Disposable Cartridge With Adhesive For Use With A Stapling Device

• US 20080110958A1
• Filed: 11/10/2006
• Published: 05/15/2008
• Est. Priority Date: 11/10/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Byrum, Randal T., Timperman, Eugene L., Conrad, Paul J., McKenna, Robert H., Shelton, Frederick E.
• Granted Patent: US 7,721,930 B2
• Time in Patent Office: Days
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

A surgical stapling device is provided for clamping and stapling tissue, and for dispensing a fluid such as an adhesive onto the tissue. The adhesive can be stored within one or more rigid chambers within removable cartridge and dispensed from a plurality of passageways within the cartridge. A plurality of staples and staple drivers are located in the cartridge and may be isolated from the fluid. Both linear and rotary members can be provided to dispense the fluid from the cartridge. Alternately, the fluid can be dispensed from the cartridge at any time with an operator actuatable control. A removable staple cartridge cover can be provided to seal the fluid in the cartridge and prevent fluid loss. Alternately, a fluid cartridge can be provided that can mount within a surgical stapling device and dispense one or more firings of a fluid therefrom.

Claims

1. A surgical stapling device for clamping and stapling tissue comprising:

a) a shaft;

b) a first clamping jaw and a second clamping jaw extending from a distal end of the shaft to clamp tissue therebetween, the second clamping jaw movable from an open position for the reception of tissue to a closed position to clamp tissue between the first clamping jaw and the second clamping jaw;

c) a removable cartridge mounted in the first clamping jaw and having a tissue clamping surface thereon, the removable cartridge containing;

a plurality of staples and staple ejection members therein, a fluid, and a cartridge dispensing system for dispensing the fluid from the clamping surface of the removable cartridge, the cartridge dispensing system having at least one rigid chamber with a movable member therein and a plurality of rigid fluid passageways operably connecting the at least one rigid chamber with the tissue clamping surface, the at least one rigid chamber and the plurality of rigid fluid passageways containing the fluid therein and separate from contact with the plurality of staples and staple ejection members;

d) a firing system within the surgical stapling device having a translating member that operably couples with the staples and staple ejection members when the firing system is actuated to eject the plurality of staples from the removable cartridge into clamped tissue and form the staples against the second clamping jaw; and

e) a fluid application system is at least partially contained within the shaft and operably coupling with the movable member in the removable cartridge when the removable cartridge is mounted in the first clamping jaw, wherein when the fluid application system is actuated, the movable member of the cartridge dispensing system is moved and fluid is dispensed from the removable cartridge onto tissue.

2. The surgical device of claim 1 wherein the fluid is one or more selected from a group consisting of an polymerizable monomer adhesive, a polymerizable 1,1, 1,1-disubstituted ethylene monomer adhesive, a cyanoacrylate formulation adhesive, a drug, an adhesive initiator, a desiccant, a clotting agent, an image enhancing agent, and a therapeutic agent.

3. The surgical device of claim 2 wherein the removable cartridge includes a raised vent about each of the fluid passageways, the vent having one or more openings therein.

4. The surgical device of claim 2 wherein the removable cartridge includes a removable cartridge cover to seal the fluid passageways from fluid loss, wherein the removable cartridge cover is one or more selected from the group consisting of:

a) a removable tape;

b) a meltable film; and

c) a removable pouch.

5. The surgical device of claim 2 wherein the movable member is a piston in the at least one rigid chamber of the removable cartridge.

6. The surgical device of claim 5 wherein the removable cartridge further comprises a second passageway filled with the fluid and operably connecting each of the at least one rigid chambers to the rigid fluid passageways, wherein when the fluid dispensing system is actuated, the piston of the cartridge dispensing system moves in the at least one rigid chamber to dispense fluid from the first rigid chamber into the second rigid chamber and from all of the rigid passageways simultaneously.

7. The surgical device of claim 5 wherein the firing system further comprises at least one longitudinally translating socket operably coupling the translating member of the firing system to the piston to dispense fluid from the removable cartridge during at least a part of the actuation of the firing system.

8. The surgical device of claim 2 wherein the movable member of the cartridge dispensing system is a rotatable wiper blade and rotation of the rotatable wiper blade dispenses the fluid from the removable cartridge.

9. The surgical device of claim 8 wherein the fluid dispensing system further comprises at least one rotary member for dispensing fluid from the removable cartridge.

10. The surgical device of claim 8 wherein the least one rotary member has one or more seals to prevent egress of the fluid therefrom.

11. The surgical device of claim 9 wherein the translating member of the firing system has a gear rack that operably couples with the rotatable member of the removable cartridge during firing to rotate the rotatable member and to dispense adhesive from the removable cartridge with at least a portion of the firing stroke.

12. The surgical device of claim 11 wherein one or more actuations of the firing system dispense the fluid from the removable cartridge

13. The surgical device of claim 9 wherein the fluid dispensing system has at least one rotary coupler to operatively couple with the rotatable wiper blade of the cartridge dispensing system when the removable cartridge is placed within the first clamping jaw and to operably decouple from the removable cartridge when the removable cartridge is removed.

14. The surgical device of claim 9 wherein the fluid dispensing system has an operator actuatable control operably coupled to the rotatable wiper blade of the cartridge dispensing system when the removable cartridge is placed within the first clamping jaw, wherein when the surgeon manually moves the control, fluid is dispensed from the fluid passageways and onto tissue between the first clamping jaw and the second clamping jaw.

15. The surgical device of claim 13 wherein operator actuatable control has a gear rack that operably couples with the rotatable member to dispense the fluid from the removable cartridge.

16. The surgical device of claim 1 wherein the control moves longitudinally to dispense fluid.

22. The surgical stapling device of claim 1 wherein the surgical stapling device includes one or more RF electrodes for clamping on tissue and applying RF energy to the clamped tissue.

17. A removable fluid cartridge for use in a surgical stapling device for clamping and firing on tissue, the removable fluid cartridge comprising;

a) a fluid cartridge body having a tissue clamping surface and a plurality of passageways operably connecting a hollow chamber within to the tissue clamping surface;

b) a fluid within the at least one chamber and the plurality of passageways of the fluid cartridge body; and

c) a fluid dispensing system within the cartridge body for dispensing the fluid from the plurality of passageways, wherein when the fluid cartridge is installed into the surgical stapling device, the adhesive dispensing system is operably coupled with a staple firing system of the surgical stapling device such that firing the surgical stapling device dispenses the fluid onto tissue from the plurality of passageways.

18. The surgical device of claim 17 wherein the fluid is one or more selected from a group consisting of an polymerizable monomer adhesive, a polymerizable 1,1, 1,1-disubstituted ethylene monomer adhesive, a cyanoacrylate formulation adhesive, a drug, an adhesive initiator, a desiccant, a clotting agent, an image enhancing agent, and a therapeutic agent.

19. The surgical device of claim 17 wherein the fluid can be dispensed by one or more firing strokes.

20. The surgical device of claim 17 wherein the fluid a fluid dispensing system has a rotary member that rotates to dispense adhesive from the cartridge.

21. The surgical device of claim 17 wherein the fluid a fluid dispensing system has a linearly moving member to dispense adhesive from the cartridge.