Surgical stapling device with coated knife blade

• US 7,942,302 B2
• Filed: 07/11/2008
• Issued: 05/17/2011
• Est. Priority Date: 09/27/2001
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Roby, Mark S., Dato, Anthony, Cuny, Douglas J., Cabezas, Alan Byron, Maiorino, Nicholas, Kennedy, John J., Gaddy, Anthony, Milliman, Keith L.
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US12/171,616
• Publication Number:
  US 20080277448A1
• Time in Patent Office: 1,040 Days
• Field of Search: 227/175.1, 227/180.1, 606/41, 606/45, 427/2.28, 427/387
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/111 with means for removing a constriction after performing anastomosis
• CPC Class Codes: A61L 31/10 Macromolecular materials
• CPC Class Codes: C08L 83/04 Polysiloxanes

Abstract

A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The surgical stapling device includes a knife blade possessing a lubricious coating which enhances the ability of the knife to cut through tissue and minimizes the knife sticking to tissue or other components of the surgical stapling device.

Claims

1. A surgical stapling device comprising a knife, said knife comprising a tissue cutting end and a surface, a portion of said surface having a coating thereon, the coating formed from a coating mixture comprising a first solution comprising at least one polydialkylsiloxane and a first organic solvent, and a second solution comprising at least one siliconization material and a second organic solvent, wherein the polydialkylsiloxane is present in the first solution at a concentration of from about 10 g/l to about 70 g/l and has a molecular weight sufficient to provide a viscosity of the coating mixture of at least about 10,000 cp, and the siliconization material is present in the second solution at a concentration of from about 10 g/l to about 80 g/l.

2. The surgical stapling device of claim 1 wherein the siliconization material comprises a polydimethylsiloxane having amino and alkoxy functional groups and the solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

3. The surgical stapling device of claim 1 wherein the first solution comprises a polydimethylsiloxane and the first solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms and a hydrofluoroether.

4. The surgical stapling device of claim 1 wherein the first solution comprises a polydimethylsiloxane and the first solvent is selected from the group consisting of hexane and heptane.

5. The surgical stapling device of claim 1 wherein the second solution comprises an aminoalkyl siloxane and at least one other siloxane copolymerizable therewith and the second solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

6. The surgical stapling device of claim 1 wherein the second solution comprises a polydimethylsiloxane having amino and alkoxy functional groups and the second solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

7. The surgical stapling device of claim 1 wherein the second solution comprises a polydimethylsiloxane having amino and alkoxy functional groups and the second solvent is selected from the group consisting of hexane, heptane, isopropanol and mixtures thereof.

8. The surgical stapling device of claim 1 wherein the coating mixture further comprises a first solution comprising a polydimethylsiloxane and a hydrocarbon solvent selected from the group consisting of hexane and heptane and a second solution comprising a polydimethylsiloxane having amino and alkoxy functional groups and a solvent selected from the group consisting of hexane, heptane, isopropanol and mixtures thereof.

9. The surgical stapling device of claim 1, wherein the polydialkylsiloxane and siliconization material is prepared at a ratio of about 5:

0.25.

10. The surgical stapling device of claim 1, wherein the polydialkylsiloxane and siliconization material is prepared at a ratio of about 2.5:

0.5.

11. The surgical stapling device of claim 1, wherein the polydialkylsiloxane and siliconization material is prepared at a ratio of about 2:

0.75.

12. The surgical stapling device of claim 1, wherein the polydialkylsiloxane is present in the first solution at a concentration of from about 35 g/l to about 45 g/l, and the siliconization material is present in the first solution at a concentration of from about 20 g/l to about 40 g/l.

13. The surgical stapling device of claim 1, wherein the coating mixture includes the first solution and the second solution at a ratio from about 12:

1 to about 1;

12.

14. The surgical stapling device of claim 1, wherein the coating mixture includes the first solution and the second solution at a ratio from about 6:

1 to about 1;

6.

15. The surgical stapling device of claim 1, wherein the coating mixture includes the first solution and the second solution at a ratio from about 2:

1 to about 1;

2.

16. A surgical stapling device for performing a circular anastomosis comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly;

a head portion including an anvil assembly and a shell assembly, the anvil assembly including a cutting ring and being movable in relation to the shell assembly between spaced and approximated positions, the shell assembly comprising;

a pusher movable in relation to the anvil assembly between retracted and extended positions, the pusher configured to eject staples; and

a circular knife comprising a tissue cutting end and a surface, the knife configured to engage and cut into the cutting ring upon firing, a portion of said surface and the tissue cutting end having a coating thereon to prevent the knife from sticking to the cutting ring, the coating formed from a coating mixture comprising at least one polydialkylsiloxane, at least one siliconization material, and at least one organic solvent, wherein the polydialkylsiloxane and siliconization material is prepared at a ratio of from about 5;

0.25 to about 2;

0.75, and the polydialkylsiloxane has a molecular weight sufficient to provide a viscosity of the coating mixture of at least about 10,000 cp.

17. The surgical stapling device of claim 16 wherein the siliconization material comprises a polydimethylsiloxane having amino and alkoxy functional groups and the solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

18. The surgical stapling device of claim 16 wherein the coating mixture further comprises a first solution comprising the polydialkylsiloxane and a first organic solvent and a second solution comprising the siliconization material and a second organic solvent.

19. The surgical stapling device of claim 18 wherein the first solution comprises a polydimethylsiloxane and the first solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms and a hydrofluoroether.

20. The surgical stapling device of claim 18 wherein the first solution comprises a polydimethylsiloxane and the first solvent is selected from the group consisting of hexane and heptane.

21. The surgical stapling device of claim 18 wherein the second solution comprises an aminoalkyl siloxane and at least one other siloxane copolymerizable therewith and the second solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

22. The surgical stapling device of claim 18 wherein the second solution comprises a polydimethylsiloxane having amino and alkoxy functional groups and the second solvent is at least one of a hydrocarbon solvent of from about 5 to about 10 carbon atoms, a hydrofluoroether, and an alcohol.

23. The surgical stapling device of claim 18 wherein the second solution comprises a polydimethylsiloxane having amino and alkoxy functional groups and the second solvent is selected from the group consisting of hexane, heptane, isopropanol and mixtures thereof.

24. The surgical stapling device of claim 16 wherein the coating mixture further comprises a first solution comprising a polydimethylsiloxane and a hydrocarbon solvent selected from the group consisting of hexane and heptane and a second solution comprising a polydimethylsiloxane having amino and alkoxy functional groups and a solvent selected from the group consisting of hexane, heptane, isopropanol and mixtures thereof.