Surgical stapling apparatus

• US 8,371,492 B2
• Filed: 12/01/2009
• Issued: 02/12/2013
• Est. Priority Date: 03/06/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aranyi, Ernie, Mozdzierz, Patrick, Olson, Lee
• Primary Examiner(s): LOW, LINDSAY M
• Application Number:
  US12/628,450
• Publication Number:
  US 20100072254A1
• Time in Patent Office: 1,169 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A loading unit for use with a surgical stapling apparatus is provided and includes a tool assembly having a cartridge assembly and an anvil assembly that are movable in relation to one another; a surgical buttress releasably secured to a tissue contacting surface of the anvil assembly and/or the cartridge assembly, wherein each surgical buttress is secured to the anvil assembly and/or the cartridge assembly by at least one anchor; a release assembly associated with the anvil assembly and/or the cartridge assembly; and a drive assembly slidably translatable through the tool assembly between proximal and distal positions, wherein the drive assembly actuates the release assembly to thereby release the anchor to free the surgical buttress from the anvil assembly and/or the cartridge assembly.

Claims

1. A surgical stapling apparatus, comprising:

a housing;

a handle supported by the housing;

an elongated body extending distally from the housing;

a tool assembly at the distal end of the elongated body, the tool assembly having a cartridge assembly including a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate, and wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress disposed on a tissue contacting surface of a selected one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress; and

a release assembly that grips the suture prior to an actuation of a drive assembly movable in the longitudinal slot and including;

a first bar extending across the longitudinal slot prior to an actuation of the drive assembly; and

a second bar, connected to and actuatable by the first bar, having an end extending at least partially into the retention slot, prior to an actuation of the drive assembly.

2. The surgical stapling apparatus according to claim 1, wherein the retention slot cinches the suture therein.

3. The surgical stapling apparatus according to claim 1, wherein as the drive assembly is advanced to a distal position, the drive assembly actuates the first bar of the release assembly which in turn actuates the second bar of the release assembly to release the suture disposed within the retention slot.

4. The surgical stapling apparatus according to claim 1, wherein the retention slot comprises a hole in the tissue contacting surface of the selected one of the anvil assembly and staple cartridge.

5. The surgical stapling apparatus according to claim 1, wherein the surgical buttress is disposed on the tissue contacting surface of the staple cartridge and further comprising a second surgical buttress disposed on a tissue contacting surface of the anvil assembly.

6. The surgical stapling apparatus according to claim 1, further comprising a housing portion removably couplable to the elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

7. The surgical stapling apparatus according to claim 1, wherein the suture is at least partially disposed in the surgical buttress.

8. A surgical stapling apparatus, comprising:

a housing;

a handle supported by the housing;

an elongated body extending distally from the housing;

a tool assembly at the distal end of the elongated body, the tool assembly having a cartridge assembly including a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate, and wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a plurality of sutures;

a surgical buttress disposed on a tissue contacting surface of a selected one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress;

an anvil release assembly and a cartridge release assembly, each of the anvil assembly and the cartridge assembly defining a retention slot, a first suture in a retention slot of the anvil assembly and a second suture in a retention slot of the cartridge assembly, wherein each release assembly includes;

a first bar extending across the longitudinal slot prior to an actuation of a drive assembly; and

a second bar, connected to and actuatable by the first bar, having an end extending at least partially into the retention slot, prior to an actuation of the drive assembly;

wherein as the drive assembly is advanced to the distal position, the drive assembly actuates the first bar of each release assembly which in turn actuates the second bar of each release assembly to release the suture disposed within the retention slot.

9. The loading unit according to claim 8, wherein each release assembly grips the suture prior to an actuation of the drive assembly.

10. The surgical stapling apparatus according to claim 8, wherein the retention slot comprises a hole in the tissue contacting surface of the selected one of the anvil assembly and staple cartridge.

11. The surgical stapling apparatus according to claim 8, wherein the surgical buttress is disposed on the tissue contacting surface of the staple cartridge and further comprising a second surgical buttress disposed on a tissue contacting surface of the anvil assembly.

12. The surgical stapling apparatus according to claim 8, further comprising a housing portion removably couplable to the elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

13. The surgical stapling apparatus according to claim 8, wherein the suture is at least partially disposed in the surgical buttress.

14. A surgical stapling apparatus, comprising:

a housing;

a handle supported by the housing;

an elongated body extending distally from the housing;

a tool assembly at the distal end of the elongated body, the tool assembly having a cartridge assembly including a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate, and wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress disposed on a tissue contacting surface of a selected one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress; and

at least one of the anvil assembly and the cartridge assembly includes a constricting, open-ended, side slot configured to grip an end of the suture, and further comprising a release assembly to push the end of the suture out of the retention slot.

15. The surgical stapling apparatus according to claim 14, wherein each of the anvil assembly and the cartridge assembly includes a release assembly.

16. The surgical stapling apparatus according to claim 15, wherein each of the anvil assembly and the cartridge assembly define a retention slot, the suture comprising a plurality of sutures including a first suture in a retention slot of the anvil assembly and a second suture in a retention slot of the cartridge assembly.

17. The surgical stapling apparatus according to claim 14, wherein the retention slot comprises a hole in the tissue contacting surface of the selected one of the anvil assembly and staple cartridge.

18. The surgical stapling apparatus according to claim 14, wherein the surgical buttress is disposed on the tissue contacting surface of the staple cartridge and further comprising a second surgical buttress disposed on a tissue contacting surface of the anvil assembly.

19. The surgical stapling apparatus according to claim 14, further comprising a housing portion removably couplable to the elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

20. The surgical stapling apparatus according to claim 14, wherein the suture is at least partially disposed in the surgical buttress.

