Circular surgical stapling device including buttress material

• US 9,655,620 B2
• Filed: 10/28/2013
• Issued: 05/23/2017
• Est. Priority Date: 10/28/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Prescott, Michael R., Stevenson, Richard P.
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US14/064,280
• Publication Number:
  US 20150115015A1
• Time in Patent Office: 1,303 Days
• Field of Search: 227 19, 2271751, 2271761, 2271791, 2271801
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A buttress material and mounting structure assembly is provided for use with a circular surgical stapling device. The assembly comprises a ring-like mounting structure sized to have an outer diameter that frictionally engages a radial inner surface of a staple cartridge assembly, wherein the mounting structure is disposed within the radial inner surface of the staple cartridge assembly; an annular buttress material overlaying a tissue facing surface of the staple cartridge assembly, the annular buttress material defining an outer radial terminal edge extending radially beyond a pair of annular arrays of staple receiving slots, and a radial inner terminal edge extending across the mounting structure; and at least one suture securing the buttress material to the mounting structure.

Claims

1. A surgical stapling device for joining tissue portions, comprising:

a handle assembly;

a tubular body portion supported on a distal end of the handle assembly, the tubular body portion having a staple cartridge assembly containing a plurality of surgical staples within a pair of annular arrays of staple receiving slots formed in a tissue facing surface thereof and a knife configured for axial translation, the staple cartridge assembly defining a radial inner surface and a radial outer surface;

an anvil assembly at a distal end of the surgical stapling device, the anvil assembly having a shaft for removably connecting the anvil assembly to the tubular body portion, the anvil assembly and tubular body portion being juxtaposed with respect to one another along the shaft and arranged so as to be approximated with respect to one another;

a ring-like mounting structure sized to have an outer diameter that frictionally engages the radial inner surface of the staple cartridge assembly, wherein the mounting structure is disposed within the radial inner surface of the staple cartridge assembly, the mounting structure being chamfered along a proximal portion thereof such that the mounting structure does not obstruct the axial translation of the knife;

an annular buttress material overlaying the tissue facing surface of the staple cartridge assembly, the annular buttress material defining an outer radial terminal edge extending radially beyond the pair of annular arrays of staple receiving slots, and a radial inner terminal edge extending across the mounting structure; and

at least one suture securing the buttress material to the mounting structure.

2. The surgical stapling device according to claim 1, wherein the mounting structure is fabricated from an elastomeric material.

3. The surgical stapling device according to claim 2, wherein each suture extends through the buttress material and through the mounting structure.

4. The surgical stapling device according to claim 3, wherein each suture includes a first end, a second end, and a bridge portion interconnecting the first end and the second end, wherein the first end and the second end of each suture extends through the buttress material and through the mounting structure.

5. The surgical stapling device according to claim 3, wherein the buttress material defines:

an annular inner attachment portion;

an annular middle staple engaging portion, disposed radially outward of the inner portion; and

an annular outer portion, disposed radially outward of the middle portion.

6. The surgical stapling device according to claim 5, wherein each suture extends through the annular inner attachment portion of the buttress material.

7. The surgical stapling device according to claim 6, wherein each suture includes a first end, a second end, and a bridge portion interconnecting the first end and the second end, wherein the first end and the second end of each suture extends through the buttress material and through the mounting structure.

8. The surgical stapling device according to claim 7, wherein the bridge portion of each suture extends in a direction transverse to a central axis of the buttress material.

9. The surgical stapling device according to claim 2, wherein the mounting structure is chamfered at an outer corner thereof.

10. A buttress material and mounting structure assembly for use with a circular surgical stapling device including a staple cartridge assembly containing a plurality of surgical staples within a pair of annular arrays of staple receiving slots formed in a tissue facing surface thereof and a knife configured for axial translation, the staple cartridge assembly defining a radial inner surface and a radial outer surface, the buttress material and mounting structure assembly comprising:

a ring-like mounting structure sized to have an outer diameter that frictionally engages the radial inner surface of the staple cartridge assembly, wherein the mounting structure is disposed within the radial inner surface of the staple cartridge assembly, the mounting structure being chamfered along a proximal portion thereof such that the mounting structure does not obstruct the axial translation of the knife;

an annular buttress material overlaying the tissue facing surface of the staple cartridge assembly, the annular buttress material defining an outer radial terminal edge extending radially beyond the pair of annular arrays of staple receiving slots, and a radial inner terminal edge extending across the mounting structure; and

at least one suture securing the buttress material to the mounting structure.

11. The buttress material and mounting structure assembly according to claim 10, wherein the mounting structure is fabricated from an elastomeric material.

12. The buttress material and mounting structure assembly according to claim 11, wherein each suture extends through the buttress material and through the mounting structure.

13. The buttress material and mounting structure assembly according to claim 12, wherein each suture includes a first end, a second end, and a bridge portion interconnecting the first end and the second end, wherein the first end and the second end of each suture extends through the buttress material and through the mounting structure.

14. The buttress material and mounting structure assembly according to claim 12, wherein the buttress material defines:

an annular inner attachment portion;

an annular middle staple engaging portion, disposed radially outward of the inner portion; and

an annular outer portion, disposed radially outward of the middle portion.

15. The buttress material and mounting structure assembly according to claim 14, wherein each suture extends through the annular inner attachment portion of the buttress material.

16. The buttress material and mounting structure assembly according to claim 15, wherein each suture includes a first end, a second end, and a bridge portion interconnecting the first end and the second end, wherein the first end and the second end of each suture extends through the buttress material and through the mounting structure.

17. The buttress material and mounting structure assembly according to claim 16, wherein the bridge portion of each suture extends in a direction transverse to a central axis of the buttress material.

18. The buttress material and mounting structure assembly according to claim 11, wherein the mounting structure is chamfered at an outer corner thereof.

19. A method of using a buttress material and mounting structure assembly for use with a circular surgical stapling device including a staple cartridge assembly containing a plurality of surgical staples within a pair of annular arrays of staple receiving slots formed in a tissue facing surface thereof and a knife configured for axial translation, the staple cartridge assembly defining a radial inner surface and a radial outer surface, the method comprising:

providing a buttress material and mounting structure assembly including;

a ring-like mounting structure sized to have an outer diameter that frictionally engages the radial inner surface of the staple cartridge assembly, the mounting structure being chamfered along a proximal portion thereof such that the mounting structure does not obstruct the axial translation of the knife;

an annular buttress material overlaying the tissue facing surface of the staple cartridge assembly, the annular buttress material defining an outer radial terminal edge and a radial inner terminal edge; and

at least one suture securing the buttress material to the mounting structure;

positioning the buttress material and mounting structure assembly at least partially within the cartridge assembly of the surgical stapling device such that;

the mounting structure is disposed within the radial inner surface of the staple cartridge assembly; and

the outer radial terminal edge of the annular buttress material extends radially beyond the pair of annular arrays of staple receiving slots, and the radial inner terminal edge of the annular buttress material extends across the mounting structure;

receiving body tissue between the anvil assembly and the cartridge assembly;

grasping the body tissue between the anvil assembly and the cartridge assembly; and

firing the surgical stapling device to;

drive a plurality of staples from the staple cartridge assembly through the buttress material and the body tissue; and

sever the buttress material radially outward of the at least one suture.

20. The method according to claim 19, wherein the mounting structure is fabricated from an elastomeric material, and wherein the positioning of the buttress material and mounting structure assembly at least partially within the cartridge assembly of the surgical stapling device includes the elastomeric mounting structure radially engaging the inner surface of the staple cartridge assembly in a press-fit manner.