Surgical stapling apparatus having a wound closure material applicator assembly

• US 8,388,652 B2
• Filed: 06/22/2010
• Issued: 03/05/2013
• Est. Priority Date: 05/10/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Viola, Frank J.
• Primary Examiner(s): WOO, JULIAN W
• Application Number:
  US12/820,499
• Publication Number:
  US 20100252612A1
• Time in Patent Office: 987 Days
• Field of Search: 606/75, 606/139, 606/142, 606/214, 606/215, 606/219, 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 to closure material.

Claims

1. A surgical stapling apparatus for joining tissue, the surgical stapling apparatus comprising:

a staple anvil plate, wherein the staple anvil plate includes at least one longitudinally extending conduit defining a row of apertures formed in a tissue contacting surface of the staple anvil plate;

a plurality of staple forming recesses formed in the anvil plate; and

a wound closure material retained in the staple anvil plate for dispensing wound closure material into or onto the tissue during a firing of the surgical stapling apparatus, wherein the wound treatment material is at least one of retained in and communicated through each conduit.

2. The surgical stapling apparatus of claim 1, wherein the wound closure material is at least one of an adhesive, a hemostat and a sealant.

3. The surgical stapling apparatus of claim 1, wherein the wound closure material is selected from the group consisting of:

adhesives, hemostats, sealants, coagulants, and astringents.

4. The surgical stapling apparatus 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.

5. The surgical stapling apparatus of claim 1, wherein at least some of the plurality of surgical staples is coated with the wound closure material.

6. The surgical stapling apparatus of claim 1, further including a knife blade operatively connected thereto, wherein the knife blade is coated with the wound closure material.

7. The surgical stapling apparatus of claim 1, wherein the staple anvil plate is selectively removable from the surgical stapling apparatus.

8. A surgical stapling apparatus for joining tissue, the surgical stapling apparatus comprising:

a staple anvil plate, wherein the staple anvil plate includes a pair of longitudinally extending conduits each defining a row of apertures formed in a tissue contacting surface of the staple anvil plate, wherein the conduits are disposed outboard of a plurality of staple forming recesses,

the plurality of staple forming recesses being formed in the anvil plate; and

a wound closure material retained in the staple anvil plate for dispensing wound closure material into or onto the tissue during a firing of the surgical stapling apparatus, wherein the wound treatment material is at least one of retained in and communicated through each conduit.

9. The surgical stapling apparatus of claim 8, wherein the wound closure material is at least one of an adhesive, a hemostat and a sealant.

10. The surgical stapling apparatus of claim 8, wherein the wound closure material is selected from the group consisting of adhesives, hemostats, sealants, coagulants, and astringents.

11. The surgical stapling apparatus of claim 8, 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.

12. The surgical stapling apparatus of claim 8, wherein at least some of the plurality of surgical staples is coated with the wound closure material.

13. The surgical stapling apparatus of claim 8, further including a knife blade operatively connected thereto, wherein the knife blade is coated with the wound closure material.

14. The surgical stapling apparatus of claim 8, wherein the staple anvil plate is selectively removable from the surgical stapling apparatus.

15. A surgical stapling apparatus for joining tissue, the surgical stapling apparatus comprising:

a staple anvil plate, wherein the staple anvil plate includes at least one longitudinally extending conduit defining a row of apertures formed in a wall of a knife track of the staple anvil plate;

a plurality of staple forming recesses formed in the anvil plate; and

a wound closure material retained in the staple anvil plate for dispensing wound closure material into or onto the tissue during a firing of the surgical stapling apparatus, wherein the wound treatment material is at least one of retained in and communicated through each conduit.

16. The surgical stapling apparatus of claim 15, wherein the at least one longitudinally extending conduit is disposed along an upper or lower wall of the knife track, wherein the upper or lower wall of the knife track defines apertures that are in fluid communication with the at least one longitudinally extending conduit.

17. The surgical stapling apparatus of claim 15, wherein the wound closure material is at least one of an adhesive, a hemostat and a sealant.

18. The surgical stapling apparatus of claim 15, wherein the wound closure material is selected from the group consisting of:

adhesives, hemostats, sealants, coagulants, and astringents.

19. The surgical stapling apparatus of claim 15, 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.

20. The surgical stapling apparatus of claim 15, wherein at least some of the plurality of surgical staples is coated with the wound closure material.

21. The surgical stapling apparatus of claim 15, further including a knife blade operatively connected thereto, wherein the knife blade is coated with the wound closure material.

22. The surgical stapling apparatus of claim 15, wherein the staple anvil plate is selectively removable from the surgical stapling apparatus.

