# US 12,004,741 B2 · Staple cartridge comprising a tissue thickness compensator > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,004,741 B2 - Document ID: US12004741B2 - Status: Granted - Kind: B2 - Application number: 17/532,360 - Filed: 2021-11-22 - Published: 2022-05-19 - Granted: 2024-06-11 - Earliest claimed: 2014-10-16 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Frederick E. Shelton, IV; Lauren S. Weaner; Jerome R. Morgan; Michael J. Vendely; Taylor W. Aronhalt; Chester O. Baxter, III; Mark S. Zeiner - Web page: https://patentgrep.com/patent/US12004741B2 ## CPC - A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously - A61B 17/0684: {having a forming anvil staying above the tissue during stapling} - A61B 17/07207: {the staples being applied sequentially} - A61B 17/07292: {Reinforcements for staple line, e.g. pledgets} - A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/07214: {Stapler heads} - A61B 2017/07228: {Arrangement of the staples} - A61B 2017/07271: {characterised by its cartridge} - A61B 2017/07285: {characterised by its cutter} - A61B 2017/2927: {the angular position of the head being adjustable with respect to the shaft} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A staple cartridge is disclosed. The staple cartridge can comprise a cartridge body comprising a deck and a bottom surface opposite the deck. The staple cartridge can comprise a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface. Additionally, a plurality of wells can be defined into the staple cartridge from the deck to a lowermost surface of the well. A plurality of staples can be removably positioned in the staple cavities. The staple cartridge can comprise a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises a compensator body and a plurality of extensions extending from the compensator body into the wells, wherein at least one extension is compressed within one of the wells. Each well can surround at least one staple cavity and/or can extend between at least two staple cavities. ## Claims ### Claim 1 A staple cartridge assembly, comprising: a cartridge body defining a plurality of staple cavities arranged in a plurality of staple cavity rows, the cartridge body comprising: a longitudinal axis extending from a proximal end to a distal end of the cartridge body; a deck comprising an uneven deck topography comprising a repeating pattern of topographical structures, wherein the plurality of staple cavities forms an array of openings in the deck, wherein at least one topographical structure overlaps at least one opening in the deck and extends across at least two of the staple cavity rows; a bottom surface opposite the deck; a plurality of staples removably positioned in the staple cavities; a plurality of staple drivers movably positioned in the staple cavities configured to lift the staples during a staple firing stroke; and a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises: a deck-facing surface comprising an uneven compensator topography defined thereon, and wherein the uneven compensator topography complements the uneven deck topography to facilitate alignment of the tissue thickness compensator with respect to the deck. ### Claim 2 (depends on 1) The staple cartridge assembly of claim 1, wherein an interface between the uneven deck topography and the uneven compensator topography inhibits lateral movement of the tissue thickness compensator with respect to the deck. ### Claim 3 (depends on 2) The staple cartridge assembly of claim 2, wherein the interface between the uneven deck topography and the second geometric pattern uneven compensator topography inhibits longitudinal movement of the tissue thickness compensator with respect to the deck. ### Claim 4 (depends on 1) The staple cartridge assembly of claim 1, wherein an interface between the uneven deck topography and the uneven compensator topography secures the tissue thickness compensator against the cartridge body. ### Claim 5 (depends on 1) The staple cartridge assembly of claim 1, wherein the uneven compensator topography comprises projections extending from the non planar deck-facing surface, wherein the uneven deck topography comprises wells defined in the deck, and wherein the wells are sized to receive the projections of the tissue thickness compensator. ### Claim 6 (depends on 1) The staple cartridge assembly of claim 1, wherein the uneven deck topography comprises a plurality of wells defined in the deck, and wherein each well from the plurality of wells surrounds one staple cavity from the plurality of staple cavities defined in the cartridge body. ### Claim 7 (depends on 6) The staple cartridge assembly of claim 6, wherein each well comprises a first end and a second end, and wherein the first end and the second end are shaped to support a staple driver from the plurality of staple drivers as the staple driver is lifted during the staple firing stroke. ### Claim 8 (depends on 1) The staple cartridge assembly of claim 1, wherein the uneven compensator topography is defined on the deck-facing surface of the tissue thickness compensator prior to the tissue thickness compensator being secured to the cartridge body. ### Claim 9 A staple cartridge assembly for use with a surgical stapling instrument, wherein the staple cartridge assembly comprises: a staple cartridge, comprising: a proximal end; a distal end; a longitudinal axis extending between the proximal end and the distal end; a cartridge body comprising a deck, wherein the deck comprises uneven deck topography comprising a repeating pattern of topographical structures; a plurality of staple cavities defined in the cartridge body, wherein the plurality of staple cavities