US20040204740A1 - Method and apparatus for closing wounds without sutures - Google Patents
Method and apparatus for closing wounds without sutures Download PDFInfo
- Publication number
- US20040204740A1 US20040204740A1 US10/412,967 US41296703A US2004204740A1 US 20040204740 A1 US20040204740 A1 US 20040204740A1 US 41296703 A US41296703 A US 41296703A US 2004204740 A1 US2004204740 A1 US 2004204740A1
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- Prior art keywords
- wound
- base strip
- bridging
- adhesive
- links
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000000034 method Methods 0.000 title claims description 30
- 208000027418 Wounds and injury Diseases 0.000 title description 93
- 206010052428 Wound Diseases 0.000 title description 92
- 239000000853 adhesive Substances 0.000 claims abstract description 105
- 230000001070 adhesive effect Effects 0.000 claims abstract description 105
- 239000000463 material Substances 0.000 claims abstract description 12
- 230000001681 protective effect Effects 0.000 claims description 35
- 239000011248 coating agent Substances 0.000 claims 17
- 238000000576 coating method Methods 0.000 claims 17
- 230000009977 dual effect Effects 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 4
- 238000004806 packaging method and process Methods 0.000 description 4
- 239000004744 fabric Substances 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000034693 Laceration Diseases 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
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- 239000005022 packaging material Substances 0.000 description 2
- 239000002985 plastic film Substances 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
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- 238000005520 cutting process Methods 0.000 description 1
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012977 invasive surgical procedure Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0466—Suture bridges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
- A61B2017/086—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer having flexible threads, filaments, laces or wires, e.g. parallel threads, extending laterally from a strip, e.g. for tying to opposing threads extending from a similar strip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
Definitions
- the disclosure of this application relates to a method and device for closing wounds or incisions without the use of invasive surgical procedures.
- Dual adhesive strips are connected to a base adhesive element and to each other by threads woven through eyelets in the base element.
- the base element is applied to one side of the wound edge and one of the adhesive strips is applied to the other side.
- a cross wound force can be applied and held by drawing the threads through the eyes and pulling the remaining pair of adhesive strips away from the wound and attaching them to the skin beyond the associated counter part.
- the construction and assembly of this device is necessarily complex. It employs dual adhesive strips, i.e., the base strip and one of the adhesive strips applied in parallel on either side of the wound, but uses a third adhesive strip to generate and maintain the wound closing force.
- U.S. Pat. No. 4,423,731 (1984) describes a suture-less wound closure which is similar to that shown in the above cited '413 patent.
- the distal ends of the bridging threads of one adhesive strip are interconnected by another pulling strip, allowing the bridging threads to be manipulated in concert.
- This configuration requires that the bridging threads or filaments of each of the adhesive strips be interlaced to enable the pulling strips to be pulled across the wound and secured.
- Dual adhesive strips are constructed with bridging filaments interlaced and attached to a pulling strip also having adhesive.
- the adhesive strips are applied on either side of the wound and are drawn together by grasping the pulling strips and thereby drawing the edges of the wound together.
- the closure is secured by adhering the pulling strip to the skin on the outer side of the opposing adhesive strip. Opposing forces can be applied simultaneously to each of the adhesive strips at the wound edge to close the wound.
- An interlocked assembly of adhesive pads are assembled in the system of U.S. Pat. No. 5,534,010 (1996) to be operated in a manner similar to the '731 patent discussed above.
- First and second pads are adapted for application to the skin on either side of the wound.
- a third and fourth pad are adapted to adhere to the upper side of the first and second pads respectively.
- the third pad is attached by bridging filaments to the first pad and may be applied to the upper side of the second pad and the fourth pad is attached by bridging filaments to the second pad and may be applied to the upper side of the first pad.
- suture-less wound closing device in one piece that can be used on both sides of a wound without the need for interlacing the parts during manufacturing. It is a purpose of this invention to provide a single element wound closure that does not require suturing, stapling or gluing.
- a simple one-piece closure is historically represented by the STERI-STRIP® adhesive strip available from 3M Corporation or butterfly shaped adhesive strips both of which are used to bridge the wound. These configurations may be used singly, in pairs, or multiple units to apply a closing force to the wound.
- a more complex version of such wound closures is shown in U.S. Patent Application, Pub. No. 2002/0099315, which was published Jul. 25, 2002.
- a substantially more complex version of this type of closure is described in U.S. Pat. No. 6,293,281 (2001).
- a purpose of this invention is to simplify, improve upon, and facilitate the customization capability of these various adhesive strip, wound closure devices and methods.
- a purpose is to provide a simplified elemental device capable of applying a series of adhesive bandage strips that can be used to close wounds and can be adapted to a variety of wound shapes and sizes. It is a further purpose of this invention to provide a closure that does not require any particular dexterity, skill, or knowledge and is reasonable in cost so that it can be used by anyone, even the lay person.
- the bottom of the closing device of this invention will refer to the surface that is intended to engage the skin and the upper side or top will refer to the side of a component that is facing away from the skin after application.
- Directions will be indicated according to the position of the wound being treated, for example, transverse shall refer to directions across the wound.
- the inner edge of the closing device shall refer to the side, which is intended to be adjacent to the wound lip, and the outer edge shall refer to the side of the device that is intended to be away from the wound.
- the main element of this invention comprises an elongated flexible base strip having its bottom surface coated with an adhesive material suitable for adherence to skin.
- the base strip is constructed with bridging links, which are spaced along the inner edge of the base strip and extend outward therefrom.
- the inner edge of the base strip, from which the links extend, is intended to be aligned with a lip of the wound being treated.
- Each of the bridging links has an adhesive coated section displaced from the inner edge. In the packaged or stored position, prior to engagement, the bridging links are folded over the upper surface of the adhesive strip about a hinge that is at the joint of the bridging link to the base strip.
- the base strip may be of an extended length so that it might be customized to size and shape of the wound.
- protective tapes may be positioned over exposed adhesive material to preserve the adhesive characteristics and avoid undesirable sticking to packaging materials, surgical gloves, and other non-designated areas surrounding the wound.
- the protective tape covering the bottom surface may be constructed to expose a region of the adhesive, which is immediately adjacent to the inner edge. This inner edge region of adhesive permits the practitioner to apply the base strip without fully engaging the entire adhesive area. The inner edge of the base strip may then be adjusted into alignment with the edge of the wound. After alignment with the wound, the remaining protective tape is removed and the entire base strip is secured adjacent to the wound.
- the wound will be examined and two substantially equal lengths of the base strip will be cut, torn, or separated from the packaged closure device.
- the contour of the wound will need to be manipulated to form a substantially straight lip to facilitate alignment of the inner edge of the base strip.
- the inner edge of each length of the base strip is positioned on opposite sides of the wound.
