LOW INHERENT VISCOSITY BIOABSORBABLE POLYMER ADHESIVE FOR RELEASABLY ATTACHING A STAPLE BUTTRESS TO A SURGICAL STAPLER

• US 20160278771A1
• Filed: 03/25/2015
• Published: 09/29/2016
• Est. Priority Date: 03/25/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Bezwada, Rao S., Widenhouse, Christopher W.
• Granted Patent: US 10,863,984 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61L 24/046 obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds A61L24/043 takes precedence
• CPC Class Codes: C08L 67/04 Polyesters derived from hydroxycarboxylic acids, e.g. lactones C08L67/06 takes precedence

Abstract

A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer has an inherent viscosity at or below 3.0 dL/g.

Claims

1. A surgical stapler end effector, the end effector comprising:

(a) a staple cartridge, wherein the staple cartridge comprises;

(i) a plurality of staples, and

(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;

(b) an anvil, wherein the anvil is movable from an open position toward the staple cartridge to reach a closed position, wherein the anvil includes an underside having staple forming surface configured to receive staples driven through the deck; and

(c) a buttress assembly, wherein the buttress assembly comprises;

(i) a buttress body, and

(ii) an adhesive material, wherein the adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge or the underside of the anvil, wherein the adhesive material comprises a polymer, wherein the polymer is bioabsorbable, wherein the polymer has an inherent viscosity at or below 3.0 dL/g.

2. The surgical stapler end effector of claim 1, wherein the adhesive material comprises polyethylene glycol (PEG).

3. The surgical stapler end effector of claim 2, wherein the PEG has a molecular weight of less than 20,0000 g/mol.

4. The surgical stapler end effector of claim 2, wherein the PEG has a glass transition temperature (T_g) less than about −

35°

C.

5. The surgical stapler end effector of claim 1, wherein the adhesive material comprises a copolymer of caprolactone and glycolide (PCL/PGA).

6. The surgical stapler end effector of claim 5, wherein the copolymer of PCL/PGA is provided at a ratio in the range of 50/50 to 65/35.

7. The surgical stapler end effector of claim 1, wherein the adhesive material has a molecular weight in the range of 100,000 g/mol to 200,000 g/mol.

8. The surgical stapler end effector of claim 1, wherein the adhesive material has a crystallinity below 20%.

9. The surgical stapler end effector of claim 1, wherein the adhesive material has a crystallinity below 5%.

10. The surgical stapler end effector of claim 1, wherein the adhesive material has a crystallinity of 0%.

11. The surgical stapler end effector of claim 1, wherein the adhesive material has a glass transition temperature (Tg) below 0°

C.

12. The surgical stapler end effector of claim 1, wherein the adhesive material has a glass transition temperature (Tg) below −

20°

C.

13. The surgical stapler end effector of claim 1, wherein the adhesive material comprises a composition selected from the group consisting of:

(i) propanediol and caprolactone (PDO/PCL),

(ii) a combination of propanediol, caprolactone, and trimethylene carbonate (PDO/PCL/TMC), and

(iii) a homopolymer poly(TMC).

14. The surgical stapler end effector of claim 1, wherein the adhesive material comprises a copolymer of lactide and caprolactone (PLA/PCL).

15. The surgical stapler end effector of claim 14, wherein the copolymer of PLA/PCL is provided at a ratio in the range of 35/65 to 50/50.

16. The surgical stapler end effector of claim 14, wherein the copolymer of PLA/PCL has an inherent viscosity in the range of 1.0 dL/g to 2.0 dL/g.

17. The surgical stapler end effector of claim 1, wherein the adhesive material comprises a copolymer of lactide and trimethylene carbonate (PLA/TMC).

18. The surgical stapler end effector of claim 1, wherein the adhesive material comprises a copolymer of trimethylene carbonate and caprolactone (TMC/PCL).

19. A surgical stapler end effector, the end effector comprising:

(a) a staple cartridge, wherein the staple cartridge comprises;

(i) a plurality of staples, and

(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;

(b) an anvil, wherein the anvil is movable from an open position toward the staple cartridge to reach a closed position, wherein the anvil includes an underside having staple forming surface configured to receive staples driven through the deck; and

(c) a buttress assembly, wherein the buttress assembly comprises;

(i) a buttress body, and

(ii) an adhesive material, wherein the adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge or the underside of the anvil, wherein the adhesive material comprises a polymer, wherein the polymer is bioabsorbable, wherein the polymer comprises a composition selected from the group consisting of;

(A) caprolactone and glycolide (PCL/PGA),

(B) propanediol and caprolactone (PDO/PCL),

(C) a combination of propanediol, caprolactone, and trimethylene carbonate (PDO/PCL/TMC),

(D) a homopolymer poly(TMC),

(E) lactide and caprolactone (PLA/PCL),

(F) lactide and trimethylene carbonate (PLA/TMC), and

(G) trimethylene carbonate and caprolactone (TMC/PCL).

20. A surgical stapler end effector, the end effector comprising:

(a) a staple cartridge, wherein the staple cartridge comprises;

(i) a plurality of staples, and

(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;

(b) an anvil, wherein the anvil is movable from an open position toward the staple cartridge to reach a closed position, wherein the anvil includes an underside having staple forming surface configured to receive staples driven through the deck; and

(c) a buttress assembly, wherein the buttress assembly comprises;

(i) a buttress body, and

(ii) an adhesive material, wherein the adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge or the underside of the anvil, wherein the adhesive material comprises a polymer, wherein the polymer is bioabsorbable, wherein the polymer has an inherent viscosity in the range of 1.0 dL/g to 2.0 dL/g, wherein the polymer has a molecular weight less than 200,000 g/mol.