# US 2013/0153634 A1 · Surgical Stapling Apparatus Including Buttress Attachment Via Tabs > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2013/0153634 A1 - Document ID: US20130153634A1 - Status: Published application - Kind: A1 - Application number: 13/325,501 - Filed: 2011-12-14 - Published: 2013-06-20 - Earliest claimed: 2011-12-14 - Assignees: Covidien LP - Inventors: Sally Carter; Richard P. Stevenson - Web page: https://patentgrep.com/patent/US20130153634A1 ## CPC - A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously - A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) - A61B 17/07207: {the staples being applied sequentially} - A61B 17/07292: {Reinforcements for staple line, e.g. pledgets} - A61B 17/105: {Wound clamp magazines (for packaging sharps A61B50/3001)} - A61B 17/115: Staplers for performing anastomosis, e.g. in a single operation - A61B 17/1155: {Circular staplers comprising a plurality of staples} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/07214: {Stapler heads} - A61B 2017/07271: {characterised by its cartridge} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An apparatus for joining two hollow organ sections with an annular array of surgical staples includes a staple cartridge component, an anvil component, a buttress component and a fastening member. The staple cartridge component includes a plurality of surgical staples arranged in an annular array. The anvil component is movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp the organ sections between the staple cartridge and anvil components. The buttress components are configured and dimensioned to be positioned on a distal surface of the staple cartridge component and the proximal surface of the anvil component. In particular, the buttress component includes a buttress member and a plurality of circumferentially arranged tabs extending proximally from the buttress member. The fastening member is configured and dimensioned to engage the plurality of circumferentially arranged tabs to securely position the buttress component on the staple cartridge component. ## Claims ### Claim 1 An apparatus for joining two hollow organ sections with an annular array of surgical staples, the apparatus comprising: a staple cartridge component including a plurality of surgical staples arranged in an annular array; an anvil component movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp the organ sections between the staple cartridge and anvil components; a buttress component configured and dimensioned to be positioned on a distal surface of the staple cartridge component, the buttress component including a buttress member and a plurality of circumferentially arranged tabs extending proximally from the buttress member; and a fastening member configured and dimensioned to engage the plurality of circumferentially arranged tabs to securely position the buttress component on the staple cartridge component. ### Claim 2 (depends on 1) The apparatus according to claim 1, wherein the buttress member has an annular configuration, the buttress member concentrically disposed in a juxtaposed relation with the plurality of surgical staples. ### Claim 3 (depends on 1) The apparatus according to claim 1, wherein the fastening member is an annular ring configured and dimensioned to apply inward force to the plurality of circumferentially arranged tabs against an outer wall of the staple cartridge component. ### Claim 4 (depends on 1) The apparatus according to claim 1, wherein the fastening member is a suture tied around the plurality of circumferentially arranged tabs against an outer wall of the staple cartridge component. ### Claim 5 (depends on 1) The apparatus according to claim 1, wherein an outer wall of the staple cartridge component defines a circumferential groove configured and adapted to receive a portion of the plurality of circumferentially arranged tabs. ### Claim 6 (depends on 5) The apparatus according to claim 5, wherein the fastening member is in registration with the circumferential groove. ### Claim 7 (depends on 1) The apparatus according to claim 1, further comprising a knife member concentrically arranged in the staple cartridge component and with the buttress member, the knife member movable relative to the staple cartridge component. ### Claim 8 (depends on 7) The apparatus according to claim 7, wherein the buttress member is configured to be disposed radially outward of the knife member. ### Claim 9 (depends on 1) The apparatus according to claim 1, wherein the plurality of circumferentially arranged tabs each define a line of weakening adjacent the buttress member to enable detachment of the buttress member from the plurality of tabs. ### Claim 10 (depends on 1) The apparatus according to claim 1, wherein the buttress component is configured such that the plurality of circumferentially arranged tabs engage an inner wall of the staple cartridge component. ### Claim 11 An apparatus for joining two hollow organ sections with an annular array of surgical staples, the apparatus comprising: a staple cartridge component including a plurality of surgical staples in an annular array; an anvil component movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp the organ sections between the staple cartridge and anvil components; a buttress component configured and dimensioned to be positioned on a distal surface of the staple cartridge component, the buttress component including a buttress member and an outer rim extending proximally from the buttress member, the outer rim configured and adapted to engage an outer wall of the staple cartridge component; and a fastening member tied around the outer rim of the buttress component to secure the outer rim against the outer wall of the staple cartridge component. ### Claim 12 (depends on 11) The apparatus according to claim 11, wherein the outer rim includes a plurality of circumferentially arranged loops configured and adapted to receive the fastening member therethrough. ### Claim 13 (depends on 11) The apparatus according to claim 11, wherein the outer rim defines a plurality of circumferentially arranged apertures dimensioned to receive the fastening member therethrough. ### Claim 14 (depends on 13) The apparatus according to claim 13, wherein each aperture includes an adhesive to secure the fastening member therein. ### Claim 15 (depends on 11) The apparatus according to claim 11, wherein the buttress member has an annular configuration, the buttress member disposed in a juxtaposed relation with the plurality of surgical staples. ### Claim 16 (depends on 11) The apparatus according to claim 11, wherein the outer wall