- the base strip is adjusted to insure that the bridging links on one side of the wound are displaced from the bridging links on the other.
- To close the wound the bridging links are manually pivoted about a hinge from their stored position and pulled transverse to the wound lip to close the wound. The closing force is maintained by engaging the adhesive section of the bridging links to the upper surface of the opposite length of the base strip across the wound.
- FIG. 1 is a perspective view of a closure device of this invention from the bottom with a first embodiment of protective tapes exploded.
- FIG. 2 is a perspective view of a closure device of this invention from the top, with a second embodiment of protective tapes exploded;
- FIG. 3 is a perspective view of a closure device of this invention from the top, with a third embodiment of protective tapes exploded;
- FIG. 4 is a perspective view of a closure device of this invention from the top, with a forth embodiment of protective tapes exploded;
- FIG. 5 is a perspective view of a closure device of this invention from the top, with aligned lengths of base strips applied to a wound.
- FIG. 6 is a perspective view of a closure device of this invention from the top, with some of the bridging links engaged;
- FIG. 7 is a perspective view of a closure device of this invention from the top, in the completely engaged condition
- FIG. 8 is a perspective view of an alternate embodiment of the closure device of this invention from the top;
- FIG. 9 is a perspective view of an alternate embodiment of the closure device of this invention from the top with aligned lengths of the base strip applied to the wound;
- FIG. 10 is a perspective view of an alternate embodiment of the closure device of this invention from the top in a fully engaged condition
- FIG. 11 is a perspective view of an alternate embodiment of the invention with the engaging adhesive section resident on both the base strip and the bridging links;
- FIG. 12 is a perspective view of an alternate embodiment of the invention with the adhesive section for engaging the bridging links only resident on the base strip;
- FIG. 13 is a perspective view of the embodiment of FIGS. 9 and 10 with the engaging adhesive resident on both the base strip and the bridging links;
- FIG. 14 is a perspective view of the embodiment of FIGS. 9 and 10 with the engaging adhesive on the base strip only.
- the invention of this application involves a single component wound closure that is easy to manufacture and simple to use. It is useable to reliably close a wide variety of wound openings, large and small. It is designed for ease of use in any environment, whether it's a field emergency or an in hospital surgical procedure. It employs the basic concept of providing a single component surgical strip which can be used on both sides of the wound and avoids the difficulties of complex interlaced multiple component bandages.
- an elongated flexible base strip 1 forms the main element of this invention and is constructed having its bottom surface 2 coated with an adhesive material 3 suitable for adherence to skin 4 (FIG. 5).
- base strip 1 is constructed with multiple bridging links 5 that extend generally transverse to the base strip 1 .
- the links 5 are spaced along the inner edge 6 of the base strip 1 and extend outward therefrom.
- the inner edge 6 of the base strip 1 from which the links 5 extend, is intended to be aligned with a lip 7 of the wound 8 being treated, as shown in FIG. 5.
- Each of the bridging links 5 has an adhesive coated section 9 , on its bottom (engaging) surface 18 , displaced from the inner edge 6 .
- an additional adhesive coated section 30 ( 130 in FIG. 13) is coated on both the top surface 12 of the base strip 1 ( 112 in FIG. 13) and the engaging surface 18 ( 118 in FIG. 13) of the bridging links 5 ( 105 in FIG. 13).
- the adhesive coated section 9 is absent from bridging links 5 and an adhesive section 30 ( 130 in FIG. 14) is applied to top surface 12 ( 112 in FIG. 14) of base strip 1 .
- Adhesive sections 30 ( 130 ) receive the engaging surface 18 ( 118 in FIG. 14) of each bridging link 5 ( 105 ) and hold the links 5 ( 105 ) securely in their bridging position.
- the base strip 1 and its associated bridging links 5 may be constructed by stamping from a single elongated piece of plastic sheet stock. Alternatively molding or extruding processes may be advantageously used. In some circumstances, it may be advantageous to stiffen the bridging links to facilitate handling.
- the bridging links may be made more rigid by laying up a second or third layer of plastic sheet material or by otherwise thickening the plastic material in the area of the bridging links 5 , as shown in FIG. 2.
- the bridging links 5 are folded over the upper surface 12 of the adhesive base strip 1 about a hinge 10 that is at the joint of the bridging links and base strip 1 .
- Hinge 10 may be a hinge region formed to provide increased flexibility where bridging links 5 are joined to the base strip. As shown no adhesive is applied to the hinge region.
- a small amount of adhesive 11 can be used on the upper surface 12 of the base strip 1 to engage each of the folded bridging links 5 and releasably hold them in a stored position, see FIGS. 1-4.
- the base strip 1 may be of an extended length so that it might be cut, torn, or otherwise separated to the desired size, depending on the wound. It could also be packaged in a rolled configuration 13 as shown in FIGS. 3 and 4 and separated as needed.
- protective tapes such as 14 , 15 , and 16 shown in FIG. 1, may be positioned over exposed adhesive materials 3 and 9 .
- Protective tapes 14 , 15 and 16 act to preserve the adhesive characteristics while helping to avoid undesirable, sticking to packaging materials and other areas surrounding the wound.
- protective tape covering the bottom surface 3 may be constructed in two parts, a main part 14 and an edge part 15 .
- the edge part 15 of the protective tape is aligned with the inner edge 6 of the base strip 1 and is of limited width. This allows the initial exposure of a limited edge adhesive surface 19 . This in turn allows the base strip 1 to be aligned with the wound 8 and adjusted prior to adhering the entire base strip 1 adjacent to the wound 8 .
- each of the tape elements may be color coded or otherwise identified to indicate the order of removal. For example: in the removal of the parts 14 and 15 of the bottom protective tape, and the top protective tape 16 , different colors or transparency tints may be used. Alternatively, the parts may be numbered or otherwise labeled to indicate the order of removal.
- the protective tape 14 a is formed in one piece having a fold or perforated line 20 constructed a distance outward from the inner edge 6 and extending the length of the edge 6 .
- the limited edge adhesive 19 a may be exposed to accomplish the same purpose as indicated above.
- edge adhesive 19 c is defined by limiting the width of tape 14 c to leave the edge adhesive 19 c exposed.
- the edge adhesive is covered in this embodiment only by the exterior packaging sheet 21 .
- the protective tapes 14 and 15 are eliminated and the exterior packaging sheet 21 provides the necessary protection from exposure.
- a tear away outer package constructed of appropriate sheet material 21 is used to provide an overall sterile wrap for the closure, as is well known.
- wrap 21 can be used to protect exposed adhesive sections, if no protective tapes are used.
- An overall wrap 21 surrounds the closure device and is edge sealed to maintain sterile conditions.
- base strip 1 When packaged in an extended length such as a roll, a variety of lengths of base strip 1 may be precut and contained in sealed segments of wrap 21 or means may be provided to create an edge seal at the cut edge of a packaged closure which is of continuous length.
