Surgical stapler cartridge having raised surface to promote buttress adhesion

Patent metadata

Field	Value
Publication number	US-12390220-B2
Application number	US-202418588206-A
Country	US
Kind code	B2
Filing date	Feb 27, 2024
Priority date	May 19, 2023
Publication date	Aug 19, 2025
Grant date	Aug 19, 2025

Abstract

A stapling assembly for a surgical instrument includes a body extending along a longitudinal axis and having an upper deck, a plurality of pockets extending through the upper deck for receiving respective staples and arranged in at least two longitudinal rows, a plurality of staple drivers, and a staple driver actuator. The stapling assembly also includes a plurality of pocket extenders extending upwardly from the upper deck. Each pocket extender has a respective top surface. The stapling assembly further includes at least one upwardly-facing surface configured to contact an adhesive of an adjunct for securing the adjunct to the stapling assembly. The at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, and spans laterally at least partially across at least two longitudinal rows of the plurality of pockets.

First claim

We claim:

1. A stapling assembly for a surgical instrument, the stapling assembly comprising:
(a) a body extending along a longitudinal axis and having an upper deck, wherein the upper deck defines a stapling surface;
(b) a plurality of pockets extending through the upper deck for receiving respective staples, wherein the plurality of pockets are arranged in at least two longitudinal rows;
(c) a plurality of staple drivers, wherein each staple driver of the plurality of staple drivers is aligned with and movable vertically within a respective pocket of the plurality of pockets for actuating the respective staple into tissue;
(d) a staple driver actuator configured to translate distally relative to the body for lifting the plurality of staple drivers sequentially;
(e) a plurality of pocket extenders extending upwardly from the upper deck, wherein each pocket extender of the plurality of pocket extenders has a respective top surface that defines an uppermost surface of the stapling assembly; and
(f) at least one upwardly-facing surface configured to contact an adhesive portion of an adjunct for securing the adjunct to the stapling assembly, wherein the at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, wherein the at least one upwardly-facing surface spans laterally at least partially across the at least two longitudinal rows of the plurality of pockets.

2. The stapling assembly of claim 1 , wherein the at least one upwardly-facing surface has a greater surface area than each top surface of the plurality of pocket extenders.

3. The stapling assembly of claim 1 , wherein the plurality of pocket extenders includes a distalmost pocket extender, wherein the at least one upwardly-facing surface extends further distally than the top surface of the distalmost pocket extender.

4. The stapling assembly of claim 1 , wherein the plurality of pocket extenders includes a proximal-most pocket extender, wherein the at least one upwardly-facing surface extends further proximally than the top surface of the proximal-most pocket extender.

5. The stapling assembly of claim 1 , wherein the at least one upwardly-facing surface extends substantially parallel to the upper deck.

6. The stapling assembly of claim 1 , wherein the at least one upwardly-facing surface extends substantially obliquely to the upper deck.

7. The stapling assembly of claim 6 , wherein the at least one upwardly-facing surface includes at least one upwardly and proximally-facing surface that extends upwardly and distally from the upper deck to a peak.

8. The stapling assembly of claim 6 , wherein the at least one upwardly-facing surface includes at least one upwardly and distally-facing surface that extends upwardly and proximally from the upper deck to a peak.

9. The stapling assembly of claim 8 , wherein the peak of the at least one upwardly and distally-facing surface coincides with the peak of a corresponding upwardly and proximally-facing surface.

10. The stapling assembly of claim 8 , further comprising at least one proximally-facing surface that extends substantially orthogonally relative to the upper deck from the upper deck to the peak of the at least one upwardly and distally-facing surface.

11. The stapling assembly of claim 1 , wherein the at least one upwardly-facing surface includes at least one hemispherical surface.

12. The stapling assembly of claim 1 , wherein the at least one upwardly-facing surface is shaped to substantially match a pattern of the adhesive portion of the adjunct.

