Surgical buttresses for surgical stapling apparatus
A surgical stapling apparatus includes an end effector having an anvil assembly and a staple cartridge assembly, and an anvil buttress retention system releasably disposed on the anvil assembly. The anvil buttress retention system includes an anvil buttress and a retention member including an elongated body looped around at least a portion of the anvil buttress with a free end of the elongated body extendable through a looped end of the elongated body in an untightened configuration such that the anvil buttress retention system is slidable relative to the anvil assembly. The free end of the retention member is movable relative to and through the looped end to a tightened configuration to secure the anvil buttress retention system to the anvil assembly.
1. A surgical stapling apparatus comprising:
an end effector having an anvil assembly and a staple cartridge assembly; and
an anvil buttress retention system releasably disposed on the anvil assembly, the anvil buttress retention system including an anvil buttress and a retention member, the anvil buttress including a central portion positioned adjacent to a tissue facing surface of the anvil assembly and a pair of wings extending from the central portion and positioned adjacent to side surfaces of the anvil assembly to define a u-shaped channel configured to receive the anvil assembly therein, the retention member including an elongated body having a free end and a looped end, the elongated body looped around at least a portion of the anvil buttress, through side edges of the central portion, and extending adjacent inner surfaces of the pair of wings such that the free and looped ends are disposed above the u-shaped channel of the anvil buttress, the free end of the elongated body extendable through the looped end of the elongated body in an untightened configuration such that the anvil buttress retention system is slidable relative to the anvil assembly, the free end of the retention member movable relative to and through the looped end to a tightened configuration to secure the anvil buttress retention system to the anvil assembly.
2. A surgical stapling apparatus comprising:
an end effector having an anvil assembly and a staple cartridge assembly, the anvil assembly including an anvil plate including a central longitudinal slot, a cover plate disposed over the anvil plate, and a proximally tapering passage disposed between the anvil plate and the cover plate; and
an anvil buttress retention system releasably disposed on the anvil assembly, the anvil buttress retention system including an anvil buttress and a tab coupled to and extending proximally from a distal end of the anvil buttress, the anvil buttress positioned against a tissue facing surface of the anvil plate and the tab folded around a distal end of the anvil plate and positioned within the proximally tapering passage of the anvil assembly such that a proximal portion of the tab is disposed adjacent to the central longitudinal slot of the anvil plate; and
a cartridge buttress connected to the anvil buttress by a connecting member to form a surgical buttress assembly having a substantially z-shaped configuration, the connecting member including a notch formed therein, the notch aligned with the central longitudinal slot of the anvil plate.
3. The surgical stapling apparatus according to claim 2 , wherein the tab includes an aperture configured to capture a portion of the anvil assembly therein.
4. The surgical stapling apparatus according to claim 2 , wherein the cartridge buttress is releasably secured to the staple cartridge assembly by sutures.
5. A method of loading the anvil buttress onto the end effector of the surgical stapling apparatus of claim 2 , the method including:
positioning the anvil buttress of the anvil buttress retention system against the tissue facing surface of the anvil plate; and
passing the tab through the proximally tapering passage of the anvil assembly to secure the proximal portion of the tab adjacent the central longitudinal slot of the anvil plate.
6. The surgical stapling apparatus according to claim 1 , wherein the retention member includes a plurality of barbs.
7. The surgical stapling apparatus according to claim 1 , further including a cartridge buttress releasably disposed on the staple cartridge assembly.
8. The surgical stapling apparatus according to claim 1 , wherein the anvil assembly includes a central longitudinal slot, and the retention member extends across the central longitudinal slot of the anvil assembly.
9. The surgical stapling apparatus according to claim 1 , wherein the retention member is a first retention member, and the anvil buttress retention system further includes a second retention member disposed in spaced relation relative to the first retention member along a length of the anvil buttress.
10. A method of loading the anvil buttress onto the end effector of the surgical stapling apparatus of claim 1 , the method including:
sliding the anvil buttress of the anvil buttress retention system onto the anvil assembly of the end effector with the retention member in the untightened configuration; and
pulling the free end of the retention member relative to and through the looped end to the tightened configuration.