- FIG. 5 A typical wound 8 caused by a laceration or surgical incision is shown in FIG. 5 having a lip 7 at the edge of the gap 22 .
- the wound 8 is examined to determine the length L of wound 8 .
- the base strip is then cut to a length L+which is slightly longer than wound 8 .
- Two approximately equal lengths 1 a and 1 b of the base strip 1 are cut, torn or otherwise separated from the packaged closure device, as for example roll 13 .
- edge protective tape 15 is removed to expose adhesive edge 19 .
- the wound lip 7 will be curvilinear or otherwise of irregular shape because of natural skin tension or the nature of the injury. This may require manipulation of the skin surrounding the wound to bring the lip 7 into a substantially straight form to accommodate the straight edge 6 of base strip 1 .
- each length of the base strips 1 a and 1 b are positioned adjacent the lip 7 of the wound 8 .
- Base strips 1 a and 1 b are adjusted to insure that the bridging links 5 a on one side of the wound 8 are displaced from the bridging links 5 b on the other side, as shown by arrows x and y in FIG. 5.
- the remaining part 14 of protective tape is removed and the base strips 1 a and 1 b are secured to the skin in place adjacent to the wound.
- Protective tape 16 may then be removed to expose adhesive sections 9 .
- the bridging links 5 a and 5 b are manually pivoted from their stored position and pulled transverse to the wound lip 7 .
- the closing force is maintained by engaging the adhesive section 9 of the bridging links 5 a and 5 b to the upper surface 12 of the opposite length of base strip 1 across the wound 8 .
- the bridging links 5 a and 5 b are thus applied until the wound is closed and secure, as shown in FIG. 7.
- the excess portions of bridging links 5 may be trimmed by cutting or tearing along perforations 31 which may be constructed in each link.
- the adhesive strip may, in the alternative, be constructed as shown in FIGS. 8-10.
- the components are arranged generally as described before.
- An elongated adhesive base strip 101 is formed having multiple bridging links 105 .
- the bottom 102 is coated with an adhesive material.
- Adhesive sections 109 are applied to the top surface 118 of bridging link 105 .
- the base strip 101 may be sealed in sterile packages of various lengths, in rolled configurations 113 , or other appropriate means.
- the bridging links 105 are spaced differently.
- the base strip 101 is divided, by markings and/or perforated lines 140 , into operational units 141 and 142 .
- the units 141 and 142 are marked off over the entire length of base strip 101 .
- a pair 143 of links 105 are positioned together with a normal spacing 144 within the first unit 141 .
- the pair 143 is centered within the unit 141 .
- a single link 105 is then positioned in the center of the adjacent unit 142 . This arrangement is alternated over the length of the base strip 101 .
- the base strip 101 is cut or separated to obtain one operational unit 141 , having a pair 143 of bridging links 105 , and one operational unit 142 , having a single bridging link 105 .
- Operational units 141 and 142 are placed on opposite sides of wound 108 , as shown in FIG. 9. By aligning the units 141 and 142 , the bridging links 105 can be applied without interference, as shown in the secured closure in FIG. 9.
Abstract
An elongated flexible base strip is constructed with a bottom surface coated with an adhesive material. The base strip is constructed with bridging links that are spaced along the inner edge of the base strip and extend outward therefrom. The base strip, is cut to a first length and aligned with the wound with the bridging links extending over the wound. A matching portion of base strip is cut to a second length and aligned with the wound with the bridging links opposing. The opposing links are drawn together to close the wound. Adhesive on the links holds the links to the opposite base strip.
Description
- The disclosure of this application relates to a method and device for closing wounds or incisions without the use of invasive surgical procedures.
- The most common methods for closing wounds caused by lacerations or surgical incisions are suturing and stapling. Both of these procedures are skin invasive, which can traumatize and compromise the integrity of the wound. They increase the possibility of infection, expose the surgeon, as well as the patient to blood bourn disease, leave behind scar tracks and require a follow-up visit for suture or staple removal.
- As is well known, a cut that invades deeply into the tissue of the skin generally requires a mechanism for drawing the sides of a wound together to promote healing and to reduce the formation of scar tissue. Surgeons have become skilled in the various techniques of suturing to minimize the resulting blemish that occurs during the healing process. These methods have always generated issues of sterilization and the very nature of suturing requires a threshold of dexterity that escapes many care providers. This is particularly true in emergency situations, which call for immediate treatment to secure the wound for transport or until such time as proper surgery is available. Suturing even by a skilled surgeon, punctures and stresses skin tissue causing scaring. It is well recognized that a sutureless wound closure would be a great benefit in many situations.
- Beginning early in the 20th century, attempts were made to provide non-invasive closures. An early example of this is described in U.S. Pat. No. 1,074,413 (1913), which teaches the use of a pair of strips of fabric having adhesive backing. The strips of fabric are applied in parallel on either side of the wound and are constructed with threads extending transversely to bridge the wound. A compressive force is applied across the wound by tying opposing ends of the transverse threads of adjacent strips. In order to maintain the threads in an orderly fashion prior to use, another strip of fabric is attached to the distal ends of the threads to secure the thread ends in parallel for packaging and applying the closure. In one embodiment the threads are woven into both of the strips and then cut after placement of the strips on either side of the wound.
- Another early device is described in U.S. Pat. No. 1,230,444(1917). This is a woven fabric adhesive element having a gap intermittently formed in the length of the strip. The gap is formed in the weaving process by omitting weft strands (parallel to the length of the strip) in the gap and reducing the number of warp threads (transverse to the length of the strip) in the gap. A limited number of warp threads, therefore, bridge the gap. An advantage of this device is that it may be constructed in continuous lengths and packaged in a roll for convenient storage. A disadvantage is that the ability to apply a cross-wound force would be limited.
- A more sophisticated approach is described in the reference Flynn, U.S. Pat. No. 2,196,296 (1940), in which a closure is designed for the express purpose of eliminating suturing. This device illustrates an early step in a trend towards interlocking multiple element devices. Dual adhesive strips are connected to a base adhesive element and to each other by threads woven through eyelets in the base element. The base element is applied to one side of the wound edge and one of the adhesive strips is applied to the other side. A cross wound force can be applied and held by drawing the threads through the eyes and pulling the remaining pair of adhesive strips away from the wound and attaching them to the skin beyond the associated counter part. The construction and assembly of this device is necessarily complex. It employs dual adhesive strips, i.e., the base strip and one of the adhesive strips applied in parallel on either side of the wound, but uses a third adhesive strip to generate and maintain the wound closing force.
