Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler

Patent metadata

Field	Value
Publication number	US-10478187-B2
Application number	US-201514667919-A
Country	US
Kind code	B2
Filing date	Mar 25, 2015
Priority date	Mar 25, 2015
Publication date	Nov 19, 2019
Grant date	Nov 19, 2019

Abstract

A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The buttress body defines a plurality of cells. The adhesive material comprises a polymer. The polymer is bioabsorbable. A first portion of the adhesive material is located within cells of the plurality of cells. A second portion of the adhesive material is located on the buttress body outside the plurality of cells.

First claim

We claim:

1. A surgical stapler end effector, the end effector comprising:
(a) a staple cartridge, wherein the staple cartridge comprises:
(i) a plurality of staples, and
(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;
(b) a buttress assembly, wherein the buttress assembly comprises:
(i) a buttress body, wherein the buttress body defines a plurality of cells, and
(ii) an adhesive material comprising a polymer, wherein the polymer is bioabsorbable; and
(c) a retainer, wherein the retainer is configured to removably hold the buttress assembly, wherein the retainer includes a plurality of projections on a surface of the retainer, wherein the projections are configured to provide focused pressure in a direction away from the surface of the retainer to discrete regions of the buttress assembly.

2. The surgical stapler end effector of claim 1 , wherein the buttress body comprises an extracellular matrix.

3. The surgical stapler end effector of claim 2 , wherein the extracellular matrix comprises collagen.

4. The surgical stapler end effector of claim 1 , wherein a first portion of the adhesive material is located within cells of the plurality of cells, wherein a second portion of the adhesive material is located on the buttress body outside the plurality of cells and wherein the second portion of the adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge.

5. The surgical stapler end effector of claim 4 , wherein the second portion is provided in a plurality of discrete regions on the buttress body outside the plurality of cells.

6. The surgical stapler end effector of claim 4 , wherein the buttress body defines a plurality of corners, wherein the discrete regions include discrete regions located on at least two of the corners.

7. The surgical stapler end effector of claim 4 , wherein the buttress body is compressible.

8. The surgical stapler end effector of claim 7 , wherein the buttress body is configured to drive some of the first portion of the adhesive material out of associated cells in response to compression of the buttress body.

9. The surgical stapler end effector of claim 1 , further comprising an anvil, wherein the anvil is movable from an open position toward the staple cartridge to reach a closed position, wherein the anvil includes an underside having a staple forming surface configured to receive staples driven through the deck.

10. The surgical stapler end effector of claim 9 , wherein the staple forming surface of the anvil comprises a plurality of staple forming pockets.

11. The surgical stapler end effector of claim 10 , wherein the plurality of projections is configured and positioned to respond to the staple forming pockets to thereby provide focused pressure to discrete regions of the buttress assembly adjacent to the staple forming pockets.

12. The surgical stapler end effector of claim 9 , wherein the retainer includes a pair of laterally positioned longitudinally extending rails, wherein the rails are configured and arranged to prevent leakage of the adhesive material at lateral outer edges of the deck of the staple cartridge or the underside of the anvil.

13. The surgical stapler end effector of claim 9 , wherein the buttress body comprises a pair of body portions laterally spaced apart from each other by a longitudinally extending gap.

14. The surgical stapler end effector of claim 13 , wherein the buttress assembly further comprises one or more tethers spanning across the gap, wherein the one or more tethers couple the body portions together.

15. The surgical stapler end effector of claim 13 , wherein the staple cartridge and the anvil each define a respective channel, wherein the channels are configured to receive a knife member, wherein the knife member is configured to pass through the gap between the body portions.

16. The surgical stapler end effector of claim 13 , wherein the retainer is configured to removably hold the buttress assembly, wherein the retainer includes a rib configured to fit in the gap between the body portions.

17. The surgical stapler end effector of claim 1 , wherein the adhesive material comprises a hydrogel.

18. The surgical stapler end effector of claim 1 , wherein the adhesive material comprises one or more compositions selected from the group consisting of alginate, hyaluronic acid, collagen, and polysaccharide.

19. A surgical stapler end effector, the end effector comprising:
(a) a staple cartridge, wherein the staple cartridge comprises:
(i) a plurality of staples, and
(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;
(b) a buttress assembly, wherein the buttress assembly comprises:
(i) a buttress body, wherein the buttress body comprises a collagen extracellular matrix; and
(c) a retainer, wherein the retainer is configured to removably hold the buttress assembly, wherein the retainer includes a plurality of projections on a surface of the retainer, wherein the projections are configured to provide focused pressure in a direction away from the surface of the retainer to discrete regions of the buttress assembly.

20. A surgical stapler end effector, the end effector comprising:
(a) a staple cartridge, wherein the staple cartridge comprises:
(i) a plurality of staples, and
(ii) a deck, wherein the staple cartridge is operable to drive the staples through the deck;

(b) an anvil, wherein the anvil is movable from an open position toward the staple cartridge to reach a closed position, wherein the anvil includes an underside having staple forming surface configured to receive staples driven through the deck;
(c) a buttress assembly, wherein the buttress assembly comprises:
(i) a buttress body, wherein the buttress body defines a plurality of cells, and
(ii) an adhesive material, wherein the adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge or the underside of the anvil, wherein at least some of the adhesive material is located in at least some of the cells; and

(d) a retainer, wherein the retainer is configured to removably hold the buttress assembly, wherein the retainer includes a plurality of projections on a surface of the retainer, wherein the projections are configured to provide focused pressure in a direction away from the surface of the retainer to discrete regions of the buttress assembly.

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Shelton Iv Frederick E
• Scheib Charles J
• Turner Prudence A
• Harris Jason L

Classifications

• A61B17/07292

  Reinforcements for staple line, e.g. pledgets · CPC title

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title

• A61B17/105 Primary

  Wound clamp magazines (for packaging sharps A61B50/3001) · CPC title

• A61B17/068

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title