Method of fusing biomaterials with radiofrequency energy

• US 9,149,323 B2
• Filed: 01/25/2010
• Issued: 10/06/2015
• Est. Priority Date: 05/01/2003
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Baily, Ali
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GOOD, SAMANTHA M
• Application Number:
  US12/692,810
• Publication Number:
  US 20100130971A1
• Time in Patent Office: 2,080 Days
• Field of Search: 606 51- 52
• US Class Current: 1/1
• CPC Class Codes: A61B 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00504 Tissue welding
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1432 curved

Abstract

A method of fusing biomaterial and tissue using radiofrequency energy includes the steps of: providing a vessel sealing instrument having opposing jaw members which are movable relative to one another to compress tissue therebetween. The vessel sealing instrument includes at least one stop member affixed thereto for regulating the distance between the opposing jaw members. The method also includes the steps of: providing a biomaterial; positioning the biomaterial in abutting relation to tissue; approximating the biomaterial and tissue between the jaw members; compressing the biomaterial and tissue between the jaw members under a working pressure within the range of about 3 kg/cm² to about 16 kg/cm²; and energizing the jaw members with radiofrequency energy to effectively fuse the biomaterial and the tissue such that the biomaterial and the tissue reform into a single, fused mass.

Claims

1. A method of fusing tissue, comprising:

providing a surgical instrument having end effectors;

positioning an everted end of a non-collagen biomaterial in abutting relation to an everted tissue end such that respective intimae of the everted non-collagen biomaterial and the tissue oppose one another, the everted end of the non-collagen biomaterial and the everted tissue end each having an inner surface and an outer surface, wherein the inner surface of the everted end of the non-collagen biomaterial and the inner surface of the everted tissue end are in abutting relation;

grasping the non-collagen biomaterial and the tissue between the end effectors of the surgical instrument; and

energizing the end effectors with radiofrequency energy to effectively fuse the non-collagen biomaterial and the tissue such that the non-collagen biomaterial and the tissue reform into a single, fused mass.

2. A method of fusing tissue according to claim 1, wherein the non-collagen biomaterial includes elastin.

3. A method of fusing tissue according to claim 1, wherein the surgical instrument is configured to regulate the distance between the end effectors within the range of about 0.004 inches to about 0.010 inches.

4. A method of fusing tissue according to claim 1, wherein the non-collagen biomaterial is tubular in shape.

5. A method of fusing tissue according to claim 4, wherein the tissue is tubular in shape such that the non-collagen biomaterial and the tissue together define a longitudinal axis therethrough.

6. A method of fusing tissue according to claim 5, wherein the everted end of the non-collagen biomaterial and the everted tissue end each extend perpendicularly relative to the longitudinal axis.

7. A method of fusing tissue according to claim 1, wherein the surgical instrument is a circular stapling instrument including a stapler support member disposed on one of the end effectors which supports an array of staples and an opposing anvil disposed on another one of the end effectors, the stapler support member is movable relative to the anvil to compress the tissue therebetween, each of the stapler support member and the anvil having electrically conductive sealing surfaces.

8. A method of fusing tissue according to claim 7, further comprising actuating the circular stapling instrument to fire the array of staples through the non-collagen biomaterial and the tissue and against the anvil.

9. A method of fusing tissue according to claim 8, wherein the actuating the circular stapling instrument to fire the array of staples occurs after the energizing of the end effectors.

10. A method of fusing tissue according to claim 7, further comprising compressing the non-collagen biomaterial and the tissue between the stapler support member and the anvil prior to the energizing the end effectors.