been described herein in connection with certain disclosed embodiments, many modifications and modifications can be made to those embodiments. Also, although the material is disclosed for a particular component, other materials may be used. Further, according to various embodiments, a single component may be replaced by a plurality of components, or a plurality of components may be replaced by a single component in order to perform a given function. .. The above description and the following claims are intended to include all such amendments and changes.

The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be used multiple times. However, in either case, the device can be readjusted for reuse after at least one use. The readjustment can include any combination of a device disassembly step, followed by a particular part cleaning or replacement step, and a subsequent reassembly step. In particular, the device is disassembleable and any number of specific parts or parts of the device can be selectively replaced or removed in any combination. After cleaning and / or replacing certain parts, the device can be reassembled by the surgical team at a readjustment facility or shortly before a surgical procedure for later use. Those skilled in the art will appreciate that readjustment of the device can utilize a variety of techniques for disassembly, cleaning / replacement, and reassembly. The use of such techniques and the resulting readjusted devices are all within the scope of the present invention.

As a mere example, the embodiments described herein may be processed prior to surgery. First, new or used utensils may be obtained and cleaned as needed. The instrument can then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic bag or TYVEK bag. The vessels and instruments can then be placed in a radiation field that can penetrate the vessel, such as gamma rays, X-rays, or high energy electrons. Radiation can kill bacteria on instruments and in containers. After this, the sterilized instrument can be stored in a sterilized container. The sealed container can keep the instrument sterile until it is opened in a medical facility. The device can also be sterilized using any other technique known in the art, including but not limited to beta or gamma rays, ethylene oxide, hydrogen peroxide plasma, or water vapor.

Although the present invention has been described as having a representative design, the present invention may be further modified within the spirit and scope of the present disclosure. Accordingly, this application shall include any modification, use, or adaptation of the invention that uses its general principles.

Any patent, publication or other disclosure allegedly incorporated herein by reference, in whole or in part, will be incorporated in an existing definition, description, or other disclosure. It is incorporated herein only to the extent that it is consistent with the disclosure of. As such, and to the extent necessary, the disclosures expressly set forth herein shall supersede any contradictory statements incorporated herein by reference. Any document, or portion thereof, that is incorporated herein by reference but is inconsistent with existing definitions, descriptions, or other disclosed documents described herein is in reference and existing. It shall be incorporated only to the extent that there is no contradiction with the disclosed content.

[Implementation mode]
(1) A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge is
Cartridge body and
With multiple staple cavities,
A plurality of staples, which are detachably housed in the staple cavity, are provided, and each staple is composed of a staple.
With the staple base defining the first plane,
The center of mass located in the staple base and
A first staple leg extending from the staple base and
With a second staple leg extending from the staple base, the first staple leg and the second staple leg are offset with respect to the first plane and are at least substantially parallel. A surgical staple cartridge that defines a second plane that is.
(2) The surgical staple cartridge according to the first embodiment, wherein the first staple leg portion and the second staple leg portion are formed so as to be formed toward the staple base portion.
(3) The surgical staple cartridge according to embodiment 1, wherein the staple base comprises a compressed surface comprising a contour configured to limit tissue compression.
(4) The surgical staple cartridge according to the first embodiment, wherein the staple base includes a bottom surface, and the first staple leg further includes an engaging foot portion lifted above the bottom surface.
(5) The first embodiment, wherein the staple base includes an inner wall and an upper surface, and the inner wall and the upper surface include a notch formed so that the staple base is tilted toward the staple leg. Surgical staple cartridge.

(6) The surgical staple cartridge according to the first embodiment, wherein the first staple leg extends higher than the second staple leg.
(7) The surgical staple cartridge according to embodiment 1, wherein the staple base includes a rectangular cross-sectional profile.
(8) The surgical staple cartridge according to embodiment 7, wherein the first staple leg and the second staple leg include a substantially circular cross-sectional profile.
(9) The surgical staple cartridge according to the seventh embodiment, wherein the first staple leg and the second staple leg include a stamped corner portion.
(10) The first staple leg is proximal to the second staple leg, the staple base includes a distal wall, and the distal wall is relative to the second staple leg. The surgical staple cartridge according to embodiment 1, which is proximal to the surgical staple cartridge.

(11) The surgery according to embodiment 1, wherein the first staple leg includes a first height, and the second staple leg includes a second height different from the first height. Staple cartridge for.
(12) The first staple leg and the second staple leg each include a staple tip configured to be molded with respect to the corresponding molding pocket of the anvil, and the corresponding molding pocket valleys. The surgical staple cartridge according to embodiment 1, wherein the valley comprises and a molded surface and is configured to feed the staple tip toward the molded surface.
(13) The first staple leg portion and the second staple leg portion are configured to be molded with respect to the corresponding molding pocket, and the corresponding molding pocket makes the first staple leg portion the first. It is configured to be molded in one direction and the second staple legs in the second direction, with the first direction opposite to and at least substantially parallel to the second direction. , The surgical staple cartridge according to the first embodiment.
(14) The surgical staple cartridge according to embodiment 13, wherein the first direction is directed away from the staple base and the second direction is directed toward the staple base.
(15) The first staple leg portion and the second staple leg portion are configured to be molded with respect to the corresponding molding pocket, and the corresponding molding pocket forms the first staple leg portion with the first staple. The surgical staple cartridge according to the first embodiment, which is formed so as to be molded in the bending direction of 1 and the second staple leg portion is molded in the second bending direction.

