JP7362626B2 - 編み組織スキャフォールド - Google Patents
編み組織スキャフォールド Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
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- D—TEXTILES; PAPER
- D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
- D04B—KNITTING
- D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
- D04B21/20—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes specially adapted for knitting articles of particular configuration
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- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/041—Mixtures of macromolecular compounds
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
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- A—HUMAN NECESSITIES
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
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- A61L31/148—Materials at least partially resorbable by the body
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
- B29C70/00—Shaping composites, i.e. plastics material comprising reinforcements, fillers or preformed parts, e.g. inserts
- B29C70/04—Shaping composites, i.e. plastics material comprising reinforcements, fillers or preformed parts, e.g. inserts comprising reinforcements only, e.g. self-reinforcing plastics
- B29C70/06—Fibrous reinforcements only
- B29C70/10—Fibrous reinforcements only characterised by the structure of fibrous reinforcements, e.g. hollow fibres
- B29C70/16—Fibrous reinforcements only characterised by the structure of fibrous reinforcements, e.g. hollow fibres using fibres of substantial or continuous length
- B29C70/24—Fibrous reinforcements only characterised by the structure of fibrous reinforcements, e.g. hollow fibres using fibres of substantial or continuous length oriented in at least three directions forming a three dimensional structure
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- D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
- D04B—KNITTING
- D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
- D04B21/14—Fabrics characterised by the incorporation by knitting, in one or more thread, fleece, or fabric layers, of reinforcing, binding, or decorative threads; Fabrics incorporating small auxiliary elements, e.g. for decorative purposes
- D04B21/16—Fabrics characterised by the incorporation by knitting, in one or more thread, fleece, or fabric layers, of reinforcing, binding, or decorative threads; Fabrics incorporating small auxiliary elements, e.g. for decorative purposes incorporating synthetic threads
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- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
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- D—TEXTILES; PAPER
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- D10B2331/04—Fibres made from polymers obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polycondensation products polyesters, e.g. polyethylene terephthalate [PET]
- D10B2331/041—Fibres made from polymers obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polycondensation products polyesters, e.g. polyethylene terephthalate [PET] derived from hydroxy-carboxylic acids, e.g. lactones
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- D10B2403/021—Lofty fabric with equidistantly spaced front and back plies, e.g. spacer fabrics
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Description
2つの編み層を有する試料と、それらの間に位置決めされた支持層を有するサンプルを調製した。2つの編み層はそれぞれ、バイクリル繊維(バイクリルのマルチフィラメント繊維)から形成され、支持層は、ポリジオキサノン(PDS)繊維(PDSのモノフィラメント繊維)から形成されたが、これらの詳細は以下の表1に提供される。
実施例1で調製した試料スキャフォールドを、ヘマトキシリン及びエオシン染色(H&E)染色を注射したウサギに、90日間を限度として皮下に埋め込んだ。60日目に除去された埋め込みスキャフォールドの組織病理学画像を図10A~図10Bに示し、90日目に除去された埋め込みスキャフォールドの組織病理学画像を図11A~図11Bに示す。これらの画像に示される白い楕円/円は、垂直又はわずかにオフのいずれかで切断されたスキャフォールドの繊維である。示されるように、黒い箱は、埋め込み中に組織内方成長が生じたスキャフォールドのいくつかの一部を示す。更に、繊維の周囲の炎症性領域に向いている図10B及び11B中の矢印は、治療の炎症段階の目安である。
