Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument
A method is disclosed for altering an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer comprised at least partially from a material including a glass transition temperature and a melting temperature, wherein the implantable layer includes a first shape, heating the material to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the implantable layer to a second shape different than the first shape, allowing the material to cool below the glass transition temperature, and releasing the implantable layer.
1. A method for altering a tissue thickness compensator for use with a surgical instrument, said method comprising the steps of:
obtaining a tissue thickness compensator comprised at least partially from a material including a glass transition temperature and a melting temperature, wherein said tissue thickness compensator comprises a first shape;
heating said material to a temperature higher than said glass transition temperature and lower than said melting temperature;
applying a modifying member to a tissue-facing side of said tissue thickness compensator;
manipulating said tissue thickness compensator with said modifying member to a second shape different than said first shape by inducing a localized change in a portion of said tissue thickness compensator in contact with said modifying member;
allowing said material to cool below said glass transition temperature; and
releasing said modifying member from said portion of said tissue thickness compensator.
2. The method of claim 1 , wherein said step of obtaining said tissue thickness compensator comprises the steps of:
obtaining a biocompatible polymer comprising a glass transition temperature and a melting temperature;
dissolving said biocompatible polymer in a solvent to produce a solution; and
lyophilizing said solution.
3. The method of claim 1 , wherein said step of manipulating said tissue thickness compensator comprises applying at least one compressive force to said tissue thickness compensator.
4. The method of claim 1 , wherein said step of manipulating said tissue thickness compensator comprises applying at least one tensile force to said tissue thickness compensator.
5. The method of claim 1 , further comprising the step of actively cooling said manipulated tissue thickness compensator below said glass transition temperature.
6. A customized tissue thickness compensator for use with a surgical stapler, wherein said customized tissue thickness compensator is prepared by a process comprising the steps of:
obtaining a tissue thickness compensator comprising a first shape;
transitioning at least a portion of said tissue thickness compensator from an original state to a glassy state;
applying a modifying member to a tissue-facing side of said tissue thickness compensator;
manipulating said at least a portion of said tissue thickness compensator with said modifying member to a second shape by inducing a localized change in a portion of said tissue thickness compensator in contact with said modifying member;
allowing said at least a portion of said tissue thickness compensator to return from said glassy state to a non-glassy state; and
releasing said modifying member from said at least a portion of said tissue thickness compensator.
7. The customized tissue thickness compensator of claim 6 , wherein said step of obtaining said tissue thickness compensator comprises the steps of:
obtaining a biocompatible polymer comprising a glass transition temperature and a melting temperature;
dissolving said biocompatible polymer in a solvent to produce a solution; and
lyophilizing said solution.
8. The customized tissue thickness compensator of claim 6 , wherein said step of manipulating said at least a portion of said tissue thickness compensator comprises applying at least one compressive force to said at least a portion of said tissue thickness compensator.
9. The customized tissue thickness compensator of claim 6 , wherein said step of manipulating said at least a portion of said tissue thickness compensator comprises applying at least one tensile force to said at least a portion of said tissue thickness compensator.
10. The customized tissue thickness compensator of claim 6 , wherein said process comprises the step of actively cooling said at least a portion of said tissue thickness compensator to remove said at least a portion of said tissue thickness compensator from said glassy state to said non-glassy state.
11. The customized tissue thickness compensator of claim 6 , wherein said process comprises the step of maintaining said manipulation of said at least a portion of said tissue thickness compensator for a period of time sufficient to permit said at least a portion of said tissue thickness compensator to maintain said manipulation.
12. The method of claim 1 , wherein said second shape has a greater density than said first shape.
13. The customized tissue thickness compensator of claim 6 , wherein the density of said second shape of said tissue thickness compensator is greater than the density of the first shape of said tissue thickness compensator.