Annular adhesive structure

• US 8,684,250 B2
• Filed: 10/03/2011
• Issued: 04/01/2014
• Est. Priority Date: 10/18/2004
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Bettuchi, Michael J., Fowler, David N., Viola, Frank J., Criscuolo, Christopher J., Capella, Robert, Sniffin, Kevin, Hadba, Ahmad Robert, Tarinelli-Racenet, Danyel J.
• Primary Examiner(s): Long, Robert
• Application Number:
  US13/251,327
• Publication Number:
  US 20120018487A1
• Time in Patent Office: 911 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 17/072 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
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/07214 Stapler heads

Abstract

An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.

Claims

1. An assembly for disposing a support structure between intestinal sections, comprising:

a) an annular surgical stapling device, having an anvil assembly and a tubular body portion, the anvil assembly having an anvil member and a first shaft, the tubular body portion carrying a plurality of surgical staples in an annular configuration, the tubular body portion having a second shaft disposed radially inward of the surgical staples, the first shaft of the anvil member being attachable to the second shaft of the tubular body;

b) a support structure having a generally centrally located aperture for being disposed on one of the first shaft and the second shaft; and

c) a wound treatment material selected from the group consisting of at least one of an adhesive, a sealant, a hemostat, and a medicament, wherein the wound treatment material includes a first part and a second part,

wherein the support structure includes a first chamber having an interior space, wherein the interior space is provided with a first part of the wound treatment material, and the plurality of surgical staples are coated with a second part of the wound treatment material,

such that the first part and the second part of the wound treatment material come together upon activation of the surgical stapling device to form the wound treatment material.

2. The assembly of claim 1, wherein the support structure is impregnated with the wound treatment material.

3. The assembly of claim 1, wherein the support structure comprises an inflatable annular structure and is deployable from a first collapsed position to a second expanded position.

4. The assembly of claim 3, wherein, when in the expanded position, the support structure has a toroidal shape defining the interior space for containing the wound treatment material.

5. The assembly of claim 4, wherein the annular structure includes a circular tube and a plurality of spokes extending radially inwardly from the circular tube.

6. The assembly of claim 1, wherein the first part of the wound treatment material is a first part of a two-part adhesive that is disposed in a first chamber of the interior space of the support structure.

7. The assembly of claim 1, wherein the support structure comprises a shape memory material and is deployable from a first collapsed position to a second expanded position.

8. The assembly of claim 4, wherein the support structure comprises a shape memory alloy.

9. The assembly of claim 1, wherein the support structure comprises a first layer and a second layer.