Circular stapling device with buttress

• US 9,504,470 B2
• Filed: 01/16/2014
• Issued: 11/29/2016
• Est. Priority Date: 02/25/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Milliman, Keith L.
• Primary Examiner(s): Long, Robert
• Application Number:
  US14/156,713
• Publication Number:
  US 20140239046A1
• Time in Patent Office: 1,048 Days
• Field of Search: 2271751-1821, 606/139, 606153-154, 606/219
• US Class Current: 1/1
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

The cartridge assembly includes a housing, a pusher member, a fastener cartridge body, a circular cartridge buttress member, and a retaining ring member. The pusher member is supported within the housing and movable between a first position and a second position. The fastener cartridge body is supported on the housing and has a tissue engaging surface that extends to an annular edge. One or both of the housing and the fastener cartridge body define an annular containment groove. The circular cartridge buttress member has a body portion and an extension portion. The body portion is supported on the tissue engaging surface of the fastener cartridge body. The extension portion extends from the body portion and over the annular edge of the tissue engaging surface. The retaining ring member is secured within the containment groove to releasably secure the extension portion of the circular cartridge buttress member to the cartridge assembly.

Claims

1. A circular stapling device, comprising:

a handle assembly;

an elongate body that extends from the handle assembly;

a cartridge assembly mounted on a distal end of the elongate body, the cartridge assembly defining an annular containment groove, the cartridge assembly including;

a housing;

a pusher member supported within the housing and being movable between a first position and a second position; and

a fastener cartridge body supported on the housing and having a tissue engaging surface that extends to an annular edge;

a circular cartridge buttress member having a body portion and an extension portion, the body portion being supported on the tissue engaging surface of the fastener cartridge body, the extension portion extending from the body portion and over the annular edge of the tissue engaging surface; and

a retaining ring member secured within the containment groove over the extension portion of the circular cartridge buttress member to releasably secure the circular cartridge buttress member to the fastener cartridge body.

2. The circular stapling apparatus of claim 1, further comprising a knife assembly, the knife assembly including a primary knife blade and a secondary knife blade, the primary knife blade dimensioned to cut tissue, the secondary knife blade being connected to the pusher member, the secondary knife blade being movable with the pusher member to cut the retaining ring member and relieve a tension that the retaining ring member exerts on the extension portion of the circular cartridge buttress member, the tension being sufficient to maintain the circular cartridge buttress member secured to the fastener cartridge body.

3. The circular stapling apparatus of claim 2, wherein the housing includes at least one containment tab that extends distally from a distal end portion of the housing so that an inner surface of the at least one containment tab is engageable with an outer surface of the retaining ring member to maintain the retaining ring member secured to the housing after the retaining ring member is cut with the secondary knife blade.

4. The circular stapling apparatus of claim 2, wherein the fastener cartridge body supports a stop member that defines a receiving channel dimensioned to receive the retaining ring member and a knife slot dimensioned to receive a distal end portion of the secondary knife blade, the stop member including a cross member dimensioned to prevent tissue from extruding in front of the distal end portion of the secondary knife blade, the distal end portion of the secondary knife blade being engageable with the cross member upon a translation of the distal end portion of the secondary knife blade through the knife slot.

5. The circular stapling apparatus of claim 4, wherein the stop member is formed of a polyethylene material.

6. The circular stapling apparatus of claim 1, wherein the retaining ring member is an o-ring.

7. The circular stapling apparatus of claim 6, wherein the o-ring is formed of an elastomeric material.

8. The circular stapling apparatus of claim 1, wherein the housing and the fastener cartridge body together define the containment groove therebetween.

9. A cartridge assembly, comprising:

a housing;

a pusher member supported within the housing and being movable between a first position and a second position; and

a fastener cartridge body supported on the housing and having a tissue engaging surface that extends to an annular edge, wherein at least one of the housing and the fastener cartridge body define an annular containment groove;

a circular cartridge buttress member having a body portion and an extension portion, the body portion being supported on the tissue engaging surface of the fastener cartridge body, the extension portion extending from the body portion and over the annular edge of the tissue engaging surface; and

a retaining ring member secured within the containment groove to releasably secure the extension portion of the circular cartridge buttress member to the cartridge assembly.

10. The cartridge assembly of claim 9, wherein a knife blade is connected to the pusher member, the knife blade being movable with the pusher member to cut the retaining ring member and relieve a tension that the retaining ring member exerts on the extension portion of the circular cartridge buttress member, the tension being sufficient to maintain the circular cartridge buttress member secured to the fastener cartridge body.

11. The cartridge assembly of claim 10, further comprising a tissue cutting knife blade dimensioned to cut tissue.

12. The cartridge assembly of claim 9, wherein the housing includes at least one containment tab that extends distally from a distal end portion of the housing so that an inner surface of the at least one containment tab is engageable with an outer surface of the retaining ring member to maintain the retaining ring member secured to the housing.

13. The cartridge assembly of claim 10, wherein the fastener cartridge body supports a stop member that defines a receiving channel dimensioned to receive the retaining ring member and a knife slot dimensioned to receive a distal end portion of the knife blade, the stop member including a cross member dimensioned to prevent tissue from extruding in front of the distal end portion of the knife blade, the distal end portion of the knife blade being engageable with the cross member upon a translation of the distal end portion of the knife blade through the knife slot.

14. The cartridge assembly of claim 13, wherein the stop member is formed of a polyethylene material.

15. The cartridge assembly of claim 9, wherein the retaining ring member is an o-ring formed of elastomeric material.