IP Library Granted Patent US 8,679,156
Granted Patent B2
US 8,679,156 · App. 13/222,758 · Granted Mar 25, 2014

Adjustable compression staple and method for stapling with adjustable compression

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Quick Facts
Patent No.
US 8,679,156
App. No.
13/222,758
Granted
Mar 25, 2014
Kind
B2
Abstract

A method for applying and maintaining optimal tissue compression with a staple includes piercing tissue with deformable distal ends of staple legs, each distal end defining a stapling point shaped to pierce material, the two staple legs coupled to each other at base ends thereof by a bridge and together forming a substantially U-shaped staple body. The two staple legs enter the tissue until the tissue applies a compressive force to a compression device disposed at least partly between the two staple legs. The compression device has a compression surface movably disposed between the two staple legs and a compression resistor that is connected to the bridge and to the compression surface and operable to resist movement of the compression surface towards the bridge with a force. The two staple legs are deformed to maintain the compressive force between the tissue and the compression device.

Claims (67)

1. A method for applying and maintaining optimal tissue compression with a staple, the method comprising:

piercing tissue with deformable distal ends of two staple legs, each distal end defining a stapling point shaped to pierce material to be stapled, the two staple legs coupled to each other at base ends thereof by a bridge, the two staple legs and the bridge forming a substantially U-shaped staple body;

causing the two staple legs to enter the tissue until the tissue applies a pre-set compressive force within an optimal tissue compression range to a compression device disposed at least partly between the two staple legs, the compression device having:

a compression surface movably disposed with respect to the bridge; and

a compression resistor:

connected to the compression surface; and

being formed to resist movement of the compression surface towards the bridge with a force;

deforming the two staple legs to maintain at least some of the compressive force between the tissue and the compression device;

absorbing forces greater than the pre-set force with the compression resistor; and

maintaining the pre-set compressive force to the tissue within the optimal tissue compression range throughout a state change of the tissue.

2. The method according to claim 1 , wherein the deforming step comprises:

bending the stapling points toward one another, thereby compressing the tissue between the compression surface and the stapling points; and

maintaining, with the compression resistor, the pre-set compressive force on the tissue within the optimal tissue compression range independent of a distance between the stapling points and the bridge.

3. The method according to claim 1 , which further comprises:

causing the tissue to change from a first state to a second state, a thickness of the tissue in the first state being different from a thickness of the tissue in the second state; and

applying, with the compression device, the pre-set compressive force to the tissue in both the first state and the second state.

4. The method according to claim 1 , which further comprises:

desiccating the tissue with the compression device; and

substantially maintaining the pre-set compressive force on the tissue after the desiccating step.

5. The method according to claim 1 , wherein the deforming step comprises bending the distal ends of the two staple legs, thereby defining a central compression region between the compression surface and the two staple legs.

6. The method according to claim 5 , wherein the bending step comprises bending the distal ends of the two staple legs in a staple-closing direction into the central compression region, the compression resistor resisting movement of the compression surface in the staple-closing direction with a pre-set compressive force within the optimal tissue compression range.

7. The method according to claim 1 , wherein the deforming step comprises compressing the tissue between the compression surface and the stapling points.

8. The method according to claim 1 , wherein:

the bridge is substantially rod-shaped with bridge ends; and

the base end of each of the two staple legs is integral with a respective one of the bridge ends.

9. The method according to claim 1 , wherein:

the bridge and the two staple legs define a bridge-leg plane;

the two staple legs extend from the bridge at an angle of between 80 and 100 degrees in the bridge-leg plane; and

the distal ends are capable of bending to approximately 180 degrees in the bridge-leg plane.

10. The method according to claim 1 , wherein:

the compression surface defines two orifices; and

each of the two staple legs extends through one of the two orifices.

11. The method according to claim 1 , wherein:

the compression resistor defines at least one orifice pair;

the compression surface defines two orifices; and

each of the two staple legs extends through one of the two orifices and one of the at least one orifice pair.

12. The method according to claim 1 , wherein the compression surface is parallel to the bridge.

13. The method according to claim 1 , wherein:

the bridge and the two staple legs define a compression axis; and

the compression surface is movably disposed between the two staple legs along the compression axis.

14. The method according to claim 1 , wherein the bridge, the two staple legs, the compression resistor, and the compression surface are integral.

15. The method according to claim 1 , wherein the compression resistor is separate from the bridge and fixed to the bridge between the two staple legs.

16. The method according to claim 1 , wherein the compression resistor is disposed between the bridge and the compression surface.

17. The method according to claim 1 , wherein the compression resistor is operable to resist movement of the compression surface towards the bridge with one of:

a substantially constant force; and

a linearly increasing force.

18. The method according to claim 1 , wherein the compression resistor has an anti-compressive spring constant imparting a substantially constant anti-compressive force over the optimal tissue compression range.

19. The method according to claim 1 , wherein the compression surface and the compression resistor are operable to impart the pre-set compressive force upon material disposed between the compression surface and the stapling points when the stapling points are deformed.

20. The method according to claim 1 , wherein:

the bridge and the two staple legs define a bridge-leg plane; and

the compression resistor is one of:

sinusoidal in the bridge-leg plane; and

double-sinusoidal in the bridge-leg plane.

21. The method according to claim 1 , wherein:

the compression surface is a C-beam defining two orifices;

the compression resistor is one of:

a conical spring with a lower end connected to the compression surface;

a pair of springs each surrounding a portion of a respective one of the two staple legs and each having a lower end connected to the compression surface; and

a pair of springs each having an upper end connected to the bridge and a lower end connected to the compression surface; and

each of the two staple legs slidably rests within a respective one of the two orifices.

22. A method of stapling tissue during a surgical procedure, the method comprising:

inserting leg portions of a substantially U-shaped surgical staple into tissue;

deforming the leg portions, thereby compressing a portion of the tissue between piercing ends of the leg portions and a compression surface disposed between the tissue and a bridge portion coupling the leg portions to each other;

applying a pre-set compressive force within an optimal tissue compression range to the tissue with a compression resistor at least partly disposed between the compression surface and the bridge portion; and

maintaining, with the compression surface and the compression resistor, the pre-set compressive force throughout a state change of the tissue.

23. A method for applying a compression-self-adjusting staple to tissue, the method comprising:

inserting leg portions of a substantially U-shaped surgical staple into the tissue, the staple having an internal compression device at least partly disposed between the leg portions, the compression device being operable to place a pre-set compressive force within an optimal tissue compression range against material stapled therein throughout a state change of the tissue independent of a magnitude of staple firing force, the substantially constant compressive force being applied in a substantially longitudinal direction of an unbent section of the leg portions.

Assignments (5)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 27, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056601/0339 →
CHANGE OF NAME Recorded Feb 28, 2017
From: ETHICON ENDO-SURGERY, LLC
To: ETHICON LLC
Reel/Frame 041825/0651 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 28, 2015
From: ETHICON ENDO-SURGERY, INC.
To: ETHICON ENDO-SURGERY, LLC
Reel/Frame 037161/0710 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Dec 8, 2011
From: SYNTHEON, LLC
To: ETHICON ENDO-SURGERY, INC.
Reel/Frame 027353/0970 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 24, 2011
From: SMITH, KEVIN W.; PALMER, MATTHEW A.; KLINE, KOREY; DEVILLE, DEREK DEE
To: SYNTHEON, LLC
Reel/Frame 027109/0146 →