Circular stapler buttress

• US 8,123,766 B2
• Filed: 01/16/2008
• Issued: 02/28/2012
• Est. Priority Date: 09/17/2003
• Status: Expired due to Fees

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: Gore Enterprise Holdings Incorporated (W.L. Gore and Associates)
• Inventors: Bauman, Ann M., Broyles, Stuart E., Crawley, Jerald M., Daugherty, John R., Pih, Norman
• Primary Examiner(s): WOO, JULIAN W
• Application Number:
  US12/015,087
• Publication Number:
  US 20080161832A1
• Time in Patent Office: 1,504 Days
• Field of Search: 606 75- 77, 606/153, 606/214, 606/215, 606/219, 606/220, 227/175.2, 227/179.1, 227/180.1, 227/213, 227/220, 411/161, 411/531, 411/542, 411/544, 411/546
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/07257 characterised by its anvil

Abstract

A buttress for use with circular surgical staplers that does not require adhesive to securely fasten the buttress to the stapler. Following cutting and stapling by the circular stapler, the buttress has an adaptive opening through its central region with a diameter smaller than the outer diameter of the stapler anvil. Because of relief features built into the buttress, the stapler anvil may be pulled through the buttress material without causing permanent alteration to the buttress. These relief features may be provided regardless of whether the buttress is made of inelastic or elastic materials. The buttress is generally circular in shape with an outer diameter sized to coincide with the outer diameter of the stapler body staple compression surface and the outer diameter of the anvil compression surface of a circular stapler with which it is used. Prior to surgical use, the buttress is attached to the stapler with disruptable portions extending from outer perimetal areas of the buttress.

Claims

1. An implantable medical device adapted to reinforce tissue stapled together with a circular stapler having a generally circular cutting blade, the device comprising:

a buttress material adapted for mounting on the circular stapler; and

a plurality of slits in the buttress material, the slits generally extending in an approximately radial direction,

wherein, a reinforcing portion of the buttress material is configured to remain stapled to tissue in a patient and an inner portion of the buttress material is configured to be cut away from the reinforcing portion by the cutting blade upon actuation of the circular stapler and cutting blade, resulting in a severed inner edge of the reinforcing portion and a severed outer edge of the inner portion, and

wherein the slits extend through the severed inner edge of the reinforcing portion.

2. The implantable medical device of claim 1, wherein the slits provide a relief feature to the severed inner edge.

3. The implantable medical device of claim 1, wherein the slits form an expandable inner edge of the reinforcing portion.

4. The implantable medical device of claim 1, wherein the slits facilitate removal of the stapler after actuation.

5. An implantable medical device adapted to reinforce tissue stapled together with a circular stapler having a generally circular cutting blade, the device comprising:

a buttress material adapted for mounting on the circular stapler;

a plurality of slits formed in the buttress material, the slits generally extending in an approximately radial direction,

wherein the slits are located so as to traverse a portion of the buttress material that is configured to be cut by the cutting blade upon actuation of the circular stapler and cutting blade.

6. An implantable medical device adapted to reinforce tissue stapled together with a circular stapler having a generally circular cutting blade, the device comprising:

a buttress material adapted for mounting on the circular stapler;

a plurality of slits formed in the buttress material,

wherein a reinforcing portion of the buttress material is configured to remain stapled to tissue in a patient and an inner portion of the buttress material is configured to be cut away from the reinforcing portion by the cutting blade upon actuation of the circular stapler and cutting blade, resulting in a severed inner edge of the reinforcing portion and a severed outer edge of the inner portion, and

wherein the slits extend through the severed inner edge of the reinforcing portion.

7. The implantable medical device of claim 6, wherein the slits are configured as a relief feature to the severed inner edge.

