Extensible buttress assembly for surgical stapler

• US 10,085,745 B2
• Filed: 10/29/2015
• Issued: 10/02/2018
• Est. Priority Date: 10/29/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Dalessandro, Victoria, Harris, Jason L., Vendely, Michael J.
• Primary Examiner(s): Severson, Ryan J
• Application Number:
  US14/926,194
• Publication Number:
  US 20170119380A1
• Time in Patent Office: 1,069 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00951 adhesive
• CPC Class Codes: A61L 31/06 obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds A61L31/041 takes precedence
• CPC Class Codes: A61L 31/14 Materials characterised by their function or physical properties , e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
• CPC Class Codes: A61L 31/148 Materials at least partially resorbable by the body
• CPC Class Codes: C08L 67/04 Polyesters derived from hydroxycarboxylic acids, e.g. lactones C08L67/06 takes precedence

Abstract

A stretchable buttress assembly is associated with surgical staples deployable into tissue from a surgical stapler having a longitudinal axis. The buttress assembly includes a planar fabric and a bioabsorbable adhesive. The planar fabric also has fibers that are either substantially unaligned with the longitudinal axis of the surgical stapler or substantially aligned with the longitudinal axis of the surgical stapler. The bioabsorbable adhesive is applied to the first side and/or the second side of the planar fabric and is configured to adhere the stretchable buttress assembly to an end effector of the surgical stapler. The buttress assembly is substantially stretchable in one direction. In some versions the buttress assembly is stretchable in a direction parallel to the longitudinal axis. In some versions the buttress assembly is stretchable in a direction perpendicular to the longitudinal axis.

Claims

1. A stretchable buttress assembly capable of use with a surgical stapler having a longitudinal axis, the buttress assembly comprising:

(a) a planar fabric having a first side and a second side opposite the first side, the planar fabric comprising fibers that are either;

(i)substantially unaligned with the longitudinal axis of the surgical stapler, or

(ii) substantially aligned with the longitudinal axis of the surgical stapler; and

(b) bioabsorbable adhesive, wherein the bioabsorbable adhesive is applied to the first side and/or the second side of the planar fabric and is configured to adhere the stretchable buttress assembly to an end effector of the surgical stapler;

wherein the buttress assembly is substantially stretchable in only one direction.

2. The stretchable buttress assembly of claim 1, wherein the planar fabric comprises fibers that are substantially unaligned with the longitudinal axis of the surgical stapler, wherein the planar fabric is selected from the group consisting of:

warp knitted fabric;

weft knitted fabric;

woven fabric; and

combinations thereof.

3. The stretchable buttress assembly of claim 1, wherein the fibers are monocomponent fibers selected from the group consisting of:

multi-filament monocomponent fibers;

mono-filament monocomponent fibers; and

combinations thereof.

4. The stretchable buttress assembly of claim 1, wherein the fabric is woven fabric and is woven in a pattern selected from the group consisting of:

twill;

plain weave; and

combinations thereof.

5. The stretchable buttress assembly of claim 1, wherein the fabric is warp knitted fabric comprising lapping patterns selected from the group consisting of:

pillar lap;

1&

1 lap (tricot lap);

2&

1 lap;

3&

1 lap;

4&

1 lap;

atlas lap; and

combinations thereof.

6. The stretchable buttress assembly of claim 1, wherein the planar fabric comprises fibers that are substantially aligned with the longitudinal axis of the surgical stapler.

7. The stretchable buttress assembly of claim 1, wherein the planar fabric comprises elastic fibers made from co-polymers selected from the group consisting of:

poly(caprolactone)-co-poly(glycolide) (PCL/PGA);

poly(caprolactone)-co-poly(lactide) (PCL/PLA);

poly(lactide)-co-trimethylene carbonate (PCL/TMC); and

combinations thereof.

8. The stretchable buttress assembly of claim 1, further comprising a staple cartridge having a deck, wherein the planar fabric is secured to the deck of the staple cartridge via the bioabsorbable adhesive.

