Surgical stapling apparatus including buttress attachment

• US 10,420,556 B2
• Filed: 12/07/2016
• Issued: 09/24/2019
• Est. Priority Date: 11/09/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw
• Primary Examiner(s): Valvis, Alexander M
• Assistant Examiner(s): Hibbert-Copeland, Mary C
• Application Number:
  US15/371,314
• Publication Number:
  US 20170079653A1
• Time in Patent Office: 1,021 Days
• Field of Search: 2271751-1821, 606219, 606151, 606153, 606148, 606232, 606 76, 606 77, 606220, 606149, 606150, 606139, 424422, 424551, 156291, 602 41- 79, 600 36- 37
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 surgical stapling apparatus, a surgical stapling loading unit and a staple cartridge assembly are provided including a buttress releasably disposed against a tissue contacting surface of a cartridge assembly and/or an anvil assembly, a continuous length of suture securing a respective surgical buttress against the respective the tissue contacting surface, wherein the suture extends transversely across the respective surgical buttress, and a retaining feature securing each suture to the respective cartridge assembly and anvil assembly. The retaining feature may include an adhesive adhering the suture to a surface of the cartridge assembly and/or anvil assembly. The adhesive may adheres the suture to multiple locations along the surface of the cartridge assembly and/or anvil assembly.

Claims

1. A surgical stapling loading unit including a first jaw and a second jaw movable relative to one another to perform a surgical stapling operation, the loading unit comprising:

a cartridge assembly supportable on the first jaw, the cartridge assembly having a tissue contacting surface defining an elongate slot having a knife blade disposed therein;

an anvil assembly supported on the second jaw, the anvil assembly including an anvil plate having a tissue contacting surface defining an elongate slot configured to receive the knife blade;

a surgical buttress including a continuous body portion defined by a proximal edge, a distal edge, a first side edge, and a second side edge, the surgical buttress having a first flap extending from the first side edge of the body portion and a second flap extending from the second side edge of the body portion;

a length of suture securing the body portion of the surgical buttress against the tissue contacting surface of the cartridge assembly or the anvil assembly and the first and second flaps against side surfaces of the cartridge assembly or the anvil assembly, the length of suture extending transversely across a proximal portion of the surgical buttress, through the first flap, transversely across a distal portion of the surgical buttress, and through the second flap such that the length of suture is disposed in a looped configuration with end portions of the length of suture secured to one another and overlying the proximal portion of the surgical buttress, the proximal and distal portions overlying the elongate slot of the cartridge assembly or the anvil assembly, and the knife blade movable through the elongate slot from a proximal position to a distal position such that the knife blade cuts the length of suture at both the distal and proximal portions of the surgical buttress thereby releasing the surgical buttress from the tissue contacting surface; and

a retaining feature securing the length of suture to the cartridge assembly or the anvil assembly such that the length of suture remains secured to the cartridge assembly or the anvil assembly when the surgical buttress is released therefrom.

2. The surgical stapling loading unit according to claim 1, wherein the length of suture extends across a rear portion of the cartridge assembly or the anvil assembly.

3. The surgical stapling loading unit according to claim 1, wherein the retaining feature is an adhesive adhering the length of suture to the side surfaces of the cartridge assembly or the anvil assembly.

4. The surgical stapling loading unit according to claim 3, wherein the adhesive adheres the length of suture to multiple locations along the side surfaces of the cartridge assembly or the anvil assembly.

5. The surgical stapling loading unit according to claim 1, wherein the retaining feature is an adhesive adhering the length of suture to a rear portion of the cartridge assembly or the anvil assembly.

6. The surgical stapling loading unit according to claim 1, wherein the first and second flaps extend substantially along an entire length of the first and second side edges of the body portion.

7. The surgical stapling loading unit according to claim 6, wherein each of the first and second flaps has a substantially triangular configuration.

8. The surgical stapling loading unit according to claim 1, wherein each of the first and second flaps has an aperture located about a midpoint of a length of the body portion, and the length of suture is threaded through the apertures.

