Anastomosis composite gasket

• US 7,942,890 B2
• Filed: 03/15/2005
• Issued: 05/17/2011
• Est. Priority Date: 03/15/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: D'Agostino, William L., Bettuchi, Michael
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): Dornbusch; Dianne
• Application Number:
  US11/080,854
• Publication Number:
  US 20060212050A1
• Time in Patent Office: 2,254 Days
• Field of Search: 602 42- 44, 602/46, 602/48, 602/49, 602/52, 602/56, 602/76, 606/139, 606213-215, 606151-153
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• 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 17/1155 Circular staplers comprising a plurality of staples

Abstract

The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.

Claims

1. A structure for deposition between adjacent intestinal sections in an anastomosis procedure comprising:

at least a first ring of a first material; and

a second ring of a second material extending radially outward from the first ring, wherein each adjacent intestinal section is in contact with each of the first ring and the second ring when the structure is captured between the adjacent intestinal sections, wherein the first ring comprises a disk having an aperture and the second ring comprises a disk having an aperture, wherein the first ring is disposed within the aperture of the second ring and is attached to the second ring, the first and the second material comprising a wound treatment material consisting of at least one of an adhesive and a sealant, wherein the first material is different from the second material,

the first ring and the second ring being co-planar.

2. The structure according to claim 1, wherein the structure is impregnated with the wound treatment material.

3. The structure according to claim 1, wherein the structure is a mesh-like material.

4. The structure according to claim 1, wherein the structure is bio-absorbable.

5. The structure according to claim 4, further comprising a third ring radially extending outward from the second ring, wherein the third ring of the structure comprises at least one monomer selected from the group consisting of glycolide, glycolic acid, lactide, lactic acid, p-dioxanone, ε

-caprolactone, trimethylene carbonate, homopolymers thereof, copolymers thereof, and blends thereof.

6. The structure according to claim 4, further comprising a third ring radially extending outward from the second ring, wherein the third ring of the structure comprises a knitted mesh of polyglycolic acid yarns in combination with a second material selected from the group consisting of glycolide, lactide, trimethylene carbonate, dioxanone, and combinations thereof.

7. The structure according to claim 4, wherein the second ring of the structure comprises at least one monomer selected from the group consisting of glycolide, glycolic acid, lactide, lactic acid, p-dioxanone, ε

-caprolactone, trimethylene carbonate, homopolymers thereof, copolymers thereof, and blends thereof.

8. The structure according to claim 4, wherein the first ring of the structure comprises at least one monomer selected from the group consisting of glycolide, glycolic acid, lactide, lactic acid, p-dioxanone, ε

-caprolactone, trimethylene carbonate, homopolymers thereof, copolymers thereof, and blends thereof.

9. The structure according to claim 8, wherein the first ring of the structure further comprises at least one gap formed along a length thereof.

10. The structure according to claim 1, wherein the structure is non-absorbable.

11. The structure according to claim 10, further comprising a third ring disposed about an outer perimeter of the second ring, wherein the third ring of the structure comprises at least one non-absorbable material selected from the group consisting of polybuther, polyetherester, polyethylene, polypropylene, nylon, polyethylene terephthalate, polytetrafluoroethylene, polyvinylidene fluoride, stainless steel, and titanium.

12. The structure according to claim 10, wherein the second ring of the structure comprises at least one non-absorbable material selected from the group consisting of polyethylene, polypropylene, nylon, polyethylene terephthalate, polytetrafluoroethylene, polyvinylidene fluoride, stainless steel, and titanium.

13. The structure according to claim 10, wherein the first ring of the structure comprises at least one non-absorbable material selected from the group consisting of polyolefins, nylon, and silk.

14. The structure according to claim 1, further comprising a third ring comprising a composite of both non-absorbable and absorbable materials.

15. The structure according to claim 1, wherein the second ring of the structure comprises a composite of both non-absorbable and absorbable materials.

16. The structure according to claim 1, wherein the first ring of the structure comprises a composite of both non-absorbable and absorbable materials.

17. The structure according to claim 1, wherein the wound treatment material comprises at least one adhesive including a hydrogel.

18. The structure according to claim 1, wherein the wound treatment material comprises at least one sealant selected from the group consisting of fibrin sealants, collagen-based sealants, and synthetic polyethylene glycol-based, hydrogel sealants.

19. The structure according to claim 1, wherein the wound treatment material futher consists of at least one medicament selected from the group consisting of antimicrobials, analgesics, antipyretics, anesthetics, antiepileptics, antihistamines, anti-inflammatories, cardiovascular drugs, diagnostic agents, sympathomimetics, cholinomimetics, antimuscarinics, antispasmodics, hormones, growth factors, muscle relaxants, adrenergic neuron blockers, antineoplastics, immunogenic agents, immunosuppressants, gastrointestinal drugs, diuretics, steroids, lipids, lipopolysaccharides, polysaccharides, enzymes, and combinations thereof.

20. The structure according to claim 1, wherein the structure includes a first layer and a second layer.

21. The structure according to claim 20, wherein the first layer of the structure comprises a first part of a two-part wound treatment material, and the second layer of the structure comprises a second part of the two-part wound treatment material.

22. The structure according to claim 1, wherein the first ring comprises a non-bioabsorbable material and the second ring comprises a bio-absorbable material.

23. The structure according to claim 1, wherein the first ring and the second ring lie in a plane that extends along a diameter of the first and second rings.