- U.S. Pat. No. 4,423,731 (1984) describes a suture-less wound closure which is similar to that shown in the above cited '413 patent. In this patent the distal ends of the bridging threads of one adhesive strip are interconnected by another pulling strip, allowing the bridging threads to be manipulated in concert. This configuration requires that the bridging threads or filaments of each of the adhesive strips be interlaced to enable the pulling strips to be pulled across the wound and secured. Dual adhesive strips are constructed with bridging filaments interlaced and attached to a pulling strip also having adhesive. The adhesive strips are applied on either side of the wound and are drawn together by grasping the pulling strips and thereby drawing the edges of the wound together. The closure is secured by adhering the pulling strip to the skin on the outer side of the opposing adhesive strip. Opposing forces can be applied simultaneously to each of the adhesive strips at the wound edge to close the wound.
- The suture-less closure of U.S. Pat. No. 5,263,970 (1993) operates similarly to the closure of the '731 patent. It is however, formed of a single adhesive element which is placed over the wound. Centrally located over the wound opening, there are constructed dual sets of separated elongated extensions. The distal ends of each set of extensions are attached by a laterally extending tab portion. By manipulating the tabs, each set of extensions may be independently manipulated to allow the wound edges to be pulled together or otherwise advantageously moved. The closure is secured by adhering the tabs to adhesive pads on the exposed surface of the adhesive element.
- An interlocked assembly of adhesive pads are assembled in the system of U.S. Pat. No. 5,534,010 (1996) to be operated in a manner similar to the '731 patent discussed above. First and second pads are adapted for application to the skin on either side of the wound. A third and fourth pad are adapted to adhere to the upper side of the first and second pads respectively. The third pad is attached by bridging filaments to the first pad and may be applied to the upper side of the second pad and the fourth pad is attached by bridging filaments to the second pad and may be applied to the upper side of the first pad.
- In the bandage of U.S. Pat. No. 6,329,564 (2001), a two component interlocked system is devised which operates similarly to the system of the '010 patent. First and second adhesive strips are constructed with elongated connectors extending transverse to bridge the wound. The connectors are in turn interconnected by a pulling element. The adhesive strips, connectors, and pulling elements are interlaced so the connectors of one adhesive strip extend over the outer surface of the opposing adhesive strip. Similarly to the assembly discussed above opposing forces maybe applied to draw each of the adhesive strips toward each other and thereby close the wound.
- All of the above bandage configurations, in particular the interlocked dual element style, appear to be difficult to manufacture and to use. The manipulation of a loose assembly of multiple parts in an emergency and possibly life-threatening situation is a challenging undertaking. It is a purpose of this invention to provide a suture-less wound closure, which is more easily manufactured and packaged. It is another purpose of this invention to provide a wound closure, which is easy to unpackage and apply.
- The prior art cited above is consistent in several respects namely, that two adhesive strips need to be provided for application to either side of the wound and that a mechanism is needed to apply forces to each of the adhesive strips to draw them together to close the wound. The prior art seems to solve this need by proposing multiple interlaced parts.
- It is a purpose of this invention to construct a suture-less wound closing device in one piece that can be used on both sides of a wound without the need for interlacing the parts during manufacturing. It is a purpose of this invention to provide a single element wound closure that does not require suturing, stapling or gluing.
- A simple one-piece closure is historically represented by the STERI-STRIP® adhesive strip available from 3M Corporation or butterfly shaped adhesive strips both of which are used to bridge the wound. These configurations may be used singly, in pairs, or multiple units to apply a closing force to the wound. A more complex version of such wound closures is shown in U.S. Patent Application, Pub. No. 2002/0099315, which was published Jul. 25, 2002. A substantially more complex version of this type of closure is described in U.S. Pat. No. 6,293,281 (2001).
- A purpose of this invention is to simplify, improve upon, and facilitate the customization capability of these various adhesive strip, wound closure devices and methods. A purpose is to provide a simplified elemental device capable of applying a series of adhesive bandage strips that can be used to close wounds and can be adapted to a variety of wound shapes and sizes. It is a further purpose of this invention to provide a closure that does not require any particular dexterity, skill, or knowledge and is reasonable in cost so that it can be used by anyone, even the lay person.
- In the course of describing this invention below, the bottom of the closing device of this invention will refer to the surface that is intended to engage the skin and the upper side or top will refer to the side of a component that is facing away from the skin after application. Directions will be indicated according to the position of the wound being treated, for example, transverse shall refer to directions across the wound. The inner edge of the closing device shall refer to the side, which is intended to be adjacent to the wound lip, and the outer edge shall refer to the side of the device that is intended to be away from the wound.
- The main element of this invention comprises an elongated flexible base strip having its bottom surface coated with an adhesive material suitable for adherence to skin. The base strip is constructed with bridging links, which are spaced along the inner edge of the base strip and extend outward therefrom. The inner edge of the base strip, from which the links extend, is intended to be aligned with a lip of the wound being treated. Each of the bridging links has an adhesive coated section displaced from the inner edge. In the packaged or stored position, prior to engagement, the bridging links are folded over the upper surface of the adhesive strip about a hinge that is at the joint of the bridging link to the base strip. The base strip may be of an extended length so that it might be customized to size and shape of the wound.
- In order to package the closure device of this invention, protective tapes may be positioned over exposed adhesive material to preserve the adhesive characteristics and avoid undesirable sticking to packaging materials, surgical gloves, and other non-designated areas surrounding the wound. To facilitate positioning of the closure device, the protective tape covering the bottom surface may be constructed to expose a region of the adhesive, which is immediately adjacent to the inner edge. This inner edge region of adhesive permits the practitioner to apply the base strip without fully engaging the entire adhesive area. The inner edge of the base strip may then be adjusted into alignment with the edge of the wound. After alignment with the wound, the remaining protective tape is removed and the entire base strip is secured adjacent to the wound.
- In the stored position the adhesive sections of the bridging links will be exposed on the top surface of the links. A protective tape is applied to cover these adhesive sections.
- In operation the wound will be examined and two substantially equal lengths of the base strip will be cut, torn, or separated from the packaged closure device. In many instances, the contour of the wound will need to be manipulated to form a substantially straight lip to facilitate alignment of the inner edge of the base strip. The inner edge of each length of the base strip is positioned on opposite sides of the wound. The base strip is adjusted to insure that the bridging links on one side of the wound are displaced from the bridging links on the other. To close the wound the bridging links are manually pivoted about a hinge from their stored position and pulled transverse to the wound lip to close the wound. The closing force is maintained by engaging the adhesive section of the bridging links to the upper surface of the opposite length of the base strip across the wound.
- The invention will be described in more detail below with reference to the attached drawing in which:
- FIG. 1 is a perspective view of a closure device of this invention from the bottom with a first embodiment of protective tapes exploded.