13. The stapling assembly of claim 1 , further comprising at least one opening extending through the at least one upwardly-facing surface and overlying a corresponding pocket of the plurality of pockets for accommodating passage of the respective staple therethrough.

14. The stapling assembly of claim 1 , further comprising at least one atraumatic, distally-facing surface extending downwardly and distally from the at least one upwardly-facing surface and configured to lift tissue upwardly relative to the upper deck.

15. A surgical instrument, comprising:
(a) the stapling assembly of claim 1 ; and
(b) an adjunct secured to the stapling assembly, wherein the adjunct includes:
(i) an adjunct material portion, and
(ii) an adhesive portion contacting the at least one upwardly-facing surface of the stapling assembly.

16. A stapling assembly for a surgical instrument, the stapling assembly comprising:
(a) a body extending along a longitudinal axis and having an upper deck, wherein the upper deck defines a stapling surface;
(b) a plurality of pockets extending through the upper deck for receiving respective staples, wherein the plurality of pockets are arranged in a plurality of longitudinal rows;
(c) a plurality of staple drivers, wherein each staple driver of the plurality of staple drivers is aligned with and movable vertically within a respective pocket of the plurality of pockets for actuating the respective staple into tissue;
(d) a staple driver actuator configured to translate distally relative to the body for lifting the plurality of staple drivers sequentially; and
(e) a plurality of pocket extenders extending upwardly from the upper deck, wherein the plurality of pocket extenders includes a first distalmost pocket extender having:
(i) a first distally-facing surface that is configured to lift tissue upwardly relative to the upper deck, wherein the first distally-facing surface extends substantially obliquely relative to the upper deck and spans laterally at least partially across at least two longitudinal rows of the plurality of longitudinal rows of the plurality of pockets, and
(ii) an upwardly-facing surface that defines an uppermost surface of the stapling assembly.

17. The stapling assembly of claim 16 , wherein the first distally-facing surface of the first distalmost pocket extender is rounded in a longitudinal direction.

18. The stapling assembly of claim 16 , wherein the first distally-facing surface of the first distalmost pocket extender is rounded in a lateral direction.

19. The stapling assembly of claim 16 , wherein the plurality of longitudinal rows of the plurality of pockets includes at least three longitudinal rows of the plurality of pockets.

20. A stapling assembly for a surgical instrument, the stapling assembly comprising:
(a) a body extending along a longitudinal axis and having an upper deck, wherein the upper deck defines a stapling surface;
(b) a plurality of pockets extending through the upper deck for receiving respective staples, wherein the plurality of pockets are arranged in a plurality of longitudinal rows on each lateral side of the longitudinal axis;
(c) a plurality of staple drivers, wherein each staple driver of the plurality of staple drivers is aligned with and movable vertically within a respective pocket of the plurality of pockets for actuating the respective staple into tissue;
(d) a staple driver actuator configured to translate distally relative to the body for lifting the plurality of staple drivers sequentially;
(e) a plurality of pocket extenders extending upwardly from the upper deck, wherein each pocket extender of the plurality of pocket extenders has a respective top surface that defines an uppermost surface of the stapling assembly; and
(f) a pair of distally-facing surfaces that are each configured to lift tissue upwardly relative to the upper deck, wherein each distally-facing s

Assignees

• Cilag Gmbh Int

Inventors

• Scott Gregory G
• Fanelli Nicholas
• Fiebig Kevin M
• May John P
• Wilson Nicholas A
• Raghavan Devanathan
• Bruns Jeffery D
• Mesnil Pierre R
• Jenkins Scott A
• Jambor Kristin L
• Kimball Cory G
• Nalagatla Anil K
• Jones Shannon L
• Shelton Iv Frederick E

Classifications

• A61B2017/07264

  characterised by its staple forming cavities, e.g. geometry or material · CPC title

• A61B2017/07278

  characterised by its sled or its staple holder · CPC title

• A61B2017/07271

  characterised by its cartridge · CPC title

• A61B2017/07285

  characterised by its cutter · CPC title

• A61B17/07292

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