Varying tissue compression aided by elastic members
View Patent ↗The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus including a first jaw having proximal and distal ends and including an anvil member, the anvil member extending along a longitudinal axis and including a tissue contacting surface and a second jaw having proximal and distal ends movably coupled to the first jaw, the second jaw including a cartridge member and a channel. The surgical fastener applying apparatus further includes a pair of elastic members positioned between the cartridge member and the channel of the second jaw, the pair of elastic members configured and dimensioned to apply and maintain constant compressive forces to tissue regardless of tissue thickness.
1. A surgical fastener applying apparatus, comprising:
a first jaw having proximal and distal ends and including an anvil member, the anvil member extending along a longitudinal axis and including a tissue contacting surface;
a second jaw having proximal and distal ends movably coupled to the first jaw, the second jaw including a cartridge member and a channel; and
a pair of elastic members positioned between the cartridge member and the channel of the second jaw, the pair of elastic members configured and dimensioned to apply compressive forces to tissue according to the tissue thickness.
2. The surgical fastener applying apparatus of claim 1 , wherein the elastic members are configured and dimensioned such that longitudinal relative movement between the cartridge member and the channel is fully restricted.
3. The surgical fastener applying apparatus of claim 1 , wherein the elastic members are configured and dimensioned such that transversal movement between the cartridge member and the channel is permitted.
4. The surgical fastener applying apparatus of claim 3 , wherein the transversal movement is determined by a size of the cartridge member and the channel.
5. The surgical fastener applying apparatus of claim 1 , wherein when the first jaw and the second jaw are in an opened position, the pair of elastic members maintain the cartridge member separate from the channel defined by the second jaw.
6. The surgical fastener applying apparatus of claim 1 , wherein when the first jaw and the second jaw are in a closed position, the pair of elastic members are compressed to create a tissue gap proportional to a generated clamping force.
7. The surgical fastener applying apparatus of claim 6 , wherein a staple formation resulting from the closed position is independent of tissue formation and depends on the channel defined by the second jaw, one or more pushers, and a knife's I-beam configuration.
8. The surgical fastener applying apparatus of claim 1 , further including a plurality of surgical fasteners positioned within the cartridge member, each surgical fastener having a substantially equivalent height.
9. The surgical fastener applying apparatus of claim 1 , wherein the pair of elastic members are formed of a substantially resilient material to support layers of tissue positioned between the first and second jaws.
10. The surgical fastener applying apparatus of claim 1 , wherein the pair of elastic members are fixedly secured to the cartridge member.
11. The surgical fastener applying apparatus of claim 1 , wherein the pair of elastic members are releasably secured to the cartridge member.
12. The surgical fastener applying apparatus of claim 1 , wherein the pair of elastic members are parallel to each other and extend a portion of a length of the cartridge member and the channel.
13. The surgical fastener applying apparatus of claim 1 , wherein the pair of elastic members are positioned on an outer edge of the cartridge member and the channel.