- FIG. 2 is a perspective view of a closure device of this invention from the top, with a second embodiment of protective tapes exploded;
- FIG. 3 is a perspective view of a closure device of this invention from the top, with a third embodiment of protective tapes exploded;
- FIG. 4 is a perspective view of a closure device of this invention from the top, with a forth embodiment of protective tapes exploded;
- FIG. 5 is a perspective view of a closure device of this invention from the top, with aligned lengths of base strips applied to a wound.
- FIG. 6 is a perspective view of a closure device of this invention from the top, with some of the bridging links engaged;
- FIG. 7 is a perspective view of a closure device of this invention from the top, in the completely engaged condition;
- FIG. 8 is a perspective view of an alternate embodiment of the closure device of this invention from the top;
- FIG. 9 is a perspective view of an alternate embodiment of the closure device of this invention from the top with aligned lengths of the base strip applied to the wound;
- FIG. 10 is a perspective view of an alternate embodiment of the closure device of this invention from the top in a fully engaged condition;
- FIG. 11 is a perspective view of an alternate embodiment of the invention with the engaging adhesive section resident on both the base strip and the bridging links;
- FIG. 12 is a perspective view of an alternate embodiment of the invention with the adhesive section for engaging the bridging links only resident on the base strip;
- FIG. 13 is a perspective view of the embodiment of FIGS. 9 and 10 with the engaging adhesive resident on both the base strip and the bridging links; and
- FIG. 14 is a perspective view of the embodiment of FIGS. 9 and 10 with the engaging adhesive on the base strip only.
- The invention of this application involves a single component wound closure that is easy to manufacture and simple to use. It is useable to reliably close a wide variety of wound openings, large and small. It is designed for ease of use in any environment, whether it's a field emergency or an in hospital surgical procedure. It employs the basic concept of providing a single component surgical strip which can be used on both sides of the wound and avoids the difficulties of complex interlaced multiple component bandages.
- As shown in FIGS. 1-8, an elongated
flexible base strip 1 forms the main element of this invention and is constructed having its bottom surface 2 coated with an adhesive material 3 suitable for adherence to skin 4 (FIG. 5). As shown in FIG. 2,base strip 1 is constructed withmultiple bridging links 5 that extend generally transverse to thebase strip 1. Thelinks 5 are spaced along the inner edge 6 of thebase strip 1 and extend outward therefrom. The inner edge 6 of thebase strip 1, from which thelinks 5 extend, is intended to be aligned with alip 7 of thewound 8 being treated, as shown in FIG. 5. Each of the bridginglinks 5 has an adhesive coated section 9, on its bottom (engaging)surface 18, displaced from the inner edge 6. - In an alternative embodiment, as shown in FIGS. 11 and 13, an additional adhesive coated section30 (130 in FIG. 13) is coated on both the
top surface 12 of the base strip 1 (112 in FIG. 13) and the engaging surface 18 (118 in FIG. 13) of the bridging links 5 (105 in FIG. 13). - In another alternative embodiment, as shown in FIGS. 12 and 14, the adhesive coated section9 is absent from bridging
links 5 and an adhesive section 30 (130 in FIG. 14) is applied to top surface 12 (112 in FIG. 14) ofbase strip 1. Adhesive sections 30 (130) receive the engaging surface 18 (118 in FIG. 14) of each bridging link 5 (105) and hold the links 5 (105) securely in their bridging position. - The
base strip 1 and its associatedbridging links 5 may be constructed by stamping from a single elongated piece of plastic sheet stock. Alternatively molding or extruding processes may be advantageously used. In some circumstances, it may be advantageous to stiffen the bridging links to facilitate handling. The bridging links may be made more rigid by laying up a second or third layer of plastic sheet material or by otherwise thickening the plastic material in the area of the bridginglinks 5, as shown in FIG. 2. - In the packaged or stored position, as shown in FIGS. 1 and 2, the bridging
links 5 are folded over theupper surface 12 of theadhesive base strip 1 about ahinge 10 that is at the joint of the bridging links andbase strip 1.Hinge 10 may be a hinge region formed to provide increased flexibility where bridginglinks 5 are joined to the base strip. As shown no adhesive is applied to the hinge region. - As shown in FIG. 6, a small amount of adhesive11 can be used on the
upper surface 12 of thebase strip 1 to engage each of the foldedbridging links 5 and releasably hold them in a stored position, see FIGS. 1-4. Thebase strip 1 may be of an extended length so that it might be cut, torn, or otherwise separated to the desired size, depending on the wound. It could also be packaged in a rolled configuration 13 as shown in FIGS. 3 and 4 and separated as needed. - Folding the bridging links5 provides an uncluttered operating edge with which to properly align
base strip 1 with thewound lip 7. - In order to package the closure device of this invention protective tapes, such as14, 15, and 16 shown in FIG. 1, may be positioned over exposed adhesive materials 3 and 9.
Protective tapes - To facilitate positioning of the closure device, protective tape covering the bottom surface3 may be constructed in two parts, a
main part 14 and an edge part 15. The edge part 15 of the protective tape is aligned with the inner edge 6 of thebase strip 1 and is of limited width. This allows the initial exposure of a limited edgeadhesive surface 19. This in turn allows thebase strip 1 to be aligned with thewound 8 and adjusted prior to adhering theentire base strip 1 adjacent to thewound 8. - In the stored position, the adhesive sections9 of the bridging
links 5 will be exposed as shown in FIGS. 1-4. Aprotective tape 16 is applied to cover the adhesive sections 9. To assist the user in applying the closure, each of the tape elements may be color coded or otherwise identified to indicate the order of removal. For example: in the removal of theparts 14 and 15 of the bottom protective tape, and the topprotective tape 16, different colors or transparency tints may be used. Alternatively, the parts may be numbered or otherwise labeled to indicate the order of removal. - In an alternative embodiment, as shown in FIG. 2, the
protective tape 14 a is formed in one piece having a fold orperforated line 20 constructed a distance outward from the inner edge 6 and extending the length of the edge 6. By partially removing thetape 14 a up to thefold line 20, the limited edge adhesive 19 a may be exposed to accomplish the same purpose as indicated above. - In another alternative embodiment, as shown in FIG. 3, edge adhesive19 c is defined by limiting the width of
tape 14 c to leave the edge adhesive 19 c exposed. The edge adhesive is covered in this embodiment only by theexterior packaging sheet 21. In the further alternative embodiment of this invention, as shown in FIG. 4, theprotective tapes 14 and 15 are eliminated and theexterior packaging sheet 21 provides the necessary protection from exposure. - To complete the packaging of the closure device of this invention, a tear away outer package, constructed of
appropriate sheet material 21 is used to provide an overall sterile wrap for the closure, as is well known. In some situations wrap 21 can be used to protect exposed adhesive sections, if no protective tapes are used. Anoverall wrap 21 surrounds the closure device and is edge sealed to maintain sterile conditions. When packaged in an extended length such as a roll, a variety of lengths ofbase strip 1 may be precut and contained in sealed segments ofwrap 21 or means may be provided to create an edge seal at the cut edge of a packaged closure which is of continuous length. - A
