Surgical Stapling Apparatus

• US 20100012704A1
• Filed: 03/05/2008
• Published: 01/21/2010
• Est. Priority Date: 03/06/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Tarinelli Racenet, Danyel, Aranyi, Ernie, Simpson, Richard
• Granted Patent: US 8,413,871 B2
• Time in Patent Office: Days
• US Class Current: 227/180.100
• 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 2017/0023 disposable
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A surgical stapling apparatus is provided including a cartridge assembly defining a tissue contacting surface; an anvil assembly defining a tissue contacting surface; and a surgical buttress releasably secured to at least one of the tissue contacting surface of the cartridge assembly and the tissue contacting surface of the anvil assembly by at least one anchor. A loading unit is provided including a surgical buttress releasably secured to an anvil assembly and/or a staple cartridge secured thereto by at least one anchor, and a drive assembly including a knife blade, wherein movement of the drive assembly from a proximal position to a distal position results in the knife blade cutting the at least one anchor and freeing each surgical buttress from the anvil assembly and/or cartridge assembly.

Claims

1. A surgical stapling apparatus, comprising:

a housing;

a handle supported by the housing;

an elongated body extending distally from the housing and having a distal end adapted to releasably engage a loading unit; and

a loading unit supportable on a distal end of the housing, the loading unit including;

a tool assembly having a cartridge assembly configured and adapted to releasably support a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly movably secured in relation to the cartridge assembly, wherein the anvil assembly is configured and adapted to support an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress releasably secured to a tissue contacting surface of at least one of the anvil plate and the staple cartridge, wherein each surgical buttress is secured to the at least one of the anvil assembly and the cartridge assembly by at least one anchor; and

a drive assembly slidably supported in the tool assembly, the drive assembly including a knife blade slidably disposed within each elongate longitudinal slot, wherein movement of the drive assembly from a proximal position to a distal position results in the knife blade thereof cutting the at least one anchor and freeing each surgical buttress from the respective at least one anvil assembly and cartridge assembly.

2. The surgical stapling apparatus according to claim 1, wherein the anvil assembly includes a proximal suture securing the surgical buttress thereto.

3. The surgical stapling apparatus according to claim 1, wherein the anvil assembly includes a distal anchor securing the surgical buttress thereto.

4. The surgical stapling apparatus according to claim 1, wherein the cartridge assembly includes a proximal anchor securing the surgical buttress thereto.

5. The surgical stapling apparatus according to claim 1, wherein the cartridge assembly includes a distal anchor securing the surgical buttress thereto.

6. The surgical stapling apparatus according to claim 1, wherein the anvil assembly includes a proximal anchor securing a proximal end of the surgical buttress thereto and a distal anchor securing a distal end of the surgical buttress thereto, and wherein the cartridge assembly includes a proximal anchor securing a proximal end of the surgical buttress thereto and a distal anchor securing a distal end of the surgical buttress thereto.

7. The surgical stapling apparatus according to claim 6, wherein each anchor of the anvil assembly and the cartridge assembly extends across the respective longitudinal slot of the anvil plate and the staple cartridge.

8. The surgical stapling apparatus according to claim 6, wherein the anvil assembly includes a knife blade operatively supported therein and defining a knife edge, wherein the knife blade of the anvil assembly cuts at least one of the proximal and distal anchors of the anvil assembly upon actuation thereof.

9. The surgical stapling apparatus according to claim 8, wherein the knife blade of the anvil assembly has a first position located substantially proximal of the distal anchor of the anvil assembly and a second position located substantially distal of the distal anchor of the anvil assembly, thereby cutting the distal anchor of the anvil assembly.

10. The surgical stapling apparatus according to claim 9, wherein the drive assembly moves the knife blade of the anvil assembly from the first position to the second position upon distal actuation of the drive assembly.

11. The surgical stapling apparatus according to claim 10, wherein the knife blade is one of slidably and rotatably supported in the anvil assembly.

12. The surgical stapling apparatus according to claim 6, wherein the cartridge assembly includes a knife blade operatively supported therein and defining a knife edge, wherein the knife blade of the cartridge assembly cuts at least one of the proximal and distal anchors of the cartridge assembly upon actuation thereof.

13. The surgical stapling apparatus according to claim 12, wherein the knife blade of the cartridge assembly has a first position located substantially proximal of the distal anchor of the cartridge assembly and a second position located substantially distal of the distal anchor of the cartridge assembly, thereby cutting the distal anchor of the cartridge assembly.

