Knitted tissue scaffolds
Staple cartridge assemblies for use with surgical stapling instruments and methods for manufacturing the same are provided. Scaffolds for use with a surgical staple cartridge and methods for manufacturing the same are also provided.
1. A method for manufacturing a scaffold for use in a surgical staple cartridge, the method comprising:
forming a first knitted layer that comprises fibers of a first polymer, the first knitted layer being configured to mate with a cartridge deck configured to selectively house a plurality of staples at least partially disposed therein, the first knitted layer having a plurality of openings extending therethrough;
forming a second knitted layer that comprises the first polymer fibers, the second knitted layer having a plurality of openings that extend therethrough, the plurality of openings having a size that is less than about ¼ of a width of a crown of the staples; and
interknitting spacer fibers with the first and second knitted fibers layers so as form a support layer therebetween, wherein the spacer fibers are formed of only a second polymer that is different than the first polymer, wherein the spacer fibers are not fixedly attached to each other and extend between the first and second knitted layers.
2. The method of claim 1 , wherein the first polymer fibers are multifilament fibers and the second polymer fibers are monofilament fibers.
3. The method of claim 1 , wherein voids are present in the support layer, and wherein a ratio of the number of voids to the number of spacer fibers within the support layer is at least 3:1.
4. The method of claim 1 , wherein the formation of the first knitted layer comprises knitting the first polymer fibers according to a predetermined pattern.
5. The method of claim 1 , wherein the plurality of openings within the first knitted layer each have a size that is less than about ¼ of a width of the crown of the staples.
6. The method of claim 1 , wherein the first polymer fibers are configured to degrade at a first rate and the second polymer fibers are configured to degrade at a second rate that is different than the first rate.
7. The method of claim 1 , wherein the first knitted layer further comprises fibers of a third polymer, and wherein the formation of the first knitted layer comprises knitting the first and third polymer fibers according to a predetermined pattern.
8. The method of claim 7 , wherein the third polymer fibers are configured to degrade at a faster rate than a rate of degradation of the first polymer fibers.
9. The method of claim 7 , wherein the third polymer fibers are configured to degrade at a faster rate than a rate of degradation of the second polymer fibers.
10. The method of claim 1 , wherein the formation of the second knitted layer comprises knitting the first polymer fibers according to a predetermined pattern.
11. The method of claim 1 , wherein the second knitted layer further comprises fibers of a third polymer, and wherein the formation of the second knitted layer comprises knitting the first and third polymer fibers according to a predetermined pattern.
12. The method of claim 1 , further comprising annealing the first and second knitted layers interknitted with the spacer fibers.
13. The method of claim 1 , wherein the spacer fibers are oriented substantially perpendicular to the first polymer fibers of the first and second knitted layers.
14. The method of claim 1 , wherein the spacer fibers are interknitted to the first and second knitted layers such that the spacer fibers are slidably interconnected with the first polymer fibers of the first and second knitted layers.
15. A method for manufacturing a staple cartridge assembly for use in a surgical instrument, the method comprising:
heating a cartridge deck having a plurality of staples cavities defined therein, the plurality of staple cavities being configured to selectively house a plurality of staples; and
positioning a knitted elastically deformable, bioabsorbable scaffold against a surface of the cartridge deck, the scaffold comprising:
a first knitted layer configured to be positioned against and in contact with tissue, the first knitted layer being formed of multifilament fibers with a plurality of openings therebetween, wherein the plurality of openings extend between a first surface and a second, opposite surface of the first knitted layer,
a second knitted layer configured to be positioned against the cartridge deck, the second knitted layer being formed of the multifilament fibers with a plurality of openings therebetween, wherein the plurality of openings have a size that is less than ¼ of a width of a crown of the staples and extend between a third surface and a fourth, opposite surface of the second knitted layer, and
a support layer consisting of spacer fibers that extend from the first knitted layer to the second knitted layer, each spacer fiber being formed of the monofilament fibers, wherein portions of the spacer fibers are slidably intertwined with the first and second knitted layers.
16. The method of claim 15 , wherein the cartridge deck includes a plurality of staples with each staple partially extending from the surface of the cartridge deck.
17. The method of claim 15 , wherein the positioning of the scaffold against the surface of the cartridge deck comprises placing the first knitted layer against the surface and applying force to the scaffold such that the first knitted layer bonds and conforms to a shape of the surface.
18. The method of claim 15 , wherein the surface of the cartridge deck includes one or more attachment features that are configured to enhance attachment of the scaffold to the cartridge deck.
19. The method of claim 15 , wherein the support layer has a plurality of voids that extend between the spacer fibers.
20. The method of claim 19 , wherein a ratio of the number of voids to the number of spacer fibers within the support layer is at least 3:1.