Surgical stapling apparatus having a wound closure material applicator assembly

• US 7,744,628 B2
• Filed: 04/18/2005
• Issued: 06/29/2010
• Est. Priority Date: 05/10/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank J.
• Primary Examiner(s): Woo; Julian W
• Application Number:
  US11/108,270
• Publication Number:
  US 20050192628A1
• Time in Patent Office: 1,898 Days
• Field of Search: 606/139, 606/142, 606/75, 606/219, 606/214, 606/215, 227/175.1, 227/176.1, 227/179.1, 227/180.1
• US Class Current: 606/219
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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 2017/00884 enhancing wound closure
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

This disclosure relates to surgical stapling apparatus for enhancing one or more properties of body tissue that is or is to be repaired or joined. The apparatus includes a staple anvil, a staple cartridge, a driving member for driving the surgical staples from individual staple slots in the staple cartridge and against the staple anvil, and a wound closure material applicator assembly. The applicator assembly includes at least one conduit extending along at least a length of the driving member, anvil and/or cartridge and at least one reservoir in fluid communication with the at least one conduit, the reservoir containing a wound closure material therein. The staples can be coated with a wound closure material.

Claims

1. A method of joining tissue, comprising:

providing a surgical stapling apparatus for joining tissue, the surgical stapling apparatus having a staple anvil, a plurality of surgical staples disposed within staple slots defined in the apparatus, and a driving member for firing the surgical staples from the staple slots and against the staple anvil;

providing a wound closure material applicator assembly having at least one conduit, and at least one reservoir in communication with the at least one conduit, the reservoir containing a wound closure material therein;

conveying the wound closure material through the at least one conduit to at least one opening in the staple anvil; and

dispensing the wound closure material before, during, or after the step of firing the surgical staples.

2. The method of claim 1, wherein the step of dispensing includes actuating a handle of the surgical stapling apparatus.

3. The method of claim 1, wherein the step of dispensing includes coating the surgical staples with the wound closure material.

4. The method of claim 3, wherein the surgical staples are coated before the step of firing the surgical staples.

5. The method of claim 3, wherein the surgical staples are coated after the step of firing the surgical staples.

6. The method of claim 3, wherein the surgical staples are coated during the step of firing the surgical staples.

7. The method of claim 6, wherein the step of dispensing and the step of firing include actuating a handle of the surgical stapling apparatus.

8. The method of claim 1, wherein the wound closure material is dispensed along a knife cut line.

9. The method of claim 1, wherein dispensing includes conveying the wound closure material through the at least one conduit to at least one opening adjacent the staple slots.

10. The method of claim 1, wherein dispensing includes compressing the at least one reservoir to move the would treatment material through the at least one conduit.

11. The method of claim 1, wherein dispensing includes actuating a pneumatic system.

12. The method of claim 1, further comprising attaching a unit that is fluidly couplable with the at least one conduit.

13. The method of claim 1, wherein the surgical stapling apparatus comprises a circular stapler.

14. The method of claim 1, wherein the surgical stapling apparatus comprises an endoscopic stapler.

15. The method of claim 1, wherein the wound closure material is selected from the group consisting of:

adhesives, hemostats, sealants, coagulants, and astringents.

16. The method of claim 1, wherein the wound closure material is selected from the group consisting of:

aldehyde-based adhesive materials, albumin/glutaraldehyde materials, cyanoacrylate-based materials, fibrin sealants, and collagen-based sealants, synthetic polymer-based sealants, synthetic polyethylene glycol based hydrogel materials, fibrin-based hemostats, collagen-based hemostats, oxidized regenerated cellulose-based hemostats, gelatin-based hemostats, fibrinogen-thrombin combination materials, and sulphates of aluminum.

17. A surgical stapling apparatus for joining tissue, comprising:

a. a staple anvil comprising at least one opening in communication with at least one conduit for conveying a wound closure material, a plurality of surgical staples disposed within staple slots defined in the apparatus, and a driving member for firing the surgical staples from the staple slots and against the staple anvil; and

b. a wound closure material applicator assembly having the at least one conduit, and at least one reservoir in communication with the at least one conduit, the reservoir containing the wound closure material therein, the wound closure material applicator being arranged to dispense the wound closure material before, during, or after the firing of the surgical staples.

18. The surgical stapling apparatus of claim 17, wherein the at least one reservoir is compressible, and wherein compression of the at least one reservoir causes the wound closure material to be dispensed.

19. The surgical stapling apparatus of claim 17, further comprising a disposable loading unit, the disposable loading unit including the at least one reservoir.

20. The surgical stapling apparatus of claim 17, further comprising a handle for actuating the surgical apparatus.

21. The surgical stapling apparatus of claim 20, wherein handle dispenses wound closure material and fires staples.

22. The surgical stapling apparatus of claim 17, wherein the wound closure material applicator assembly coats the surgical staples with the wound closure material.

23. The surgical stapling apparatus of claim 17, wherein the wound closure material is dispensed along a knife cut line.

24. The surgical stapling apparatus of claim 17, wherein the at least one opening in the staple anvil is adjacent the staple slots and in communication with the at least one conduit.

25. The surgical stapling apparatus of claim 17, wherein dispensing the at least one reservoir is compressible to move the wound closure material through the at least one conduit.

26. The surgical stapling apparatus of claim 17, further comprising a pneumatic system for dispensing the wound closure material.

27. The surgical stapling apparatus of claim 17, further comprising a detachable unit that is fluidly couplable with the at least one conduit.

28. The surgical stapling apparatus of claim 17, wherein the surgical stapling apparatus comprises a circular stapler.

29. The surgical stapling apparatus of claim 17, wherein the surgical stapling apparatus comprises an endoscopic stapler.

30. The surgical stapling apparatus of claim 17, wherein the wound closure material is selected from the group consisting of:

adhesives, hemostats, sealants, coagulants, and astringents.

31. The surgical stapling apparatus of claim 17, wherein the wound closure material is selected from the group consisting of:

aldehyde-based adhesive materials, albumin/glutaraldehyde materials, cyanoacrylate-based materials, fibrin sealants, and collagen-based sealants, synthetic polymer-based sealants, synthetic polyethylene glycol based hydrogel materials, fibrin-based hemostats, collagen-based hemostats, oxidized regenerated cellulose-based hemostats, gelatin-based hemostats, fibrinogen-thrombin combination materials, and sulphates of aluminum.