Endoscopic device and method for reinforcing surgical staples

• US 5,810,855 A
• Filed: 07/11/1997
• Issued: 09/22/1998
• Est. Priority Date: 07/21/1995
• Status: Expired due to Term

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: Gore Enterprise Holdings Incorporated (W.L. Gore and Associates)
• Inventors: Walburn, Frederick J., Rayburn, Gary L., Riffle, Rob G., Williams, Benjamin G.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/893,438
• Time in Patent Office: 438 Days
• Field of Search: 606/151, 606/213, 606/220, 606/139, 227/176.1, 227/19, 227/180.1, 623/2, 623/11
• US Class Current: 606/151
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets

Abstract

A surgical staple line reinforcement device for use with a variety of surgical staplers having a pivoted connection between stapler arms or jaws, such as endoscopic stapler devices. The device comprises a pair of tubes of bio-implantable material connected together at a hinge. The device can be quickly and easily applied to a surgical stapler by a surgical team to provide tissue reinforcement. The hinged connection of the device provides both for secure attachment of the device to the surgical stapler, and for a barrier to protect the pivot connection from contamination by migrating tissue during operation. Preferably, tear lines are provided on each of the tubes to assist in removing excess material following attachment of staples. The device allows for fast and safe staple reinforcement and rapid stapler separation and removal following installation.

Claims

1. A reinforcement sleeve for a surgical stapler device comprising:

a first sleeve element adapted to attach to a first jaw member of the surgical stapler;

a second sleeve element adapted to attach to a second jaw member of the surgical stapler; and

a hinge connecting the first sleeve element to the second sleeve element.

5. The reinforcement sleeve of claim 1 wherein the first sleeve element, the second sleeve element, and the hinge all comprise the same material.

6. The reinforcement sleeve of claim 1 wherein each of the sleeve elements comprises an essentially rectangular cross section.

7. The reinforcement sleeve of claim 1 wherein

the surgical stapler comprises an endoscopic stapler having a pivot connecting the first and second jaw members;

and

the hinge comprises a segment of material that protects the pivot from contamination during use.

8. The reinforcement sleeve of claim 1 wherein

the first and second sleeve elements each comprises an essentially rectangular cross section;

the first and second sleeve elements and the hinge all comprise the same material.

9. The reinforcement sleeve of claim 8 wherein the first and second sleeve elements and the hinge all comprise polytetrafluoroethylene.

10. The reinforcement sleeve of claim 8 wherein the sleeve comprises a single piece of material.

11. The reinforcement sleeve of claim 8 wherein

the surgical stapler comprises an endoscopic stapler having a pivot connecting the first and second jaw members;

and

the hinge comprises a segment of material that protects the pivot from contamination during use.

12. The reinforcement sleeve of claim 1 wherein

each of the sleeve elements comprises an operative face attached to backing material;

and

means are provided to allow the backing material to be easily separated from the operative face.

13. The reinforcement sleeve of claim 12 wherein

the operative face and backing material comprise the same material;

and

the means to allow the backing material to be separated from the operative face comprises tear lines.

2. The reinforcement sleeve of claim 2 wherein each of the first and second sleeve elements comprises an operative face attached to backing material.

3. The reinforcement sleeve of claim 2 wherein the operative faces of the first and second sleeve elements comprise a continuous length of material connecting the first and second sleeve elements together to form the hinge.

4. The reinforcement sleeve of claim 2 wherein the operative faces of the first and second sleeve elements comprise a length of a single material.

14. A method for applying surgical staples to a surgical site so as to reinforce the surgical site, which comprises

providing a surgical stapler having a pair of jaw members connected at a pivot, the jaw members being adapted to move from a closed position whereby the jaw members abut one another and an open position whereby the jaw members are separated from one another around the pivot;

providing a sleeve of reinforcement material, the sleeve comprising first and second sleeve elements, each adapted to be attached to one of the pair of jaw members, and a hinge connecting the two sleeve elements together, wherein each of the sleeve elements includes an operative face through which staples are applied and wherein the sleeve is adapted to slide over the pair of arm;

placing the jaw members in the closed position and sliding the sleeve over the jaw members arm so as to position the operative faces to receive surgical staples and so as to position the hinge to abut the pivot;

placing the jaw members in the open position and orienting the stapler over the surgical site, the sleeve being held to the surgical stapler at least in part by the hinge connecting the two sleeve elements;

applying surgical staples through the surgical site and the operative faces of the sleeve, the sleeve providing reinforcement to prevent tearing of the surgical site.

15. The method of claim 14 that further comprises

each sleeve element having backing material attached to the operative face, the backing material assisting in holding the sleeve element on the jaw;

trimming the sleeve of the backing material following applying the surgical staples through the operative face.

16. The method of claim 15 that further comprises

providing as each sleeve element an operative face and backing material formed from the same material;

providing each sleeve element with tear lines allowing ready separation of the operative face of the sleeve from the backing material; and

trimming the sleeve of the backing material by separating along the tear lines.

17. The method of claim 14 that further comprises

providing as the hinge a segment of material that serves as a barrier to tissue movement into the pivot;

positioning the hinge against the pivot so as to protect the pivot from contamination.