typical wound 8 caused by a laceration or surgical incision is shown in FIG. 5 having alip 7 at the edge of the gap 22. Before the closure of this invention is applied, thewound 8 is examined to determine the length L ofwound 8. The base strip is then cut to a length L+which is slightly longer thanwound 8. Two approximately equal lengths 1 a and 1 b of thebase strip 1 are cut, torn or otherwise separated from the packaged closure device, as for example roll 13. After removing theouter wrap 21, edge protective tape 15 is removed to exposeadhesive edge 19. In many instances thewound lip 7 will be curvilinear or otherwise of irregular shape because of natural skin tension or the nature of the injury. This may require manipulation of the skin surrounding the wound to bring thelip 7 into a substantially straight form to accommodate the straight edge 6 ofbase strip 1. - The inner edges6 a and 6 b of each length of the base strips 1 a and 1 b are positioned adjacent the
lip 7 of thewound 8. Base strips 1 a and 1 b are adjusted to insure that the bridginglinks 5 a on one side of thewound 8 are displaced from the bridginglinks 5 b on the other side, as shown by arrows x and y in FIG. 5. At this point the remainingpart 14 of protective tape is removed and the base strips 1 a and 1 b are secured to the skin in place adjacent to the wound.Protective tape 16 may then be removed to expose adhesive sections 9. - As shown in FIGS. 5 and 6, to close the gap22 of
wound 8, the bridginglinks wound lip 7. - By simultaneously exerting a force ° F. on pairs of
adjacent bridging links wound lip 7 will be drawn together to close gap 22, as shown in FIG. 6. The space G between the inner edges 6 a and 6 b of the lengths 1 a and 1 b, shown in FIGS. 5 and 6, is reduced during this process. It is advantageous to adjust the position of the operating edges 6 so that a small separation G′ remains after the wound is closed. This will leave room for the emission of exudates from the wound, while also providing access for the delivery of medication. The closing force is maintained by engaging the adhesive section 9 of the bridginglinks upper surface 12 of the opposite length ofbase strip 1 across thewound 8. The bridging links 5 a and 5 b are thus applied until the wound is closed and secure, as shown in FIG. 7. To provide an uncluttered overall wound dressing, the excess portions of bridginglinks 5 may be trimmed by cutting or tearing alongperforations 31 which may be constructed in each link. - In this manner a simple closure is constructed which is easier to manufacture and use than the multiple component devices of the prior art.
- To facilitate the closure of small wounds or partial areas of larger wounds, the adhesive strip may, in the alternative, be constructed as shown in FIGS. 8-10. In this embodiment the components are arranged generally as described before. An elongated
adhesive base strip 101 is formed having multiple bridginglinks 105. The bottom 102 is coated with an adhesive material.Adhesive sections 109 are applied to thetop surface 118 of bridginglink 105. Thebase strip 101 may be sealed in sterile packages of various lengths, in rolledconfigurations 113, or other appropriate means. - To facilitate use of the strips in short units, the bridging
links 105 are spaced differently. Thebase strip 101 is divided, by markings and/orperforated lines 140, intooperational units units base strip 101. Apair 143 oflinks 105 are positioned together with anormal spacing 144 within thefirst unit 141. Thepair 143 is centered within theunit 141. Asingle link 105 is then positioned in the center of theadjacent unit 142. This arrangement is alternated over the length of thebase strip 101. To use this alternative embodiment, thebase strip 101 is cut or separated to obtain oneoperational unit 141, having apair 143 of bridginglinks 105, and oneoperational unit 142, having asingle bridging link 105.Operational units wound 108, as shown in FIG. 9. By aligning theunits links 105 can be applied without interference, as shown in the secured closure in FIG. 9. - It should be understood that the foregoing description is only illustrative of the invention. Various alternatives and modifications can be devised by those skilled in the art without departing from the invention. Accordingly, the present invention is intended to embrace all such alternatives, modifications and variances, which fall within the scope of the appended claims.
Claims (37)
1. A device for closing a wound comprising:
an elongated base strip having top and bottom surfaces, wherein said bottom surface is coated with adhesive;
a plurality of bridging links connected to an operating edge of said base strip and extending outward therefrom, said bridging links having an engaging surface;
wherein said base strip is adapted to be separated into at least first and second lengths for application to opposite sides of said wound with the operating edge thereof adjacent to said wound, said first and second lengths having first and second sets of bridging links respectively; and
further wherein said bridging links of said first set are adapted to be drawn into a bridging position, in which said wound is closed and said engaging surfaces of said first set of bridging links engage the top side of said second length of said base strip, and said bridging links of said second set are adapted to be drawn into a bridging position, in which said wound is closed and said engaging surfaces of said second set of bridging links engage the top side of said first length of said base strip.
2. A device for closing a wound, as described in claim 1 , wherein said bridging links are moveable from a stored position, in which the bridging links are folded back over a top side of said base strip and said bridging position.
3. A device for closing a wound, as described in claim 1 , further comprising a first protective tape applied to said bottom of said base strip to cover the adhesive coating thereon and a second protective tape applied to cover said adhesive section of said bridging links.
4. A device for closing a wound, as described in claim 3 , wherein said first protective tape is constructed having first and second sections which cooperate to cover the adhesive coating on the bottom of said base strip, and wherein said first protective tape is constructed to cover a limited portion of said adhesive located at said operating edge and said second section covers the rest of the bottom adhesive coating.
5. A device for closing a wound, as described in claim 3 , wherein said first protective tape is constructed having a discrete folding line to enable the user to at least partially remove said protective tape and expose a limited area of adhesive adjacent to said operating edge.
6. A device for closing a wound, as described in claim 3 , wherein said first protective tape is constructed to cover a limited area of said bottom adhesive of said base strip and leave adhesive adjacent to said operating edge exposed; and further comprising an overall wrapping to enclose said device including said exposed operating edge adhesive.
7. A device for closing a wound, as described in claim 4 , wherein said protective tapes are coded to indicate to the user the order of removal for use.
8. A device for closing a wound, as described in claim 2 , wherein portions of the top of said base strip are coated with adhesive to engage the bridging links and secure said bridging links in their stored position.
9. A device for closing a wound, as described in claim 1 , wherein the bridging links are constructed of a material, which is more rigid than, said base strip.
10. A device for closing a wound, as described in claim 1 , wherein, at least a section of the engaging surface of said bridging link is coated with an adhesive to adhere to the base strip in the bridging position.
11. A device for closing a wound, as described in claim 1 , wherein, at least a section of the top surface of said base strip is coated with an adhesive, in a position to receive the engaging surface of said bridging link in the bridging position.