14. The surgical stapling apparatus according to claim 13, wherein the drive assembly moves the knife blade of the cartridge assembly from the first position to the second position upon distal actuation of the drive assembly.

15. The surgical stapling apparatus according to claim 14, wherein the knife blade is one of slidably and rotatably supported in the cartridge assembly.

16. The surgical stapling apparatus according to claim 6, wherein each of the cartridge assembly and the anvil assembly includes a knife blade operatively supported therein and defining a knife edge, wherein each knife blade cuts at least one of the proximal and distal anchors of the cartridge assembly and anvil assembly upon actuation thereof.

17. A loading unit for use with a surgical stapling apparatus, the loading unit comprising:

a tool assembly having a cartridge assembly configured and adapted to releasably support a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly movably secured in relation to the cartridge assembly, wherein the anvil assembly is configured and adapted to support an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress releasably secured to a tissue contacting surface of at least one of the anvil plate and the staple cartridge, wherein each surgical buttress is secured to the at least one of the anvil assembly and the cartridge assembly by at least one anchor; and

a drive assembly slidably supported in the tool assembly, the drive assembly including a knife blade slidably disposed within each elongate longitudinal slot, wherein movement of the drive assembly from a proximal position to a distal position results in the knife blade thereof cutting the at least one anchor and freeing each surgical buttress from the respective at least one anvil assembly and cartridge assembly.

18. The loading unit according to claim 17, wherein the anvil assembly includes a proximal anchor securing the surgical buttress thereto.

19. The loading unit according to claim 17, wherein the anvil assembly includes a distal anchor securing the surgical buttress thereto.

20. The loading unit according to claim 17, wherein the cartridge assembly includes a proximal anchor securing the surgical buttress thereto.

21. The loading unit according to claim 17, wherein the cartridge assembly includes a distal anchor securing the surgical buttress thereto.

22. The loading unit according to claim 17, wherein the anvil assembly includes a proximal anchor securing a proximal end of the surgical buttress thereto and a distal anchor securing a distal end of the surgical buttress thereto, and wherein the cartridge assembly includes a proximal anchor securing a proximal end of the surgical buttress thereto and a distal anchor securing a distal end of the surgical buttress thereto.

23. The loading unit according to claim 22, wherein each anchor of the anvil assembly and the cartridge assembly extends across the respective longitudinal slot of the anvil plate and the staple cartridge.

24. The loading unit according to claim 22, wherein the anvil assembly includes a knife blade operatively supported therein and defining a knife edge, wherein the knife blade of the anvil assembly cuts at least one of the proximal and distal anchors of the anvil assembly upon actuation thereof.

25. The loading unit according to claim 24, wherein the knife blade of the anvil assembly has a first position located substantially proximal of the distal anchor of the anvil assembly and a second position located substantially distal of the distal anchor of the anvil assembly, thereby cutting the distal anchor of the anvil assembly.

26. The loading unit according to claim 25, wherein the drive assembly moves the knife blade of the anvil assembly from the first position to the second position upon distal actuation of the drive assembly.

27. The loading unit according to claim 26, wherein the knife blade is one of slidably and rotatably supported in the anvil assembly.

28. The loading unit according to claim 22, wherein the cartridge assembly includes a knife blade slidably supported therein and defining a knife edge, wherein the knife blade of the cartridge assembly cuts at least one of the proximal and distal anchors of the cartridge assembly upon actuation thereof.

29. The loading unit according to claim 28, wherein the knife blade of the cartridge assembly has a first position located substantially proximal of the distal anchor of the cartridge assembly and a second position located substantially distal of the distal anchor of the cartridge assembly, thereby cutting the distal anchor of the cartridge assembly.

30. The loading unit according to claim 29, wherein the drive assembly moves the knife blade of the cartridge assembly from the first position to the second position upon distal actuation of the drive assembly.

31. The loading unit according to claim 30, wherein the knife blade is one of slidably and rotatably supported in the cartridge assembly.

32. The loading unit according to claim 22, wherein each of the cartridge assembly and the anvil assembly includes a knife blade operatively supported therein and defining a knife edge, wherein each knife blade cuts at least one of the proximal and distal anchors of the cartridge assembly and anvil assembly upon actuation thereof.