of the staple cartridge component has a circumferential groove configured and adapted to receive a portion of the outer rim therein. ### Claim 17 (depends on 16) The apparatus according to claim 16, wherein the fastening member is in registration with the circumferential groove. ### Claim 18 (depends on 11) The apparatus according to claim 11, further comprising a knife member concentrically arranged in the staple cartridge component and with the buttress member, the knife member movable relative to the staple cartridge component. ### Claim 19 (depends on 18) The apparatus according to claim 18, wherein the buttress member is configured to be disposed radially outward of the knife member. ### Claim 20 (depends on 11) The apparatus according to claim 11, wherein the outer rim defines a circumferential line of weakening adjacent the buttress member to enable detachment of the buttress member from the outer rim. ### Claim 21 An apparatus for joining two hollow organ sections with an annular array of surgical staples, the apparatus comprising: a staple cartridge component including a plurality of surgical staples in an annular array; an anvil component defining a plurality of staple pockets for forming the surgical staples, the anvil component movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp the organ sections between the staple cartridge and anvil components; a knife member concentrically arranged in the staple cartridge component, the knife member movable relative to the staple cartridge component; and a buttress component including a buttress member concentrically aligned with the plurality of surgical staples and a plurality of circumferentially arranged tabs extending proximally from the buttress member, the plurality of tabs and the staple cartridge component having corresponding attaching members for securing the plurality of tabs to the staple cartridge component. ### Claim 22 (depends on 21) The apparatus according to claim 21, wherein the attaching members are hook and loop fasteners. ### Claim 23 (depends on 22) The apparatus according to claim 22, wherein the staple cartridge component has the hook and loop fasteners on the outer wall thereof and the plurality of tabs have the corresponding hook and loop fasteners on an inner surface of thereof. ### Claim 24 (depends on 22) The apparatus according to claim 22, wherein the staple cartridge component has the hook and loop fasteners on an inner wall thereof and the plurality of tabs have the corresponding hook and loop fasteners on an outer surface of thereof. ### Claim 25 An apparatus for joining two hollow organ sections with an annular array of surgical staples, the apparatus comprising: a staple cartridge component including a plurality of surgical staples in an annular array; an anvil component including an anvil member defining a plurality of staple pockets for forming the surgical staples and a shaft extending distally from the anvil member, the anvil component movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp the organ sections between the staple cartridge and anvil components; a knife member concentrically arranged in the staple cartridge component, the knife member movable relative to the staple cartridge component; and a first buttress component including a buttress member concentrically aligned with the anvil component and a rim extending distally from the buttress member, the first buttress component enclosing the plurality of staple pockets defined in the anvil member. ### Claim 26 (depends on 25) The apparatus according to claim 25, further comprising a fastening member securing the first buttress component to the shaft of the anvil component. ### Claim 27 (depends on 25) The apparatus according to claim 25, wherein the rim of the first buttress component is an outer rim that engages an outer surface of the anvil member. ### Claim 28 (depends on 25) The apparatus according to claim 25, wherein the first buttress component further includes an inner rim extending distally from the buttress member, the inner rim being configured and dimensioned to engage the shaft of the anvil component. ### Claim 29 (depends on 26) The apparatus according to claim 26, wherein the fastening member includes a plurality of barbs. ### Claim 30 (depends on 28) The apparatus according to claim 28, further comprising a second buttress component concentrically aligned with the staple cartridge component, the second buttress component including a buttress member and a plurality of circumferentially arranged tabs extending proximally from the buttress member. ### Claim 31 (depends on 30) The apparatus according to claim 30, wherein the plurality of tabs engage an outer wall of the staple cartridge component. ### Claim 32 (depends on 31) The apparatus according to claim 31, wherein the plurality of tabs and the outer wall of the staple cartridge component include corresponding hook and loop fasteners to secure the second buttress component to the staple cartridge component. ### Claim 33 (depends on 32) The apparatus according to claim 32, wherein each tab includes a line of weakening adjacent the buttress member for detachment of the buttress member from the plurality of tabs. ### Claim 34 (depends on 30) The apparatus according to claim 30, wherein the second buttress component is configured such that the plurality of tabs engage an inner wall of the staple cartridge component. ### Claim 35 (depends on 34) The apparatus according to claim 34, wherein the plurality of tabs and the inner wall of the staple cartridge component include corresponding hook and loop fasteners to secure the second buttress component to the staple cartridge component. ### Claim 36 (depends on 35) The apparatus according to claim 35, wherein each tab includes a line of weakening adjacent the buttress member for detachment of the buttress member from the plurality of tabs. ### Claim 37 (depends on 30) The apparatus according to claim 30, further comprising a fastening member configured and dimensioned to engage the plurality of circumferentially arranged tabs to securely position the second buttress component on the staple cartridge component. ### Claim 38 (depends on 37) The apparatus according to claim 37, wherein the fastening member is an annular ring configured and dimensioned to apply inward force to the plurality of circumferentially arranged tabs against an outer wall of the staple cartridge component. ### Claim 39 (depends on 37) The apparatus according to claim 37, wherein the fastening member is a suture tied around the plurality of circumferentially arranged tabs against an outer wall of the staple cartridge component.