Surgical stapling instruments structured for delivery of medical agents

• US 7,673,783 B2
• Filed: 11/04/2005
• Issued: 03/09/2010
• Est. Priority Date: 11/04/2005
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, Frederick E. IV
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): LOW, LINDSAY M
• Application Number:
  US11/267,811
• Publication Number:
  US 20070102453A1
• Time in Patent Office: 1,586 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00495 for two-component glue
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/07214 Stapler heads

Abstract

A medical agent dispensing system can be provided that may be structured for use with a surgical severing/stapling instrument that is designed for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent; a gear pump casing in communication with the storage reservoir; a screw pump auger positioned within the gear pump casing capable of rotational manipulation to move the medical agent through the gear pump casing; and, at least one agent tube in communication with the gear pump casing. The agent tube may be structured for communication with a least one agent port formed in a staple cartridge of the surgical instrument for dispensing the medical agent therethrough.

Claims

1. A surgical severing/stapling instrument including a medical agent dispensing system, the instrument comprising:

a handle portion including at least one storage reservoir structured for storing at least a component of a medical agent, wherein the at least one storage reservoir is supported by the handle portion;

a shaft portion connected to the handle portion, the shaft portion including a gear pump casing in communication with the storage reservoir, the gear pump casing including a screw pump auger extending therethrough using rotational manipulation to move the medical agent through the gear pump casing;

an end effector portion operatively associated with the shaft portion, the end effector including a channel having a staple cartridge positioned removably therein, said end effector further supporting a knife bar therein, said knife bar being selectively movable from a retracted position to fired positions upon application of firing motions thereto and selectively movable from the fired positions to the retracted position upon application of a retraction motion thereto;

a firing trigger configured to apply said firing motions and said retraction motion;

at least one agent tube in communication with the gear pump casing, the agent tube extending from the shaft portion to communicate with at least one agent port formed in the staple cartridge for dispensing the medical agent therethrough, such that said screw pump auger is automatically activated to pump said medical agent from said at least one storage reservoir through said gear pump casing and said at least one agent tube upon an actuation of said firing trigger, which initiates the application of said retraction motion to said knife bar.

2. The instrument of claim 1, wherein the medical agent includes a hemostatic agent.

3. The instrument of claim 1, wherein the medical agent includes an adhesive.

4. The instrument of claim 1, wherein the gear pump casing is in communication with the agent tube through a lateral manifold.

5. The instrument of claim 1, further comprising at least a second agent tube in communication with the gear pump casing, wherein the first agent tube communicates with a first plurality of agent ports formed in the staple cartridge, and the second agent tube communicates with a second plurality of agent ports formed in the staple cartridge.

6. The instrument of claim 1, further comprising the handle portion including at least a second storage reservoir in communication with the gear pump casing, the second storage reservoir being structured for storing at least a component of the medical agent.

7. The instrument of claim 6, wherein the component stored in the first storage reservoir and the component in the second storage reservoir are designed to be combined to form the medical agent.

8. A surgical instrument comprising:

an end effector operably supporting a staple cartridge and a knife bar therein, said knife bar being selectively movable from a retracted position to fired positions upon application of firing motions thereto and selectively movable from the fired positions to the retracted position upon application of a retraction motion thereto;

at least one medical agent storage reservoir in fluid communication with at least one agent port in said staple cartridge;

a pumping member, comprising;

an electric motor;

a pump casing;

a rotatable member positioned within said pump casing; and

a mechanical linkage operably connecting said motor and said rotatable member, wherein said pumping member is configured to pump medical agent from said at least one medical agent storage reservoir through said at least one agent port upon initiation of an application of said retraction motion to said knife bar; and

an actuator operably coupled with said knife bar and said motor, wherein the actuation of said actuator retracts said knife bar and operates said motor.

9. The surgical instrument of claim 8, wherein the medical agent includes a hemostatic agent.

10. The surgical instrument of claim 8, wherein the medical agent includes an adhesive.

11. The surgical instrument of claim 8 wherein said

pump casing is in communication with the storage reservoir;

and wherein said rotatable member comprises a screw pump auger positioned within the pump casing, the screw pump auger using rotational manipulation to move the medical agent through the pump casing; and

at least one agent tube in communication with the pump casing, the agent tube being structured for communication with the at least one agent port in the staple cartridge.

12. The surgical instrument of claim 11 wherein the pump casing is positioned to extend longitudinally through a spine of the surgical instrument.

13. The surgical instrument of claim 11, wherein the pump casing is in communication with the agent tube through a lateral manifold.

14. The surgical instrument of claim 13, wherein the agent tube is in communication with both the lateral manifold and a plurality of the agent ports.

15. The surgical instrument of claim 11, further comprising at least a second agent tube in communication with the pump casing, wherein the first agent tube communicates with a first plurality of agent ports formed in the staple cartridge, and the second agent tube communicates with a second plurality of agent ports formed in the staple cartridge.

16. The surgical instrument of claim 8, further comprising at least one agent port being formed generally adjacent to at least one staple hole in the staple cartridge.

17. The surgical instrument of claim 11, further comprising at least a second storage reservoir in communication with the pump casing, the second storage reservoir being structured for storing at least a component of the medical agent.

18. The surgical instrument of claim 17, wherein the component stored in the first storage reservoir and the component in the second storage reservoir are designed to be combined to form the medical agent.

19. The surgical instrument of claim 11, further comprising a Y-manifold in communication with both the first storage reservoir and the second storage reservoir.

20. The surgical instrument of claim 11 wherein said pumping member is configured to pump medical agent from said at least one medical agent storage reservoir only upon commencement of an application of said retraction motion to said knife bar.