Method of applying a buttress to a surgical stapler end effector

Patent metadata

Field	Value
Publication number	US-11045188-B2
Application number	US-201816211438-A
Country	US
Kind code	B2
Filing date	Dec 6, 2018
Priority date	Aug 24, 2015
Publication date	Jun 29, 2021
Grant date	Jun 29, 2021

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 with a buttress applier cartridge, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw includes an offset distal tip that projects toward the second jaw, wherein the buttress applier cartridge comprises a platform, a buttress disposed on the platform, a retainer member, and a receiving feature, the method comprising:
(a) positioning the platform between the first and second jaws while the jaws are in an open state and while the retainer member retains the buttress on the platform;
(b) closing the end effector to clamp the platform between the first and second jaws, wherein in response to the clamping action of the end effector:
(i) the offset distal tip of the first jaw is received by the receiving feature of the buttress applier cartridge,
(ii) one of the first or second jaws engages the buttress, and
(iii) the retainer member releases the buttress from the platform;

(c) opening the end effector and thereby removing the buttress from the platform; and
(d) removing the platform from between the first and second jaws while the buttress remains secured to the one of the first or second jaws.

2. The method of claim 1 , wherein the offset distal tip of the first jaw comprises a rounded distal tip or an angled distal tip.

3. The method of claim 1 , wherein the receiving feature comprises an opening located at a distal end of the platform.

4. The method of claim 3 , wherein the opening is defined at least in part by a housing of the buttress applier cartridge.

5. The method of claim 4 , wherein at least a distal-most portion of the offset distal tip is positioned in non-contact relation with the housing when the end effector is closed on the platform.

6. The method of claim 3 , wherein the opening extends through the platform.

7. The method of claim 3 , wherein the opening is V-shaped.

8. The method of claim 1 , wherein in response to the clamping action of the end effector on the platform, the buttress adhesively bonds to a clamping surface of the jaw, wherein discrete portions of the buttress are adhesively bonded to the clamping surface with a greater degree of adhesion than other portions of the buttress.

9. The method of claim 8 , wherein the buttress includes a plurality of discrete portions of adhesive.

10. The method of claim 8 , wherein the platform includes a plurality of protrusions that provide localized pressure at discrete portions of the buttress when the end effector clamps on the platform and the buttress.

11. The method of claim 1 , wherein the retainer member is movable between an extended position and a retracted position, wherein the retainer member in the extended position retains the buttress on the platform, wherein in response to the clamping action of the end effector on the platform the retainer member moves to the retracted position to release the buttress from the platform, wherein the retainer member remains in the retracted position following removal of the platform from between the first and second jaws.

12. The method of claim 11 , wherein the retainer member is resiliently biased toward the retracted position.

13. The method of claim 1 , wherein the first jaw supports an anvil surface, wherein the second jaw supports a staple cartridge.

14. The method of claim 1 , wherein the buttress comprises a first buttress disposed on a first side of the platform, wherein the buttress applier cartridge further comprises a second buttress disposed on second side of the platform, wherein in response to the clamping action of the end effector on the platform the first jaw engages the first buttress and the second jaw engages the second buttress.

15. The method of claim 1 , wherein the retainer member comprises a first retainer member that releasably retains the first buttress on the first side of the platform, wherein the buttress applier cartridge further comprises a second retainer member that releasably retains the second buttress on the second side of the platform, wherein in response to the clamping action of the end effector on the platform the first retainer member releases the first buttress from the first side and the second retainer member releases the second buttress from the second side.

16. A method of securing a buttress to an end effector with a buttress applier cartridge, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw includes an angled distal tip that projects toward the second jaw, wherein the buttress applier cartridge comprises a platform, a buttress disposed on the platform, a retainer member, and a receiving feature, the method comprising:
(a) positioning the platform between the first and second jaws while the jaws are in an open state and while the retainer member retains the buttress on the platform;
(b) closing the end effector to clamp the platform between the first and second jaws, wherein in response to the clamping action of the end effector:
(i) the angled distal tip of the first jaw is received by the receiving feature of the buttress applier cartridge,
(ii) one of the first or second jaws engages the buttress, and
(iii) the retainer member releases the buttress from the platform;

(c) opening the end effector and thereby removing the buttress from the platform; and
(d) removing the platform from between the first and second jaws while the buttress remains secured to the one of the first or second jaws.

17. The method of claim 16 , wherein the receiving feature comprises an opening located at a distal end of the platform.

18. The method of claim 17 , wherein the opening is defined at least in part by a housing of the buttress applier cartridge.

19. A method of securing a buttress to an end effector with a buttress applier cartridge, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw includes an offset distal tip that projects toward the second jaw, wherein the buttress applier cartridge comprises a platform, a buttress disposed on the platform, and a receiving feature, the method comprising:
(a) positioning the platform between the first and second jaws while the jaws are in an open state and while the buttress is disposed on the platform;
(b) closing the end effector to clamp the platform between the first and second jaws, wherein in response to the clamping action of the end effector:
(i) the offset distal tip of the first jaw is received by the receiving feature of the buttress applier cartridge, and
(ii) one of the first or second jaws engages the buttress, and

(c) opening the end effector and thereby removing the buttress from the platform; and
(d) removing the platform from between the first and second jaws while the buttress remains secured to the one of the first or second jaws.

20. The method of claim 19 , wherein the offset distal tip of the first jaw comprises a rounded distal tip or an angled distal tip.

Assignees

• Ethicon Llc
• Cilag Gmbh Int

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 Jackie
• Timmer Mark
• Bezwada Rao S
• Craigwood Aidan
• Hagerman Caroline
• Easter Ashley
• Holtzmann Kathrin
• Shelton Iv Frederick E
• Zeiner Mark S

Classifications

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title

• A61B2050/005

  with a lid or cover · CPC title

• A61B2017/00115

  with audible or visual output · CPC title

• A61B17/07292

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

• A61B2090/081

  for contamination or dirt · CPC title