Patent ID: 8834498
Filing Date: 2014-09-16
Classification: A61B,A61F

Abstract:
1. A method for effecting an anastomosis of a first and second hollow tubular organ structure, each hollow tubular organ structure having a severed end and an outside perimeter that defines a lumen in each hollow tubular organ structure, the method comprising: placing a bead of material comprising adhesive around an edge of the severed end of the first hollow tubular organ structure; placing a bead of material comprising adhesive initiator around an edge of the severed end of the second hollow tubular structure; bringing the severed ends of said hollow tubular organ structures together such that the beads of material of said first and second hollow tubular organ structure meet to form an adhesive deposit and seal the connection of said first and second hollow tubular organ structures; providing at least one transformable fastener, wherein the at least one transformable fastener comprises a pair of deformable ends operably configured to hold said hollow tubular organ structures together; providing an applier operable to apply said at least one transformable fastener, wherein the applier comprises: wherein said mechanism may be actuated so as to cause said first surface to move toward said second surface, and during actuation said first and second surfaces exert at least partially opposing forces that cause transformation of said at least one transformable fastener such that the deformable ends face away from the longitudinal axis of the applier; using said applier to apply said at least one transformable fastener to hold the severed ends of said hollow tubular organ structures together resulting in a connection of the severed ends and merging of the beads of material, thereby forming a connection site where said two hollow tubular organ structures are held together; and placing a wrap comprising a hydrophilic material, a therapeutic material, and a dry adhesive over at least a portion of said connection site, wherein the dry adhesive is configured to be activated by one or both of contact with water drawn from the tissues or an initiator applied by a user and wherein the dry adhesive comprises a 1,1-disubstituted ethylene monomer.