Surgical instrument with fluid fillable buttress

• US 9,999,408 B2
• Filed: 09/14/2011
• Issued: 06/19/2018
• Est. Priority Date: 09/14/2011
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Balek, Stephen J., Holcomb, Matthew D., Rhad, Edward A., Wilson, Jr., Donald F.
• Primary Examiner(s): Long, Robert
• Application Number:
  US13/232,401
• Publication Number:
  US 20130062391A1
• Time in Patent Office: 2,470 Days
• Field of Search: 2271751-1821
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 2017/00495 for two-component glue

Abstract

An apparatus comprises a surgical instrument and a buttress configured to hold a fluid adhesive. In some versions, the buttress contains a two-part fluid adhesive where two fluid materials form a fluid adhesive when combined. In some versions, the buttress is configured to be compressed by the surgical instrument thereby pressurizing a portion of the buttress. Thereafter, the buttress may be severed and the pressurized region may be operable to urge the fluid adhesive to a tissue site.

Claims

1. An apparatus, comprising:

(a) a surgical cutter comprising a distal end and a proximal end, wherein the proximal end comprises a handle, wherein the distal end comprises an anvil and a lower jaw, wherein the anvil and the lower jaw are configured to clamp tissue, wherein the surgical cutter is configured to sever tissue clamped by the anvil and the lower jaw; and

(b) a buttress filled with a liquid, wherein the buttress is configured to be placed between the anvil and the lower jaw, wherein the buttress is configured to transition between a first configuration and a second configuration, wherein a height of the buttress is generally constant along a width of the buttress in the first configuration, wherein the anvil and the lower jaw are operable to clamp the buttress to reach the second configuration, wherein the buttress includes a compressive portion and a pressure portion in the second configuration, the pressure portion having a greater height than the compressive portion, wherein the compressive portion extends outwardly from the anvil and lower jaw, wherein the buttress is configured to be severed and stapled by the surgical cutter substantially contemporaneously with when the surgical cutter severs tissue, wherein the pressure portion is configured to urge the liquid through the compressive portion only once the buttress is severed.

2. The apparatus of claim 1, wherein the liquid comprises a two-part adhesive configured to have adhesive properties only once the two parts of the two-part adhesive are combined.

3. The apparatus of claim 1, wherein the buttress comprises an elastic material.

4. The apparatus of claim 1, wherein the anvil defines an anvil width, wherein the buttress defines a buttress width that is wider than the anvil width.

5. The apparatus of claim 1, wherein the buttress comprises a resilient material.

6. The apparatus of claim 1, wherein the buttress has a generally rectangular shape.

7. The apparatus of claim 1, wherein the buttress is configured to be pre-loaded into the surgical cutter.

8. The apparatus of claim 1, wherein the buttress straddles the lower jaw such that a substantially equal portion of the buttress extends outward from the lower jaw.

9. The apparatus of claim 1, wherein the buttress is configured to be coupled to the lower jaw.

10. The apparatus of claim 1, wherein the buttress comprises two substantially similarly shaped fluid filled members, wherein each of the two fluid filled members comprise a liquid adhesive.

11. The apparatus of claim 10, wherein each of the two fluid filled members comprises different liquid components.

12. The apparatus of claim 1, further comprising a surgical stapler in communication with the surgical cutter, wherein the surgical stapler comprises one or more staples, wherein the surgical stapler is configured to staple a portion of tissue, wherein the one or more staples are configured to rupture the buttress.

13. The apparatus of claim 1, wherein the buttress comprises a dissolvable material.

14. The apparatus of claim 1, wherein the buttress comprises a two-part fluid coagulant, wherein one of the two-part fluids comprises fibrin, wherein the other of the two-part fluids comprises thrombin.

15. The apparatus of claim 1, wherein the buttress comprises an adhesive on the outside of the buttress operable to adhere the buttress to a portion of the surgical cutter.

16. An apparatus comprising:

(a) a surgical instrument comprising a cutter and a stapler, wherein the surgical instrument further comprises an anvil and a lower jaw operable to compress tissue as the tissue is cut and stapled, wherein the cutter is configured to cut at least a portion of the tissue, wherein the stapler is configured to staple at least a portion of the tissue; and

(b) a pair of bladders, wherein at least a portion of the pair of bladders is positioned between the anvil and the lower jaw, wherein the pair of bladders comprises a first bladder and a second bladder adhered to one another, wherein the first bladder contains a first coagulant component, wherein the second bladder contains a second coagulant component, wherein the cutter is operable to simultaneously rupture both the first bladder and the second bladder, thereby mixing at least a portion of the first coagulant component with at least a portion of the second coagulant component.

17. The apparatus of claim 16, wherein at least one of the pair of bladders further contains a fluid adhesive.

18. The apparatus of claim 16, wherein the anvil and the lower jaw is configured to compress at least a portion of the pair of bladders.

19. The apparatus of claim 16, wherein each of the pair of bladders comprises an elastic material.

20. An apparatus comprising:

(a) a surgical instrument comprising a cutting feature and a stapling feature, wherein the cutting feature is configured to cut at least a portion of the tissue, wherein the stapling feature is configured to staple at least a portion of the tissue, wherein the stapling feature comprises an anvil and a lower jaw operable to compress tissue as the tissue is cut and stapled, wherein the stapling feature further comprises staples; and

(b) a buttress comprising a barrier region and an adhesive region, the adhesive region including adhesive and a membrane covering at least a portion of the adhesive, wherein the barrier region forms a lip extending around the perimeter of the adhesive region to thereby contain the adhesive;

wherein cutting feature is configured to sever a portion of the barrier region, wherein the staples are configured to pierce the membrane and allow adhesive to flow, wherein the lip is configured to prevent flowing adhesive from leaving the buttress when the buttress is pressed against tissue.