Surgical staple buttress with magnetic elements

• US 9,987,013 B2
• Filed: 09/24/2015
• Issued: 06/05/2018
• Est. Priority Date: 09/24/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Eckert, Chad E., Scheib, Charles J., Shelton, IV, Frederick E., Matonick, John P., Hunter, Morgan R.
• Primary Examiner(s): Long, Robert
• Application Number:
  US14/864,050
• Publication Number:
  US 20170086833A1
• Time in Patent Office: 985 Days
• Field of Search: 606 75, 606111, 606138, 606219
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00876 magnetic

Abstract

An apparatus includes an end effector including an anvil and lower jaw. The anvil is pivotable toward the lower jaw to capture tissue. The apparatus further includes a stapling and severing assembly configured to sever and staple tissue clamped between the anvil and the lower jaw. A staple cartridge is coupled with the lower jaw. The staple cartridge includes a deck facing the anvil, a plurality of staples positioned in a plurality of staple openings formed through the deck, and a magnetic feature configured to be coupled to tissue in response to activation of the stapling and severing mechanism. The magnetic feature is configured to be coupled to tissue in response to actuation of the staple cartridge, wherein the magnetic feature is configured to retain at least one outer portion of stapled tissue in an inwardly folded position relative to an inner portion of stapled tissue.

Claims

1. An apparatus comprising a staple cartridge, wherein the staple cartridge comprises:

(i) a plurality of staples,

(ii) a deck, wherein the deck defines a plurality of openings, wherein each opening of the plurality of openings is associated with a corresponding staple of the plurality of staples, such that each staple is configured to pass through a corresponding opening of the plurality of openings, and

(iii) a magnetic feature, wherein the magnetic feature is configured to be coupled to tissue in response to actuation of the staple cartridge, wherein the magnetic feature is configured to retain at least one outer portion of stapled tissue in an inwardly folded position relative to an inner portion of stapled tissue;

wherein the magnetic feature comprises one or more magnets.

2. The apparatus of claim 1, wherein the staple cartridge further comprises a buttress, wherein the magnetic feature is positioned on the buttress.

3. The apparatus of claim 2, wherein the magnetic feature comprises a plurality of magnets embedded in the buttress.

4. The apparatus of claim 2, wherein the magnetic feature comprises a plurality of magnets positioned on the buttress.

5. The apparatus of claim 4, wherein the magnets are positioned on one or both of a top portion or a bottom portion of the buttress.

6. The apparatus of claim 5, wherein the magnets are adhered to the buttress.

7. The apparatus of claim 2, wherein the buttress is adhered to the deck.

8. The apparatus of claim 2, wherein the magnetic feature comprises an inner magnet and an outer magnet secured to the buttress, wherein the outer magnet is configured to magnetically couple to the inner magnet in response to the at least one outer portion of stapled tissue being folded inwardly toward the inner portion of stapled tissue.

9. The apparatus of claim 8, wherein the magnetic feature comprises a first pair of inner and outer magnets at one end of the buttress and a second pair of inner and outer magnets at another end of the buttress.

10. The apparatus of claim 1, wherein at least some of the staples comprise a ferromagnetic material to form the magnetic feature.

11. The apparatus of claim 1, wherein the staples comprise an inner portion of staples between two opposing outer portions of staples, wherein the outer staples comprise a ferromagnetic material to form the magnetic feature.

12. The apparatus of claim 11, wherein the inner staples consist essentially of a non-ferromagnetic material.

13. The apparatus of claim 1, further comprising a circular stapler, wherein the circular stapler comprises:

(i) an anvil, and

(ii) a stapling head assembly, wherein the stapling head assembly comprises;

(A) a rod configured to engage the anvil,

(B) a knife member configured to form a circular cut line in tissue, and

(C) a staple driver,

wherein the anvil and stapling head assembly are configured to cooperate to clamp and staple tissue;

wherein the magnetic feature is configured to magnetically couple to a portion of the circular stapler.

14. The apparatus of claim 13, wherein the magnetic feature is configured to magnetically couple to the rod of the circular stapler.

15. The apparatus of claim 13, wherein the magnetic feature is configured to retain at least one outer portion of stapled tissue in an inwardly folded position relative to an inner portion of stapled tissue within a circular cut line formed by the knife member.

16. The apparatus of claim 1, further comprising:

(a) an end effector, wherein the end effector comprises;

(i) an anvil, and

(ii) a lower jaw, wherein the anvil is pivotable toward the lower jaw to capture tissue between the anvil and the lower jaw, wherein the staple cartridge is secured to the lower jaw; and

(b) a stapling and severing mechanism in communication with the shaft assembly and end effector, wherein the stapling and severing mechanism is configured to sever and staple tissue clamped between the anvil and the lower jaw.

17. A method of operating on tissue using a circular stapler, wherein the circular stapler comprises an anvil, and a stapling head assembly, wherein the stapling head assembly includes a rod, a knife member, and a staple driver, wherein the knife member is configured to provide a circular cut line, wherein the anvil and the stapling head assembly are configured to cooperate to clamp and staple tissue, wherein the method comprises:

(a) severing and stapling a first portion of anatomical structure using a non-circular stapler, thereby leaving a plurality of staples and a first magnetic feature on a severed end portion of the first portion of anatomical structure;

(b) inserting the anvil of the circular stapler into a second portion of anatomical structure;

(c) inserting the stapling head assembly into the first portion of anatomical structure until at least a portion of the rod extends past the severed end portion of the first portion of anatomical structure;

(d) drawing the first magnetic feature inwardly toward the rod such that the first magnetic feature magnetically couples with a second magnetic feature, thereby holding the plurality of staples on the severed end portion at a position inward of the cut line of the knife member;

(e) coupling the rod and the anvil;

(f) clamping the first and second portions of anatomical structure together between the anvil and the sapling head assembly;

(g) directing the drivable knife member toward the anvil, thereby severing the severed end portion and the staples from the first portion of anatomical structure and at least part of the second portion of anatomical structure; and

(h) stapling the first and second portions of anatomical structure together using the staple driver.

18. The method of claim 17, wherein the first and second magnetic features are disposed on a buttress associated with the non-circular stapler.

19. The method of claim 17, wherein the second magnetic feature is positioned on the circular stapler.

20. A method of operating on tissue using a circular stapler, wherein the circular stapler comprises an anvil, and a stapling head assembly, wherein the stapling head assembly includes a rod, a knife member, and a staple driver, wherein the knife member is configured to provide a circular cut line, wherein the anvil and the stapling head assembly are configured to cooperate to clamp and staple tissue, wherein the method comprises:

(a) severing and stapling a first portion of the colon using a non-circular stapler, thereby leaving a first plurality of staples and a first magnetic feature on a first severed end portion of the first portion of the colon;

(b) severing and stapling a second portion of the colon using a non-circular stapler, thereby leaving a second plurality of staples on a second severed end portion of the second portion of the colon;

(c) inserting the anvil of the circular stapler into the second portion of the colon;

(d) inserting the stapling head assembly into the first portion of the colon until at least a portion of the rod extends past the severed end portion of the first portion of the colon;

(e) drawing the first severed end portion inward toward the rod such that the first plurality of staples and the first severed end portion lie radially inwardly of the cut line of the knife member and the first magnetic feature couples to a second magnetic feature;

(f) directing the drivable knife member toward the anvil, thereby severing the first severed end portion and the first plurality of staples from the first portion of the patient'"'"'s colon and at least part of the second portion of the patient'"'"'s colon; and

(g) stapling the first and second portions of the colon together.