(1) 外科用ステープルカートリッジで使用するためのスキャフォールドの製造方法であって、前記方法が、
第1のポリマーの繊維を含む第1の編み層を形成することであって、前記第1の編み層はカートリッジデッキと嵌合するように構成されている、第1の編み層を形成することと、
前記第1のポリマー繊維を含む第2の編み層を形成することと、
前記第1の編み層及び第2の編み層を離間した平行関係で一緒に接続するように、スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせることであって、前記スペーサ繊維は、前記第1のポリマーとは異なる第2のポリマーのみから形成され、前記スペーサ繊維は、前記第1の編み層及び前記第2の編み層と一体化され、かつ前記第1の編み層と前記第2の編み層との間に延在している、スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせることと、を含み、
前記第1のポリマー繊維が、前記第2のポリマー繊維の直径とは異なる直径を有する、方法。
(2) 前記第1のポリマー繊維がマルチフィラメント繊維であり、前記第2のポリマー繊維がモノフィラメント繊維である、実施態様1に記載の方法。
(3) 前記スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせる前記工程が、前記第1の編み層と前記第2の編み層との間に支持層を形成する、実施態様1に記載の方法。
(4) 前記第1の編み層及び前記第2の編み層内に開口部が存在し、空隙が前記支持層内に存在し、前記空隙が前記開口部よりも大きい、実施態様3に記載の方法。
(5) 前記第1の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維を編むことを含む、実施態様1に記載の方法。
(7) 前記第1のポリマー繊維が第1の速度で分解するように構成されており、前記第2のポリマー繊維が、前記第1の速度とは異なる第2の速度で分解するように構成されている、実施態様1に記載の方法。
(8) 前記第1の編み層が、第3のポリマーの繊維を更に含み、前記第1の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維及び前記第3のポリマー繊維を編むことを含む、実施態様1に記載の方法。
(9) 前記第3のポリマー繊維が、前記第1のポリマー繊維の分解速度よりも速い速度で分解するように構成されている、実施態様8に記載の方法。
(10) 前記第3のポリマー繊維が、前記第2のポリマー繊維の分解速度よりも速い速度で分解するように構成されている、実施態様8に記載の方法。
(12) 前記第2の編み層が、第3のポリマーの繊維を更に含み、前記第2の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維及び前記第3のポリマー繊維を編むことを含む、実施態様1に記載の方法。
(13) 前記スペーサ繊維と編み合わせられた前記第1の編み層及び前記第2の編み層をアニーリングすることを更に含む、実施態様1に記載の方法。
(14) 前記第1ポリマー繊維が第1のガラス転移温度を有し、前記第2ポリマー繊維が、前記第1のガラス転移温度未満である第2のガラス転移温度を有する、実施態様1に記載の方法。
(15) 外科用器具で使用するためのステープルカートリッジ組立体の製造方法であって、前記方法が、
カートリッジデッキを加熱することと、
前記カートリッジデッキの表面に対して、編まれた弾性変形可能な生体吸収性スキャフォールドを位置決めすることと、を含み、前記スキャフォールドが、
第1の種類の繊維及び第2の種類の繊維をそれぞれ有する第1の編み層及び第2の編み層であって、前記第1の種類の繊維が主に存在し、前記第1の種類の繊維が第1のガラス転移温度を有し、前記第2の種類の繊維が、前記第1のガラス転移温度未満である第2のガラス転移温度を有する、第1の編み層及び第2の編み層と、
前記第1の編み層と前記第2の編み層との間に配置された支持層であって、前記支持層は前記第2の種類の繊維で形成されている、支持層と、を備え、
前記カートリッジデッキは、少なくとも前記第2のガラス転移温度の温度まで加熱される、方法。
(17) 前記第1のガラス転移温度が、前記第2のガラス転移温度より少なくとも約30℃高い、実施態様15に記載の方法。
(18) 前記カートリッジデッキが複数のステープルを含み、各ステープルが、前記カートリッジデッキの前記表面から部分的に延在している、実施態様15に記載の方法。
(19) 前記スキャフォールドを前記カートリッジデッキの前記表面に対して前記位置決めすることが、前記第1の編み層を前記表面に対して配置することと、前記第1の編み層が前記表面の形状に接合して適合するように前記スキャフォールドに力を加えることと、を含む、実施態様15に記載の方法。
(20) 前記カートリッジデッキの前記表面が、前記カートリッジデッキへの前記スキャフォールドの取り付けを強化するように構成されている1つ以上の取り付け機構を備える、実施態様15に記載の方法。
Claims (13)
- 外科用ステープルカートリッジで使用するためのスキャフォールドの製造方法であって、前記方法が、
第1のポリマー繊維を含む第1の編み層を形成することであって、前記第1の編み層はカートリッジデッキと嵌合するように構成されている、第1の編み層を形成することと、
前記第1のポリマー繊維を含む第2の編み層を形成することと、
前記第1の編み層及び前記第2の編み層を離間した平行関係で一緒に接続するように、スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせることであって、前記スペーサ繊維は、前記第1のポリマー繊維とは異なる第2のポリマー繊維のみから形成され、前記スペーサ繊維は、前記第1の編み層及び前記第2の編み層と一体化され、かつ前記第1の編み層と前記第2の編み層との間に延在している、スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせることと、を含み、
前記第1のポリマー繊維が、前記第2のポリマー繊維の直径とは異なる直径を有し、
前記第1のポリマー繊維が第1のガラス転移温度を有し、前記第2のポリマー繊維が、前記第1のガラス転移温度未満である第2のガラス転移温度を有し、
前記第1のガラス転移温度が、前記第2のガラス転移温度より少なくとも30℃高い、方法。 - 前記第1のポリマー繊維がマルチフィラメント繊維であり、前記第2のポリマー繊維がモノフィラメント繊維である、請求項1に記載の方法。
- 前記スペーサ繊維を前記第1の編み層及び前記第2の編み層と編み合わせることが、前記第1の編み層と前記第2の編み層との間に支持層を形成することを含む、請求項1に記載の方法。
- 前記第1の編み層及び前記第2の編み層内に開口部が存在し、空隙が前記支持層内に存在し、前記空隙が前記開口部よりも大きい、請求項3に記載の方法。
- 前記第1の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維を編むことを含む、請求項1に記載の方法。
- 前記第1の編み層が、ステープルのクラウン部の幅の1/4未満のサイズをそれぞれ有する開口部を有する、請求項1に記載の方法。
- 前記第1のポリマー繊維が第1の速度で分解するように構成されており、前記第2のポリマー繊維が、前記第1の速度とは異なる第2の速度で分解するように構成されている、請求項1に記載の方法。
- 前記第1の編み層が、第3のポリマー繊維を更に含み、前記第1の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維及び前記第3のポリマー繊維を編むことを含む、請求項1に記載の方法。
- 前記第3のポリマー繊維が、前記第1のポリマー繊維の分解速度よりも速い速度で分解するように構成されている、請求項8に記載の方法。
- 前記第3のポリマー繊維が、前記第2のポリマー繊維の分解速度よりも速い速度で分解するように構成されている、請求項8に記載の方法。
- 前記第2の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維を編むことを含む、請求項1に記載の方法。
