Biological tissue strip and system and method to seal tissue

• US 6,638,285 B2
• Filed: 04/16/2001
• Issued: 10/28/2003
• Est. Priority Date: 04/16/2001
• Status: Expired due to Fees

• Current Assignee: Shlomo Gabbay
• Original Assignee: Shlomo Gabbay
• Inventors: Gabbay, Shlomo
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/835,744
• Publication Number:
  US 20020151911A1
• Time in Patent Office: 925 Days
• Field of Search: 606/139, 606/151, 227/19
• US Class Current: 606/151
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 2017/07214 Stapler heads

Abstract

A strip for use with a surgical stapler facilitates sealing tissue of a patient, such as the lungs, stomach, etc. The strip includes retaining elements near opposed ends of the strip for connecting to associated parts of a surgical stapler device. An aperture also extends through the strip at a location intermediate its opposed ends for receiving an alignment feature of the surgical stapler.

In another aspect, a second elongated strip having retaining elements near opposed ends thereof may be utilized in conjunction with the strip and a surgical stapler to seal the patient'"'"'s tissue. In addition, the strips may be connected together by a bridge of material to facilitate selection and use of appropriate strips.

Claims

1. A strip for use with a surgical stapler, comprising:

an elongated sheet of flexible, biocompatible material having a leading end, an intermediate portion extending from the leading end and terminating in a trailing end spaced apart from the leading end;

a first retaining element operatively associated with the leading end of the sheet;

a second retaining element operatively associated with the trailing end of the sheet, each of the first and second retaining elements being operative to retain the respective end relative to part of the surgical stapler; and

an aperture extending through the intermediate portion of the sheet between the first and second retaining elements operative to receive an alignment feature of the surgical stapler.

2. The strip of claim 1, wherein the first retaining element further comprises an aperture extending through the sheet adjacent the leading end of the sheet.

3. The strip of claim 1, wherein the second retaining element further comprises an aperture extending through the sheet adjacent the trailing end of the sheet.

4. The strip of claim 1, wherein at least one of the first and second retaining elements further comprises at least two lengths of flexible material that can be tied together to secure an end of the sheet associated with the at least one of the first and second retaining elements relative to the surgical stapler.

5. The strip of claim 4, wherein the at least two lengths of flexible material further comprises at least two lengths of a suture material attached to and extending from the end of the sheet associated with the at least one of the first and second retaining elements.

6. The strip of claim 4, wherein the at least two lengths of flexible material are defined by an elongated channel intersecting the sheet at the end of the sheet associated with the at least one of the first and second retaining elements, the channel extending longitudinally through the strip and terminating at a location spaced from the end of the sheet associated with the at least one of the first and second retaining elements to define the at least two lengths of flexible material on opposed sides of the elongated channel.

7. The strip of claim 1 wherein the sheet is formed of at least one of animal pericardium and collagen.

8. The strip of claim 1, further comprising a retaining ring operative to releasably secure part of the intermediate portion of the sheet located between the slot and one of the leading and trailing ends relative to the surgical stapler.

9. The strip of claim 1, wherein the sheet defines a first length of the flexible material, the strip further comprising:

a second length of flexible, biocompatible material having a leading end and a trailing end spaced apart from the leading end by an elongated intermediate portion that extends longitudinally between the leading and trailing ends of the second length of flexible material,

a first retaining element operatively associated with the leading end of the second length of flexible material;

a second retaining element operatively associated with the trailing end of the second length of flexible material, each of the first and second retaining elements being operative to retain the respective end relative to part of the surgical stapler; and

a bridge of material interconnecting the first and second lengths of flexible material, whereby the bridge may be cut to provide a pair of strips for use with the surgical stapler.

10. The strip of claim 9, wherein at least one of the first and second retaining elements of the second length of flexible material further comprises an aperture extending through the second length of material at location near the respective leading or trailing end thereof.

11. The strip of claim 10, wherein the bridge, the first length of flexible material, and the second length of flexible material are formed of the same flexible material.

12. The strip of claim 11 wherein the bridge, the first length of flexible material, and the second length of flexible material formed of at least one of animal pericardium and collagen.

13. The strip of claim 11, wherein the sheet further comprises a biological tissue material having glycerin within the sheet of material so as to render the tissue generally pliable when stored in a dry condition.

14. A tissue system for use with a surgical stapler, comprising:

a first elongated strip of biocompatible tissue material comprising;

a leading end;

a trailing end spaced apart from the leading end by an elongated intermediate portion of the first strip;

a first retaining element operatively associated with the leading end of the first strip;

a second retaining element operatively associated with the trailing end of the first strip;

wherein each of the first and second retaining elements is operative to retain a respective end of the first strip relative to part of the surgical stapler; and

an aperture extending through the intermediate portion of the first strip at a position between the first and second retaining elements operative to receive an alignment feature of the surgical stapler;

a second elongated strip of biocompatible tissue material comprising;

a leading end;

a trailing end spaced apart from the leading end by an elongated intermediate portion that extends longitudinally between the leading and trailing ends of the second strip;

a first retaining element operatively associated with the leading end of the second strip;

a second retaining element operatively associated with the trailing end of the second strip; and

wherein each of the first and second retaining elements of the second strip is operative to retain a respective end of the second strip relative to part of the surgical stapler; and

a bridge of material interconnecting the first and second strips, whereby the bridge may be cut to provide a pair of separate strips for use with the surgical stapler.