9. The surgical stapling loading unit according to claim 8, wherein the length of suture includes:

a first portion extending transversely across the distal portion of the surgical buttress;

a pair of second portions extending around the side surfaces of the cartridge assembly or the anvil assembly and crossing one another about a rear portion of the cartridge assembly or the anvil assembly;

a pair of third portions threaded through respective apertures of the first and second flaps;

a pair of fourth portions extending around the side surfaces of the cartridge assembly or the anvil assembly, crossing one another about the rear portion of the cartridge assembly or the anvil assembly, and extending around the side surfaces of the cartridge assembly or the anvil assembly; and

the end portions extending transversely across the proximal portion of the surgical buttress.

10. The surgical stapling loading unit according to claim 9, wherein the retaining feature secures the pair of second portions of the length of suture to the side surfaces of the cartridge assembly or the anvil assembly.

11. The surgical stapling loading unit according to claim 1, wherein the cartridge assembly or the anvil assembly includes a plurality of grooves formed in the side surfaces thereof, wherein each groove of the plurality of grooves is configured and dimensioned to receive the length of suture therein, and wherein the plurality of grooves are formed near opposed distal side edges and opposed proximal side edges of the cartridge assembly or the anvil assembly.

12. A surgical staple cartridge assembly configured for use with a surgical stapling apparatus, the staple cartridge assembly comprising:

a staple cartridge body including a tissue contacting surface defining a central longitudinally extending knife slot having a knife blade disposed therein;

a surgical buttress including a continuous body portion defined by a proximal edge, a distal edge, a first side edge, and a second side edge, the surgical buttress having a first flap extending from the first side edge of the body portion and a second flap extending from the second side edge of the body portion;

a length of suture securing the body portion of the surgical buttress against the tissue contacting surface of the staple cartridge body and the first and second flaps against side surfaces of the staple cartridge body, the length of suture extending transversely across a proximal portion of the surgical buttress, through the first flap, transversely across a distal portion of the surgical buttress, and through the second flap such that the length of suture is disposed in a looped configuration with end portions of the length of suture secured to one another and overlying the proximal portion of the surgical buttress, the proximal and distal portions overlying the knife slot of the staple cartridge body, and the knife blade movable through the knife slot from a proximal position to a distal position such that the knife blade cuts the length of suture at both the distal and proximal portions of the surgical buttress thereby releasing the surgical buttress from the tissue contacting surface; and

a retaining feature securing the length of suture to the staple cartridge body such that the length of suture remains secured to the staple cartridge body when the surgical buttress is released therefrom.

13. The surgical staple cartridge assembly according to claim 12, wherein the retaining feature is an adhesive adhering the length of suture to the side surfaces of the staple cartridge body.

14. The surgical staple cartridge assembly according to claim 12, wherein the first and second flaps extending substantially along an entire length of the first and second side edges.

15. The surgical staple cartridge assembly according to claim 14, wherein each of the first and second flaps has a substantially triangular configuration.

16. The surgical staple cartridge assembly according to claim 14, wherein each of the first and second flaps has an aperture located about a midpoint of a length of the body portion, and the length of suture is threaded through the apertures.

17. The surgical staple cartridge assembly according to claim 16, wherein the length of suture includes:

a first portion extending transversely across the distal portion of the surgical buttress;

a pair of second portions extending around the side surfaces of the staple cartridge body and crossing one another about a rear portion of the staple cartridge body;

a pair of third portions threaded through respective apertures of the first and second flaps;

a pair of fourth portions extending around the side surfaces of the staple cartridge body, crossing one another about the rear portion of the staple cartridge body, and extending around the side surfaces of the staple cartridge body; and

the end portions extending transversely across the proximal portion of the surgical buttress.

18. The surgical staple cartridge assembly according to claim 17, wherein the retaining feature secures the pair of second portions of the length of suture to the side surfaces of the staple cartridge body.

19. The surgical staple cartridge assembly according to claim 12, wherein the staple cartridge body includes a plurality of grooves formed in the side surfaces thereof, wherein each groove of the plurality of grooves is configured and dimensioned to receive the length of suture therein, and wherein the plurality of grooves are formed near opposed distal side edges and opposed proximal side edges of the staple cartridge body.