33. A loading unit for selective use with a surgical stapling apparatus, the loading unit comprising:

a tool assembly having a cartridge assembly configured and adapted to releasably support a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly movably secured in relation to the cartridge assembly, wherein the anvil assembly is configured and adapted to support an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress releasably secured to a tissue contacting surface of each of the anvil plate and the staple cartridge;

anchors securing the surgical buttress to each of the anvil plate and the staple cartridge, wherein an anchor is located near a proximal end and a distal end of each of the anvil assembly and the cartridge assembly;

a knife blade operatively disposed in the anvil assembly, wherein the knife blade of the anvil assembly has a first position located proximal of a distal anchor of the anvil assembly and a second position located distal of the distal anchor of the anvil assembly, thereby cutting the distal anchor of the anvil assembly;

a knife blade operatively disposed in the cartridge assembly, wherein the knife blade of the cartridge assembly has a first position located proximal of a distal anchor of the cartridge assembly and a second position located distal of the distal anchor of the cartridge assembly, thereby cutting the distal anchor of the cartridge assembly; and

a drive assembly slidably supported in the tool assembly, the drive assembly including a knife blade slidably disposed within each elongate longitudinal slot,

wherein movement of the drive assembly from a proximal position to a distal position results in the knife blade thereof cutting a proximal anchor of each of the anvil assembly and the cartridge assembly and freeing a proximal end of each surgical buttress from the respective at least one anvil assembly and cartridge assembly, and

wherein movement of the drive assembly from the proximal position to the distal position moves the knife blade of the anvil assembly and the knife blade of the cartridge assembly from their respective first positions to their respective second positions, thereby cutting a respective distal anchor of the anvil assembly and the cartridge assembly and freeing a distal end of each surgical buttress from the respective at least one anvil assembly and cartridge assembly.

34. A surgical stapling apparatus, comprising:

a cartridge assembly defining a tissue contacting surface;

an anvil assembly defining a tissue contacting surface; and

a surgical buttress releasably secured to at least one of the tissue contacting surface of the cartridge assembly and the tissue contacting surface of the anvil assembly by at least one anchor.

35. The surgical stapling apparatus according to claim 34, wherein an anchor is placed near at least one of a proximal end and a distal end of each surgical buttress.

36. The surgical stapling apparatus according to claim 34, wherein each anchor extends transverse to a longitudinal axis of a respective one of the cartridge assembly and the anvil assembly.

37. The surgical stapling apparatus according to claim 36, wherein the anchor is selected from the group consisting of sutures, threads, tethers, straps, bands, lines, wires, cables, tacks, anchors, and fasteners.

38. The surgical stapling apparatus according to claim 34, wherein at least a proximal anchor extends across a respective longitudinal knife slot formed in each of the cartridge assembly and the anvil assembly.

39. The surgical stapling apparatus according to claim 34, wherein at least a distal anchor extends across a respective longitudinal knife slot formed in each of the cartridge assembly and the anvil assembly.

40. The surgical stapling apparatus according to claim 34, wherein the anchor releases a respective surgical buttress upon firing of the surgical stapling apparatus.

41. The surgical stapling apparatus according to claim 38, wherein each anchor is severed to release the surgical buttress upon a firing of the surgical stapling apparatus.

42. The surgical stapling apparatus according to claim 39, wherein each anchor is severed to release the surgical buttress upon a firing of the surgical stapling apparatus.

43. The surgical stapling apparatus according to claim 34, further comprising a knife blade configured and dimensioned for slidable reciprocation through a respective longitudinal knife slot formed in each of the cartridge assembly and the anvil assembly, wherein the knife blade severs an anchor upon distal advancement thereof.

44. The surgical stapling apparatus according to claim 34, further comprising a drive assembly slidably supported for axial displacement along the cartridge assembly and the anvil assembly, wherein movement of the drive assembly from a proximal position to a distal position results in the separation of the surgical buttress from a respective one of the cartridge assembly and the anvil assembly.

45. The surgical stapling apparatus according to claim 44, wherein an anchor is placed near at least one of a proximal end and a distal end of each surgical buttress.

46. The surgical stapling apparatus according to claim 45, wherein the drive assembly at least one of directly cuts each anchor and causes each anchor to be cut in order to release the surgical buttress from the respective cartridge assembly and anvil assembly.