are arranged in a plurality of staple cavity rows, wherein the plurality of staple cavities forms an array of openings in the deck, and wherein at least one topographical structure overlaps at least one opening in the deck and is positioned intermediate at least two of the staple cavity rows; a plurality of staples removably stored in the staple cavities; and a plurality of staple drivers movably positioned in the staple cavities, wherein the staple drivers lift the staples toward an anvil during a staple firing stroke; and a compressible layer releasably secured to the staple cartridge, wherein the compressible layer comprises a base positioned adjacent the deck, wherein the base comprises an uneven base topography, and wherein an interface formed between the uneven base topography and the uneven deck topography limits translation of the compressible layer relative to the staple cartridge. ### Claim 10 (depends on 9) The staple cartridge assembly of claim 9, wherein the interface between the uneven deck topography and the uneven base topography limits lateral movement of the compressible layer relative to the deck. ### Claim 11 (depends on 10) The staple cartridge assembly of claim 10, wherein the interface between the uneven deck topography and the uneven base topography limits longitudinal movement of the compressible layer relative to the deck. ### Claim 12 (depends on 9) The staple cartridge assembly of claim 9, wherein the uneven base topography is defined by a plurality of projections extending from the base, wherein the uneven deck topography is defined by a plurality of recesses defined in the deck, and wherein the recesses are shaped to receive the projections of the compressible layer therein. ### Claim 13 (depends on 9) The staple cartridge assembly of claim 9, wherein the uneven deck topography comprises a plurality of recesses defined in the deck, and wherein each recess from the plurality of recesses surrounds one staple cavity from the plurality of staple cavities defined in the cartridge body. ### Claim 14 (depends on 13) The staple cartridge assembly of claim 13, wherein each recess comprises a first end and a second end, and wherein the first end and the second end are shaped to support a staple driver from the plurality of staple drivers as the staple driver is lifted during the staple firing stroke. ### Claim 15 (depends on 9) The staple cartridge assembly of claim 9, wherein the uneven base topography is defined on the base of the compressible layer prior to the compressible layer being secured to the staple cartridge. ### Claim 16 A staple cartridge assembly for use with a surgical stapling instrument, wherein the staple cartridge assembly comprises: a staple cartridge, comprising: a cartridge body defining a plurality of staple cavities arranged in a plurality of staple cavity rows, the cartridge body comprising: a deck comprising an uneven deck topography comprising a repeating pattern of topographical structures, wherein the plurality of staple cavities forms an array of openings in the deck, wherein at least one topographical structure overlaps at least one opening in the deck and extends across at least two of the staple cavity rows; a longitudinal slot defined in the cartridge body, wherein the longitudinal slot extends from a proximal end toward a distal end of the staple cartridge; a plurality of staples removably stored in the staple cavities; and a plurality of staple drivers movably positioned in the staple cavities, wherein the staple drivers lift the staples during a staple firing stroke; and a compressible adjunct releasably secured against the staple cartridge, wherein the compressible adjunct comprises a bottom surface positioned adjacent the deck, wherein at least a portion of the uneven deck topography is mirrored on the bottom surface of the compressible adjunct. ### Claim 17 (depends on 16) The staple cartridge assembly of claim 16, wherein a securement interface between the bottom surface and the deck inhibits lateral movement of the compressible adjunct with respect to the longitudinal slot. ### Claim 18 (depends on 17) The staple cartridge assembly of claim 17, wherein the securement interface inhibits longitudinal movement of the compressible adjunct with respect to the deck. ### Claim 19 (depends on 16) The staple cartridge assembly of claim 16, wherein a securement interface between the bottom surface and the deck secures the compressible adjunct to the staple cartridge. ### Claim 20 (depends on 16) The staple cartridge assembly of claim 16, wherein the compressible adjunct comprises projections extending from the bottom surface, wherein the uneven deck topography comprises wells defined in the deck, and wherein the wells are sized to receive the projections of the compressible adjunct. ### Claim 21 (depends on 16) The staple cartridge assembly of claim 16, wherein the uneven deck topography comprises a plurality of wells defined in the deck, and wherein each well from the plurality of wells surrounds one staple cavity from the plurality of staple cavities defined in the cartridge body. ### Claim 22 (depends on 21) The staple cartridge assembly of claim 21, wherein each well comprises a well proximal end and a well distal end, and wherein the well proximal end and the well distal end are shaped to support a staple driver from the plurality of staple drivers as the staple driver is driven toward an anvil during the staple firing stroke. ### Claim 23 (depends on 16) The staple cartridge assembly of claim 16, wherein the uneven deck topography is mirrored on the bottom surface of the compressible adjunct prior to the compressible adjunct being secured to the staple cartridge.