Method of applying a buttress to a surgical stapler end effector

Patent metadata

Field	Value
Publication number	US-10166023-B2
Application number	US-201514926764-A
Country	US
Kind code	B2
Filing date	Oct 29, 2015
Priority date	Aug 24, 2015
Publication date	Jan 1, 2019
Grant date	Jan 1, 2019

Abstract

A buttress is applied to an end effector of a surgical stapler. The buttress is loaded on a platform of a buttress applier cartridge. The end effector is closed upon the platform. An adhesive layer of the buttress secures the buttress to the end effector. The buttress is thus adhered to the end effector when the end effector is opened. The end effector is then actuated on tissue of a patient, thereby stapling the buttress to the tissue.

First claim

We claim:

1. A method of securing a buttress to an end effector, wherein the end effector comprises an upper jaw member and a lower jaw member, the method comprising:
(a) positioning a platform of a buttress applier cartridge between the upper and lower jaw members while the upper and lower jaw members are in an open configuration such that the buttress applier cartridge is removably positioned between the jaw members, wherein the platform has a buttress disposed thereon during the act of positioning the platform between the upper and lower jaw members, wherein the buttress applier cartridge has at least one retainer member retaining the buttress on the platform during the act of positioning the platform between the upper and lower jaw members;
(b) driving one or both of the upper or lower jaw members toward the platform to thereby engage the buttress with the end effector, wherein the buttress applier cartridge further comprises a resilient member that drives the at least one retainer away from the buttress to thereby release the buttress in response to the act of driving one or both of the upper or lower jaw members toward the platform;
(c) driving one or both of the upper or lower jaw members away from the platform to thereby pull the buttress off of the platform; and
(d) removing the platform from between the upper and lower jaw members, wherein the buttress remains secured to the end effector after removing the platform from between the upper and lower jaw members.

2. The method of claim 1 , wherein the platform applies at least two different amounts of pressure against the first buttress assembly in response to the act of driving one or both of the upper or lower jaw members toward the platform to thereby engage the buttress with the end effector.

3. The method of claim 1 , further comprising:
(a) actuating the end effector on tissue, thereby providing a spent staple cartridge; and
(b) attempting to close the actuated end effector about a second platform of a second buttress applier cartridge, wherein the second platform has features that engage the spent staple cartridge and thereby prevent full closure of the actuated end effector about the second platform.

4. The method of claim 1 , further comprising viewing an indicator on the buttress applier cartridge to confirm that the buttress applier cartridge is loaded before performing the act of driving one or both of the upper or lower jaw members toward the platform.

5. The method of claim 1 , further comprising changing a state of an indicator on the buttress applier cartridge in response to the act of driving one or both of the upper or lower jaw members toward the platform.

6. The method of claim 1 , further comprising driving a fluid from the buttress in response to the act of driving one or both of the upper or lower jaw members toward the platform.

7. The method of claim 6 , wherein the buttress applier cartridge has a reservoir that receives some of the fluid driven from the buttress in response to the act of driving a fluid from the buttress.

8. The method of claim 1 , further comprising receiving feedback from the buttress applier cartridge confirming successful closure of the end effector about the platform.

9. The method of claim 1 , wherein the buttress applier cartridge further comprises a latch, wherein the latch secures the position of the retainer member during the act of positioning the platform between the first and second jaw members, wherein the act of driving one or both of the upper or lower jaw members toward the platform comprises:
(i) engaging a first portion of the latch with the upper jaw member, and
(ii) engaging a second portion of the latch with the lower jaw member while simultaneously engaging the first portion of the latch with the upper jaw member,
wherein the simultaneous engagement of the first and second portions of the latch causes the latch to release the at least one retainer,
wherein the release of the at least one retainer by the latch causes the at least one retainer to release the buttress from the platform.

10. The method of claim 1 , wherein the act of driving one or both of the upper or lower jaw members toward the platform further comprises activating a data communication feature.

11. The method of claim 10 , wherein the act of activating a data communication feature comprises receiving electronic data wirelessly from the buttress applier cartridge.

12. The method of claim 1 , further comprising viewing an indicator on the buttress applier cartridge to confirm that the buttress applier cartridge has not been exposed to an adverse environmental condition before performing the act of driving one or both of the upper or lower jaw members toward the platform.

13. The method of claim 1 , further comprising viewing a display screen on the buttress applier cartridge to observe a characteristic of the buttress applier cartridge before performing the act of driving one or both of the upper or lower jaw members toward the platform.

14. The method of claim 1 , further comprising:
(a) opening a container cover of a container;
(b) retrieving the buttress applier cartridge from the container; and
(c) removing a buttress cover from the buttress to expose an adhesive on the buttress.

15. The method of claim 14 , wherein the buttress cover is secured to the container cover such that the act of opening the container cover and the act of removing the buttress cover are performed simultaneously.

16. The method of claim 1 , further comprising actuating the end effector, wherein the act of actuating the end effector comprises driving a first plurality of staples from the end effector through at the buttress.

17. The method of claim 16 , wherein the act of actuating the end effector further comprises driving a second plurality of staples from the end effector separately from the buttress.

18. The method of claim 1 , further comprising sliding the platform longitudinally relative to a housing of the buttress applier cartridge.

19. A method of securing a buttress to an end effector, wherein the end effector comprises an upper jaw member and a lower jaw member, the method comprising:
(a) inserting a platform of a buttress applier cartridge between the lower and upper jaw members while the jaw members are in an open configuration such that the jaw members removably receive the platform therebetween, wherein the platform has a buttress disposed thereon during the act of inserting the platform between the jaw members, wherein the buttress applier cartridge includes a retainer, wherein the retainer is configured to engage the buttress to thereby retain the buttress on the platform during the act of inserting the platform between the jaw members;
(b) driving one or both of the upper or lower jaw members toward the platform to thereby engage the buttress with the end effector, wherein the buttress applier cartridge further comprises a resilient member that drives the retainer away from the buttress to thereby release the buttress from the platform in response to the act of driving one or both of the upper or lower jaw members toward the platform;
(c) driving one or both of the upper or lower jaw members away from the platform to thereby pull the buttress off of the platform; and
(d) removing the buttress applier cartridge from the end effector, wherein the buttress remains secured to the end effector after removing the buttress applier cartridge from the end effector.

20. A method of securing a buttress to an end effector, wherein the e

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Vendely Michael J
• Barton Trevor J
• Harris Jason L
• Scheib Charles J
• Schellin Emily A
• Turner Prudence A
• Hall Steven G
• Dalessandro Victoria
• Donners Jack
• Timmer Mark
• Bezwada Rao S
• Craigwood Aidan
• Hagerman Caroline
• Easter Ashley
• Holtzmann Kathrin
• Shelton Iv Frederick E
• Zeiner Mark S

Classifications

• A61B50/31

  Carrying cases or bags, e.g. doctors' bags · CPC title

• A61B50/30

  Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments (for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40) · CPC title

• A61B2090/081

  for contamination or dirt · CPC title

• A61B90/90

  Identification means for patients or instruments, e.g. tags · CPC title

• A61B2090/0807

  Indication means · CPC title