Resistive heated surgical staple cartridge with phase change sealant

• US 8,998,060 B2
• Filed: 09/13/2011
• Issued: 04/07/2015
• Est. Priority Date: 09/13/2011
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Bruewer, Dean B., Kimball, Cory G., Schmid, Katherine J., Swensgard, Brett E., Daunch, William A.
• Primary Examiner(s): Truong, Thanh
• Assistant Examiner(s): Sanders, Joy N
• Application Number:
  US13/230,994
• Publication Number:
  US 20130062393A1
• Time in Patent Office: 1,302 Days
• Field of Search: 2271751-1801, 227/19, 227/176.1, 606/220, 606/219, 606/27, 604/115, 604/158, 604/219
• US Class Current: 227/176.1
• 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 2017/00513 Tissue soldering
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/00951 adhesive
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

An apparatus for endosurgical use includes an instrument having an end effector and a staple cartridge insertable into the end effector. The staple cartridge includes staples, staple apertures, a resistive member, and a medical fluid. When coupled to a power source, the medical fluid is vaporized by the resistive member and expelled out the staple apertures onto the stapled tissue. The power source may be contained within the instrument. In one configuration, a resistive strip with strip contacts may electrically couple to a conductor in the end effector. The medical fluid may also be divided into a plurality of sealant pads corresponding to the staple apertures, and the medical fluid may be a depolymerizable cyanoacrylate, a sprayable thermoplastic urethane, or any vaporizable medicament or pharmaceutical. The staple drivers may include one or more apertures to permit the medical fluid to pass through or around the staple drivers.

Claims

1. An apparatus comprising:

(a) an instrument comprising;

(i) a handle portion,

(ii) an end effector comprising;

(1) a lower jaw,

(2) a pivotable anvil; and

(b) a staple cartridge insertable into the end effector, the staple cartridge comprising;

(i) a cartridge body having an upper deck, the upper deck comprising;

(1) a vertical slot formed in the upper deck and extending longitudinally from a proximal end of the upper deck, wherein a cutting edge is translatable longitudinally through the vertical slot, and

(2) a plurality of staple apertures,

(ii) one or more staple drivers vertically translatable relative to the cartridge body, wherein each staple driver includes a driver channel configured to provide a pathway for fluid communication,

(iii) a plurality of staples disposed above the one or more staple drivers, wherein the plurality of staples are vertically translatable relative to the cartridge body,

(iv) a resistive member disposed within the cartridge body,

(v) a medical fluid having at least a portion in communication with the resistive member, wherein the resistive member is operable to provide communication of the medical fluid through the driver channels of the one or more staple drivers.

2. The apparatus of claim 1 wherein the resistive member comprises a resistive strip.

3. The apparatus of claim 2 wherein the lower jaw comprises a conductor, wherein the conductor is selectively coupled to a power source.

4. The apparatus of claim 3 wherein the resistive strip comprises strip contacts, wherein the conductor comprises conductor contacts, wherein the strip contacts are operable to electrically couple to the conductor contacts.

5. The apparatus of claim 4 wherein at least a portion of the strip contacts is in substantial vertical alignment with the plurality of staple apertures.

6. The apparatus of claim 1 wherein the medical fluid comprises a plurality of sealant pads.

7. The apparatus of claim 6 wherein at least a portion of each of the sealant pads is in substantial vertical alignment with the plurality of staple apertures.

8. The apparatus of claim 1 wherein each driver channel comprises an aperture extending vertically through the one or more staple drivers.

9. The apparatus of claim 1 wherein each driver channel comprises a notch extending vertically on a side of the one or more staple drivers.

10. The apparatus of claim 1 wherein the medical fluid comprises a depolymerizable cyanoacrylate or a sprayable thermoplastic urethane.

11. The apparatus of claim 1 wherein the medical fluid is a vaporizable medicament or pharmaceutical.

12. The apparatus of claim 1 wherein the cartridge body comprises a cartridge channel formed in a base portion of the cartridge body, wherein the resistive member and the medical fluid are disposed within the cartridge channel.

13. The apparatus of claim 1 further comprising a contact coupled to the resistive member and operable to electrically couple the resistive member to a power source.

14. The apparatus of claim 13 wherein the cartridge body comprises a proximal end having a support portion and wherein the contact is located on the support portion.

15. The apparatus of claim 13 wherein the power source is contained within the instrument.

16. An apparatus for endosurgical use, the apparatus comprising:

(a) a cartridge body having an upper deck, the upper deck comprising;

(i) a vertical slot formed in the upper deck and extending longitudinally from a proximal end of the upper deck, and

(ii) a plurality of staple apertures;

(b) one or more staple drivers vertically translatable relative to the cartridge body;

(c) a plurality of staples, wherein the plurality of staples are vertically translatable relative to the cartridge body;

(d) a plurality of resistive members disposed within the cartridge body;

(e) a medical fluid having at least a portion disposed between the plurality of resistive members and the one or more staple drivers; and

(f) a contact coupled to the plurality of resistive members and operable to electrically couple the plurality of resistive members to a power source.

17. The apparatus of claim 16 further comprising a plurality of channels formed in the cartridge body, wherein the plurality of resistive members are disposed within the plurality of channels.

18. The apparatus of claim 17 further comprising a port, wherein the port is configured to provide fluid communication between two or more of the plurality of channels.

19. The apparatus of claim 17 wherein at least a portion of the medical fluid is contained within a reservoir in fluid communication with one or more channels of the plurality of channels.

20. An apparatus comprising:

(a) an instrument comprising;

(i) a body portion,

(ii) an end effector, wherein the end effector is distal to the body, the end effector comprising;

(1) a first member, and

(2) a second member, wherein the first member is movable relative to the second member; and

(b) a staple cartridge insertable into the second member, the staple cartridge comprising;

(i) a cartridge body,

(ii) a plurality of staples,

(iii) a plurality of staple drivers operable to drive the plurality of staples from the cartridge body, and

(iv) a fluid communication assembly operable to drive fluid through the staple drivers to tissue captured between the first and second member.