Progressively releasable implantable adjunct for use with a surgical stapling instrument

Patent metadata

Field	Value
Publication number	US-10603039-B2
Application number	US-201514871176-A
Country	US
Kind code	B2
Filing date	Sep 30, 2015
Priority date	Sep 30, 2015
Publication date	Mar 31, 2020
Grant date	Mar 31, 2020

Abstract

A staple cartridge assembly is disclosed comprising, one, a plurality of staples removably stored within a surgical staple cartridge and, two, an implantable adjunct. The implantable adjunct is configured to be progressively released from the surgical staple cartridge during a firing progression of a firing assembly configured to travel through the surgical staple cartridge.

First claim

What is claimed is:

1. A staple cartridge assembly for use with a surgical stapling instrument, wherein said staple cartridge assembly is configured to receive a firing actuation such that, upon receiving the firing actuation, a firing assembly is configured to translate through said staple cartridge assembly from a proximal end to a distal end during a firing progression, and wherein said staple cartridge assembly comprises:
a cartridge body comprising a deck surface;
a plurality of staples removably stored within said cartridge body; and
an implantable adjunct, comprising:
a body portion; and
a plurality of distinct attachment portions configured to retain said implantable adjunct against said cartridge body, wherein said attachment portions are disposed onto said deck surface, wherein the firing assembly is configured to engage each said attachment portion during the firing progression, and wherein said attachment portions are progressively released from said cartridge body during the advancement of the firing assembly from the proximal end to the distal end.

2. The staple cartridge assembly of claim 1 , wherein each said staple is configured to separate each said attachment portion from said cartridge body.

3. The staple cartridge assembly of claim 1 , wherein the firing assembly is configured to lift said implantable adjunct away from said cartridge body to release said implantable adjunct from said cartridge body.

4. The staple cartridge assembly of claim 3 , further comprising a plurality of drivers, wherein said cartridge body comprises a deck surface, wherein the firing assembly is configured to lift said drivers above said deck surface.

5. The staple cartridge assembly of claim 1 , wherein said cartridge body comprises a plurality of staple cavities, and wherein said attachment portions extend at least partially into said staple cavities.

6. The staple cartridge assembly of claim 1 , wherein said implantable adjunct comprises a unitary piece of material.

7. The staple cartridge assembly of claim 1 , wherein said cartridge body comprises a slot, wherein said attachment portions are positioned adjacent said slot, and wherein the firing assembly comprises a release portion configured to engage said attachment portions to release said implantable adjunct from said cartridge body as the firing assembly advances from the proximal end to the distal end.

8. The staple cartridge assembly of claim 1 , wherein said implantable adjunct comprises a first portion and second portion wherein said first portion is configured to be detached from said second portion, and wherein said second portion is configured to be retained against said cartridge body by a said staple that has not been deployed by the firing assembly.

9. The staple cartridge assembly of claim 8 , wherein said implantable adjunct further comprises a discontinuity, and wherein said first portion is detachable from said second portion at said discontinuity.

10. The staple cartridge assembly of claim 9 , wherein said discontinuity comprises at least one perforation.

11. The staple cartridge assembly of claim 8 , wherein each said staple comprises a pair of staple legs, and wherein each said staple leg comprises a barb embedded in said implantable adjunct.

12. The staple cartridge assembly of claim 11 , wherein said barbs extend outwardly.

13. The staple cartridge assembly of claim 1 , wherein said cartridge body comprises a plurality of staple cavities, and wherein each said attachment portion extends over a said staple cavity.

14. The staple cartridge assembly of claim 13 , wherein said staples engage said attachment portions and detach said attachment portions from said cartridge body when said staples are ejected from said cartridge body.

15. A staple cartridge assembly, comprising:
a cartridge body, comprising:
a proximal end;
a distal end;
a deck;
a plurality of staple cavities defined in said deck; and
a longitudinal slot defined in said deck extending from said proximal end toward said distal end;

a plurality of staples removably stored within said staple cavities;
a firing member configured to eject said staples from said staple cavities during a firing progression of said firing member from said proximal end toward said distal end; and
an implantable adjunct, comprising:
a body portion; and
a plurality of distinct attachment portions configured to releasably retain said implantable adjunct against said cartridge body, wherein said attachment portions extend along said deck, wherein said firing member is configured to progressively release said attachment portions from said cartridge body during said firing progression.

16. The staple cartridge assembly of claim 15 , wherein said firing member extends over said deck and directly engages said attachment portions.

17. The staple cartridge assembly of claim 15 , wherein said staple cavities are arranged in longitudinal rows, wherein said longitudinal rows comprise inner longitudinal rows adjacent said longitudinal slot, and wherein said attachment portions are positioned intermediate said longitudinal slot and said inner longitudinal rows.

18. The staple cartridge assembly of claim 17 , wherein said firing member slides along said deck between said longitudinal slot and said inner longitudinal rows.

19. A method for assembling a surgical stapling assembly for use with a surgical stapling instrument, said surgical stapling assembly comprising a staple cartridge, a plurality of staples, and a fibrous adjunct positioned at least partially on said staple cartridge, said method comprising:
pouring fibrous adjunct material onto a mold resembling said staple cartridge;
applying a predetermined external pressure to said fibrous adjunct material;
allowing said fibrous adjunct material to cool while the application of the predetermined external pressure is maintained;
removing said fibrous adjunct material from said mold; and
placing said fibrous adjunct material onto said staple cartridge, wherein said fibrous adjunct material maintains a continuous, fibrous structure upon being placed onto said staple cartridge.

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Vendely Michael J
• Schellin Emily A
• Weaner Lauren S
• Aronhalt Taylor W
• Barton Trevor J

Classifications

• A61B2017/00893

  pharmaceutically effective · CPC title

• A61B2017/00964

  composite · CPC title

• D01D5/18

  by means of rotating spinnerets · CPC title

• B32B2250/40

  Symmetrical or sandwich layers, e.g. ABA, ABCBA, ABCCBA · CPC title

• A61B2017/00831

  Material properties · CPC title