Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
A surgical stapler end effector assembly 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 adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer is in a flowable state on the buttress body.
1. A surgical stapler end effector assembly, the end effector assembly 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 pockets configured to receive staples driven through the deck; and
(c) a buttress assembly, wherein the buttress assembly comprises:
(i) a buttress body, 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 the adhesive material comprises a polymer, wherein the polymer is bioabsorbable, wherein the polymer is in a flowable state on the buttress body;
wherein the buttress assembly comprises a plurality of discretely formed recesses that are positioned over extending projections that are located on the underside of the anvil between the staple forming pockets, wherein the recesses each comprise an opening that is oriented to face the underside of the anvil and wherein the recesses contain the adhesive material.
2. The surgical stapler end effector assembly of claim 1 , wherein the adhesive material comprises polyethylene glycol (PEG).
3. The surgical stapler end effector assembly of claim 1 , wherein the adhesive material comprises a composition of copolymer of caprolactone and glycolide (PCL/PGA).
4. The surgical stapler end effector assembly of claim 1 , wherein the buttress assembly further comprises an intermediate layer interposed between the buttress body and the adhesive material.
5. The surgical stapler end effector assembly of claim 4 , wherein the intermediate layer is impermeable such that the intermediate layer is configured to prevent the flowable polymer from flowing into the buttress body.
6. The surgical stapler end effector assembly of claim 4 , wherein the intermediate layer is semi-impermeable such that the intermediate layer is configured to permit a restricted amount of the flowable polymer to flow into the buttress body.
7. The surgical stapler end effector assembly of claim 6 , wherein the intermediate layer comprises polydioxanone (PDS).
8. The surgical stapler end effector assembly of claim 1 , wherein the buttress body comprises a porous media.
9. The surgical stapler end effector assembly of claim 1 , wherein the buttress body comprises a fibrous media.
10. The surgical stapler end effector assembly of claim 1 , wherein the buttress assembly further comprises an impermeable film positioned over the adhesive material to thereby contain flowable polymer within the recesses.
11. The surgical stapler end effector assembly of claim 10 , wherein the film is configured to removably peel away from the buttress body.
12. The surgical stapler end effector assembly of claim 10 , wherein the film defines a plurality of pockets, wherein the pockets are aligned with the recesses of the buttress assembly, wherein the pockets are configured to contain flowable polymer within the recesses of the buttress assembly.
13. The surgical stapler end effector assembly of claim 1 , wherein the deck of the staple cartridge defines a trough, wherein at least some of the flowable polymer is contained in the trough.
14. The surgical stapler end effector assembly of claim 13 , wherein the deck of the staple cartridge defines a plurality of openings, wherein the staple cartridge is operable to drive the staples through the openings.
15. The surgical stapler end effector assembly of claim 14 , wherein the deck of the staple cartridge includes a plurality of ridges surrounding the openings, wherein the ridges are configured to prevent the flowable polymer from spilling out of the trough into the openings.
16. The surgical stapler end effector assembly of claim 1 , further comprising a retainer, wherein the retainer is configured to releasably hold the buttress assembly, wherein the adhesive material is provided in a plurality of discrete regions, wherein the retainer comprises a plurality of projections configured to engage the buttress body at a plurality of discrete locations associated with the discrete regions to thereby provide focused pressure on the buttress assembly at the discrete regions.
17. The surgical stapler end effector assembly of claim 1 , further comprising a retainer, wherein the retainer is configured to releasably hold the buttress assembly, wherein the retainer includes one or more biasing features configured to bias the buttress assembly into engagement with the deck of the staple cartridge or the underside of the anvil.
18. A surgical stapler end effector assembly, the end effector assembly 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; and
(c) a buttress assembly, wherein the buttress assembly comprises:
(i) a buttress body,
(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 the adhesive material comprises a polymer, wherein the polymer is bioabsorbable, wherein the polymer is in a flowable state on the buttress body,
(iii) an intermediate layer interposed between the buttress body and the adhesive material wherein the intermediate layer is impermeable or semi impermeable, and
(iv) a peel-away film positioned over the adhesive material to thereby contain the flowable polymer, wherein the film defines a plurality of pockets on a side of the film facing the intermediate layer, wherein the pockets contain the flowable polymer in a plurality of discrete regions along the buttress assembly.