- 前記第2の編み層が、第3のポリマー繊維を更に含み、前記第2の編み層の前記形成が、所定のパターンに従って前記第1のポリマー繊維及び前記第3のポリマー繊維を編むことを含む、請求項1に記載の方法。
- 前記スペーサ繊維と編み合わせられた前記第1の編み層及び前記第2の編み層をアニーリングすることを更に含む、請求項1に記載の方法。
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Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
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US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
USD885574S1 (en) * | 2018-02-21 | 2020-05-26 | Ethicon Llc | Knitted tissue scaffold |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20170086837A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgey, LLC | Compressible adjunct with crossing spacer fibers |
US20170086836A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Implantable layer comprising a constricted configuration |
Family Cites Families (109)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
USD297764S (en) | 1985-12-18 | 1988-09-20 | Ethicon, Inc. | Surgical staple cartridge |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
US5181923A (en) | 1990-03-26 | 1993-01-26 | United States Surgical Corporation | Spiroid braided suture |
US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
US5700583A (en) | 1995-03-06 | 1997-12-23 | Ethicon, Inc. | Hydrogels of absorbable polyoxaesters containing amines or amido groups |
US5698213A (en) | 1995-03-06 | 1997-12-16 | Ethicon, Inc. | Hydrogels of absorbable polyoxaesters |
US6147135A (en) | 1998-12-31 | 2000-11-14 | Ethicon, Inc. | Fabrication of biocompatible polymeric composites |
US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
US7192604B2 (en) | 2000-12-22 | 2007-03-20 | Ethicon, Inc. | Implantable biodegradable devices for musculoskeletal repair or regeneration |
US6736823B2 (en) | 2002-05-10 | 2004-05-18 | C.R. Bard, Inc. | Prosthetic repair fabric |
ES2327768T3 (es) | 2002-06-17 | 2009-11-03 | Tyco Healthcare Group Lp | Estruturas anulares de soporte. |
US20050059997A1 (en) | 2003-09-17 | 2005-03-17 | Bauman Ann M. | Circular stapler buttress |
US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US7143924B2 (en) | 2004-02-17 | 2006-12-05 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US20080140115A1 (en) | 2004-08-17 | 2008-06-12 | Stopek Joshua B | Stapling Support Structures |
JP5133061B2 (ja) | 2004-10-20 | 2013-01-30 | エシコン・インコーポレイテッド | 強化された吸収性複層の止血用創傷手当て用品および製造方法 |
CN101137402B (zh) | 2004-10-20 | 2012-01-11 | 伊西康公司 | 供医疗装置用的加固可吸收多层织物及其制备方法 |
US7772352B2 (en) | 2005-01-28 | 2010-08-10 | Bezwada Biomedical Llc | Bioabsorbable and biocompatible polyurethanes and polyamides for medical devices |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
US20070260273A1 (en) | 2006-05-08 | 2007-11-08 | Ethicon Endo-Surgery, Inc. | Endoscopic Translumenal Surgical Systems |
US20080003913A1 (en) | 2006-06-29 | 2008-01-03 | Kenneth Douglas Vinson | Nonwoven fibrous structure comprising a multifilament fiber |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
EP3087929B1 (en) | 2007-03-06 | 2020-04-29 | Covidien LP | Surgical stapling apparatus |
US20090001130A1 (en) | 2007-03-15 | 2009-01-01 | Hess Christopher J | Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets |
EP1972352B1 (en) | 2007-03-23 | 2011-08-10 | Stryker Trauma GmbH | Implantation device, method for producing and for applying the same |
US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
US9615826B2 (en) | 2010-09-30 | 2017-04-11 | Ethicon Endo-Surgery, Llc | Multiple thickness implantable layers for surgical stapling devices |
US20090234193A1 (en) | 2008-03-13 | 2009-09-17 | Ethicon Endo-Surgery, Inc. | Apparatus for keeping clean a distal scope end of a medical viewing scope |
US20090270686A1 (en) | 2008-04-29 | 2009-10-29 | Ethicon Endo-Surgery, Inc. | Methods and devices for maintaining visibility during surgical procedures |
