Circular anastomosis structures
The present disclosure provides annular support structures for use in conjunction with stapling devices. These annular support structures may be suitable for reducing occurrences of leaking, bleeding and/or stricture, as well as anastomotic tension, when anastomosing various body structures.
1. An apparatus for forming an anastomosis between adjacent tissue sections, the apparatus comprising:
an annular surgical stapling device including a body portion having a staple cartridge assembly including at least one annular row of staples disposed in staple receiving slots defined in a tissue contacting surface of the staple cartridge assembly, and an anvil assembly including an anvil member and a shaft removably connectable to the body portion; and
an annular support structure having a body portion including a first layer secured against a second layer, the first and second layers formed from meshes, the body portion defined by a top surface, a bottom surface, an outer terminal edge, an inner terminal edge, and a slit extending through the inner terminal edge, the body portion, and the outer terminal edge, the inner terminal edge defining an opening engaged with the shaft of the anvil assembly, each of the first and second layers extending from the inner terminal edge to the outer terminal edge, the annular support structure including an adhesive material disposed at least at the outer terminal edge of the body portion.
2. The apparatus according to claim 1 , wherein the outer terminal edge of the annular support structure extends radially outward beyond the at least one annular row of staples of the staple cartridge assembly.
3. The apparatus according to claim 1 , wherein the inner terminal edge of the annular support structure extends radially inward of the at least one annular row of staples of the staple cartridge assembly.
4. The apparatus according to claim 3 , wherein the staple cartridge assembly includes a knife disposed radially inward of the at least one annular row of staples, and the inner terminal edge of the annular support structure is disposed radially inward of the knife such that actuation of the knife cuts a new inner terminal edge.
5. The apparatus according to claim 1 , wherein the annular support structure is disposed on the shaft of the anvil assembly in spaced relation relative to the anvil member and the tissue contacting surface of the staple cartridge assembly.
6. The apparatus according to claim 1 , wherein the adhesive material is impregnated in at least the outer terminal edge of the annular support structure.
7. The apparatus according to claim 1 , wherein the adhesive material is dispersed throughout the annular support structure.
8. The apparatus according to claim 1 , wherein the annular support structure further includes a wound treatment material.
9. The apparatus according to claim 1 , wherein the top and bottom surfaces of the annular support structure are planar.
10. The apparatus according to claim 1 , wherein the adhesive is pre-cured on the annular support structure.
11. The apparatus according to claim 1 , wherein the adhesive is a two-part adhesive, and the first layer of the annular support structure includes a first component of the two-part adhesive and the second layer of the annular support structure includes a second component of the two-part adhesive.
12. The apparatus according to claim 1 , wherein the body portion of the annular support structure includes a sealant sandwiched between the first and second layers to secure the first and second layers to one another.
13. The apparatus according to claim 12 , wherein the sealant is a hydrogel.
14. An apparatus for forming an anastomosis between adjacent tissue sections, the apparatus comprising:
an annular surgical stapling device including a body portion having a staple cartridge assembly including at least one annular row of staples disposed in staple receiving slots defined in a tissue contacting surface of the staple cartridge assembly, and an anvil assembly including an anvil member and a shaft removably connectable to the body portion; and
an annular support structure having a body portion including first and second concentric rings of material, the first concentric ring including a first layer secured to a second layer, the body portion defining a top surface, a bottom surface, an outer terminal edge, an inner terminal edge, and a slit extending through the inner terminal edge, the first and second concentric rings, and the outer terminal edge, the inner terminal edge of the body portion defining an opening engaged with the shaft of the anvil assembly, the annular support structure including an adhesive material disposed at least at the outer terminal edge of the body portion.
15. The apparatus according to claim 14 , wherein the first and second concentric rings are formed from different materials.
16. The apparatus according to claim 14 , wherein the body portion of the annular support structure is disposed on the shaft of the anvil assembly of the annular surgical stapling apparatus in spaced relation relative to the anvil member and the tissue contacting surface of the staple cartridge assembly.
17. The apparatus according to claim 14 , wherein the second concentric ring of the body portion of the annular support structure extends radially outwardly from the first concentric ring, and the outer terminal edge is defined at an outer edge of the second concentric ring.
18. The apparatus according to claim 17 , wherein the body portion of the annular support structure further includes a third concentric ring extending radially inwardly of the first concentric ring, and the inner terminal edge is defined at an inner edge of the third concentric ring.