Methods of using shape memory alloys for buttress attachment

• US 8,453,652 B2
• Filed: 08/13/2012
• Issued: 06/04/2013
• Est. Priority Date: 10/26/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Stopek, Megan L.
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US13/584,186
• Publication Number:
  US 20120305626A1
• Time in Patent Office: 295 Days
• Field of Search: 227/176.1, 227/19, 227/175.1, 128/898
• US Class Current: 128/898
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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

Abstract

A surgical stapling device includes a tissue contacting surface and a buttress attachment feature. The buttress attachment feature permits selectively securing a surgical buttress to the tissue contacting surface, which may be disposed on a cartridge assembly or an anvil plate of the surgical stapling device. The buttress attachment feature may include a shape memory alloy, such as a nickel titanium alloy, that is responsive to a temperature change to allow the buttress attachment feature to move between a first position where a free end of the buttress attachment feature is substantially spaced from the tissue contacting surface, and second position where the surgical attachment feature is approximated with respect to the tissue contacting surface.

Claims

1. A cartridge assembly configured for selective, removable connection to a cartridge receiving section of a surgical stapling device, the cartridge assembly comprising:

a tissue contacting surface defining;

a plurality of staple retaining pockets formed therein, wherein the plurality of staple retaining pockets are arranged in parallel, longitudinally extending rows; and

a longitudinally extending knife slot; and

at least one buttress attachment feature for selectively securing a surgical buttress adjacent the tissue contacting surface, the buttress attachment feature movable between a first position in which a free end of the buttress attachment feature permits placement of a surgical buttress against the tissue contacting surface, and a second position in which the free end of the buttress attachment feature retains the surgical buttress against the tissue contacting surface, wherein the buttress attachment feature is responsive to a temperature change such that the buttress attachment feature is in the first portion when the buttress attachment features is at a first temperature and in the second position when the buttress attachment feature is at a second temperature, the second temperature being greater than the first temperature, wherein the buttress attachment feature comprises a shape memory alloy that is responsive to the temperature change.

2. The cartridge assembly according to claim 1, wherein in the first position, the free end of the buttress attachment feature extends substantially orthogonally with respect to the tissue contacting surface, and in the second position the free end of the buttress attachment extends substantially parallel with respect to the tissue contacting surface.

3. The cartridge assembly according to claim 1, wherein the buttress attachment features includes a backspan configured to secure the surgical buttress.

4. The cartridge assembly according to claim 1, wherein the buttress attachment feature includes a frame configured to secure the surgical buttress.

5. The cartridge assembly according to claim 4, wherein the frame supports a drape positioned to overlie the portion of the tissue contacting surface when the buttress attachment feature is in the second position.

6. The cartridge assembly according to claim 5, wherein the drape comprises the surgical buttress.

7. The cartridge assembly according to claim 1, wherein the buttress attachment feature includes a plurality of fingers spaced along the longitudinally extending knife slot of the cartridge assembly.

8. The cartridge assembly according to claim 7, wherein the plurality of fingers extends along opposed sides of the longitudinally extending knife slot of the cartridge assembly.

9. The cartridge assembly according to claim 7, wherein each of the plurality of fingers is oriented to extend substantially orthogonal to the first tissue contacting surface when the buttress attachment feature is in the first position, and substantially parallel to the first tissue contacting surface when the buttress attachment feature is in the second position.

10. The cartridge assembly according to claim 7, wherein the plurality of fingers comprises a shape memory alloy.

11. The cartridge assembly according to claim 10, wherein the shape memory alloy is a nickel titanium alloy.

12. The cartridge assembly according to claim 7, wherein each of the plurality of fingers is configured to penetrate the surgical buttress when the buttress attachment feature is in the first position, and to overlie the first tissue contacting surface when the buttress attachment feature is in the second position.

13. A cartridge assembly configured for selective, removable connection to a cartridge receiving section of a surgical stapling device, the cartridge assembly comprising:

a tissue contacting surface defining;

a plurality of staple retaining pockets formed therein, where in the plurality of staple retaining pockets are arranged in parallel, longitudinally extending rows; and

a longitudinally extending knife slot; and

at least one buttress attachment feature for selectively securing a surgical buttress adjacent the tissue contacting surface, the buttress attachment feature including a shape memory alloy, wherein the shape memory alloy is configured to assume a first orientation with respect to the tissue contacting surface at a first temperature wherein a free end of the buttress attachment feature is spaced from the tissue contacting surface for permitting movement of the surgical buttress with respect to the tissue contacting surface, and wherein the shape memory alloy is configured to assume a second orientation with respect to the tissue contacting surface at a second temperature where the free end of the buttress attachment feature is relatively proximate to the tissue contacting surface for securing the surgical buttress to the tissue contacting surface.

14. The cartridge assembly according to claim 13, wherein the second temperature is greater than the first temperature.

15. The cartridge assembly according to claim 13, wherein the buttress attachment feature includes a plurality of fingers spaced along the knife slot.

16. The cartridge assembly 15, wherein each of the plurality of fingers is oriented to extend substantially orthogonal to the first tissue contacting surface when the buttress attachment feature is in the first position, and substantially parallel to the first tissue contacting surface when the buttress attachment feature is in the second position.

17. A method of performing a surgical procedure, comprising the steps of:

providing a surgical stapling device including;

a cartridge assembly receiving section of a jaw assembly; and

an anvil assembly, wherein a tissue contacting surface is defined by at least one of the cartridge assembly and the supporting section of the jaw assembly;

providing a cartridge assembly configured for selective, removable connection to the cartridge receiving section of the surgical stapling device, the cartridge assembly including;

a tissue contacting surface defining;

a plurality of staple retaining pockets formed therein, wherein the plurality of staple retaining pockets are arranged in parallel, longitudinally extending rows; and

a longitudinally extending knife slot; and

at least one buttress attachment feature for selectively securing a surgical buttress adjacent the tissue contacting surface, the buttress attachment feature including a shape memory allow, wherein the shape memory alloy is configured to assume a first orientation with respect to the tissue contacting surface wherein a free end of the buttress attachment feature is spaced from the tissue contacting surface, and wherein the shape memory alloy is configured to assume a second orientation with respect to the tissue contacting surface wherein the free end of the buttress attachment feature is relatively proximate to the tissue contacting surface;

providing a surgical buttress;

placing the surgical buttress against the tissue contacting surface of the cartridge assembly when the buttress attachment feature in the first position and loading the cartridge assembly into the cartridge receiving section of the surgical stapling device; and

heating the buttress attachment feature to move the buttress attachment feature from the first position to the second position.

18. The method according to claim 17, wherein the surgical buttress is placed against the tissue contacting surface of the cartridge assembly prior to the step of loading the cartridge assembly into the cartridge receiving half-section of the surgical stapling device.