9. The stretchable buttress assembly of claim 8, wherein the deck includes a plurality of openings, wherein the staple cartridge further comprises a plurality of staples, wherein the staples are configured to pass through the openings, wherein the planar fabric is positioned over the openings.

10. A method of operating a surgical stapler to apply staples to tissue, the surgical stapler having a longitudinal axis and comprising an end effector, the end effector comprising an anvil and staple cartridge, the method comprising the steps of:

(a) providing a buttress assembly that is configured to substantially stretch from its original shape and to substantially recover its original shape, the buttress assembly comprising;

(i) a planar fabric having a first side and a second side opposite the first side and comprising fibers that are either;

(A) substantially unaligned with the longitudinal axis of the surgical stapler, or

(B) substantially aligned with the longitudinal axis of the surgical stapler, and

(ii) bioabsorbable adhesive, wherein the bioabsorbable adhesive is applied to the first side and/or second side of the planar fabric and is configured to adhere the stretchable buttress assembly to the anvil or staple cartridge;

(b) adhering the stretchable buttress assembly to the anvil or to the staple cartridge;

(c) engaging the tissue between the anvil and the staple cartridge of the end effector;

(d) deploying the staples from the staple cartridge through the stretchable buttress assembly and tissue; and

(e) disengaging the end effector such that the stretchable buttress assembly remains secured to the tissue by the staples.

11. The method of claim 10, wherein the planar fabric comprises fibers that are substantially unaligned with the longitudinal axis of the surgical stapler, wherein the planar fabric is selected from the group consisting of:

warp knitted fabric;

weft knitted fabric;

woven fabric; and

combinations thereof.

12. The method of claim 10, wherein the fibers are monocomponent fibers selected from the group consisting of:

multi-filament monocomponent fibers;

mono-filament monocomponent fibers; and

combinations thereof.

13. The method of claim 10, wherein the fabric is woven fabric and is woven in a pattern selected from the group consisting of:

twill;

plain weave; and

combinations thereof.

14. The method of claim 10, wherein the fabric is warp knitted fabric comprising lapping patterns selected from the group consisting of:

pillar lap;

1&

1 lap (tricot lap);

2&

1 lap;

3&

1 lap;

4&

1 lap;

atlas lap; and

combinations thereof.

15. The method of claim 10, wherein the planar fabric is configured to stretch in directions transverse to the longitudinal axis of the surgical stapler.

16. The method of claim 15, further comprising:

(a) removing the staple cartridge from the end effector;

(b) securing a new staple cartridge in the end effector; and

(c) adhering a new stretchable buttress assembly to the anvil or to the new staple cartridge.

17. The method of claim 10, wherein the planar fabric comprises elastic fibers made from co-polymers selected from the group consisting of:

poly(caprolactone)-co-poly(glycolide) (PCL/PGA);

poly(caprolactone)-co-poly(lactide) (PCL/PLA);

poly(lactide)-co-trimethylene carbonate (PCL/TMC); and

combinations thereof.

18. A stretchable buttress assembly capable of use with a surgical stapler having a primary axis, the buttress assembly comprising:

(a) a buttress body consisting of a single layer of planar fabric having a first side and a second side opposite the first side, the planar fabric comprising fibers that are substantially unaligned with the primary axis of the surgical stapler, wherein the planar fabric is selected from the group consisting of;

warp knitted fabric;

weft knitted fabric;

woven fabric; and

combinations thereof; and

(b) bioabsorbable adhesive, wherein the bioabsorbable adhesive is applied to the first side and/or second side of the planar fabric and is configured to adhere the stretchable buttress assembly to an end effector of the surgical stapler.

19. The stretchable buttress assembly of claim 18, wherein the fibers are monocomponent fibers selected from the group consisting of:

multi-filament monocomponent fibers;

mono-filament monocomponent fibers; and

combinations thereof.

20. The stretchable buttress assembly of claim 18, wherein the planar fabric comprises elastic fibers made from co-polymers selected from the group consisting of:

poly(caprolactone)-co-poly(glycolide) (PCL/PGA);

poly(caprolactone)-co-poly(lactide) (PCL/PLA);

poly(lactide)-co-trimethylene carbonate (PCL/TMC); and

combinations thereof.