Center cinch and release of buttress material

• US 8,235,273 B2
• Filed: 05/19/2011
• Issued: 08/07/2012
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Olson, Lee, Aranyi, Ernie, Mozdzierz, Patrick
• Primary Examiner(s): Nash, Brian D
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US13/111,050
• Publication Number:
  US 20110278347A1
• Time in Patent Office: 446 Days
• Field of Search: 227/175.1, 227/176.1, 227/181.1, 227/180.1, 606/151, 606/219, 606/139
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

Claims

1. An anvil assembly comprising:

an anvil member;

a length of suture;

a strip of buttress material secured to the anvil member with the suture;

a tensioning member having at least one track for engaging the length of suture, the tensioning member being movable between a first position tensioning the length of suture and a second position releasing tension on the length of suture; and

a release member movably mounted to the anvil member and movable relative to the tensioning member to move the tensioning member to the second position.

2. The anvil assembly as recited in claim 1, wherein the length of suture includes first and second suture sides.

3. The anvil assembly as recited in claim 2, wherein the tensioning member includes a first track and the first suture side is secured in the first track.

4. The anvil assembly as recited in claim 3, wherein the tensioning member includes a second track and a second suture side is secured in the second track.

5. The anvil assembly as recited in claim 3, further comprising a cover affixed to the anvil member, the cover including a distal window providing visualization of the first track.

6. The anvil assembly as recited in claim 2, wherein the release member includes a wedge for maintaining the tensioning member in the first position.

7. The anvil assembly as recited in claim 2, wherein the anvil member includes first and second holes extending between sides of the anvil member, wherein the first side of the length of suture extends through the first hole and the second side of the length of suture extends through the second hole.

8. The anvil assembly as recited in claim 2, wherein the strip of buttress material includes first and second cutouts to accommodate passage of the first and second sides of the length of suture.

9. The anvil assembly as recited in claim 2, further comprising a proximal length of suture for securing a proximal end of the strip of buttress material to the anvil member.

10. The anvil assembly as recited in claim 9, wherein the proximal length of suture includes first and second sides.

11. The anvil assembly as recited in claim 10, wherein the anvil member includes a pair of slots adjacent a proximal end of the anvil member, the pair of slots being dimensioned to frictionally secure the first and second sides of the proximal length of suture.

12. The anvil assembly as recited in claim 11, further comprising a cover affixed to the anvil member, the cover including a pair of proximal windows, the proximal windows providing visualization of the first and second sides of the proximal length of suture secured within the first and second slots formed in the anvil member.

13. The anvil assembly as recited in claim 10, wherein the strip of buttress material includes first and second cutouts formed adjacent the proximal end of the strip of buttress material for passage of the first and second sides of the proximal length of suture.

14. The anvil assembly as recited in claim 1, wherein the anvil member includes a longitudinally extending slot and the release member includes a guide rib movable within the longitudinally extending slot.

15. The anvil assembly as recited in claim 1, wherein the strip of buttress material includes a perforation to facilitate separation of the strip of buttress material.

16. The anvil assembly as recited in claim 1, wherein the release member moves between a first horizontal position and a second horizontal position, wherein the release member maintains the at least one track in a first vertical position when the release member is in the first horizontal position and allows the at least one track to move to a second vertical position when the release member is in the second horizontal position.

17. A surgical stapling apparatus, comprising:

an anvil assembly comprising;

an anvil member having a first side and a second side;

a length of suture passing from the first side of the anvil member to the second side of the anvil member;

a tensioning member movably mounted on the first side of the anvil member and engageable with the length of suture, the tensioning member movable between a first position tensioning the length of suture and a second position releasing tension on the length of suture; and

a release member movably mounted on the first side of the anvil member and movable relative to the tensioning member to move the tensioning member to the second position.

18. The surgical stapling apparatus as recited in claim 17, further comprising a strip of buttress material positioned adjacent the anvil member.

19. A surgical stapling apparatus, comprising:

a knife assembly including a knife blade;

an anvil assembly comprising;

an anvil member including a knife slot, wherein the knife blade is distally movable through the knife slot;

a proximal suture and a distal suture, each suture having a first side, a second side, and a backspan extending between the first and second sides;

a strip of buttress material having a distal end and a proximal end, the strip of buttress material being secured to the anvil member by the distal suture and the proximal suture, wherein the distal suture secures the distal end of the strip of buttress material and the proximal suture secures the proximal end of the strip of buttress material, and wherein the backspan of the proximal suture extends across the knife slot such that the knife blade cuts the proximal end of the strip of buttress material and severs the backspan of the proximal suture as the knife blade moves distally through the knife slot;

a tensioning member movably mounted to the anvil member and engageable with the distal suture, the tensioning member movable between a first position tensioning the distal suture and a second position releasing tension on distal suture; and

a release member movably mounted to the anvil member and movable relative to the tensioning member to move the tensioning member to the second position.