Tissue thickness compensator comprising layers
In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsorbable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.
1. A staple cartridge, comprising:
a cartridge body, comprising:
a deck comprising a top surface; and
a plurality of staple cavities defined in said deck;
a plurality of staples removably stored in said staple cavities, wherein each staple of said plurality of staples comprises a base and legs extending from said base;
a plurality of staple drivers movable from an unfired position to a fired position during a staple firing stroke to eject said staples from said staple cavities and implant said staples into patient tissue;
a sled movable from a proximal position to a distal position during said staple firing stroke to move said staple drivers from said unfired position to said fired position; and
a tissue thickness compensator removably attached to said top surface of said deck, wherein said legs move through said tissue thickness compensator as said staples are ejected from said staple cavities, wherein implanting said staples into said patient tissue secures said tissue thickness compensator to said patient tissue, and wherein said tissue thickness compensator comprises:
a first layer having a first rate of bioabsorption and a first density, wherein pressing said tissue thickness compensator against said patient tissue prior to ejecting said staples causes said first layer to transition from a first uncompressed height to a first compressed height; and
a second layer having a second rate of bioabsorption and a second density, wherein said second rate of bioabsorption is greater than said first rate of bioabsorption, wherein pressing said tissue thickness compensator against said patient tissue prior to ejecting said staples causes said second layer to transition from a second uncompressed height to a second compressed height, wherein said first uncompressed height is greater than said second uncompressed height, wherein said second density is greater than said first density such that said first layer is more compressible than said second layer, and wherein said first compressed height is greater than said second compressed height such that a larger portion of each said leg is exposed to said first layer compared to said second layer after said staples are initially implanted into said patient tissue.
2. The staple cartridge of claim 1 , wherein said first layer comprises a plurality of apertures defined therein, wherein each aperture of said plurality of apertures is aligned with at least one of said legs when said tissue thickness compensator is attached to said top surface of said deck, and wherein said apertures support said legs during said firing stroke.
3. The staple cartridge of claim 1 , wherein at least one of said first layer and said second layer comprises a lubricant that is exposed to said legs during said firing stroke.
4. The staple cartridge of claim 1 , wherein said cartridge body further comprises a plurality of projections extending from said top surface of said deck, wherein each projection of said plurality of projections is proximate to one of said staple cavities, and wherein each projection of said plurality of projections supports one of said legs of said staples when said staples are ejected from said staple cavities.
5. The staple cartridge of claim 1 , wherein said cartridge body further comprises projections extending from said top surface and into said tissue thickness compensator, and wherein said projections releasably hold said tissue thickness compensator to said top surface of said deck.
6. The staple cartridge of claim 5 , wherein said projections are configured to minimize lateral distortion of said tissue thickness compensator when said tissue thickness compensator is attached to said top surface.
7. The staple cartridge of claim 1 , wherein said cartridge body further comprises a longitudinal row of teeth extending from said top surface of said deck, and wherein said longitudinal row of teeth releasably hold said tissue thickness compensator to said top surface of said deck.
8. A staple cartridge, comprising:
a cartridge body, comprising:
a deck comprising a top surface; and
a plurality of staple cavities defined in said deck;
a plurality of staples removably stored in said staple cavities, wherein each said staple of said plurality of staples comprises a base and legs extending from said base;
a plurality of staple drivers movable from an unfired position to a fired position during a staple firing stroke to eject said staples from said staple cavities and implant said staples into patient tissue;
a sled movable from a proximal position to a distal position during said staple firing stroke to move said staple drivers from said unfired position to said fired position; and
a tissue thickness compensator removably attached to said top surface of said deck, wherein said legs move through said tissue thickness compensator as said staples are ejected from said staple cavities, wherein implanting said staples into said patient tissue secures said tissue thickness compensator to said patient tissue, and wherein said tissue thickness compensator comprises:
a first layer having a first rate of bioabsorption, a first density, and a first uncompressed height, wherein a first portion of each said leg is exposed to said first layer when said staples are ejected from said staple cavities; and
a second layer having a second rate of bioabsorption, a second density, and a second uncompressed height, wherein said second rate of bioabsorption is greater than said first rate of bioabsorption, wherein said first uncompressed height is greater than said second uncompressed height, wherein said second density is greater than said first density such that said first layer is more compressible than said second layer, wherein a second portion of each said leg is exposed to said second layer when said stapes are ejected from said staple cavities, and wherein said first portion is larger than said second portion.
9. The staple cartridge of claim 8 , wherein said first layer comprises a plurality of apertures defined therein, wherein each aperture of said plurality of apertures is aligned with at least one of said legs when said tissue thickness compensator is attached to said top surface of said deck, and wherein said apertures support said legs during said firing stroke.
