Center cinch and release of buttress material

• US 10,327,772 B2
• Filed: 08/30/2016
• Issued: 06/25/2019
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Olson, Lee Ann, Aranyi, Ernest, Mozdzierz, Patrick D.
• Primary Examiner(s): Chukwurah, Nathaniel C
• Application Number:
  US15/251,773
• Publication Number:
  US 20160367252A1
• Time in Patent Office: 1,029 Days
• Field of Search: 2271751-1801, 606139
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

Claims

1. A surgical stapling apparatus, comprising:

a pair of jaws, one of the jaws including a staple cartridge and the other of the jaws being an anvil assembly, each of the pair of jaws having a tissue contacting surface;

a surgical buttress positioned against and pre-attached onto the tissue contacting surface of each of the jaws;

a suture member passing across the tissue contacting surface of at least one of the pair of jaws and overlying the surgical buttress of the at least one of the pair of jaws; and

a tensioning member movably mounted on the at least one of the pair of jaws and engageable with the suture member, the tensioning member movable between a first position tensioning the suture member and a second position releasing tension on the suture member.

2. The surgical stapling apparatus as recited in claim 1, further comprising a knife assembly including a knife blade.

3. The surgical stapling apparatus as recited in claim 2, wherein the anvil assembly includes a knife slot, wherein the knife blade is distally movable through the knife slot.

4. The surgical stapling apparatus as recited in claim 1, wherein the suture member is disposed at a distal end of the staple cartridge.

5. The surgical stapling apparatus as recited in claim 4, further comprising another suture member disposed at a proximal end of the staple cartridge.

6. The surgical stapling apparatus as recited in claim 1, further comprising a release member movably mounted to engage the tensioning member to move the tensioning member to the second position.

7. A surgical stapling apparatus, comprising:

a pair of jaws, one of the jaws including a staple cartridge and the other of the jaws being an anvil assembly, each of the pair of jaws having a tissue contacting surface;

a surgical buttress positioned against and pre-attached onto the tissue contacting surface of each of the jaws;

a suture member passing across the tissue contacting surface of at least one of the pair of jaws and overlying the surgical buttress of the at least one of the pair of jaws, wherein the surgical buttress of the at least one of the pair of jaws defines cutouts for the passage of the suture member therethrough.

8. A surgical stapling apparatus as recited in claim 7, further comprising a tensioning member movably mounted on the at least one of the pair of jaws and engageable with the suture member, the tensioning member movable between a first position tensioning the suture member and a second position releasing tension on the suture member.

9. The surgical stapling apparatus as recited in claim 7, further comprising a knife assembly including a knife blade.

10. The surgical stapling apparatus as recited in claim 9, wherein the anvil assembly includes a knife slot, wherein the knife blade is distally movable through the knife slot.

11. The surgical stapling apparatus as recited in claim 7, wherein the suture member is disposed at a distal end of the staple cartridge.

12. The surgical stapling apparatus as recited in claim 11, further comprising another suture member disposed at a proximal end of the staple cartridge.

13. The surgical stapling apparatus as recited in claim 7, further comprising a release member movably mounted to engage the tensioning member to move the tensioning member to the second position.

14. A surgical stapling apparatus, comprising:

a pair of jaws, one of the jaws including a staple cartridge and the other of the jaws being an anvil assembly, each of the pair of jaws having a tissue contacting surface;

a surgical buttress positioned against and pre-attached onto the tissue contacting surface of each of the jaws;

a suture member passing across the tissue contacting surface of at least one of the pair of jaws and overlying the surgical buttress of at least one of the pair of jaws; and

a release member movably mounted on at least one of the pair of jaws.

15. A surgical stapling apparatus as recited in claim 14, further comprising a tensioning member movably mounted on at least one of the pair of jaws and engageable with the suture member, the tensioning member movable between a first position tensioning the suture member and a second position releasing tension on the suture member.

16. The surgical stapling apparatus as recited in claim 15, wherein the release member is positioned to engage the tensioning member to move the tensioning member to the second position.

17. The surgical stapling apparatus as recited in claim 14, further comprising a knife assembly including a knife blade.

18. The surgical stapling apparatus as recited in claim 17, wherein the anvil assembly includes a knife slot, wherein the knife blade is distally movable through the knife slot.

19. The surgical stapling apparatus as recited in claim 14, wherein the suture member is disposed at a distal end of the staple cartridge.

20. The surgical stapling apparatus as recited in claim 19, further comprising another suture member disposed at a proximal end of the staple cartridge.

21. The surgical stapling apparatus as recited in claim 14, wherein the surgical buttress of at least one of the pair of jaws defines cutouts for the passage of the suture member therethrough.