12. A device for closing a wound comprising:
an elongated base strip having top and bottom surfaces, wherein said bottom surface is coated with adhesive, said base strip being apportioned into first and second operational units;
a pair of bridging links constructed on said first operational unit on an operating edge thereof, extending outward from said first unit, said pair of bridging links having an engaging surface;
a single bridging link constructed on said second operational unit on an operating edge thereof, extending outward from said operating edge of second unit, said bridging link having an engaging surface;
wherein said first and second operational units of said base strip are adapted to be separated from said base strip for application to opposite sides of said wound, with the operating edge of each of said units positioned adjacent to said wound; and
further wherein said pair of bridging links of said first operational unit and said single bridging link of said second operational unit are adapted to be unfolded from their stored positions and drawn into said bridging position, in which said wound is closed and said pair of bridging links of said first operational unit engage the top side of said second operational unit, and said single bridging link of said second operational unit engage the top side of said first operational unit.
13. A device for closing a wound, as described in claim 12 , wherein the base strip is constructed having a plurality of pairs of first and second operational units.
14. A device for closing a wound, as described in claim 12 , wherein the bridging links are constructed of a material, which is more rigid than the base strip.
15. A device for closing a wound, as described in claim 12 , wherein, at least a section of the engaging surface of said bridging link is coated with an adhesive to adhere to the base strip in the bridging position.
16. A device for closing a wound, as described in claim 12 , wherein, at least a section of the top surface of said base strip is coated with an adhesive, in a position to receive the engaging surface of said bridging link in the bridging position.
17. A method of constructing a closure for a wound comprising the steps of:
forming an elongated base strip having top and bottom surfaces;
applying a coating of adhesive to the bottom surface of said base strip;
constructing a plurality of bridging links connected to an operating edge of said base strip and extending outward therefrom, each of said bridging links having an engaging surface; and
adapting said base strip to be separated into at least first and second lengths for application to opposite sides of said wound with the operating edge thereof adjacent to said wound, and said first and second lengths having first and second sets of bridging links respectively.
18. A method of constructing a closure for a wound, according to claim 17 , further comprising the step of connecting said bridging links to said base strip to allow said bridging links to be folded over the top surface of said base strip in a stored position.
19. A method of constructing a closure for a wound, according to claim 18 , further comprising the step of applying a coating of adhesive to a limited region of said top surface in a position to engage and releasably hold said bridging link in the stored position.
20. A method of constructing a closure for a wound, according to claim 17 , wherein said bridging links are constructed to be more rigid than said base strip.
21. A method of constructing a closure for a wound, according to claim 17 , further comprising the step of applying a coating of adhesive to said engaging surface of said bridging links.
22. A method of constructing a closure for a wound, according to claim 21 , wherein, in said step of coating a section of said engaging surface with an adhesive, said coating is applied to at least a section of the top surface of said base strip instead of said engaging surface, in a position to receive the engaging surface of said bridging link.
23. A method of constructing a closure for a wound, according to claim 21 , further comprising the step of applying a first protective tape to protect the adhesive coating on the bottom of the base strip and applying a second removable protective tape to protect the adhesive coating on the engaging surface of said bridging links, wherein said tapes are coded to indicate their order of removal.
24. A method of constructing a closure for a wound, according to claim 17 , wherein said protective tape, applied to the bottom surface of the base strip, is constructed to allow limited initial removal thereof to expose a limited region of adhesive along the operating edge of said base strip to facilitate the application of the base strip adjacent to the wound
25. A method of constructing a closure for a wound, according to claim 17 , further comprising the steps of:
apportioning said base strip into first and second operational units, wherein said first operational unit has a pair of bridging links connected to said operational edge and said second operational unit has a single bridging link connected to said operational edge; and
adapting said first and second operational units to be separated from said base strip for application to opposite sides of said wound, with the operating edge of each of said operational units positioned adjacent to said wound.
26. A method of constructing a closure for a wound, according to claim 25 , further comprising the step of connecting said bridging links to each of said operational units to allow said bridging links to be folded over the top surface of said base strip in a stored position.
27. A method of closing a wound comprising the steps of:
forming an elongated base strip having top and bottom surfaces;
applying a coating of adhesive to the bottom surface of said base strip;
constructing a plurality of bridging links connected to an operating edge of said base strip and extending outward therefrom, each of said bridging links having an engaging surface;
adapting said base strip to be separated into at least first and second lengths, said first and second lengths having first and second sets of bridging links respectively;
applying said first and second lengths to opposite sides of said wound with the operating edge thereof adjacent to said wound;
drawing said first set of bridging links into a bridging position, in which said wound is closed and said engaging surfaces of said first set of bridging links engage the top side of said second length of said base strip, and drawing said second set of bridging links into a bridging position, in which said wound is closed and said engaging surfaces of said second set of bridging links engage the top side of said first length of said base strip.
28. A method of closing a wound, according to claim 27 , further comprising the step of connecting said bridging links to said base strip to allow said bridging links to be folded over the top surface of said base strip in a stored position.
29. A method of closing a wound, according to claim 28 , further comprising the step of applying a coating of adhesive to a limited region of said top surface in a position to engage and releasably hold said bridging link in the stored position.
30. A method of closing a wound, according to claim 27 , wherein said bridging links are constructed to be more rigid than said base strip.
31. A method of closing a wound, according to claim 27 , further comprising the step of applying a first protective tape to protect the adhesive coating on the bottom of the base strip and applying a second removable protective tape to protect the adhesive coating on the engaging surface of said bridging links, wherein said tapes are coded to indicate their order of removal.
32. A method of closing a wound, according to claim 31 , wherein said protective tape, applied to the bottom surface of the base strip, is constructed to allow limited initial removal thereof to expose a limited region of adhesive along the operating edge of said base strip to facilitate the application of the base strip adjacent to the wound.
33. A method of constructing a closure for a wound, according to claim 27 , further comprising the step of applying a coating of adhesive to said engaging surface of said bridging links.
34. A method of constructing a closure for a wound, according to claim 33 , wherein, in said step of coating a section of said engaging surface within an adhesive, said coating is applied to at least a section of the top surface of said base strip instead of said engaging surface, in a position to receive the engaging surface of said bridging link.
35. A method of closing a wound, according to claim 27 , further comprising the steps of:
apportioning said base strip into first and second operational units, wherein said first operational unit has a pair of bridging links connected to said operational edge and said second operational unit has a single bridging link connected to said operational edge; and
adapting said first and second operational units to be separated from said base strip for application to opposite sides of said wound, with the operating edge of each of said operational units positioned adjacent to said wound.
36. A method of closing a wound, according to claim 35 , further comprising the step of connecting said bridging links to each of said operational units to allow said bridging links to be folded over the top surface of said base strip in a stored position.