8. The implantable medical device of claim 6, wherein the slits are serpentine-shaped.

9. The implantable medical device of claim 6, wherein the slits are triangular.

10. An implantable medical device adapted to reinforce tissue stapled together with a circular stapler having a generally circular cutting blade, the device comprising:

a buttress material adapted for mounting on the circular stapler and configured to be cut upon actuation of the circular stapler and the cutting blade; and

a plurality of slits formed in the buttress material, the slits being arranged to traverse a circular portion of the buttress material which is removed by the cutting blade,

wherein the slits and the edge created by the cutting blade form an adaptive opening that allows the passage of components having a larger diameter than the opening.

11. An implantable medical device adapted to reinforce tissue stapled together with a circular stapler having a generally circular cutting blade, the device comprising:

a buttress material adapted for mounting on the circular stapler; and

a plurality of slits formed in the buttress material, the slits being arranged to traverse a cutting line on the buttress material, the cutting line being a generally circular portion of the buttress material that is adapted to be severed by the cutting blade,

wherein a reinforcing portion of the buttress material remains stapled to tissue in a patient and an inner portion of the buttress material is configured to be cut away from the reinforcing portion by the cutting blade upon actuation of the circular stapler and cutting blade, and the slits extend through the severed edge of the reinforcing portion, thereby creating relief flaps.

12. The implantable medical device of claim 11, wherein each of the slits extend from a point on the buttress material through the severed edge.

13. The implantable medical device of claim 11, wherein the slits allow for the passage of a stapler component having a diameter greater than the diameter of the cutting blade through the center of the buttress material after actuation.

14. A buttress material for reinforcing an anastomosis at a surgical site for use with a circular stapler having a central shaft and a circular cutting blade,

the buttress material being generally circular in shape, the buttress material having a central region which is configured to be cut away by the cutting blade after firing of the circular stapler, the buttress material further having an outer diameter sized to coincide approximately with the outer diameter of a stapler body compression surface of the circular stapler or with the outer diameter of an anvil compression surface of the circular stapler;

the buttress material having a generally circular opening in the central region configured to allow the central shaft of the circular stapler to pass through the generally circular opening; and

the buttress material further having a plurality of slits extending radially towards the outer diameter of the generally circular buttress material, the slits being sized to facilitate removal of the circular stapler from the surgical site after the circular stapler has been fired and the central region has been cut away by the circular cutting blade.

15. The buttress material of claim 14, wherein the slits are configured symmetrically around the circular opening in the central region.

16. The buttress material of claim 15, wherein the slits are equally spaced from each other.

17. The buttress material of claim 14, wherein the diameter of the central region that is cut away by the cutting blade is smaller than the outer diameter of the anvil compression surface.

18. The buttress material of claim 14, further comprising a retaining ring around the central region to aid in retaining the buttress material.

19. The buttress material of claim 14, further comprising a disk to aid in retaining the buttress material.

20. The buttress material of claim 14, wherein the buttress material further comprises a slit extending from the central opening to the outer diameter of the buttress material.

21. The buttress material of claim 14, wherein the buttress material is self-aligning.

22. The buttress material of claim 21, wherein the buttress material comprises a surface that contacts the outer diameter of the anvil compression surface or the outer diameter of the stapler body compression surface.

23. The buttress material of claim 14, further comprising a retaining device to aid in the retention of the buttress material on the circular stapler without requiring the use of an adhesive substance.

24. A buttress material adapted for mounting on a circular stapler having a generally circular blade, the buttress material having an initial inner edge and an initial outer edge;

and

a plurality of slits in the buttress material, the slits generally extending in an approximately radial direction, said slits extending from the initial inner edge of the buttress material, wherein a reinforcing portion of the buttress material is configured to remain stapled to tissue in a patient and an inner portion of the buttress material is configured to be cut away from the reinforcing portion by the cutting blade upon actuation of the circular stapler and cutting blade, resulting in a severed inner edge of the reinforcing portion and a severed outer edge of the inner portion, and wherein the slits extend through the severed inner edge of the reinforcing portion.