15. The tissue system of claim 14, wherein the first strip, the second strip and the bridge are formed of a biological tissue material.

16. The tissue system of claim 15 wherein the biological tissue material further comprises at least one of animal pericardium and collagen.

17. The tissue system of claim 14, wherein at least one of the first and second retaining elements of the first and second strips further comprises an aperture extending through the respective strip at a location near the leading or trailing end thereof.

18. The tissue system of claim 14, wherein at least one of the first and second retaining elements of the first and second strips further comprises at least two elongated cords of material that extend from an associated end of the respective strip, whereby the cords may be tied around part of the surgical stapler.

19. The tissue system of claim 18, wherein the cords are integrally formed of the same material as the respective strip from which the cords extend.

20. The tissue system of claim 14, wherein the each of the first and second strips comprises a biological tissue material having glycerin within the respective strips so as to render the tissue generally pliable when stored in a dry condition.

21. A system to divide and seal tissue, comprising:

an elongated strip of biocompatible flexible material, comprising;

a leading end;

a first retaining element operatively associated with the strip and located near the leading end;

a trailing end spaced from the leading end by an elongated intermediate section of the strip;

a second retaining element operatively associated with the strip and located near the trailing end; and

an aperture extending through the intermediate section of the strip at a location positioned between the first and second retaining elements; and

a surgical stapler, comprising;

first and second jaws mounted relative a handle thereof for movement relative to each other between open and closed positions, the first and second jaws having opposing faces that extend between distal and proximal ends of the respective jaws;

the first and second retaining elements releasably securing the strip relative at least one of the first and second jaws, such that the intermediate section of the strip extends generally coextensive with the face of the at least one of the first and second jaws, an alignment rod near a distal end of the stapler being aligned for movement through the aperture of the strip to facilitate operation of the stapler to drive staples through the intermediate section of the strip.

22. The system of claim 21, wherein at least one of the first and second retaining elements further comprises an aperture extending through the strip at a location near a respective one of the leading and trailing ends.

23. The system of claim 21, further comprising a retaining ring operative to releasably secure part of the intermediate portion of the strip, which is located between the slot and one of the leading and trailing ends, relative to the surgical stapler.

24. The system of claim 21, wherein the strip defines a first strip, the system further comprising:

a second elongated strip of biocompatible tissue material comprising;

a leading end;

a trailing end spaced apart from the leading end by an elongated intermediate portion that extends longitudinally between the leading and trailing ends of the second strip;

a first retaining element operatively associated with the leading end of the second strip;

a second retaining element operatively associated with the trailing end of the second strip;

wherein the first and second retaining elements of the second strip are operative to retain respective ends of the second strip relative to the second jaw of the surgical stapler, the first and second retaining elements of the first strip being operative to retain respective ends of the second strip relative to the first jaw of the surgical stapler so that an alignment rod near the distal end of the stapler is aligned for movement through the aperture of the strip; and

a bridge of material interconnecting the first and second strips, whereby the bridge may be cut to provide a pair of strips for positioning on different jaws the surgical stapler.

25. A method of using the system of claim 24, comprising:

cutting the bridge to separate the first and second strips from each other;

attaching the first retaining element of the first strip relative to the proximal end of the first jaw;

attaching the second retaining element of the first strip relative to the distal end of the first jaw, such that a substantial portion of the intermediate section of the first strip is coextensive with the face of the first jaw;

attaching the first retaining element of the second strip relative to the proximal end of the second jaw; and

attaching the second retaining element of the second strip relative to the distal end of the second jaw, such that a substantial portion of the intermediate section of the second strip is coextensive with the face of the second jaw.

26. The method of claim 25, further comprising:

inserting at least part of the first and second jaws and the first and second strips into a body of a warm blooded animal, such that a selected part of the tissue is interposed between the first and second jaws;

actuating the stapler to urge the jaws toward each other and drive staples through the first and second strips and the selected part of the tissue located between the first and second strips; and

distorting the staples to secure the selected part of the tissue between the first and second strips.

27. A method of using the system of claim 21, comprising:

attaching the first retaining element of the strip to part of the surgical stapler associated with the first jaw to hold the leading end of the strip near the distal end of the first jaw, such that the slot is positioned to permit movement of the alignment rod through the slot;

attaching the second retaining element of the strip to part of the surgical stapler associated with the second jaw to hold the trailing end of the strip near the distal end of the second jaw;

positioning a retaining ring over the strip and one jaw of the first and second jaws to releasably secure part of the intermediate section of the strip relative to part of the stapler near the proximal end of the one jaw, such that a first portion of the strip extending between the retaining ring and the leading end of the strip extends generally coextensively with the face of the first jaw and a second portion of the strip extending between the retaining ring and the trailing end of the strip extends generally coextensively with the face of the second jaw.

28. The method of claim 27, further comprising:

inserting at least part of the jaws and the associated strip attached thereto into a body of a warm blooded animal, such that a selected part of the tissue is interposed between the first and second portions of the strip;

actuating the stapler to urge the jaws toward each other and drive staples through the first and second portions of the strip and the selected part of the tissue located between the first and second portions of the strip; and

distorting the staples to secure the selected part of the tissue between the first and second portions of the strip.