Variable compression surgical fastener apparatus
A surgical fastener applying apparatus includes an anvil section and a cartridge section, where the cartridge section and the anvil section are movable from an unclamped position to a clamped position. The cartridge section has a plurality of retention slots, a plurality of first surgical fasteners and a plurality of second surgical fasteners. The plurality of first surgical fasteners has a first backspan with a first configuration and the plurality of second surgical fasteners has a second backspan with a second different configuration. In addition, when the first configuration applies a first compressive force to tissue and the second configuration applies a second different compressive force to tissue.
1. A surgical fastener applying apparatus comprising:
a fastener assembly including an anvil section and a cartridge section, at least one of the cartridge section and the anvil section being movable from an unclamped position to a clamped position to clamp tissue therebetween, the cartridge section having a tissue contacting surface with a plurality of retention slots formed therein, the cartridge section and the anvil section defining a longitudinal axis;
a plurality of surgical fasteners retained within the cartridge section, each surgical fastener of the plurality of surgical fasteners disposed within a corresponding retention slot of the plurality of retention slots;
a plurality of pushers positioned within the cartridge section, at least one pusher of the plurality of pushers being arranged to form a recess in a backspan of at least one surgical fastener of the plurality of surgical fasteners; and
an actuation member movable through the cartridge section and engagable with the plurality of pushers.
2. The surgical fastener applying apparatus according to claim 1 , wherein the plurality of pushers includes a plurality of first pushers and a plurality of second pushers positioned within the cartridge section and the plurality of surgical fasteners includes a plurality of first surgical fasteners and a plurality of second surgical fasteners, the plurality of first pushers corresponding to the plurality of first surgical fasteners and the plurality of second pushers corresponding to the plurality of second surgical fasteners.
3. The surgical fastener applying apparatus according to claim 2 , wherein the plurality of first pushers is configured and dimensioned to deform the plurality of first surgical fasteners from an initial configuration into a subsequent configuration, the plurality of second pushers being configured and dimensioned to deform the plurality of second surgical fasteners from an initial configuration into a subsequent configuration.
4. The surgical fastener applying apparatus according to claim 3 , wherein the plurality of first surgical fasteners and the plurality of second surgical fasteners have backspans, at least some pushers of the plurality of first pushers and the plurality of second pushers deforming the backspans of respective surgical fasteners.
5. The surgical fastener applying apparatus according to claim 3 , wherein the plurality of second pushers is configured and dimensioned to form a second recess in a backspan of at least one surgical fastener of the plurality of second surgical fasteners to define the subsequent configuration.
6. The surgical fastener applying apparatus according to claim 1 , wherein the plurality of retention slots of the cartridge section includes a first inner row of retention slots and a first outer row of retention slots.
7. The surgical fastener applying apparatus according to claim 2 , wherein the plurality of first pushers and the plurality of second pushers each include a first pusher element and a second pusher element.
8. The surgical fastener applying apparatus according to claim 7 , wherein the first pusher element is configured and dimensioned to receive the second pusher element such that the second pusher element is movable through the first pusher element.
9. The surgical fastener applying apparatus according to claim 8 , wherein the second pusher element forms a recess in a backspan of a respective surgical fastener.
10. The surgical fastener applying apparatus according to claim 1 , wherein the plurality of pushers and the plurality of surgical fasteners are arranged in rows, and wherein the cartridge section defines a knife slot, each pusher of the plurality of pushers adjacent the knife slot being arranged to form a recess in a backspan of a respective surgical fastener of the plurality of surgical fasteners so that the surgical fasteners of the plurality of surgical fasteners adjacent the knife slot have a smaller formed size than the other surgical fasteners of the plurality of surgical fasteners.
11. The surgical fastener applying apparatus according to claim 1 , wherein the plurality of retention slots has an elongate shape and extend transversely with respect to the longitudinal axis.