Buttress film with hemostatic action for surgical stapling apparatus

• US 9,084,602 B2
• Filed: 01/26/2011
• Issued: 07/21/2015
• Est. Priority Date: 01/26/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Gleiman, Seth S.
• Primary Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US13/013,977
• Publication Number:
  US 20120187179A1
• Time in Patent Office: 1,637 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/180.1, 227/181.1, 606/151, 606/215, 606/219
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 2017/00889 antimicrobial, disinfectant
• CPC Class Codes: A61B 2017/00951 adhesive
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge

Abstract

A surgical stapling apparatus includes a jaw assembly including a pair of jaw members and a surgical buttress positioned adjacent a tissue contacting surface of at least one of the pair of jaw members. The surgical buttress includes a hemostatic agent and is configured to release the hemostatic agent therefrom upon actuation of the surgical stapling apparatus to approximate the pair of jaw members and exert a pressure on the surgical buttress.

Claims

1. A surgical stapling apparatus, comprising:

a jaw assembly including a pair of jaw members; and

a surgical buttress positioned adjacent a tissue contacting surface of at least one of the pair of jaw members, the surgical buttress comprising a plurality of microbeads each having a polymeric casing defining a core containing a hemostatic agent therewithin, at least a portion of the plurality of microbeads being configured to rupture and release the hemostatic agent therefrom upon actuation of the surgical stapling apparatus to approximate the pair of jaw members and exert a pressure on the surgical buttress, the microbeads having a predetermined rupturing force.

2. The surgical stapling apparatus of claim 1, wherein the polymeric casing is fabricated from a bioabsorbable material.

3. The surgical stapling apparatus of claim 2, wherein the polymeric casing of a remaining portion of the plurality of microbeads are configured to degrade and release the hemostatic agent over time.

4. The surgical stapling apparatus of claim 1, wherein the microbeads are about 0.01 mm to about 3.0 mm in diameter.

5. The surgical stapling apparatus of claim 1, wherein the microbeads are less than about 1.0 mm in diameter.

6. The surgical stapling apparatus of claim 1, wherein the microbeads are configured in a shape selected from the group consisting of spherical, ellipsoid, elongated ellipsoid, capsule, and combinations thereof.

7. The surgical stapling apparatus of claim 1, wherein the hemostatic agent is disposed within the plurality of microbeads of the surgical buttress in a non-solid state.

8. The surgical stapling apparatus of claim 1, wherein the microbeads containing the hemostatic agent is freely admixed with a polymer forming the surgical buttress.

9. The surgical stapling apparatus of claim 1, wherein the surgical buttress further comprises a sealant, the surgical buttress being configured to release the sealant therefrom upon actuation of the surgical stapling apparatus to approximate the pair of jaw members and exert a pressure on the surgical buttress.

10. The surgical stapling apparatus of claim 1, wherein the surgical buttress further comprises a bioactive agent, the surgical buttress being configured to release the bioactive agent upon actuation of the surgical stapling apparatus to approximate the pair of jaw members and exert a pressure on the surgical buttress.

11. The surgical stapling apparatus of claim 1, wherein the surgical buttress includes a first layer containing the plurality of microbeads containing the hemostatic agent and a second layer of non-porous material positioned adjacent to the first layer.

12. The surgical stapling apparatus of claim 11, wherein the surgical buttress further comprises a third layer of porous or non-porous material positioned adjacent to the first layer.

13. A surgical stapling apparatus, comprising:

a jaw assembly including a staple forming anvil jaw member and a staple cartridge jaw member;

a trigger for actuating the jaw assembly between an open position where the anvil jaw member and the staple cartridge jaw member are spaced apart from one another and a closed position where the anvil jaw member and the staple cartridge jaw member are substantially adjacent to one another and for applying at least one row of staples to tissue when the jaw assembly is in the closed position; and

a surgical buttress positioned adjacent a tissue contacting surface of at least one of the anvil jaw assembly or the staple cartridge jaw assembly, the surgical buttress containing a plurality of microbeads each having a bioabsorbable polymeric casing defining a core containing a hemostatic agent therewithin, at least a portion of the plurality of microbeads being configured to rupture and release the hemostatic agent subsequent to actuation of the trigger and approximation of the jaw assembly to the closed position, and the polymeric casing of a remaining portion of the microbeads being configured to degrade and release the hemostatic agent over time, the polymeric casing having a predetermined rupturing force.

14. The surgical stapling apparatus of claim 13, wherein when the jaw assembly is disposed in the closed position about 10% to about 95% of the hemostatic agent is released.

15. The surgical stapling apparatus of claim 13, wherein when the jaw assembly is disposed in the closed position about 70% to about 90% of the hemostatic agent is released.

16. The surgical stapling apparatus of claim 13, wherein the hemostatic agent is released in response to a compressive force of the jaw assembly against tissue positioned between the anvil jaw member and the staple cartridge jaw member.

17. The surgical stapling apparatus of claim 13, wherein the hemostatic agent is released upon passage of a staple from a staple cartridge loaded in the staple cartridge jaw member through the surgical buttress.

18. A staple cartridge, comprising:

a staple cartridge containing a plurality of staples for use in a surgical stapling apparatus; and

a surgical buttress disposed on a tissue contacting surface of the staple cartridge and being releasably affixed to the staple cartridge, the surgical buttress comprising a layer of polymeric material including a plurality of microbeads each having a polymeric casing defining a core containing a hemostatic agent therewithin, at least a portion of the plurality of beads being configured to rupture and release the hemostatic agent therefrom upon application of pressure thereto, the microbeads having a predetermined rupturing force.

19. The staple cartridge of claim 18, wherein the microbeads are disposed within the layer of polymeric material.

20. The staple cartridge of claim 18, wherein the microbeads are disposed on a surface of the layer of polymeric material.

21. The staple cartridge of claim 18, wherein the surgical buttress further comprises a second layer of polymeric material adjacent the layer of polymeric material including the hemostatic agent.