Surgical apparatus and structure for applying sprayable wound treatment material

• US 8,281,975 B2
• Filed: 03/31/2010
• Issued: 10/09/2012
• 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 M
• Application Number:
  US12/750,763
• Publication Number:
  US 20100230466A1
• Time in Patent Office: 923 Days
• Field of Search: 2271751-1821, 227/19, 606/219
• 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 surgical stapling apparatus, comprising:

a body portion including a proximal end and a distal end, the body portion supporting an actuating handle member at the proximal end thereof and a staple pusher member at the distal end thereof;

an anvil assembly removably mounted at the distal end of the body portion, the anvil assembly being movable toward and away from the body portion;

an approximation assembly extending between and operatively connected to the body portion and the anvil assembly, wherein the approximation assembly moves the anvil assembly toward and away from the body portion, the approximation assembly including a shaft configured for releasable connection with the anvil assembly; and

a wound treatment material dispersion assembly operatively associated with the approximation assembly, the dispersion assembly including;

at least one fluid source,

at least one conduit in fluid communication with the at least one fluid source and extending into the shaft of the approximation assembly; and

at least one ejection port formed in the shaft of the approximation assembly and being in fluid communication with the at least one conduit wherein the at least one ejection port is configured to dispense fluid from the at least one fluid source to a location between the staple pusher member and the anvil assembly,

wherein the approximation assembly includes a nozzle supported on the shaft, wherein the nozzle of the approximation assembly includes a manifold having a plurality of ejection ports, wherein the plurality of ejection ports include;

a plurality of first ejection ports for dispensing a first wound treatment material; and

a plurality of second ejection ports for dispensing a second wound treatment material different from the first wound treatment material, and

wherein the wound treatment dispersion assembly includes a cap operatively connected to the manifold, and wherein the cap defines a channel between an inner surface of the cap and an outer surface of the manifold.

2. The surgical apparatus according to claim 1, wherein the wound treatment material dispersion assembly includes:

a first fluid source containing a first fluid and a second fluid source containing a second fluid different from the first fluid;

a first conduit in fluid communication with the first fluid source and a second conduit in fluid communication with the second fluid source; and

at least one first ejection port in fluid communication with the first conduit and at least one second ejection port in fluid communication with the second conduit.

3. The surgical apparatus according to claim 2, wherein the wound treatment material dispersion assembly includes a plurality of first and second ejection ports.

4. The surgical apparatus according to claim 2, wherein the first fluid source includes a first part of a multi-part wound treatment material, and wherein the second fluid source includes a second part of the multi-part wound treatment material.

5. The surgical stapling apparatus according to claim 1, wherein the at least one ejection port is oriented to dispense fluid radially.

6. The surgical stapling apparatus according to claim 1, wherein the first wound treatment material is a first part of a multi-part wound treatment material, and wherein the second wound treatment material is a second part of a multi-part wound treatment material.

7. The surgical stapling apparatus according to claim 1, wherein the channel defines a third ejection port for dispensing a third wound treatment material.

8. The surgical stapling apparatus according to claim 7, wherein the third wound treatment material is a fluid for facilitating mixing of the first and second wound treatment materials.

9. The surgical stapling apparatus according to claim 1, wherein the at least one conduit extends through a lumen of the approximation assembly, and wherein the at least one conduit extends through at least a part of the body portion to the at least one fluid source.

10. The surgical stapling apparatus according to claim 1, wherein the at least one conduit extends through a lumen of the approximation assembly and out the proximal end of the body portion to the at least one fluid source.