# US 12,178,433 B2 · Buttress applicator system for surgical stapler > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,433 B2 - Document ID: US12178433B2 - Status: Granted - Kind: B2 - Application number: 17/710,236 - Filed: 2022-03-31 - Published: 2023-10-05 - Granted: 2024-12-31 - Earliest claimed: 2022-03-31 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: William C. Ryle; Evan N. Stambler; Kirsten N. W. Chenery; Daniel J. Mumaw; Tiffany M. Warner; Clinton Denlinger; Mark T. Larson; Tony C. Siebel; Pamela M. Ridgley - Web page: https://patentgrep.com/patent/US12178433B2 ## CPC - A61B 17/07292: {Reinforcements for staple line, e.g. pledgets} - A61B 17/07207: {the staples being applied sequentially} - A61B 2017/00526: {Methods of manufacturing} - 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 2017/07285: {characterised by its cutter} - A61B 2090/0811: {for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An apparatus includes a body having an interior space sized and shaped to receive a surgical stapler end effector in an open state in combination with an adjunct applicator that includes an adjunct. The apparatus further includes a closure member movably coupled with the body. The closure member is actuatable to close the surgical stapler end effector onto the adjunct applicator so that the adjunct is applied to a stapling surface of the surgical stapler end effector. ## Claims ### Claim 1 An apparatus comprising: (a) a body having an interior space sized and shaped to receive a surgical stapler end effector in an open state in combination with an adjunct applicator that includes an adjunct, wherein the body includes: (i) an open proximal end, (ii) a closed distal end, wherein the adjunct applicator is insertable distally through the open proximal end and into the interior space such that a distal end of the adjunct applicator faces the closed distal end, (iii) a bottom wall, and (iv) a pair of side walls that extend longitudinally between the open proximal end and the closed distal end; and (b) a closure driver movably coupled with the body, wherein the closure driver is actuatable to close the surgical stapler end effector onto the adjunct applicator so that the adjunct is applied to a stapling surface of the surgical stapler end effector, wherein the closure driver is movable between the side walls. ### Claim 2 (depends on 1) The apparatus of claim 1, wherein the body includes a support structure extending upwardly from the bottom wall, wherein the support structure is configured to support an underside of the adjunct applicator. ### Claim 3 (depends on 2) The apparatus of claim 2, wherein the support structure includes a pair of support members spaced apart from one another and configured to contact the underside of the adjunct applicator. ### Claim 4 (depends on 3) The apparatus of claim 3, wherein the support members are resiliently biased in a direction away from the bottom wall, wherein the support members are configured to support and urge the adjunct applicator in a direction toward the closure driver. ### Claim 5 (depends on 4) The apparatus of claim 4, wherein the support members comprise a pair of leaf springs. ### Claim 6 (depends on 2) The apparatus of claim 2, wherein the body further includes an end effector jaw support feature extending upwardly from the bottom wall, wherein the end effector jaw support feature is configured to contact a jaw of the surgical stapler end effector when the closure driver is actuated to facilitate closure of the surgical stapler end effector onto the adjunct applicator. ### Claim 7 (depends on 1) The apparatus of claim 1, wherein the closure driver is actuatable relative to the body from a first position to a second position to close the surgical stapler end effector onto the adjunct applicator, wherein the closure driver is resiliently biased toward the first position. ### Claim 8 (depends on 1) The apparatus of claim 1, wherein the closure driver comprises a lever pivotably coupled with the body, wherein the lever is pivotable toward the body to close the surgical stapler end effector onto the adjunct applicator, wherein the lever is pivotable away from the body to permit the end effector to resume an open state. ### Claim 9 (depends on 8) The apparatus of claim 8, wherein a distal end of the lever is pivotably coupled with a distal end of the body. ### Claim 10 (depends on 1) The apparatus of claim 1, wherein the closure driver includes a protrusion that extends toward the body and is configured to contact an exterior surface of a jaw of the surgical stapler end effector. ### Claim 11 (depends on 10) The apparatus of claim 10, wherein the protrusion comprises a first protrusion, wherein the closure driver further includes a second protrusion that is spaced apart from the first protrusion and extends toward the body, wherein the second protrusion is configured to promote alignment of the jaw with the apparatus and the adjunct applicator. ### Claim 12 (depends on 1) A system comprising: (a) the apparatus of claim 1; and (b) the adjunct applicator, wherein the adjunct applicator comprises: (i) an applicator body, (ii) a platform coupled with the applicator body, and (iii) the adjunct positioned on the platform, wherein the closure driver of the apparatus is actuatable to close the surgical stapler end effector onto the platform so that the adjunct is applied to the stapling surface of the surgical stapler end effector. ### Claim 13 (depends on 12) The system of claim 12, wherein the adjunct comprises a first adjunct positioned on a first side of the platform, wherein the adjunct applicator further includes a second adjunct positioned on a second side of the platform, wherein the closure driver is actuatable to close the surgical stapler end effector onto the platform so that the first adjunct is applied to a first stapling surface of the surgical stapler end effector and the second adjunct is simultaneously applied to a second stapling surface of the surgical stapler end effector. ### Claim 14 A system comprising: (a) a first device, wherein the first device comprises: (i) a first device body, (ii) a platform coupled with the first device body, wherein the platform is configured to be positioned between a pair of stapling surfaces of a surgical stapler end effector in an open state, and (iii) an adjunct positioned on the platform; and (b) a second device, wherein the second device comprises: (i) a second device body configured to releasably receive and support the first device, wherein the first device is selectively insertable into and removable from the second device body, and (ii) a closure driver movably coupled with the second device body, wherein the closure driver is actuatable to close the surgical stapler end effector onto the platform of the first device to apply the adjunct to one of the stapling surfaces of the surgical stapler end effector. ### Claim 15 (depends on 14) The system of claim 14, wherein the second device body includes an open proximal end, wherein the first device is configured to be received through the open proximal end and into an interior space of the second device body. ### Claim 16 (depends on 14) The system of claim 14, wherein the closure driver comprises a lever that is pivotably coupled with the second device body, wherein the lever is actuatable to directly contact and close the surgical stapler end effector on the platform of the first device. ### Claim 17 A method comprising: (a) removably coupling an adjunct applicator with an end effector closure device such that the adjunct applicator is selectively removable from the end effector closure device, wherein the end effector closure device is operable to close an end effector of a surgical stapler and is provided separately from the surgical stapler, wherein the adjunct applicator includes a platform and an adjunct positioned on the platform; (b) positioning the platform between first and second stapling surfaces of the end effector in an open state while the adjunct applicator remains coupled with the end effector closure device; and (c) actuating a movable closure driver of the end effector closure device to contact an exterior of the end effector with the end effector closure device and thereby close the end effector onto the platform of the adjunct applicator. ### Claim 18 (depends on 17) The method of claim 17, wherein removably coupling the adjunct applicator with the end effector closure device comprises distally inserting the adjunct applicator into an interior space of the end effector closure device. ### Claim 19 (depends on 14) The apparatus of claim 14, wherein the first device body defines an open proximal end and a closed distal end of the first device, wherein the platform is proximally exposed at the open proximal end. ### Claim 20 (depends on 17) The apparatus of claim 17, wherein the adjunct applicator is movable vertically within the end effector closure device when the closure driver is actuated to close the end effector onto the platform.