Surgical apparatus and structure for applying sprayable wound treatment material

• US 8,225,981 B2
• Filed: 03/31/2010
• Issued: 07/24/2012
• Est. Priority Date: 10/18/2004
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Criscuolo, Christopher J., Bettuchi, Michael J.
• Primary Examiner(s): Low, Lindsay
• Application Number:
  US12/751,285
• Publication Number:
  US 20100230467A1
• Time in Patent Office: 846 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/179.1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• 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 17/07207 the staples being applied sequentially
• 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 17/1152 applying the staples on the outside of the lumen
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00495 for two-component glue
• CPC Class Codes: A61B 2017/07214 Stapler heads

Abstract

According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent sections of tissue is provided. The apparatus includes a body portion; an actuation assembly operatively supported at a proximal end of the body portion; an anvil assembly movably mounted at the distal end of the body portion for movement toward and away from the body portion; an approximation assembly extending between the body portion and the anvil assembly for moving the anvil toward and away from the tubular body portion; a dispersion assembly operatively associated with the approximation assembly, the dispersion assembly including at least one angled surface defining at least one channel interposed between the anvil assembly and the body portion and being configured to dispense a fluid therefrom; and at least one conduit for conducting wound treatment material to the dispersion assembly.

Claims

1. A method of performing a surgical anastomosis procedure, comprising the steps of:

providing a surgical anastomosis apparatus having an anvil assembly movably mounted with respect to a body portion and a wound treatment material dispersion system disposed between the anvil assembly and the body portion for dispensing wound treatment material onto a target surgical site, the wound treatment material dispersion system including;

at least one ejection port configured to dispense at least one fluid; and

at least one conduit for conducting wound treatment material to the wound treatment material dispersion system;

disposing the anvil assembly into a first intestinal section and securing the first intestinal section to the anvil assembly;

disposing the body portion into a second intestinal section and securing the second intestinal section to the body portion;

actuating the wound treatment material dispersion system to dispense wound treatment material onto at least one of the first and the second intestinal sections;

approximating the anvil assembly toward the body portion;

dispensing a first part of a multi-part wound treatment material from a first set of ejection ports formed in the wound treatment material dispersion system;

dispensing a second part of the multi-part wound treatment material from a second set of ejection ports formed in the wound treatment material dispersion system;

mixing the first and second parts of the multi-part wound treatment material; and

dispensing a fluid from the wound treatment material dispersion system, in a direction transverse to the paths of dispersion of the first and second parts of the wound treatment material.

2. The method according to claim 1, wherein the first and second parts of the multi-part wound treatment material are dispensed in a radially outward direction.

3. The method according to claim 1, wherein the fluid is dispensed from the wound treatment material dispersion system in a substantially proximal direction.

4. The method according to claim 1, further comprising the steps of:

ejecting a first fluid from a proximal set of ejection ports; and

ejecting a second fluid from a distal set of ejection ports.

5. The method according to claim 4, further comprising the steps of:

delivering the first fluid through a first conduit to the first set of ejection ports, from a first source of the first fluid; and

delivering the second fluid through a second conduit to the second set of ejection ports from a second source of a second fluid.

6. The method according to claim 1, wherein the multi-part wound treatment material is selected from the group consisting of a two-part bio-adhesive and a two-part sealant.

7. A method of performing a surgical anastomosis procedure, comprising the steps of:

providing a surgical anastomosis apparatus having an anvil assembly movably mounted with respect to a body portion and a wound treatment material dispersion system disposed between the anvil assembly and the body portion for dispensing wound treatment material onto a target surgical site, the wound treatment material dispersion system including;

at least one ejection port configured to dispense at least one fluid; and

at least one conduit for conducting wound treatment material to the wound treatment material dispersion system,

wherein the surgical anastomosis apparatus includes an approximation assembly for approximating the anvil assembly toward the body portion, the approximation assembly including;

an inner rod member defining a lumen therethrough and including a distal end operatively associated with the wound treatment material dispersion system;

a threaded rod member operatively associated with a proximal end of the inner rod member, wherein the threaded rod member threadingly engages a fixed handle member;

