Staple buttress retention system

• US 9,433,412 B2
• Filed: 05/08/2013
• Issued: 09/06/2016
• Est. Priority Date: 05/25/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Bettuchi, Michael J., Nentwick, Brian
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US13/889,531
• Publication Number:
  US 20130240601A1
• Time in Patent Office: 1,217 Days
• Field of Search: 227/175.1, 227/176.1, 606/151
• US Class Current: 1/1
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• 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

Abstract

A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

Claims

1. A surgical instrument having a system for retaining buttress material, the surgical instrument comprising:

a jaw assembly including a first jaw and a second jaw, at least one of the first jaw or the second jaw defining staple pockets for retaining staples;

a first buttress material having a central portion and a peripheral position including a peripheral perforation line separating the central portion from the peripheral portion, the peripheral portion being attached to a tissue facing surface of the first jaw, the central portion being separable from the peripheral portion after the staples are fired;

a second buttress material having a central portion and a peripheral portion including a peripheral perforation line separating the central portion from the peripheral portion, the peripheral portion being attached to a tissue facing surface of the second jaw, the central portion being separable from the peripheral portion after the staples are fired;

wherein the first buttress material and the second buttress material are preloaded on the respective first jaw and second jaw at the time of manufacture; and

a first buttress retainer having an open center portion and being attached to the first jaw, the peripheral portion of the first buttress material being retained against the tissue facing surface of the first jaw by the first buttress retainer; and

a second buttress retainer having an open center portion and being attached to the second jaw, the peripheral portion of the second buttress material being retained against the tissue facing surface of the second jaw by the second buttress retainer.

2. The surgical instrument according to claim 1, wherein each buttress retainer includes at least one depending leg for engaging a respective first jaw and second jaw.

3. The surgical instrument according to claim 2, wherein the at least one depending leg of each buttress retainer includes an inwardly directed projection configured to engage an edge of a respective one of the first jaw and the second jaw, to retain the edge of the corresponding jaw between the inwardly directed projection and the respective buttress retainer.

4. The surgical instrument according to claim 3, wherein the inwardly directed projection of the at least one depending leg of each buttress retainer is adapted to slide over the edge of the corresponding jaw.

5. The surgical instrument according to claim 3, wherein the inwardly directed projection of the at least one depending leg of each buttress retainer is adapted to snap fit over the edge of the corresponding jaw.

6. The surgical instrument according to claim 2, wherein the at least one depending leg frictionally engages a raised edge of the corresponding jaw.

7. The surgical instrument according to claim 6, wherein the at least one depending leg frictionally engages the raised edge of the corresponding jaw.

8. The surgical instrument according to claim 1, wherein each buttress retainer is a circular ring.

9. The surgical instrument according to claim 8, wherein each circular ring includes a plurality of depending legs for engaging a respective one of the first jaw and the second jaw.

10. The surgical instrument according to claim 9, wherein the plurality of depending legs each includes an inwardly directed projection configured to engage an edge of a respective one of the first jaw and the second jaw, to retain the edge of the corresponding jaw between the inwardly directed projection and the respective buttress retainer.

11. The surgical instrument according to claim 10, wherein the inwardly directed projections of the plurality of depending legs of each buttress retainer is adapted to snap fit over the edge of the corresponding jaw.

12. The jaw assembly according to claim 11, wherein the buttress retainer includes a first leg depending from the first side and a second leg depending from the second side.

13. The jaw assembly according to claim 12, wherein the first leg and the second leg extend longitudinally along an entire length of the corresponding side.

14. The jaw assembly according to claim 12, wherein the first leg and second leg each include an inwardly directed projection configured to engage edges of one of the first jaw or the second jaw.

15. The jaw assembly according to claim 14, wherein the inwardly directed projections of the first and second legs of the buttress retainer are adapted to slide over the edges of the corresponding jaw.

16. The jaw assembly according to claim 14, wherein the inwardly directed projections of the first and second legs of the buttress retainer are adapted to snap fit over the edges of the corresponding jaw.

17. The jaw assembly according to claim 12, wherein the first leg and the second leg are configured to engage raised edges of one of the first jaw or second jaw.

18. The jaw assembly according to claim 17, wherein the first leg and second leg frictionally engage the raised edges of the corresponding jaw.

19. The surgical instrument of claim 9, wherein the plurality of depending legs extend in equidistant radial speed relation around each circular ring.

20. The surgical instrument according to claim 1, wherein each buttress retainer is a rectangular frame including a distal end and a proximal end, and a first side and a second side extending between the distal and proximal ends.

21. The surgical instrument according to claim 20, wherein each buttress retainer includes a first leg depending from the first side and a second leg depending from the second side.

