Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same

• US 8,540,131 B2
• Filed: 03/15/2011
• Issued: 09/24/2013
• Est. Priority Date: 03/15/2011
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Swayze, Jeffrey S.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/048,608
• Publication Number:
  US 20120234900A1
• Time in Patent Office: 924 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/180.1, 606/139, 606/143, 606/151, 606/153, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• 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 2017/0464 for soft tissue

Abstract

Surgical staple cartridges and methods for manipulating the severed ends of divided tissue. In various forms, the staple cartridge has at least one base material temporarily supported thereon that is oriented to be stapled to a corresponding end of the divided tissue. At least one elongated tether is non-removably affixed to each piece of base material. Once the base material is stapled to the corresponding piece of divided tissue, the clinician may manipulate that pieced of divided tissue by applying manipulation motions to the tether. Corresponding grooves or pockets may be provided on the cartridge body for temporarily supporting the tethers therein.

Claims

1. A surgical staple cartridge comprising:

a cartridge body operably supporting a plurality of surgical staples therein, said cartridge body comprising;

a deck surface and first and second lateral sides; and

a slot centrally disposed therein dividing said deck surface into a first deck portion and a second deck portion;

a first base material segment removably retained on said first deck portion, said first base material having at least one first tether non-removably affixed thereto; and

a second base material segment removably retained on said second deck portion, said second base material having at least one second tether non-removably affixed thereto.

2. The surgical staple cartridge of claim 1 wherein said first base material and said second base material comprise a mesh material.

3. The surgical staple cartridge of claim 1 wherein said cartridge body has a body length and wherein at least one of said at least one elongated tethers has a tether length that is at least as long as said body length.

4. The surgical staple cartridge of claim 1 wherein said first tether is removably supported on a corresponding first portion of said cartridge body and wherein said second tether is removably supported on a corresponding second portion of said cartridge body.

5. The surgical staple cartridge of claim 4 wherein each said first tether is removably supported within a corresponding first groove provided in said first portion of said cartridge body portion and wherein said second tether is removably supported within a corresponding second groove provided in said second portion of said cartridge body.

6. The surgical staple cartridge of claim 5 wherein said first groove is provided in a first lateral side portion of said cartridge body and wherein said second groove is provided in a second lateral side portion of said cartridge body.

7. The surgical staple cartridge of claim 1 wherein portions of said first and second tethers are removably supported in at least one groove is in a nose portion of said cartridge body portion.

8. A surgical end effector for use with a surgical instrument, said surgical end effector comprising:

an elongated channel operably couplable to the surgical instrument;

a staple cartridge having a cartridge body operably supported in said elongated channel, said cartridge body having a deck surface substantially split into a first deck portion and a second deck portion by a longitudinal slot extending therebetween, said cartridge body operably supporting a first plurality of unformed staples therein corresponding to said first deck portion and a second plurality of unformed staples corresponding to said second deck portion;

a tissue cutting member operably supported in said cartridge body for axial advancement in said longitudinal slot upon application of a cutting actuation motion thereto by the surgical instrument;

an anvil supported for movable travel toward and away from said deck surface in response to opening and closing motions applied thereto by the surgical instrument;

a first base material removably supported on said first deck portion;

at least one first tether non-removably attached to said first base material;

a second base material removably supported on said second deck portion; and

at least one second tether non-removably attached to said second base material.