(16) Surgical staples
With the staple base defining the first plane,
A first staple leg extending at least substantially perpendicular to the staple base,
A second staple leg that extends at least substantially vertically from the staple base, the first staple leg and the second staple leg defining a second plane, said first. A surgical staple in which one plane and the second plane intersect.
(17) Surgical staple cartridge
A surgical staple cartridge comprising a plurality of the surgical staples according to embodiment 16 in which the surgical staples are arranged in a plurality of woven rows.
(18) The surgical staple according to embodiment 16, wherein the staple is configured to form an S-shaped configuration.
(19) Surgical staples
A staple base that includes a bottom surface that defines the bottom plane,
The center of mass located in the staple base and
A first staple leg and a second staple leg that extend from the staple base and define a staple leg plane that is offset and at least substantially parallel to the staple base, the first. Surgical staples, including a first staple leg and a second staple leg, wherein the staple legs include an engaging foot that is lifted onto the bottom plane.
(20) The surgical staple according to embodiment 19, wherein the engaging foot is laterally offset with respect to the staple base.

Claims (13)

A surgical staple cartridge for use with a surgical staple fastener, wherein the surgical staple cartridge is:
Cartridge body and
With multiple staple cavities,
A plurality of staples detachably housed in the staple cavity, each of which is from a staple base, a staple leg, and a transition portion extending from the staple base to the staple leg. It is composed and
Each staple has a center of mass located within the staple base and defines an X-axis, a Y-axis, and a Z-axis extending from the center of mass.
The staple base defines a first plane formed between the X-axis and the Z-axis.
The staple base includes an upwardly oriented first surface on the Z axis, a downwardly oriented second surface on the Z axis, a positively oriented third surface on the Y axis, and said. With a fourth surface facing in the negative direction on the Y axis,
The staple legs
The first staple leg and
A second staple leg that is distal to the first staple leg in the X-axis and a second staple leg .
Including
The first staple leg faces a positively oriented first surface on the Y axis, a negatively oriented second surface on the Y axis, and proximally on the X axis. It has a third surface and a fourth surface facing distally on the X axis.
The second staple leg faces a positively oriented first surface on the Y-axis, a negatively oriented second surface on the Y-axis, and distally on the X-axis. It has a third surface and a fourth surface facing proximally on the X axis.
The transition part is
A first transition portion extending from the front Symbol staple base to said first staple leg,
A second transition portion extending from the front Symbol staple base to said second staple leg,
Including
The first staple leg and the second staple leg define a second plane that is offset in the negative direction on the Y axis and is at least substantially parallel to the first plane.
It said first transition portion extends upwardly in the negative direction, and the Z-axis in the Y-axis from the first surface of the staple base to said first surface of said first staple legs A second extending from the first transition surface and the third surface of the staple base to the third surface of the first staple leg in a proximal direction on the X axis and in a negative direction on the Y axis. Has 2 transition surfaces,
It said second transition portion extends upwardly in the negative direction, and the Z-axis in the Y-axis from the first surface of the staple base to said first surface of said second staple legs a first transition surface, extends into the negative direction of the distal in the third of the X-axis to the front surface of the second staple legs from said third surface of the staple base and the Y-axis a second transition surface, that having a surgical staple cartridge. The surgical staple cartridge according to claim 1, wherein the first staple leg portion and the second staple leg portion are configured to be formed toward the staple base portion. The surgical staple cartridge according to claim 1, wherein the staple base comprises a compressed surface comprising a contour configured to limit tissue compression. First staple leg before Symbol further includes an engagement leg portion raised above the second surface of the staple base, surgical staple cartridge of claim 1. The surgical staple cartridge according to claim 1, wherein the first staple leg extends higher than the second staple leg. The surgical staple cartridge according to claim 1, wherein the staple base comprises a rectangular cross-sectional profile. The surgical staple cartridge according to claim 6, wherein the first staple leg and the second staple leg each include an imprinted corner. Before SL comprises staple base is the distal wall, said distal wall is proximal to the second staple legs, surgical staple cartridge of claim 1. The surgical staple cartridge according to claim 1, wherein the first staple leg includes a first height, and the second staple leg comprises a second height different from the first height. .. The first staple leg and the second staple leg each include a staple tip configured to be molded against the corresponding molding pocket of the anvil, the corresponding molding pocket having a valley and a molding surface. The surgical staple cartridge according to claim 1, wherein the valley is configured to feed the staple tip toward the molded surface. The first staple leg and the second staple leg are configured to form into a corresponding molding pocket, the corresponding molding pocket directing the first staple leg in a first direction. The second staple leg is formed in a second direction, and the first direction is opposite to the second direction and at least substantially parallel to the second direction. The surgical staple cartridge according to 1. The surgical staple cartridge according to claim 11, wherein the first direction is directed away from the staple base and the second direction is directed toward the staple base. The first staple leg and the second staple leg are configured to form into a corresponding molding pocket, the corresponding molding pocket having a first curvature of the first staple leg. The surgical staple cartridge according to claim 1, wherein the staple cartridge is formed in a direction and the second staple leg portion is formed in a second bending direction.

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