21. A surgical stapling apparatus, comprising:

a housing;

a handle supported by the housing;

an elongated body extending distally from the housing;

a tool assembly at the distal end of the elongated body, the tool assembly having a cartridge assembly including a staple cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate, and wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot; and

a surgical buttress disposed on a tissue contacting surface of a selected one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress, wherein the surgical buttress defines a notch that is open at a lateral side of the surgical buttress, the suture extending into the notch.

22. The surgical stapling apparatus according to claim 21, wherein the surgical buttress is disposed on the tissue contacting surface of the staple cartridge and the retention slot defines a notch that is open at a lateral side of the staple cartridge, the suture extending from the notch of the surgical buttress into the notch of the staple cartridge.

23. The surgical stapling apparatus according to claim 22, further comprising a second surgical buttress is disposed on a tissue contacting surface of the anvil assembly.

24. The loading unit according to claim 21, further comprising a release assembly the grips the suture prior to an actuation of a drive assembly movable in the longitudinal slot.

25. The surgical stapling apparatus according to claim 21, wherein each of the anvil assembly and the cartridge assembly includes a release assembly.

26. The surgical stapling apparatus according to claim 25, wherein each of the anvil assembly and the cartridge assembly define a retention slot, the suture comprising a plurality of sutures including a first suture in a retention slot of the anvil assembly and a second suture in a retention slot of the cartridge assembly.

27. The surgical stapling apparatus according to claim 21, wherein the retention slot comprises a hole in the tissue contacting surface of the selected one of the anvil assembly and staple cartridge.

28. The surgical stapling apparatus according to claim 21, wherein the surgical buttress is disposed on the tissue contacting surface of the staple cartridge and further comprising a second surgical buttress disposed on a tissue contacting surface of the anvil assembly.

29. The surgical stapling apparatus according to claim 21, further comprising a housing portion removably couplable to the elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

30. A loading unit for use with a surgical stapling apparatus, the loading unit comprising:

a tool assembly having a cartridge assembly including a cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and the anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress disposed on a tissue contacting surface of at least one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress;

a release assembly that grips the suture prior to an actuation of a drive assembly movable in the longitudinal slot including;

a first bar extending across the longitudinal slot prior to an actuation of the drive assembly, the drive assembly being movable in the longitudinal slot; and

a second bar, connected to and actuatable by the first bar, having an end extending at least partially into the retention slot, prior to an actuation of the drive assembly.

31. The loading unit according to claim 30, wherein as the drive assembly is advanced to a distal position, the drive assembly actuates the first bar of the release assembly which in turn actuates the second bar of the release assembly to release the suture disposed within the retention slot.

32. The loading unit according to claim 30, wherein each of the anvil assembly and the cartridge assembly includes a release assembly.

33. The loading unit according to claim 30, further comprising a housing portion removably couplable to an elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

34. The loading unit according to claim 30, wherein the suture is at least partially disposed in the surgical buttress.

35. A loading unit for use with a surgical stapling apparatus, the loading unit comprising:

a tool assembly having a cartridge assembly including a cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and the anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress disposed on a tissue contacting surface of at least one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress;

each of the anvil assembly and the cartridge assembly including a release assembly, each release assembly including;

a first bar extending across the longitudinal slot prior to an actuation of a drive assembly; and

a second bar, connected to and actuatable by the first bar, having an end extending at least partially into the retention slot, prior to an actuation of the drive assembly, wherein as the drive assembly is advanced to the distal position, the drive assembly actuates the first bar of each release assembly which in turn actuates the second bar of each release assembly to release the suture disposed within the retention slot.

36. The loading unit according to claim 35, wherein each of the anvil assembly and the cartridge assembly define a retention slot, the suture comprising a plurality of sutures including a first suture in a retention slot of the anvil assembly and a second suture in a retention slot of the cartridge assembly.

37. The loading unit according to claim 35, wherein the release assembly grips the suture prior to an actuation of a drive assembly movable in the longitudinal slot.

38. The loading unit according to claim 35, further comprising a housing portion removably couplable to an elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

39. The loading unit according to claim 35, wherein the suture is at least partially disposed in the surgical buttress.

40. A loading unit for use with a surgical stapling apparatus, the loading unit comprising:

a tool assembly having a cartridge assembly including a cartridge having a plurality of surgical fasteners therein, and an anvil assembly, at least one of the cartridge assembly and the anvil assembly being movable in relation to the other of the cartridge assembly and anvil assembly, wherein the anvil assembly includes an anvil plate and, wherein each of the anvil plate and the staple cartridge define an elongate longitudinal slot;

a surgical buttress disposed on a tissue contacting surface of at least one of the anvil assembly and the staple cartridge, wherein the surgical buttress is secured to the selected one of the anvil assembly and the cartridge assembly by a suture disposed in a retention slot defined in the tissue contacting surface of the selected one of the anvil assembly and the staple cartridge, the suture passing transversely across the surgical buttress;

wherein at least one of the anvil assembly and the cartridge assembly includes a constricting, open-ended, side slot configured to grip an end of the suture, and further comprising a release assembly to push the end of the suture out of the retention slot.

41. The loading unit according to claim 40, further comprising a housing portion removably couplable to an elongated body of the surgical stapling apparatus, the surgical buttress comprising a first surgical buttress disposed on the staple cartridge and further comprising a second surgical buttress disposed on the anvil assembly, the first surgical buttress being pre-loaded on the staple cartridge and the second surgical buttress being pre-loaded on the anvil assembly.

42. The loading unit according to claim 40, wherein the suture is at least partially disposed in the surgical buttress.