METHOD OF APPLYING A BUTTRESS TO A SURGICAL STAPLER

• US 20190314020A1
• Filed: 05/02/2019
• Published: 10/17/2019
• Est. Priority Date: 03/25/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Bezwada, Rao S., Harris, Jason L., Turner, Prudence A., Zeiner, Mark S., Scheib, Charles J.
• Granted Patent: US 11,369,380 B2
• Time in Patent Office: Days
• 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 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/00951 adhesive

Abstract

A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.

Claims

1-20. -20. (canceled)

21. A method of applying a buttress assembly to a surgical stapler end effector having an anvil and a staple cartridge that houses a plurality of staples, wherein the buttress assembly includes a buttress body comprising a plurality of reinforcement strands, an adhesive material disposed non-uniformly over the buttress body, and a barrier layer interposed between the buttress body and the adhesive material, wherein the barrier layer is configured to at least partially inhibit permeation of the adhesive material into the buttress body, wherein the adhesive material comprises a blend of multiple polymers, the method comprising:

(a) positioning the buttress assembly between the anvil and the staple cartridge while the anvil is in an open position relative to staple cartridge, wherein the adhesive material faces one of an underside of the anvil or a deck of the staple cartridge;

(b) moving the anvil toward the staple cartridge to a closed position and thereby causing the adhesive material to adhere to the one of the underside of the anvil or the deck of the staple cartridge;

(c) moving the anvil away from the staple cartridge back to the open position while the buttress assembly remains secured to the one of the underside of the anvil or the deck of the staple cartridge via the adhesive material; and

(d) driving the staples through the buttress assembly and forming the staples with the anvil such that at least some of the staples engage at least some of the reinforcement strands of the buttress body.

22. The method of claim 21, wherein the adhesive material comprises a flowable and absorbable material.

23. The method of claim 21, wherein the adhesive material is configured to plastically deform in response to an externally applied load.

24. The method of claim 21, wherein the adhesive material comprises a blend of multiple homopolymers or multiple copolymers.

25. The method of claim 21, wherein the adhesive material comprises polyethylene glycol (PEG).

26. The method of claim 21, wherein the adhesive material comprises a blend of polypropylene glycol and polyethylene glycol (PEG).

27. The method of claim 21, wherein the adhesive material comprises a copolymer of caprolactone and glycolide (PCL/PGA).

28. The method of claim 21, wherein the adhesive material comprises a copolymer of lactide and caprolactone (PLA/PCL).

29. The method of claim 21, wherein the adhesive material comprises a copolymer of trimethylene carbonate and lactide (TMC/PLA) or a copolymer of trimethylene carbonate and caprolactone (TMC/PCL).

30. The method of claim 21, wherein the adhesive material has a crystallinity below 5%.

31. The method of claim 21, wherein the reinforcement strands of the buttress body define a mesh.

32. The method of claim 21, wherein the reinforcement strands of the buttress body comprise polyglactin 910.

33. The method of claim 21, wherein the barrier layer comprises polydioxanone.

34. The method of claim 21, wherein the buttress assembly is provided on a retainer, wherein positioning the buttress assembly between the anvil and the staple cartridge comprises positioning the retainer between the anvil and the staple cartridge, wherein moving the anvil to the closed position comprises compressing the buttress assembly against the retainer.

35. The method of claim 21, further comprising removing a film from the buttress assembly to expose the adhesive material before moving the anvil toward the staple cartridge.

36. A method of applying a buttress assembly to a surgical stapler end effector having an anvil and a staple cartridge that houses a plurality of staples, wherein the buttress assembly includes a buttress body comprising a mesh and an adhesive material disposed non-uniformly over the buttress body, wherein the adhesive material comprises a blend of multiple polymers, the method comprising:

(a) positioning the buttress assembly between the anvil and the staple cartridge while the anvil is in an open position relative to staple cartridge, wherein the adhesive material faces one of an underside of the anvil or a deck of the staple cartridge;

(b) moving the anvil toward the staple cartridge to a closed position and thereby causing the adhesive material to adhere to the one of the underside of the anvil or the deck of the staple cartridge;

(c) moving the anvil away from the staple cartridge back to the open position while the buttress assembly remains secured to the one of the underside of the anvil or the deck of the staple cartridge via the adhesive material; and

(d) driving the staples through the buttress assembly and forming the staples with the anvil such that at least some of the staples engage the mesh of the buttress body.

37. The method of claim 36, wherein the buttress assembly further includes a layer of polydioxanone in contact with the buttress body.

38. The method of claim 37, wherein the layer of polydioxanone is interposed between the buttress body and the adhesive material.

39. A method of applying a buttress assembly to a surgical stapler end effector having an anvil and a staple cartridge that houses a plurality of staples, wherein the buttress assembly includes a buttress body comprising a mesh and an adhesive layer disposed over the buttress body, wherein the adhesive layer includes a plurality of discretely formed adhesive regions arranged non-uniformly over the buttress body, wherein at least some of the adhesive regions have a varying thickness, the method comprising:

(a) positioning the buttress assembly between the anvil and the staple cartridge while the anvil is in an open position relative to staple cartridge, wherein the adhesive layer faces one of an underside of the anvil or a deck of the staple cartridge;

(b) moving the anvil toward the staple cartridge to a closed position and thereby compressing the adhesive regions with a non-homogeneous pressure distribution and causing the adhesive regions to adhere to the one of the underside of the anvil or the deck of the staple cartridge;

(c) moving the anvil away from the staple cartridge back to the open position while the buttress assembly remains secured to the one of the underside of the anvil or the deck of the staple cartridge via the adhesive layer; and

(d) driving the staples through the buttress assembly and forming the staples with the anvil such that at least some of the staples engage the mesh of the buttress body.

40. The method of claim 39, wherein the buttress assembly further comprises a barrier layer interposed between the buttress body and the adhesive layer, wherein the barrier layer is configured to at least partially inhibit permeation of the adhesive regions into the buttress body.