Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism

• US 7,147,138 B2
• Filed: 07/14/2005
• Issued: 12/12/2006
• Est. Priority Date: 07/28/2004
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV
• Primary Examiner(s): Sipos, John
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US11/181,471
• Publication Number:
  US 20060025816A1
• Time in Patent Office: 516 Days
• Field of Search: 227/19, 227/176.1, 227/177.1, 227/181.1, 606/139, 606/148, 606/151
• US Class Current: 227/176.1
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/07214 Stapler heads

Abstract

A surgical instrument for being endoscopically or laparoscopically inserted to a surgical site for simultaneous stapling and severing of tissue includes electrically actuated deployment of buttress pads held on inner surfaces of upper and lower jaws of a staple applying assembly. Thereby, thick or thin layers may be stapled and severed without improper staple formation nor with nonoptimal deployment of the buttress pads. Electroactive polymer (EAP) actuated latches, an EAP channel, or a rigid channel with an EAP pinch lock reliably hold the buttress pad until deployment is desired with a low force to separate the stapled and severed buttress pad/tissue combination with the respective EAP mechanism activated for deployment.

Claims

1. A surgical instrument for fastening buttress material to tissue, comprising;

an elongate shaft;

a fastener applying assembly distally attached to the elongate shaft and including opposing tissue compression surfaces;

an electrically actuated retention member located on said fastener applying assembly and being adapted to hold the buttress material to a selected one of said opposing tissue compression surfaces; and

control circuitry operably configured to produce a control signal to actuate the electrically actuated retention member to deploy the buttress material.

2. The surgical instrument of claim 1, wherein the electrically actuated retention member further comprises an electroactive polymer.

3. The surgical instrument of claim 1, wherein the electrically actuated retention member further comprises a latch moved by an electroactive polymer actuator.

4. The surgical instrument of claim 1, wherein the electrically actuated retention member further comprises a retention bracket positioned to receive a lateral edge of the buttress material and an electrical actuator having a moving end positioned to selectively enter a channel of the selected opposing tissue compression surfaces.

5. The surgical instrument of claim 4, wherein the electrical actuator is operatively sized to outwardly deform the retention bracket with respect to the selected opposing tissue compression surface to release the lateral edge of buttress material.

6. The surgical instrument of claim 4, wherein the retention member comprises an overlying flange, the electrical actuator positioned on an opposite side of the lateral edge of the buttress material to assert a locking force onto the buttress material.

7. The surgical instrument of claim 1, wherein the electrically actuated retention member comprises an electroactive polymer actuator attached to the selected opposing tissue compression surface operatively configured to change from a compressively engaged state to an expanded disengaged state, a base portion, and a latch portion, wherein in said compressively engaged state of said EAP said base portion extends proximate to a lateral edge of said buttress material engaged on said selected tissue compression surface and in said expanded disengaged state of said EAP said latch portion curves over a surface of a lateral edge of said selected tissue compression surface.

8. The surgical instrument of claim 7, wherein the electroactive polymer actuator is operatively configured to respond to an electrical activation to expand the base portion upwardly and outwardly with respect to the selected opposing tissue compression surface.

9. The surgical instrument of claim 1, wherein the fastener applying assembly comprises a lower jaw containing a staple cartridge and a pivotally attached upper jaw.

10. The surgical instrument of claim 9, wherein the electrically actuated retention member comprises a curved resilient member overlying and attached to a top surface of the upper jaw and extending inwardly curved ends with respect to said upper jaw positioned to hold lateral edges of buttress material positioned on an upper tissue compression surface of the upper jaw, the electrically actuated retention member further comprising a pair of electroactive polymer actuators positioned between the curved resilient member and the top surface of the upper jaw.

11. The surgical instrument of claim 1, wherein the fastener applying assembly comprises a circular staple applying assembly.

12. The surgical instrument of claim 1, further comprising a handle portion operatively configured to distally advance a firing member guided by the elongate shaft to the fastener applying assembly, the control circuitry operatively configured to sense and to respond to firing advance of the firing member to actuate the electrically actuated retention member.

13. The surgical instrument of claim 1, wherein the fastener applying assembly further comprises a clip applying assembly.

14. The surgical instrument of claim 1, wherein the fastener applying assembly further comprises an anchor applying assembly.

15. The surgical instrument of claim 1, wherein the fastener applying assembly further comprises a suture applying assembly.

16. A surgical instrument for fastening buttress material to tissue, comprising:

an elongate shaft comprising a frame ground guiding a firing member for longitudinal reciprocating motion;

a handle portion attached to a proximal end of the elongate shaft and operatively configured to longitudinally move the firing member;

first and second buttress pads;

a staple applying assembly attached to a distal end of the elongate shaft and comprising opposing tissue compression surfaces operatively configured to respond to distal motion of the firing member towards said distal end of said elongated shaft to form staples between the opposing tissue compression surfaces through the first and second buttress pads and an interposed compressed tissue;

an electrically actuated retention member selectively positioned between an engaged position holding a selected buttress pad to a selected tissue compression surface; and

control circuitry operably configured to produce a control signal to actuate the electrically actuated retention member to effect a selected one of retaining and deploying the first and second buttress pads.

17. The surgical instrument of claim 16, wherein the staple applying assembly comprises a lower jaw containing a staple cartridge defining one tissue compression surface and a pivotally attached upper jaw defining the other tissue compression surface.

18. The surgical instrument of claim 16, wherein the staple applying assembly comprises a circular staple applying assembly.

19. The surgical instrument of claim 16, wherein the electrically actuated retention member further comprises an electroactive polymer.

20. A surgical instrument for fastening buttress material to tissue, comprising:

an elongate shaft;

a staple applying assembly distally attached to the elongate shaft and including opposing tissue compression surfaces; and

a means for engaging a buttress pad to each tissue compression surface and to remotely electrically controlling deployment of the buttress pads via electroactive polymer activation after stapling to interposed tissue.