GB2471815A (en) | 2008-05-21 | 2011-01-12 | Cook Biotech Inc | Devices and methods for applying bolster materials to surgical fastening apparatus |
US20100023056A1 (en) | 2008-07-23 | 2010-01-28 | Guided Delivery Systems Inc. | Tether-anchor assemblies |
US20130317526A1 (en) | 2008-12-15 | 2013-11-28 | Allergan, Inc. | Silk medical device |
US9693772B2 (en) | 2009-10-15 | 2017-07-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US9510925B2 (en) | 2010-02-02 | 2016-12-06 | Covidien Lp | Surgical meshes |
EP2561834B1 (en) | 2010-04-21 | 2015-10-14 | Yasuo Shikinami | Standalone biomimetic artificial intervertebral disc |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US20120080336A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9277919B2 (en) | 2010-09-30 | 2016-03-08 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising fibers to produce a resilient load |
US10405854B2 (en) | 2010-09-30 | 2019-09-10 | Ethicon Llc | Surgical stapling cartridge with layer retention features |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9084602B2 (en) | 2011-01-26 | 2015-07-21 | Covidien Lp | Buttress film with hemostatic action for surgical stapling apparatus |
US8584920B2 (en) | 2011-11-04 | 2013-11-19 | Covidien Lp | Surgical stapling apparatus including releasable buttress |
US20150328062A9 (en) * | 2011-11-10 | 2015-11-19 | Covidien Lp | Hydrophilic medical devices |
CN104334096B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括多个胶囊剂的组织厚度补偿件 |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
RU2644272C2 (ru) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Узел ограничения, включающий компенсатор толщины ткани |
AU2013294557B2 (en) | 2012-07-24 | 2017-05-25 | Omrix Biopharmaceuticals Ltd. | Device and method for the application of a curable fluid composition to a bodily organ |
US9445808B2 (en) | 2012-12-11 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Electrosurgical end effector with tissue tacking features |
US20140224857A1 (en) | 2013-02-08 | 2014-08-14 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a compressible portion |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9352071B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon, Inc. | Method of forming an implantable device |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US20150099098A1 (en) | 2013-10-08 | 2015-04-09 | Concrete Canvas Ltd. | Composite textile |
US20150099410A1 (en) | 2013-10-08 | 2015-04-09 | Concrete Canvas Ltd. | Composite textile |
US10112268B2 (en) | 2013-10-09 | 2018-10-30 | Hobart Brothers Company | Systems and methods for corrosion-resistant welding electrodes |
US10456129B2 (en) | 2013-11-08 | 2019-10-29 | Ethicon Llc | Positively charged implantable materials and method of forming the same |
US9936950B2 (en) | 2013-11-08 | 2018-04-10 | Ethicon Llc | Hybrid adjunct materials for use in surgical stapling |
US20150134076A1 (en) | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Hybrid adjunct materials for use in surgical stapling |
US20150134077A1 (en) | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Sealing materials for use in surgical stapling |
US9700311B2 (en) | 2013-11-08 | 2017-07-11 | Ethicon Llc | Tissue ingrowth materials and method of using the same |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
US10206686B2 (en) | 2014-06-10 | 2019-02-19 | Ethicon Llc | Bronchus sealants and methods of sealing bronchial tubes |
US9848871B2 (en) | 2014-06-10 | 2017-12-26 | Ethicon Llc | Woven and fibrous materials for reinforcing a staple line |
US9826965B2 (en) | 2014-06-10 | 2017-11-28 | Ethicon Llc | Devices for sealing a body lumen |
US9801630B2 (en) | 2014-06-10 | 2017-10-31 | Ethicon Llc | Methods and devices for reinforcing a staple line |
