Multiple thickness implantable layers for surgical stapling devices
A staple cartridge assembly includes a stepped staple cartridge deck and an implantable layer, such as a tissue thickness compensator and/or a buttress material, for example, positioned thereon. The layer can include a first portion positioned over a first deck surface of the multi-step staple cartridge and a second portion positioned over a second deck surface of the multi-step staple cartridge. The first portion includes a first tissue-contacting surface and the second portion includes a second tissue-contacting surface, wherein the first tissue-contacting surface is vertically offset from the second tissue-contacting surface.
1. A surgical stapling assembly, comprising:
a first jaw;
a second jaw movable relative to said first jaw between an unclamped position and a clamped position;
an anvil comprising a longitudinal row of first forming pockets, a longitudinal row of second forming pockets, and a longitudinal row of third forming pockets; and
a staple cartridge assembly releasably attachable to one of said first jaw and said second jaw, wherein said staple cartridge assembly comprises:
a cartridge body, comprising:
a longitudinal slot;
a first deck surface positioned on a first side of said longitudinal slot;
a second deck surface positioned on said first side of said longitudinal slot, wherein said second deck surface is closer to said longitudinal slot than said first deck surface, and wherein said second deck surface extends above said first deck surface;
a third deck surface positioned on said first side of said longitudinal slot, wherein said third deck surface extends above said second deck surface, and wherein said third deck surface is positioned adjacent said longitudinal slot;
a longitudinal row of first staple cavities defined in said first deck surface, wherein said first forming pockets are positioned relative to said first staple cavities when said second jaw is in said clamped position;
a longitudinal row of second staple cavities defined in said second deck surface, wherein said second forming pockets are positioned relative to said second staple cavities when said second jaw is in said clamped position; and
a longitudinal row of third staple cavities defined in said third deck surface, wherein said third forming pockets are positioned relative to said third staple cavities when said second jaw is in said clamped position;
a plurality of first staple drivers positioned in said first staple cavities, wherein each said first staple driver is movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle, and wherein a first distance is defined between each said first support cradle and a said first forming pocket when said first staple drivers are in said unfired position;
a plurality of second staple drivers positioned in said second staple cavities, wherein each said second staple driver is movable between an unfired position and a fired position, wherein each said second staple driver comprises a second support cradle, wherein a second distance is defined between each said second support cradle and a said second forming pocket when said second staple drivers are in said unfired position;
a plurality of third staple drivers positioned in said third staple cavities, wherein each said third staple driver is movable between an unfired position and a fired position, wherein each said third staple driver comprises a third support cradle, wherein a third distance is defined between each said third support cradle and a said third forming pocket when said third staple drivers are in said unfired position, wherein said first distance is greater than said second distance, and wherein said second distance is greater than said third distance;
staples removably stored in said staple cavities;
a sled configured to engage said staple drivers during a firing stroke;
a proximal attachment member;
a distal attachment member; and
an implantable layer, wherein said proximal attachment member and said distal attachment member attach said implantable layer to said cartridge body prior to the installation of said staple cartridge assembly into said surgical stapling assembly, wherein said implantable layer comprises:
a first portion positioned over said first deck surface;
a second portion positioned over said second deck surface; and
a third portion positioned over said third deck surface, wherein said first portion and said second portion are positioned below said third portion when said implantable layer is attached to said cartridge body.
2. A surgical stapling assembly, comprising:
a first jaw;
a second jaw movable relative to said first jaw between an unclamped position and a clamped position;
an anvil comprising forming pockets defined in a tissue support surface; and
a staple cartridge assembly releasably attachable to one of said first jaw and said second jaw, wherein said staple cartridge assembly comprises:
a cartridge body, comprising:
a longitudinal slot;
a first deck surface positioned on a first side of said longitudinal slot;
a second deck surface positioned on said first side of said longitudinal slot, wherein said second deck surface is closer to said longitudinal slot than said first deck surface, and wherein said second deck surface extends above said first deck surface;
a third deck surface positioned on said first side of said longitudinal slot, wherein said third deck surface extends above said second deck surface, and wherein said third deck surface is positioned adjacent said longitudinal slot;
a longitudinal row of first staple cavities defined in said first deck surface;
a longitudinal row of second staple cavities defined in said second deck surface; and
a longitudinal row of third staple cavities defined in said third deck surface;
a plurality of first staple drivers positioned in said first staple cavities, wherein each said first staple driver is movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle positioned a first distance from said tissue support surface when said first staple drivers are in said unfired position and said second jaw is in said clamped position;
a plurality of second staple drivers positioned in said second staple cavities, wherein each said second staple driver is movable between an unfired position and a fired position, wherein each said second staple driver comprises a second support cradle positioned a second distance from said tissue support surface when said second staple drivers are in said unfired position and said second jaw is in said clamped position;
a plurality of third staple drivers positioned in said third staple cavities, wherein each said third staple driver is movable between an unfired position and a fired position, wherein each said third staple driver comprises a third support cradle positioned a third distance from said tissue support surface when said third staple drivers are in said unfired position and said second jaw is in said clamped position, wherein said first distance is greater than said second distance, and wherein said second distance is greater than said third distance; and
staples removably stored in said staple cavities,
a sled configured to engage said staple drivers during a firing stroke;
a proximal attachment member;
a distal attachment member; and
an implantable layer, wherein said proximal attachment member and said distal attachment member attach said implantable layer to said cartridge body prior to the installation of said staple cartridge assembly into the surgical stapling assembly, wherein said implantable layer comprises:
a first lateral portion positioned over said first deck surface;
a second lateral portion positioned over said second deck surface; and
a central portion positioned over said third deck surface, wherein said first lateral portion and said second lateral portion are positioned below said central portion when said implantable layer is attached to said cartridge body.
3. A staple cartridge assembly releasably attachable to a surgical stapling assembly, wherein said staple cartridge assembly comprises:
a cartridge body, comprising:
a longitudinal slot;
a stepped deck, comprising:
a first deck surface;
a second deck surface extending above said first deck surface, wherein said second deck surface is positioned closer to said longitudinal slot than said first deck surface; and
a third deck surface extending above said second deck surface, wherein said third deck surface is positioned closer to said longitudinal slot than said second deck surface; and
staple cavities defined in said stepped deck;
staple drivers positioned in said staple cavities, wherein each said staple driver comprises a staple support cradle;
staples, wherein each said staple support cradle supports a said staple thereon;
a sled configured to engage said staple drivers during a firing stroke;
a proximal attachment member;
a distal attachment member; and
an implantable layer, wherein said proximal attachment member and said distal attachment member releasably attach said implantable layer to said cartridge body prior to the attachment of said staple cartridge assembly to said surgical stapling assembly, and wherein said implantable layer comprises:
a central portion positioned over said third deck surface;
an intermediate portion positioned over said second deck surface; and
an outer portion positioned over said first deck surface, wherein said intermediate portion and said outer portion are positioned below said central portion when said implantable layer is attached to said cartridge body.