Crimp And Release Of Suture Holding Buttress Material

• US 20100249805A1
• Filed: 08/13/2009
• Published: 09/30/2010
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Aranyi, Ernie, Olson, Lee, Mozdzierz, Patrick
• Granted Patent: US 7,988,027 B2
• Time in Patent Office: Days
• US Class Current: 606/144
• 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 mechanism is provided for crimping and releasing a suture securing a strip of buttress material to an end effector. The mechanism includes a retention member movably mounted within the end effector. The retention member is movable from a first position crimping the suture to the end effector to a second position releasing the suture from the end effector. The mechanism additionally includes a follower member, engageable with the retention member, and movable in response to actuation of a surgical instrument to move the retention member between the first and second positions. A lock mechanism is also provided to secure the retention member in the first position. The follower member operates to disengage the lock mechanism.

Claims

1. A surgical instrument comprising:

a handle having a movable part mounted to the handle;

an elongate tubular member extending distally from the handle member;

an end effector assembly mounted on a distal end of the elongate tubular member, the end effector assembly including a first member having an underside and a top side, the underside having a face;

a strip of buttress material positioned against the face;

a retention component having a backspan and first and second ends extending from the backspan, the backspan being positioned across the strip of buttress material and the first end extends from the underside to the top side of the first member; and

a retention member movably mounted on the top side of the first member, wherein the first end of the retention component is releasably secured between a distal face of the retention member and a proximal face of the first member.

2. The surgical instrument as recited in claim 1, wherein the top side of the first member includes an head and a pocket located proximal to the head.

3. The surgical instrument as recited in claim 2, wherein the retention member is movably mounted in the pocket and the first end of the retention component is releasably secured between a proximal face of the head and the distal face of the retention member.

4. The surgical instrument as recited in claim 3, wherein the retention member includes a push plate having a distal face, the first end of the retention component being releasably secured between the distal face of the push plate and the proximal face of the head.

5. The surgical instrument as recited in claim 3, wherein the anvil member includes a clearance track such that the first end of the retention component passes from the underside of the first member to the top side of the first member through the clearance track.

6. The surgical instrument as recited in claim 5, wherein the clearance track passes through the pocket.

7. The surgical instrument as recited in claim 4, wherein the first member has a pair of sidewalls defining a channel, each sidewall having a distal face, and the retention member includes a tab movable between the channel and the pocket such that a proximal face of the tab engages a distal face of the sidewall when the tab is in the pocket.

8. The surgical instrument as recited in claim 7, wherein the retention member includes a flexible leg, the tab being located on a distal end of the flexible leg.

9. The surgical instrument as recited in claim 8, wherein the retention member includes a bar extending from the push plate to a proximal end of the flexible leg such that the tab is within the channel when the retention member is in a proximal position and is in engagement with the distal face of the side wall when the retention member is in a distal position to lock the push plate into engagement with the first end of the retention component.

10. The surgical instrument as recited in claim 9, wherein the flexible leg is in a constrained condition in the channel and in an expanded condition when the tab is distal of the distal face of the side wall.

11. The surgical instrument as recited in claim 10, wherein the retention and release mechanism further includes a follower movable within the channel, the follower being engageable with the flexible leg to move the flexible leg between the constrained and expanded conditions.

12. The surgical instrument as recited in claim 8, wherein the retention member includes a second flexible leg affixed to the proximal end of the bar, the second flexible leg including a tab engageable with one of the distal faces of the sidewalls.

13. The surgical instrument as recited in claim 5, wherein the first member has a second clearance track such that the second end of the retention component passes from the underside of the first member to the top side of the first member through the second clearance track.

14. The surgical instrument as recited in claim 1, wherein the strip of buttress material includes first and second cutouts for passage of the first and second ends of the retention component.

17. The surgical instrument as recited in claim 1, wherein the first member is an anvil member and further comprising a second member, the second member being a surgical stapling cartridge.

18. The surgical instrument as recited in claim 17, wherein the retention member has a locked position, the retention member securing the retention component in the locked position.

19. The surgical instrument as recited in claim 18, wherein the retention member has at least one tab for maintaining the retention member in the locked position.

20. The surgical instrument as recited in claim 19, further comprising a follower for moving the at least one tab, allowing movement of the retention member away from the locked position.

16. The surgical instrument as recited in claim 15, wherein the movable part is operable to move the retention member from a first position securing the retention component between a distal face of the retention member and a proximal face of the first member to a second position allowing the retention member to move away from the first and second ends of the retention component.