Adhesive Mechanical Fastener for Lumen Creation Utilizing Tissue Necrosing Means

• US 20080082114A1
• Filed: 09/29/2006
• Published: 04/03/2008
• Est. Priority Date: 09/29/2006
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Voegele, James W., McKenna, Robert H., Shelton, Frederick E.
• Application Number:
  US11/536,741
• Publication Number:
  US 20080082114A1
• Time in Patent Office: Days
• US Class Current: 606/153
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections

Abstract

A two piece anastomosis device for attaching two organs together and creating a passage between the organs is disclosed. The anastomosis device has a first tissue clamping ring and a second tissue clamping ring that are brought together to clamp tissue therebetween and cut off the flow of blood to the tissue. The tissue clamping rings are locked together with an adhesive, and over time, causes the clamped tissue to necrose and slough off. The sloughed tissue creates a passageway through the anastomosis device. A method of using the fastener to create a bypass passageway between the stomach and small intestine is disclosed.

Claims

1. A surgical implant for clamping two hollow organs together and creating a passage therebetween, comprising:

a) first tissue clamping ring;

b) a second tissue clamping ring; and

c) an adhesive for locking the first and the second tissue clamping rings together in a spaced apart orientation to clamp tissue between the first and the second tissue clamping rings.

2. The surgical implant of claim 1 wherein the adhesive is at least one selected from the group consisting of a polymerizable monomer, a polymerizable 1,1,1,1-disubstituted ethylene monomer, and a cyanoacrylate formulation.

3. The surgical implant of claim 2 wherein at least one of the first and second clamping rings have at least one locking member extending therebetween, the locking member for locking the fastener in tissue and locking the first tissue clamping ring and the second tissue clamping ring member together at a spaced apart distance with the adhesive.

4. The surgical implant of claim 3 wherein the first tissue clamping ring and the second tissue clamping ring include one or more concentric rings of locking members extending between the first tissue clamping ring and the second tissue clamping ring.

5. The surgical implant of claim 4 wherein the adhesive is contained in at least one of the first and the second clamping rings.

6. The surgical implant of claim 5 wherein at least one of the first clamping rings and the second clamping rings has at least one socket therein, the socket having one or more uses selected from the group of:

a) a socket for containing the adhesive therein,

b) a socket for containing an additive therein,

c) a socket for receiving the at least one locking member therein, and

d) a socket for aligning the first clamping ring with the second clamping ring in an orientation.

7. The surgical implant of claim 6 further including at least one sealed ampoule in the socket having one or more chambers therein, wherein the contents the sealed ampoule comprises one or more selected from the group of:

a) a single part adhesive

b) a two part adhesive, and

c) an additive.

8. The surgical implant of claim 7 wherein the at least one ampoule is constructed from at least one material selected from the group of glass, ceramic, polyvinyl chloride, polyethylene, polyurethane, natural rubber, nitril rubber, butyrate rubber, polyethylene rubber, aluminum, gold, gelatin, silicone, and nylon.

9. The surgical implant of claim 7 wherein the additive is one or more additives selected from the group of anesthesia agents, sclerotic agents, necrosing agents, drugs, medicaments, adhesion initiators, micro particles, and bioactive agents,

10. The surgical implant of claim 7 wherein the at least one locking member has a piercing point, the piercing point for at least one of penetrating tissue and releasing the contents of the at least one ampoule.

11. The surgical implant of claim 7 wherein the first tissue clamping ring and the second tissue clamping ring are constructed from at least one selected from the group of stainless steel, gold, titanium, polyethylene polymers, polyetheretherketones, polylactic acid, polyglycolic acid, Polyglactin, polydioxanone, and polyglyconate.

12. A method for creating a passage in tissue between a pair of hollow organs, the method comprising;

a) providing an anastomosis device for clamping on tissue comprising

i) a first tissue clamping ring;

ii) a second tissue clamping ring;

iii) at least one locking member for spacing the first and the second locking rings apart in a spaced apart orientation, and

iv) an adhesive.

b) aligning a first hollow organ with a with a second hollow organ in a desired orientation;

c) placing one of the first tissue clamping ring and second tissue clamping rings into the first hollow organ and the other of the first tissue clamping ring and second tissue clamping rings in opposition in the second hollow organ;

d) clamping the first tissue clamping ring and the second tissue clamping ring together in a spaced apart orientation to clamp tissue therebetween and release the adhesive, the adhesive locking the first tissue clamping ring and the second tissue clamping ring together.

13. The method of claim 12 wherein after the step of clamping the first tissue clamping ring and the second tissue clamping ring together in the spaced apart orientation, including a step of necrotizing tissue clamped therebetween.

14. The method of claim 13, wherein after the step of necrotizing tissue clamped therebetween, including a step of sloughing the necrotized tissue from between the first tissue clamping ring and the second tissue clamping ring to create a passageway between the first hollow organ and the second hollow organ.

15. The method of claim 12, wherein after the step of placing one of the first tissue clamping ring and second tissue clamping rings into the first hollow organ and the other of the first tissue clamping ring and second tissue clamping rings in opposition in the second hollow organ, including a step of aligning the first tissue clamping ring and second tissue clamping ring together prior to clamping.

16. The method of claim 12 wherein during the step of providing an anastomosis device further including anastomosis clamping device having a moveable first jaw and a moveable second jaw for clamping the first tissue clamping ring and the second tissue clamping ring together in a spaced apart orientation on tissue.

17. The method of claim 12 wherein prior to the step of aligning said first tissue clamping ring and second tissue clamping ring together prior to clamping, including a step of providing a sheet adhesive and placing said sheet adhesive between the first hollow organ and the second hollow organ at the passage location.

18. The method of claim 17 wherein after the step of clamping said first tissue clamping ring and said second tissue clamping ring together in a spaced apart orientation to clamp tissue therebetween and lock said first tissue clamping ring and said second tissue clamping ring together with said adhesive, including a step of adhering the first hollow organ to the second hollow organ with said sheet adhesive.