Stapling process and device for use on the mesenteries of the ab

Elongated-member-driving apparatus – Surgical stapler – With magazine

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227 19, A61B 1704, B31B 100

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049305034

ABSTRACT:
The stapling processes described herein comprise those suitable for stapling a patient's mesentery and omentum with three or four rows of staples being substantially parallel to each other and the staples in one row being staggered with staples of the same size in another row, there being at least one row in which the staples differ in size from the staples in the other rows. Advantageously the larger staples are 30-50 percent larger, preferably about 33 percent larger than the smaller staples. Also advantageously the smaller staples are similar to those presently used as vascular staples, in the range of 2.5-3.5 mm, preferably about 3 mm, and the larger staples are advantageously in the range of 3.5-4.5 mm, preferably about 4 mm. This arrangement is capable of satisfactorily sealing off the variety of sizes of blood vessels and holding firmly the fatty tissue found in the mesentery and in the omentum. Other arrangements of staples have been designated to effect similar results in the mesentery in which the smaller and larger staples are arranged alternately in the same row so that the gaps between staples are covered by staples staggered therewith in an adjacent row of staples.

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patent: 4802614 (1989-02-01), Green et al.

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