Staple line surgical buttress
The present disclosure includes a surgical buttress or reinforcement for a surgical stapler assembly. The surgical stapler includes an anvil with a tissue contacting surface and a staple cartridge with a tissue contacting surface. The surgical buttress, in either one or two pieces, is releasably secured to the tissue contacting surfaces. The staples are delivered through the surgical buttress to provide a reinforcement for the staples.
1. A reloadable cartridge assembly, comprising:
a staple cartridge comprising a proximal end, a distal end, a surface, a plurality of staples, and a moveable cover;
an anvil comprising a proximal end, a distal end, a surface, and two sides;
an I-beam configured to move through the staple cartridge and the anvil; and
a cartridge buttress positioned on the surface and sides of the staple cartridge and releasably secured to the staple cartridge by positioning the moveable cover in a proximal position;
wherein the I-beam is configured to move the moveable cover of the staple cartridge distally to release the cartridge buttress from the staple cartridge.
2. The reloadable cartridge assembly of claim 1 wherein:
the anvil further comprises two proximal openings and two tip openings;
the reloadable cartridge assembly further comprises an anvil buttress, positioned on the surface and the two sides of the anvil;
the anvil buttress includes a top surface facing away from the surface of the anvil and releasably secured to the anvil with at least one suture;
the anvil buttress further comprises two surface openings, two lateral openings, and a distal tab; and
when assembled, the two surface openings of the anvil buttress are aligned with the two proximal openings of the anvil.
3. The reloadable cartridge assembly of claim 2 wherein:
the at least one suture is positioned, sequentially, through a first tip opening of the two tip openings, over a top of the distal tab, through a second tip opening of the two tip openings, through a first lateral opening of the two lateral openings, through a first proximal opening of the two proximal openings, through a first surface opening of the two surface openings of the anvil buttress, through a second surface opening of the two surface openings of the anvil buttress, through a second proximal opening of the two proximal openings, and through a second lateral opening of the two lateral openings; and
the at least one suture is secured to the anvil.
4. The reloadable cartridge assembly of claim 1 wherein the staple cartridge further comprises a slot, wherein a section of the I-beam is positioned within the slot, and wherein a portion of the I-beam is positioned on an exterior of the staple cartridge.
5. The reloadable cartridge assembly of claim 4 wherein the portion of the I-beam that is on the exterior of the staple cartridge interfaces with an edge of the moveable cover to move the moveable cover distally.
6. The reloadable cartridge assembly of claim 5 wherein:
the cartridge buttress comprises at least two right buttress tabs and at least two left buttress tabs;
the moveable cover further comprises at least two left openings, at least two right openings, at least two left tabs, and at least two right tabs;
each opening of the at least two left openings and each of the at least two right openings comprises a first portion and a second portion; and
when the moveable cover is in the proximal position, the cartridge buttress is releasably secured to the staple cartridge due to (a) each of the at least two left buttress tabs being positioned between a corresponding one of the at least two left tabs and a body of the staple cartridge and (b) each of the at least two right buttress tabs being positioned between a corresponding on of the at least two right tabs and the body of the staple cartridge.
7. The reloadable cartridge assembly of claim 6 wherein, when the moveable cover is in the proximal position
each of the at least two right buttress tabs is positioned within the first portion of a corresponding one of the at least two right openings; and
each of the at least two left buttress tabs is positioned within the first portion of a corresponding one of the at least two left openings.
8. The reloadable cartridge assembly of claim 7 wherein, when the moveable cover is in a distal position
the cartridge buttress is released;
each of the at least two left buttress tabs is positioned adjacent to a corresponding one of the at least two left tabs; and
each of the at least two right buttress tabs is positioned adjacent to a corresponding one of the at least two right tabs.
9. The reloadable cartridge assembly of claim 8 wherein, when the moveable cover is in the distal position
each of the at least two left buttress tabs is positioned within the second portion of the corresponding one of the at least two left openings; and
each of the at least two right buttress tabs is positioned within the second portion of the corresponding one of the at least two right openings.
10. The reloadable cartridge assembly of claim 1 wherein:
the anvil further comprises two proximal openings, two tip openings, and two tip cleats that are each positioned within a corresponding one of the two tip openings;
the reloadable cartridge assembly further comprises an anvil buttress;
the anvil buttress comprises two surface openings and a distal tab; and
the staple cartridge further comprises a pair of cartridge cleats.
