Anastomotic Stapling Reinforcing Buttress and Methods of Deployment

a technology of anastomotic stapling and reinforcing buttress, which is applied in the field of surgical instruments, can solve the problems of difficult access, significant morbidity and frequently death, morbidity and mortality, etc., and achieve the effects of enhancing the properties of the repaired or adjoined tissue, and improving tissue viability

Inactive Publication Date: 2017-10-05
ETHICON INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0026]The present invention relates to surgical instruments and methods for enhancing properties of tissue repaired or joined by surgical staples and, more particularly to surgical instruments and methods designed to enhance the properties of repaired or adjoined tissue at a target surgical site, especially when sealing an anastomosis between adjacent intestinal sections so as to improve tissue viability, prevent tissue infection, and to prevent leakage.

Problems solved by technology

Anastomotic leaks may result in significant morbidity and frequently death.
Post-operative leakage of the stapled tissue seals, including anastomotic seals has been shown to lead to morbidity and mortality.
The problems associated with these techniques are that access is very difficult and visual assessment as to whether or not the material was applied to the right spot and completely around the anastomosis.
One of the most challenging steps in the application of a topical adjunctive therapy to a colorectal anastomosis is to provide the material to the site because of the extreme limitation in access to the site.
Some colorectal anastomoses are performed relatively “low” in a patient (i.e. lower anterior resection) and the actual staple line is deep within the pelvic canal, which makes a topical application of material around the circumference very difficult.
The known compression anastomotic rings lack the reliability of stapled anastomosis.

Method used

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  • Anastomotic Stapling Reinforcing Buttress and Methods of Deployment
  • Anastomotic Stapling Reinforcing Buttress and Methods of Deployment
  • Anastomotic Stapling Reinforcing Buttress and Methods of Deployment

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Embodiment Construction

[0041]Surgery often involves joining of two or more layers of tissue together with optional simultaneous sectioning of a portion of the tissue along the staple line. For example, colorectal surgery in many cases involves the resection of a segment of the colon and rectum. Following a colorectal resection, the colon and rectum are drawn together with a circular stapler and an end-to-end anastomosis is performed. Post-op leakage of the anastomosis has been shown to lead to morbidity and mortality.

[0042]Typical surgical stapling instruments have a staple-containing component and an opposing anvil component, between which at least two tissue layers to be joined are compressed prior to delivery of staples from the staple-containing component, whereby staples are piercing both tissue layers and are bent, deformed, or closed against the opposing anvil component.

[0043]Referring now to FIG. 1, a generic surgical anastomosis stapling instrument or stapling device for performing a circular ana...

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Abstract

The present invention relates to surgical instruments and methods for enhancing properties of tissue repaired or joined by surgical staples and, more particularly to surgical instruments and methods designed to enhance the properties of repaired or adjoined tissue at a target surgical site, especially when sealing an anastomosis between adjacent intestinal sections so as to improve tissue viability, prevent tissue infection, and to prevent leakage.

Description

FIELD OF THE INVENTION[0001]The present invention relates to surgical instruments and methods for enhancing properties of tissue repaired or joined by surgical staples and, more particularly to surgical instruments and methods designed to reinforce the repaired or adjoined tissue at a target surgical site.BACKGROUND OF THE INVENTION[0002]Throughout the years the medical field has utilized various techniques in an effort to join or bond body tissue together. Historically, suturing was the accepted technique for rejoining severed tissues and closing wounds. Suturing is achieved with a surgical needle and a suturing thread, with the intended function of sutures to hold the edges of a wound or tissue against one another during the healing process. Staples are used to replace suturing when joining or anastomosing various body structures, such as, for example, the bowel. The surgical stapling devices employed to apply staples are generally designed to simultaneously cut and seal an extend...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/115A61B17/11A61B17/064
CPCA61B17/1155A61B17/0644A61B2017/0406A61B2017/1132A61B17/1114A61B17/072A61B17/07292A61B17/115A61B2017/00477
Inventor NATIV, NIR I.LI, YUFULOGUE, MICHAELCOOK, GLENNLAI, GWAN-YWAN
Owner ETHICON INC
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