US20150351753A1 (en) | 2014-06-10 | 2015-12-10 | Ethicon Endo-Surgery, Inc. | Methods and Devices for Reinforcing a Staple Line |
US9924946B2 (en) | 2014-06-10 | 2018-03-27 | Ethicon Llc | Devices and methods for sealing staples in tissue |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
JP6286063B2 (ja) | 2014-10-24 | 2018-02-28 | 上海金塔医用器材有限公司Gemtier Medical(Shanghai) Inc. | 使い捨て針刺し防止静脈輸液用穿刺針 |
US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
US10433845B2 (en) | 2015-08-26 | 2019-10-08 | Ethicon Llc | Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading |
US10130738B2 (en) | 2015-08-31 | 2018-11-20 | Ethicon Llc | Adjunct material to promote tissue growth |
US10076329B2 (en) | 2015-08-31 | 2018-09-18 | Ethicon Llc | Adjunct material to promote tissue growth in a colon |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10085745B2 (en) | 2015-10-29 | 2018-10-02 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
US10238388B2 (en) * | 2015-10-29 | 2019-03-26 | Ethicon Llc | Surgical stapler buttress assembly with humidity tolerant adhesive |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11026686B2 (en) | 2016-11-08 | 2021-06-08 | Covidien Lp | Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument |
US11202632B2 (en) | 2017-02-17 | 2021-12-21 | Cilag Gmbh International | Adjunct material with mating features |
USD836198S1 (en) | 2017-02-17 | 2018-12-18 | Ethicon Llc | Staple cartridge for a surgical stapler |
US10716564B2 (en) | 2017-02-17 | 2020-07-21 | Ethicon Llc | Stapling adjunct attachment |
US10368868B2 (en) | 2017-03-09 | 2019-08-06 | Covidien Lp | Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument |
US11172928B2 (en) | 2017-08-29 | 2021-11-16 | Cilag Gmbh International | Endocutter control system |
USD831209S1 (en) | 2017-09-14 | 2018-10-16 | Ethicon Llc | Surgical stapler cartridge |
USD885574S1 (en) | 2018-02-21 | 2020-05-26 | Ethicon Llc | Knitted tissue scaffold |
US10959721B2 (en) | 2018-02-21 | 2021-03-30 | Ethicon Llc | Three dimensional adjuncts |
US10982360B2 (en) | 2018-02-21 | 2021-04-20 | Ethicon Llc | Knitted tissue scaffolds |
US11504115B2 (en) | 2018-02-21 | 2022-11-22 | Cilag Gmbh International | Three dimensional adjuncts |
US11497494B2 (en) | 2020-06-30 | 2022-11-15 | Cilag Gmbh International | Surgical stapler cartridge retainer with ejector feature |
US11446027B2 (en) | 2020-11-25 | 2022-09-20 | Cilag Gmbh International | Compressible knitted adjuncts with surface features |
US11707279B2 (en) | 2020-11-25 | 2023-07-25 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
US11648007B2 (en) | 2020-11-25 | 2023-05-16 | Cilag Gmbh International | Compressible knitted adjuncts with varying fiber features |
US11678883B2 (en) | 2020-11-25 | 2023-06-20 | Cilag Gmbh International | Compressible knitted adjuncts with varying interconnections |
US11690617B2 (en) | 2020-11-25 | 2023-07-04 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
-
2019
- 2019-01-21 JP JP2020544187A patent/JP7362626B2/ja active Active
- 2019-01-21 CN CN201980027043.XA patent/CN112040884A/zh active Pending
- 2019-01-21 BR BR112020016895-5A patent/BR112020016895A2/pt unknown
-
2022
- 2022-10-14 US US17/966,024 patent/US11708652B2/en active Active
-
2023
- 2023-02-07 JP JP2023016723A patent/JP2023055914A/ja active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20170086837A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgey, LLC | Compressible adjunct with crossing spacer fibers |
US20170086836A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Implantable layer comprising a constricted configuration |
US20170086843A1 (en) | 2015-09-30 | 2017-03-30 | Ethicon Endo-Surgery, Llc | Compressible adjunct with attachment regions |
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