11. The reloadable cartridge assembly of claim 10 wherein:
a first suture is positioned, sequentially, through a first tip opening of the two tip openings, over a top of the distal tab, and through a second tip opening of the two tip openings;
each end of the first suture is attached to a corresponding one of the two tip cleats;
a second suture is positioned through a first proximal opening of the two proximal openings, through a first surface opening of the two surface openings of the anvil buttress, through a second surface opening of the two surface openings of the anvil buttress, and through a second proximal opening of the two proximal openings; and
each end of the second suture is attached to an anvil cleat.
12. A staple cartridge, comprising:
a proximal end, a distal end, a top surface, a bottom surface, a plurality of staples, and a moveable cover; and
a cartridge buttress positioned on the top surface of the staple cartridge, and releasably secured to the staple cartridge;
wherein the moveable cover is configured to move distally to release the cartridge buttress from the staple cartridge.
13. The staple cartridge of claim 12 , further comprising a slot, wherein a section of an I-beam is positioned within the slot, and wherein a portion of the I-beam is positioned exterior to the staple cartridge.
14. The staple cartridge of claim 13 wherein the moveable cover further comprises an edge, and wherein the portion of the I-beam that is exterior to the staple cartridge interfaces with the edge to move the moveable cover distally.
15. The staple cartridge of claim 14 wherein:
the cartridge buttress comprises at least two right buttress tabs and at least two left buttress tabs;
the moveable cover further comprises at least two left openings, at least two right openings, at least two left tabs, and at least two right tabs; and
each of the at least two left openings and each of the at least two right openings comprises a first portion and a second portion.
16. The staple cartridge of claim 15 wherein, when the moveable cover is in a proximal position, the cartridge buttress is releasably secured to the staple cartridge due to (a) each of the at least two left buttress tabs being positioned between a corresponding one of the at least two left tabs and a body of the staple cartridge and (b) each of the at least two right buttress tabs being positioned between a corresponding one of the at least two right tabs and the body of the staple cartridge.
17. A reloadable cartridge assembly, comprising:
a staple cartridge comprising a proximal end, a distal end, a surface, a plurality of staples, a left plate, and a right plate,
wherein the left plate is positioned on a left side surface of a body of the staple cartridge and comprises at least two left flaps, each of the at least two left flaps including an interior raised projection extending toward the left side surface of the body of the staple cartridge, and
wherein the right plate is positioned on a right side surface of the body of the staple cartridge and comprises at least two right flaps, each of the at least two right flaps including an interior raised projection extending toward the right side surface of the body of the staple cartridge;
an anvil comprising a proximal end, a distal end, a surface, and two sides;
an I-beam configured to move through the staple cartridge and the anvil; and
a cartridge buttress positioned on the surface of the staple cartridge, on the left side surface of the body of the staple cartridge, and on the right side surface of the body of the staple cartridge, wherein the cartridge buttress comprises at least two right side tabs and at least two left side tabs, and wherein the cartridge buttress is releasably secured to the staple cartridge by (a) positioning each of the at least two right side tabs between a corresponding one of the at least two right flaps and the right side surface of the body of the staple cartridge and (b) positioning each of the at least two left side tabs between a corresponding one of the at least two left flaps and the left side surface of the body of the staple cartridge;
wherein the I-beam is configured to move the interior raised projections of the left plate, the interior raised projections of the right plate, the at least two left flaps, and the at least two right flaps away from the body of the staple cartridge to release the cartridge buttress from the staple cartridge.
18. The reloadable cartridge assembly of claim 17 , further comprising a staple driver configured to (a) push staples of the plurality of staples out of the staple cartridge and toward the anvil and (b) move the interior raised projections of the left plate and the interior raised projections of the right plate away from the body of the staple cartridge in response to the I-beam being moved distally.
19. The reloadable cartridge assembly of claim 18 wherein the left plate further comprises exterior raised projections positioned on the at least two left flaps, wherein each of the at least two left side tabs is positioned between a corresponding one of the exterior raised projections of the left plate and the left side surface of the body of the staple cartridge, wherein the right plate further comprises exterior raised projections positioned on the at least two right flaps, and wherein each of the at least two right side tabs is positioned between a corresponding one of the exterior raised projections of the right plate and the right side surface of the body of the staple cartridge.
20. The reloadable cartridge assembly of claim 17 wherein the left plate and the right plate are left and right sections, respectively, of a single, integral plate.