Method of applying a buttress to a surgical stapler

• US 10,349,939 B2
• Filed: 03/25/2015
• Issued: 07/16/2019
• Est. Priority Date: 03/25/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Bezwada, Rao S., Widenhouse, Christopher W., Harris, Jason L., Turner, Prudence A., Zeiner, Mark S., Scheib, Charles J., Morgan, Jerome R.
• Primary Examiner(s): Long, Robert F
• Assistant Examiner(s): Madison, Xavier A
• Application Number:
  US14/667,842
• Publication Number:
  US 20160278774A1
• Time in Patent Office: 1,574 Days
• Field of Search: 2271751-1821
• 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

Abstract

A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.

Claims

1. A method of applying a buttress to a surgical stapler end effector, the method comprising the steps of:

(a) positioning a buttress assembly between an anvil and a staple cartridge of the end effector, wherein the buttress assembly comprises a buttress body and an adhesive material, wherein the adhesive material is provided in a plurality of discrete regions on the buttress body, wherein the adhesive material faces either an underside of the anvil or a deck of the staple cartridge, wherein the anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge;

(b) moving the anvil toward the staple cartridge, wherein the act of moving the anvil toward the staple cartridge comprises providing localized pressure against the buttress assembly at discrete locations corresponding to the discrete regions of adhesive material; and

(c) moving the anvil back to the open position, wherein the buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position

wherein the buttress assembly further comprises a plurality of reinforcement strands passing on or through the buttress body, the method further comprising driving the staples through the buttress assembly, wherein each staple has a crown and a pair of legs, wherein the crowns of at least some of the staples or the legs of at least some of the staples engage at least some of the reinforcement strands after the staples are driven through the buttress assembly.

2. The method of claim 1, wherein the adhesive material comprises a copolymer of caprolactone and glycolide (PCL/PGA).

3. The method of claim 1, wherein the adhesive material comprises polyethylene glycol (PEG).

4. The method of claim 1, wherein the adhesive material comprises a copolymer of lactide and caprolactone (PLA/PCL).

5. The method of claim 1, wherein the adhesive material comprises a copolymer of trimethylene carbonate and lactide (TMC/PLA) or a copolymer of trimethylene carbonate and caprolactone (TMC/PCL).

6. The method of claim 1, wherein the adhesive material comprises an absorbable wax or putty.

7. The method of claim 1, wherein the adhesive material has a crystallinity below 5%.

8. The method of claim 1, wherein the buttress body defines a plurality of cells, wherein a first portion of the adhesive material is located within cells of the plurality of cells, wherein a second portion of the adhesive material is located on the buttress body outside the plurality of cells, wherein the act of moving the anvil toward the staple cartridge comprises driving at least some of the first portion of the adhesive material out of the cells.

9. The method of claim 1, wherein the buttress assembly is provided on a retainer, wherein the retainer includes a plurality of projections positioned at locations corresponding to the discrete regions of adhesive material, wherein the act of positioning the buttress assembly between the anvil and the staple cartridge of the end effector comprises positioning the retainer between the anvil and the staple cartridge, wherein the act of providing localized pressure against the buttress assembly at discrete locations corresponding to the discrete regions of adhesive material comprises compressing the buttress assembly against the projections of the retainer.

10. The method of claim 1, further comprising removing a film from the buttress assembly to expose the adhesive material before moving the anvil toward the staple cartridge.

11. The method of claim 10, wherein the film defines a plurality of pockets configured to contain the adhesive material in a plurality of discrete regions on the buttress body.

12. The method of claim 1, further comprising injecting the adhesive material into a gap defined between the buttress body and the underside of the anvil or the deck of the staple cartridge.

13. The method of claim 12, wherein the buttress body is provided on a retainer, wherein the retainer includes an injection port, wherein the act of positioning the buttress assembly between the anvil and the staple cartridge of the end effector comprises positioning the retainer between the anvil and the staple cartridge, wherein the act of injecting the adhesive material comprises injecting the adhesive material via the injection port.

14. The method of claim 1, further comprising injecting an adhesive material onto the buttress body while the buttress body is positioned between the anvil and the staple cartridge, wherein the act of injecting the adhesive material comprises placing an arm of an injector over the buttress body, wherein the arm has one or more openings configured to dispense the adhesive material onto the buttress body.

15. The method of claim 1, wherein the deck of the staple cartridge defines a trough, the method further comprising introducing the adhesive material into the trough of the deck of the staple cartridge.

16. The method of claim 1, wherein the adhesive material comprises a bioabsorbable polymer having one or more of the following properties:

(i) malleability,

(ii) an inherent viscosity at or below 3.0 dL/g,

(iii) a glass transition temperature (Tg) at or below 0°

C., or

(iv) flowability.

17. A method of applying a buttress to a surgical stapler end effector, the method comprising the steps of:

(a) positioning a buttress assembly between an anvil and a staple cartridge of the end effector, wherein the buttress assembly comprises a buttress body and at least one heat sensitive strand woven through the buttress body such that the at least one heat sensitive strand is fixedly attached within the buttress body, wherein exposed sections of the heat sensitive strand face either an underside of the anvil or a deck of the staple cartridge, wherein the anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge;

(b) applying heat to the heat sensitive strand, wherein the heat sensitive strand deforms in response to the heat; and

(c) removing the heat from the heat sensitive strand, allowing the heat sensitive strand to cool;

wherein the heat sensitive strand adheres to the underside of the anvil or a deck of the staple cartridge in response to the combination of applying heat and removing the heat, thereby adhering the buttress body to the underside of the anvil or a deck of the staple cartridge.

18. A method of applying a buttress to a surgical stapler end effector, the method comprising the steps of:

(a) positioning a buttress assembly between an anvil and a staple cartridge of the end effector, wherein the buttress assembly comprises a buttress body and an adhesive material, wherein the adhesive material faces either an underside of the anvil or a deck of the staple cartridge, wherein the anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge;

(b) moving the anvil toward the staple cartridge; and

(c) moving the anvil back to the open position, wherein the buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position,

wherein the adhesive material comprises a bioabsorbable polymer having one or more of the following properties;

(i)malleability,

(ii) an inherent viscosity at or below 3.0 dL/g,

(iii) a glass transition temperature (Tg) at or below 0°

C., or

(iv) flowability;

wherein the buttress body defines a plurality of cells, wherein a first portion of the adhesive material is located within cells of the plurality of cells, wherein a second portion of the adhesive material is located on the buttress body outside the plurality of cells, wherein the act of moving the anvil toward the staple cartridge comprises driving at least some of the first portion of the adhesive material out of the cells.