Method of fusing layers of biological tissue

摘要

A biocompatible material layer for use as an intermediary layer between body tissue surfaces to be fused in a body tissue fusion, wherein the material layer includes two sides opposite to one another, wherein the material layer is configured so that it provides portions with comparatively higher electrical resistance and portions with comparatively lower electrical resistance between body tissue surfaces to be fused.

主权项

1. A method of fusing layers of biological tissue by connecting two open ends of a hollow organ through side to side anastomosis through tissue fusion such that the hollow organ has a pass-through lumen, the method comprising steps of:
providing a bipolar electrosurgical instrument having two electrodes, a shaft, and two pincer shaped protrusions with the two electrodes attached thereto and arranged on a distal end of the shaft, the protrusions being movable from an open state to a closed state; providing a first, flat biocompatible material layer and a second biocompatible material layer having a shape of an enveloping surface of a cylinder, each of the first and second material layers having two sides that are opposite to one another, connected to each other, and electrically conductive, and each of the material layers comprising portions with comparatively higher electrical resistance and portions with comparatively lower electrical resistance, the portions with comparatively lower electrical resistance comprising an air gap; sliding the second material layer over one of the ends of the hollow organ to be connected; inserting one protrusion of the two pincer shaped protrusions of the electrosurgical instrument into one open end of the hollow organ and the other protrusion of the electrosurgical instrument into the other open end of the hollow organ; moving the two protrusions to their closed state so that they enclose a wall section of each of the ends of the hollow organ to be connected to the second material layer disposed therebetween; applying a high frequency AC power to the electrodes of the electrosurgical instrument, thereby providing a variable electrical current flow through the wall sections and thus fusing the wall sections with one another through thermal energy; creating an opening between the laterally welded but still open ends of the hollow organ; inserting the first material layer into the opening; applying the pincer shaped protrusions such that they grip the open ends of the hollow organ transversally from the outside and clamp them between one another; and fusing together the initially open ends, thereby closing the fused hollow organ.