22. The surgical instrument according to claim 21, wherein the first leg and the second leg extend longitudinally along an entire length of the corresponding side.

23. The surgical instrument according to claim 21, wherein the first leg and the second leg each include an inwardly directed projection configured to engage edges of a respective one of the first jaw and the second jaw.

24. The surgical instrument according to claim 23, wherein the inwardly directed projections of the first and second legs of each buttress retainer are adapted to slide over the edges of the corresponding jaw.

25. The surgical instrument according to claim 23, wherein the inwardly directed projections of the first and second legs of each buttress retainer are adapted to snap fit over the edges of the corresponding jaw.

26. The surgical instrument according to claim 21, wherein the first leg and the second leg are configured to engage raised edges of a respective one of the first jaw and second jaw.

27. The surgical instrument according to claim 26, wherein the first leg and the second leg frictionally engage the raised edges of the corresponding jaw.

28. The surgical instrument according to claim 1, wherein each buttress material is a constructed from a single material.

29. In a jaw assembly for use in a surgical stapling instrument, wherein the jaw assembly includes a first jaw and a second jaw, at least one of the first jaw and the second jaw defining staple pockets for retaining staples, the improvement comprising:

a system for retaining a buttress material to a tissue facing surface of one of the first jaw or the second jaw, the system for retaining a buttress material including;

a buttress material preloaded on at least one of the first jaw and the second jaw at the time of manufacture so as to overlie a respective tissue facing surface of the first jaw or the second jaw, the buttress material having a central portion and a peripheral portion including a peripheral perforation line separating the central portion from the peripheral portion, the peripheral portion being attached to the tissue facing surface of at least one of the first jaw or the second jaw, the central portion of the buttress material being separable from the peripheral portion thereof after the staples are fired; and

a buttress retainer having an open center portion and being attached to at least one of the first jaw or the second jaw, the peripheral portion of the buttress material being retained against the tissue facing surface of the at least one of the first jaw or the second jaw by buttress retainer.

30. The jaw assembly according to claim 29, wherein the buttress retainer includes at least one depending leg extending from a side edge thereof for engaging at least one of the first jaw or the second jaw.

31. The jaw assembly according to claim 30, wherein the at least one depending leg of the buttress retainer includes an inwardly directed projection configured to engage an edge of one of the first jaw or the second jaw, to retain the edge of the corresponding jaw between the inwardly directed projection and the buttress retainer.

32. The jaw assembly according to claim 31, wherein the inwardly directed projection of the at least one depending leg of the buttress retainer is adapted to slide over the edge of the corresponding jaw.

33. The jaw assembly according to claim 31, wherein the inwardly directed projection of the at least one depending leg of the buttress retainer is adapted to snap fit over the edge of the corresponding jaw.

34. The jaw assembly according to claim 30, wherein the at least one depending leg is configured to engage a raised edge of one of the first jaw or second jaw.

35. The jaw assembly according to claim 34, wherein the at least one depending leg frictionally engages the raised edge of the corresponding jaw.

36. The jaw assembly according to claim 29, wherein the buttress retainer is a circular ring.

37. The jaw assembly according to claim 36, wherein the circular ring includes a plurality of depending legs extending from an outer edge thereof for engaging at least one of the first jaw or the second jaw.

38. The jaw assembly according to claim 37, wherein the plurality of depending legs each includes an inwardly directed projection configured to engage an edge of one of the first jaw or the second jaw, to retain the edge of the corresponding jaw between the inwardly directed projection and the buttress retainer.

39. The jaw assembly according to claim 38, wherein the inwardly directed projections of the plurality of depending legs of the buttress retainer are adapted to snap fit over the edge of the corresponding jaw.

40. The jaw assembly of claim 37, wherein the plurality of depending legs extend in equidistant radial spaced relation around the circular ring.

41. The jaw assembly according to claim 29, wherein the buttress retainer is a rectangular frame including a distal end and a proximal end, and a first side and a second side extending between the distal and proximal ends.

42. The jaw assembly according to claim 29, wherein the first jaw and the second jaw each include a buttress material.

43. The jaw assembly according to claim 42, further comprising a first buttress retainer for retaining the buttress material of the first jaw and a second buttress retainer for retaining the buttress material of the second jaw, each of the first and second buttress retainers having an open center portion and being attached to its corresponding jaw, the peripheral portion of each buttress material being retained by its respective buttress retainer.

44. The jaw assembly according to claim 43, wherein the first buttress retainer is retained to the first jaw by engaging an edge of the first jaw and the second buttress retainer is retained to the second jaw by a friction fit against a raised edge of the second jaw.

45. The jaw assembly according to claim 42, wherein the buttress material of the first jaw is different from the buttress material of the second jaw.