23. A surgical stapling apparatus for joining tissue, the surgical stapling apparatus comprising:

a staple anvil plate, wherein the staple anvil plate includes a pair of longitudinally extending conduits each defining a row of apertures formed in opposed walls of a knife track of the staple anvil plate;

a plurality of staple forming recesses formed in the anvil plate; and

a wound closure material retained in the staple anvil plate for dispensing wound closure material into or onto the tissue during a firing of the surgical stapling apparatus, wherein the wound treatment material is at least one of retained in and communicated through each conduit.

24. The surgical stapling apparatus of claim 23, wherein the wound closure material is at least one of an adhesive, a hemostat and a sealant.

25. The surgical stapling apparatus of claim 23, wherein the wound closure material is selected from the group consisting of:

adhesives, hemostats, sealants, coagulants, and astringents.

26. The surgical stapling apparatus of claim 23, 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.

27. The surgical stapling apparatus of claim 23, wherein at least some of the plurality of surgical staples is coated with the wound closure material.

28. The surgical stapling apparatus of claim 23, further including a knife blade operatively connected thereto, wherein the knife blade is coated with the wound closure material.

29. The surgical stapling apparatus of claim 23, wherein the staple anvil plate is selectively removable from the surgical stapling apparatus.

30. A surgical stapling apparatus for joining tissue, the surgical stapling apparatus comprising:

a staple anvil plate, wherein the staple anvil plate defines a knife track;

a plurality of staple forming recesses formed in the anvil plate; and

a wound closure material retained in the staple anvil plate for dispensing wound closure material into or onto the tissue during a firing of the surgical stapling apparatus, wherein the wound closure material is retained within the knife track, and wherein the wound closure material is retained in at least one of a sac, a conduit, and capsules disposed in the knife track.

31. In a surgical stapling apparatus for enhancing one or more properties of body tissue that is to be repaired or joined, wherein the surgical stapling apparatus includes:

a staple anvil positioned on a distal end of the stapling apparatus, the staple anvil defining a longitudinally extending knife track; and

a staple cartridge positioned adjacent a distal end of the stapling apparatus and juxtaposable relative to the staple anvil, the staple cartridge defining a longitudinally extending knife track, the improvement comprising;

a driving member supporting a knife blade and being supported in the surgical stapling apparatus for axially advancing the knife blade through the knife tracks of the staple anvil and the staple cartridge; and

a wound closure material disposed on a surface of the knife blade, at least at a time prior to the firing of the surgical stapling apparatus, wherein the wound closure material is transferred to the body tissue as the knife blade is advanced through the body tissue.

32. The surgical stapling apparatus of claim 31, wherein the wound closure material is at least one of an adhesive, a hemostat and a sealant.

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

adhesives, hemostats, sealants, coagulants, and astringents.

34. The surgical stapling apparatus of claim 31, 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.

35. The surgical stapling apparatus of claim 31, wherein the wound closure material is at least one of fluid soluble and activatable upon exposure to fluid.

36. A surgical stapling apparatus for enhancing one or more properties of body tissue that is or is to be repaired or joined, the surgical stapling apparatus comprising:

a staple anvil positioned on a distal end of the stapling apparatus and having a working surface;

a staple cartridge positioned adjacent a distal end of the stapling apparatus and juxtaposable relative to the staple anvil, the staple cartridge including;

a working surface;

one or more rows of individual staple slots formed in the working surface thereof;

a plurality of surgical staples individually disposed within the individual staple slots;

at least one conduit extending longitudinally through the staple cartridge; and

a plurality of microtubes extending from the at least one conduit and being in fluid communication with a respective plurality of openings formed in the working surface of the staple cartridge, the plurality of openings being adapted to dispense a wound closure material therethrough to an area between the working surface of the staple anvil and the staple cartridge;

a driving member for firing the surgical staples from the individual staple slots and against the staple anvil; and

a wound closure material applicator assembly operatively associated with the stapling apparatus, the applicator assembly including at least one reservoir in fluid communication with the at least one conduit of the staple cartridge, the reservoir containing a dispensable wound closure material therein.

37. The surgical stapling apparatus of claim 36, wherein the at least one conduit includes a pair of conduits disposed one each on opposed outboard sides of the staple slots of the staple cartridge.

38. The surgical stapling apparatus of claim 37, wherein the microtubes and the plurality of openings formed in the working surface of the staple cartridge are angled toward a knife track of the surgical stapling apparatus.

39. The surgical stapling apparatus of claim 37, wherein the at least one reservoir is actuatable to deliver the wound closure material therefrom so that the wound closure material is dispensed from the plurality of openings formed in the working surface of the staple cartridge.