a knob member operatively connected to a proximal end of the threaded rod member; and

a connection member operatively connected proximate to a distal end of the inner rod member, the connection member including windows formed on opposite sides thereof, the windows of the connection member being in registration with the at least one ejection port of the wound treatment material dispersion system;

disposing the anvil assembly into a first intestinal section and securing the first intestinal section to the anvil assembly;

disposing the body portion into a second intestinal section and securing the second intestinal section to the body portion;

actuating the wound treatment material dispersion system to dispense wound treatment material onto at least one of the first and the second intestinal sections; and

approximating the anvil assembly toward the body portion.

8. A method of performing a surgical anastomosis procedure, comprising the steps of:

providing a circular surgical stapling apparatus having an anvil assembly movably mounted with respect to a tubular body portion and a wound treatment material dispersion system for dispensing wound treatment material onto a target surgical site, the wound treatment material dispersion system including;

a nozzle disposed between the anvil assembly and the tubular body portion, the nozzle including at least one ejection port configured to dispense at least one fluid; and

at least one conduit for conducting wound treatment material to the nozzle;

disposing the anvil assembly into a first intestinal section;

disposing a distal end portion of the surgical stapling apparatus into a second intestinal section;

actuating the wound treatment material dispersion system to dispense wound treatment material onto at least one of the first and the second intestinal sections;

approximating the anvil assembly toward the tubular body portion;

dispensing a first part of a two-part wound treatment material from a first set of ejection ports formed in the nozzle of the wound treatment material dispersion system;

dispensing a second part of the two-part wound treatment material from a second set of ejection ports formed in the nozzle of the wound treatment material dispersion system;

mixing the first and second parts of the two-part wound treatment material; and

dispensing a fluid from the nozzle of the wound treatment material dispersion system, in a direction transverse to the paths of dispersion of the first and second parts of the wound treatment material.

9. The method according to claim 8, wherein the first and second parts of the two-part wound treatment material are dispensed in a radially outward direction.

10. The method according to claim 8, wherein the fluid is dispensed from the nozzle in a substantially proximal direction.

11. The method according to claim 8, further comprising the steps of:

ejecting a first fluid from a proximal set of ejection ports; and

ejecting a second fluid from a distal set of ejection ports.

12. The method according to claim 11, further comprising the steps of:

delivering the first fluid through a first conduit to the first set of ejection ports, from a first source of the first fluid; and

delivering the second fluid through a second conduit to the second set of ejection ports from a second source of a second fluid.

13. The method according to claim 8, wherein the two-part wound treatment material is selected from the group consisting of a two-part bio-adhesive and a two-part sealant.

14. A method of performing a surgical anastomosis procedure, comprising the steps of:

providing a circular surgical stapling apparatus having an anvil assembly movably mounted with respect to a tubular body portion and a wound treatment material dispersion system for dispensing wound treatment material onto a target surgical site, the wound treatment material dispersion system including;

a nozzle disposed between the anvil assembly and the tubular body portion, the nozzle including at least one ejection port configured to dispense at least one fluid; and

at least one conduit for conducting wound treatment material to the nozzle,

wherein the surgical stapling apparatus includes an approximation assembly for approximating the anvil assembly toward the tubular body portion, the approximation assembly including;

an inner rod member defining a lumen therethrough and including a distal end operatively associated with the nozzle of the wound treatment material dispersion system;

a threaded rod member operatively associated with a proximal end of the inner rod member, wherein the threaded rod member threadingly engages a fixed handle member;

a knob member operatively connected to a proximal end of the threaded rod member; and

a connection member operatively connected proximate to a distal end of the inner rod member, the connection member including windows formed on opposite sides thereof, the windows of the connection member being in registration with the at least one ejection port of the wound treatment material dispersion system;

disposing the anvil assembly into a first intestinal section;

disposing a distal end portion of the surgical stapling apparatus into a second intestinal section;

actuating the wound treatment material dispersion system to dispense wound treatment material onto at least one of the first and the second intestinal sections; and

approximating the anvil assembly toward the tubular body portion.