# US 10,478,183 B2 · Adjunct release for surgical staplers

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 10,478,183 B2
- Document ID: US10478183B2
- Status: Granted
- Kind: B2
- Application number: 15/436,070
- Filed: 2017-02-17
- Published: 2018-08-23
- Granted: 2019-11-19
- Earliest claimed: 2017-02-17
- Assignees: Ethicon, Inc.
- Applicants: Ethicon LLC
- Inventors: Christopher J. Hess; Frederick E. Shelton, IV; Jason L. Harris; Michael J. Vendely
- Web page: https://patentgrep.com/patent/US10478183B2

## CPC

- A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B 17/07207: {the staples being applied sequentially}
- A61B 17/07292: {Reinforcements for staple line, e.g. pledgets}
- A61B 2017/07257: {characterised by its anvil}
- A61B 2017/07271: {characterised by its cartridge}
- A61B 2017/07278: {characterised by its sled or its staple holder}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Various adjunct releasing mechanisms are provided herein that can be incorporated into surgical devices, such as an end effector of a surgical stapler. For example, an adjunct releasing mechanism can act to release an adjunct attached to an end effector of a surgical stapler upon deployment of staples retained within the end effector. The adjunct can be retained on the end effector through a variety of means, such as through use of adhesive or by having a portion of the adjunct partially received within cavities formed on a tissue-facing surface of the end effector. The releasing mechanisms can extend into the cavities formed on the tissue-facing surface of the end effector to cause the adjunct to detach from the end effector upon deployment of staples.

## Claims

### Claim 1

A staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities on a tissue-facing surface thereof, each staple cavity having a staple disposed therein that is configured to be deployed into tissue, and the cartridge body having a plurality of connection cavities separate from the plurality of staple cavities on the tissue-facing surface;
an adjunct disposed on the tissue-facing surface of the cartridge body, the adjunct having a plurality of protrusions disposed on an adjunct surface configured to contact the tissue-facing surface, the plurality of protrusions being configured to extend into and engage with the plurality of connection cavities; and
a plurality of drivers disposed within the cartridge body, each driver having at least one adjunct releasing mechanism located thereon such that the plurality of drivers are configured to drive the plurality of protrusions of the adjunct out of the plurality of connection cavities and cause the adjunct to detach from the cartridge body when the plurality of drivers are advanced into the staple cavities to deploy the staples.

### Claim 2 (depends on 1)

The staple cartridge assembly of claim 1, wherein the at least one adjunct releasing mechanism comprises a post configured to extend into one of the plurality of connection cavities.

### Claim 3 (depends on 2)

The staple cartridge assembly of claim 2, wherein the post is configured to extend beyond the tissue-facing surface of the cartridge body to cause the adjunct to detach from the cartridge body.

### Claim 4 (depends on 1)

The staple cartridge assembly of claim 1, wherein the adjunct is releasably attached to the tissue-facing surface of the cartridge body with an adhesive.

### Claim 5 (depends on 4)

The staple cartridge assembly of claim 4, wherein the adhesive is cyanoacrylate.

### Claim 6

An end effector for use with a surgical stapling instrument, comprising:
a first jaw having a staple cartridge with a plurality of staple cavities configured to seat staples therein, and an adjunct attached to a tissue-facing surface of the cartridge and overlying the plurality of staple cavities;
a second jaw having an anvil with a plurality of staple-forming cavities formed on a tissue-facing surface thereof, the first and second jaws being configured to clamp the tissue therebetween; and
a plurality of drivers disposed within the cartridge and configured to deploy a plurality of staples through the staple cavities, through the adjunct, and into tissue engaged between the first and second jaws, and to simultaneously cause the adjunct to detach from the cartridge,
wherein the cartridge has a plurality of connection cavities formed in the tissue-facing surface thereof and separate from the plurality of staple cavities, and the adjunct has a plurality of protrusions formed thereon configured to extend into the plurality of connection cavities for attaching the adjunct to the cartridge.

### Claim 7 (depends on 6)

The end effector of claim 6, wherein the adjunct is attached to the tissue-facing surface of the cartridge by an adhesive.

### Claim 8 (depends on 6)

The end effector of claim 6, wherein each of the plurality of connection cavities is configured to receive a portion of one of the plurality of drivers therein.

### Claim 9 (depends on 6)

The end effector of claim 6, wherein each of the plurality of drivers has a post that is configured to extend beyond the tissue-facing surface of the cartridge to cause the adjunct to detach from the cartridge.

### Claim 10

A staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities and a plurality of connection cavities on a tissue-facing surface thereof, each staple cavity having a staple disposed therein that is configured to be deployed into tissue;
an adjunct disposed on the tissue-facing surface of the cartridge body, the adjunct having a plurality of protrusions configured to engage with the plurality of connection cavities to secure the adjunct thereto; and
a plurality of drivers disposed within the cartridge body, each driver having at least one staple portion configured to seat a staple therein and to deploy the staple therefrom, each driver having at least one adjunct releasing mechanism located thereon and being configured to drive the plurality of protrusions out of the plurality of connection cavities to release the adjunct from the cartridge body, the at least one adjunct releasing mechanism being configured to extend beyond the tissue-facing surface of the cartridge body when releasing the adjunct while the at least one staple portion being configured to deploy a corresponding staple without extending beyond the tissue-facing surface of the cartridge body.

### Claim 11 (depends on 10)

The staple cartridge assembly of claim 10, wherein each staple portion has a staple channel formed on an upper end thereon configured to seat a staple and drive the staple through tissue during deployment; and
wherein each adjunct releasing mechanism has a post extending in a same direction as the staple channel of the corresponding staple portion.

### Claim 12 (depends on 10)

The staple cartridge assembly of claim 10, wherein the plurality of connection cavities are disposed adjacent to the plurality of staple cavities on the tissue-facing surface.

### Claim 13 (depends on 10)

The staple cartridge assembly of claim 10, wherein each driver has a connecting element that connects the staple portion to the adjunct releasing mechanism.

### Claim 14 (depends on 10)

The staple cartridge assembly of claim 10, wherein each driver comprises two staple portions connected to each other by a single adjunct releasing mechanism.
