Surgical bettress and surgical stapling apparatus

• US 6,273,897 B1
• Filed: 02/29/2000
• Issued: 08/14/2001
• Est. Priority Date: 02/29/2000
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Vyakarnam, Murty N., Dalessandro, David A.
• Primary Examiner(s): Chaudhuri, Olik
• Assistant Examiner(s): Trinh, (Vikki) Hoa B.
• Application Number:
  US09/515,450
• Time in Patent Office: 532 Days
• Field of Search: 606/139, 606/144, 606/148, 606/219, 606/151, 227/176-185
• US Class Current: 606/139
• 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 or resorptive
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61L 31/06 obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds A61L31/041 takes precedence
• CPC Class Codes: A61L 31/146 Porous materials, e.g. foams or sponges
• CPC Class Codes: C08L 67/04 Polyesters derived from hydroxycarboxylic acids, e.g. lactones C08L67/06 takes precedence

Abstract

The present invention provides a surgical stapling apparatus and a buttress, i.e. pledget, for use in the surgical stapling apparatus, which buttress provides sealing for hemostasis and pneumostasis, and which buttress includes a continuous projection, or a plurality of projections, for cooperation with guide channels for thereby attaching the buttress to the staple cartridge or anvil in a releasable pressure fit relationship.

Claims

1. A surgical stapling apparatus for hemostasis or pneumostasis of tissue, comprising:

a staple cartridge comprising a plurality of surgical staples provided in two spaced apart lines, the cartridge having an upper surface with an opening through which said staples may be ejected and a knife guide channel,

an anvil having a surface with an opening through which said staples may be received and a knife guide channel; and

a buttress that provides sealing for hemostasis and pneumostasis, which buttress comprises a continuous projection, or a plurality of projections, wherein the projection(s) are of sufficient number, dimension and spacial relationship to provide a releasable pressure fit with means for receiving the projection(s) when placed in cooperation therewith, said means for receiving said projection being located on the staple cartridge or the anvil.

2. The apparatus of claim 1 wherein the buttress comprises a material selected from the group consisting of a bioabsorbable non-woven fabric and a bioabsorbable foam.

3. The apparatus of claim 2 wherein the bioabsorbable foam comprises an elastomeric aliphatic polyester.

4. The apparatus of claim 3 wherein the elastomeric aliphatic polyester is selected from the group consisting of a copolymer of ε

-caprolactone and glycolide, a copolymer of ε

-caprolactone and lactide, a copolymer of p-dioxanone and lactide, a copolymer of ε

-caprolactone and p-dioxanone, a copolymer of p-dioxanone and trimethylene carbonate, a copolymer of trimethylene carbonate and glycolide and a copolymer of trimethylene carbonate and lactide.

5. The apparatus of claim 4 wherein the bioabsorbable foam comprises copolymers of ε

-caprolactone and glycolide.

6. The apparatus of claim 1 wherein the projection(s) are located longitudinally along the mid-portion of the buttress and the means for receiving the projection(s) comprises the knife guide channel.

7. The apparatus of claim 3 wherein the buttress and the projection(s) comprise different elastomeric aliphatic polyesters.

8. A buttress for use in a surgical stapling apparatus that comprises a staple cartridge containing a plurality of surgical staples provided in two spaced apart lines, the cartridge having an upper surface with an opening through which said staples may be ejected and a knife guide channel, and an anvil comprising a surface with an opening through which said staples may be received and a knife guide channel, wherein the buttress comprises a continuous projection, or a plurality of projections, wherein the projection(s) are of sufficient number, dimension and spacial relationship to provide a releasable pressure fit with means for receiving the projection(s) of the staple cartridge or the anvil when placed in cooperation therewith.

9. The buttress of claim 8 comprising a material selected from the group consisting of a bioabsorbable non-woven fabric and a bioabsorbable foam.

10. The buttress of claim 9 wherein the bioabsorbable foam comprises an elastomeric aliphatic polyester.

11. The buttress of claim 10 wherein the elastomeric aliphatic polyester is selected from the group consisting of a copolymer of ε

-caprolactone and glycolide, a copolymer of ε

-caprolactone and lactide, a copolymer of p-dioxanone and lactide, a copolymer of ε

-caprolactone and p-dioxanone, a copolymer of p-dioxanone and trimethylene carbonate, a copolymer of trimethylene carbonate and glycolide and a copolymer of trimethylene carbonate and lactide.

12. The buttress of claim 8 wherein the bioabsorbable foam comprises copolymers of ε

-caprolactone and glycolide.

13. The buttress of claim 8 wherein the projection(s) are located longitudinally along the mid-portion of the buttress and the means for receiving the projection(s) comprises the knife guide channel.

14. The buttress of claim 10 wherein the buttress and the projection(s) comprise different elastomeric aliphatic polyesters.