10. The staple cartridge of claim 8 , wherein at least one of said first layer and said second layer comprises a lubricant that is exposed to said legs during said firing stroke.
11. The staple cartridge of claim 8 , wherein said cartridge body further comprises a plurality of projections extending from said top surface of said deck, wherein each projection of said plurality of projections is proximate to one of said staple cavities, and wherein each projection of said plurality of projections supports one of said legs of said staples when said staples are ejected from said staple cavities.
12. The staple cartridge of claim 8 , wherein said cartridge body further comprises projections extending from said top surface and into said tissue thickness compensator, and wherein said projections releasably hold said tissue thickness compensator to said top surface of said deck.
13. The staple cartridge of claim 12 , wherein said projections are configured to minimize lateral distortion of said tissue thickness compensator when said tissue thickness compensator is attached to said top surface.
14. The staple cartridge of claim 8 , wherein said cartridge body further comprises a longitudinal row of teeth extending from said top surface of said deck, and wherein said longitudinal row of teeth releasably hold said tissue thickness compensator to said top surface of said deck.
15. A surgical staple cartridge, comprising:
a cartridge body, comprising:
a deck comprising a top surface; and
a plurality of staple cavities defined in said deck;
a plurality of staples removably stored in said staple cavities, wherein each said staple of said plurality of staples comprises a base and legs extending from said base;
a plurality of staple drivers movable from an unfired position to a fired position during a staple firing stroke to eject said staples from said staple cavities and implant said staples into patient tissue;
a sled movable from a proximal position to a distal position during said staple firing stroke to move said staple drivers from said unfired position to said fired position; and
a compressible adjunct removably attached to said top surface of said deck, wherein said legs move through said compressible adjunct as said staples are ejected from said staple cavities, wherein implanting said staples into said patient tissue secures said compressible adjunct to said patient tissue, and wherein said compressible adjunct comprises:
a first layer having a first rate of bioabsorption, a first density, and a first uncompressed height; and
a second layer having a second rate of bioabsorption, a second density, and a second uncompressed height, wherein said second rate of bioabsorption is greater than said first rate of bioabsorption, wherein said first uncompressed height is greater than said second uncompressed height, wherein said second density is greater than said first density, and wherein a larger portion of each said leg is exposed to said first layer relative to said second layer after said staples are initially implanted into said patient tissue.
16. The surgical staple cartridge of claim 15 , wherein said first layer comprises a plurality of apertures defined therein, wherein each aperture of said plurality of apertures is aligned with at least one of said legs when said compressible adjunct is attached to said top surface of said deck, and wherein said apertures support said legs during said firing stroke.
17. The surgical staple cartridge of claim 15 , wherein at least one of said first layer and said second layer comprises a lubricant that is exposed to said legs during said firing stroke.
18. The surgical staple cartridge of claim 15 , wherein said cartridge body further comprises a plurality of projections extending from said top surface of said deck, wherein each projection of said plurality of projections is proximate to one of said staple cavities, and wherein each projection of said plurality of projections supports one of said legs of said staples when said staples are ejected from said staple cavities.
19. The surgical staple cartridge of claim 15 , wherein said cartridge body further comprises projections extending from said top surface and into said compressible adjunct, and wherein said projections releasably hold said compressible adjunct to said top surface of said deck.
20. The surgical staple cartridge of claim 19 , wherein said projections are configured to minimize lateral distortion of said compressible adjunct when said compressible adjunct is attached to said top surface.
21. The surgical staple cartridge of claim 15 , wherein said cartridge body further comprises a longitudinal row of teeth extending from said top surface of said deck, and wherein said longitudinal row of teeth releasably hold said compressible adjunct to said top surface of said deck.
22. The staple cartridge of claim 1 , wherein said first layer structurally supports said staples after said staples are implanted into said patient tissue and after said second layer is bioabsorbed.
23. The staple cartridge of claim 8 , wherein said first layer structurally supports said staples after said staples are implanted into said patient tissue and after said second layer is bioabsorbed.
24. The surgical staple cartridge of claim 15 , wherein said first layer structurally supports said staples after said staples are implanted into said patient tissue and after said second layer is bioabsorbed.
25. The staple cartridge of claim 22 , wherein said first layer expands after said staples are implanted into said patient tissue.
26. The staple cartridge of claim 23 , wherein said first layer expands after said staples are implanted into said patient tissue.
27. The surgical staple cartridge of claim 24 , wherein said first layer expands after said staples are implanted into said patient tissue.