37. A device for closing a wound comprising:
an elongated flexible base strip having a bottom surface coated with an adhesive material;
a plurality of bridging links connected to an inner edge of the base strip in spaced relation, said bridging links extending outward from said inner edge;
wherein said base strip, is of a sufficient length to allow the division of said base strip into at least a first length and a second length, wherein each of said first and second lengths is adaptable for alignment on opposite sides of the wound with said bridging links extending over the wound in opposing directions, and further wherein said opposing links may be drawn together and secured to the opposite base strip to close and secure the wound.
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
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US10/412,967 US20040204740A1 (en) | 2003-04-14 | 2003-04-14 | Method and apparatus for closing wounds without sutures |
US10/884,837 US20040243040A1 (en) | 2003-04-14 | 2004-07-02 | Method and apparatus for closing wounds without sutures |
CA2499866A CA2499866C (en) | 2003-04-14 | 2005-03-09 | Method and apparatus for closing wounds without sutures |
PCT/US2005/023362 WO2006014323A1 (en) | 2003-04-14 | 2005-07-01 | Method and apparatus for closing wounds without sutures |
US11/953,632 US7981136B2 (en) | 2003-04-14 | 2007-12-10 | Wound closure device |
US12/035,048 US8764792B2 (en) | 2003-04-14 | 2008-02-21 | Method and apparatus for closing wounds without sutures |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US10/412,967 US20040204740A1 (en) | 2003-04-14 | 2003-04-14 | Method and apparatus for closing wounds without sutures |
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US10/884,837 Continuation-In-Part US20040243040A1 (en) | 2003-04-14 | 2004-07-02 | Method and apparatus for closing wounds without sutures |
US12/035,048 Continuation US8764792B2 (en) | 2003-04-14 | 2008-02-21 | Method and apparatus for closing wounds without sutures |
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US20040204740A1 true US20040204740A1 (en) | 2004-10-14 |
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US10/884,837 Abandoned US20040243040A1 (en) | 2003-04-14 | 2004-07-02 | Method and apparatus for closing wounds without sutures |
US12/035,048 Expired - Fee Related US8764792B2 (en) | 2003-04-14 | 2008-02-21 | Method and apparatus for closing wounds without sutures |
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US10/884,837 Abandoned US20040243040A1 (en) | 2003-04-14 | 2004-07-02 | Method and apparatus for closing wounds without sutures |
US12/035,048 Expired - Fee Related US8764792B2 (en) | 2003-04-14 | 2008-02-21 | Method and apparatus for closing wounds without sutures |
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US (3) | US20040204740A1 (en) |
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Cited By (43)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040243040A1 (en) * | 2003-04-14 | 2004-12-02 | Weiser Leslie Philipp | Method and apparatus for closing wounds without sutures |
US20050021081A1 (en) * | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
US20050020956A1 (en) * | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
US20050021083A1 (en) * | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
US20050020957A1 (en) * | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
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US20050033215A1 (en) * | 1999-11-29 | 2005-02-10 | Clozex Medical, Llc | Bandage for wound or incision closure |
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US20060058721A1 (en) * | 2004-09-10 | 2006-03-16 | Michael Lebner | Modular wound dressing system |
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US20100228287A1 (en) * | 2007-10-16 | 2010-09-09 | Eurotape B.V. | Device for adhering to the skin of a patient |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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US10687986B2 (en) | 2016-09-29 | 2020-06-23 | Ethicon, Inc. | Methods and devices for skin closure |
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US20210228415A1 (en) * | 2020-01-24 | 2021-07-29 | Hunter Scott Lett | Wound closure system |
Citations (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1074413A (en) * | 1913-03-06 | 1913-09-30 | Harry C De Baun | Suture appliance. |
US1230444A (en) * | 1916-10-17 | 1917-06-19 | James A Holley | Surgical adhesive strip. |
US2196296A (en) * | 1938-07-22 | 1940-04-09 | Owen E Flynn | Bandage |
US2751909A (en) * | 1952-11-04 | 1956-06-26 | Weitzner Geza | Interrupted adhesive tape joined by longitudinal spaced filaments |
US3528426A (en) * | 1967-01-10 | 1970-09-15 | Radivoje Vukojevic | Adhesive band for replacing cutaneous stitching |
US4423731A (en) * | 1980-09-09 | 1984-01-03 | Roomi Reyadh K | Surgical dressings |
US4531521A (en) * | 1983-03-03 | 1985-07-30 | Haverstock Charles B | Skin closure means |
US5176703A (en) * | 1991-10-30 | 1993-01-05 | Peterson Meldon L | Sutureless closure for a skin wound or incision |
US5263970A (en) * | 1990-08-10 | 1993-11-23 | Preller Siegfried F | Surgical dressing for closing a wound |
US5891077A (en) * | 1997-03-14 | 1999-04-06 | Hollister Incorporated | Thin film wound dressing with removable foraminous backing layer |
US6043406A (en) * | 1998-02-27 | 2000-03-28 | Ferris Mfg, Corp. | Thin film wound dressing and method for making same |
US6293281B1 (en) * | 1993-07-16 | 2001-09-25 | Kimberly-Clark Worldwide, Inc. | Wound closure device |
US6329564B1 (en) * | 1999-11-29 | 2001-12-11 | Michael Lebner | Bandage for wound or incision closure |
US20020099315A1 (en) * | 1999-11-29 | 2002-07-25 | Michael Lebner | Bandage for wound or incision closure |
Family Cites Families (44)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3971384A (en) | 1971-03-12 | 1976-07-27 | Hasson Harrith M | Surgical closure |
US4526173A (en) | 1982-04-12 | 1985-07-02 | Kells Medical, Inc. | Skin closure device |
US4950282A (en) | 1984-10-22 | 1990-08-21 | Genetic Laboratories, Inc. | Wound closure strips |
US4655209A (en) * | 1986-05-05 | 1987-04-07 | Scott Douglas G | Surgical dressing and packaging |
US5234462A (en) | 1991-08-29 | 1993-08-10 | Tufts University | Method and kit for accelerating the closing of open skin wounds |
US5779659A (en) | 1992-12-01 | 1998-07-14 | Convatec Limited | Elastic bandage with tension indicator |
BR9305045A (en) | 1992-12-15 | 1994-07-26 | Johnson & Johnson | Laminate, composite, process to form a hydrogel laminate, bandage and method of covering a wound |
US5336219A (en) | 1993-03-23 | 1994-08-09 | Medi-Flex Hospital Products, Inc. | Skin closure system |
GB9310185D0 (en) | 1993-05-18 | 1993-06-30 | Giltech Ltd | Wound dressing |
US5415626A (en) | 1993-06-25 | 1995-05-16 | Megadyne Medical Products, Inc. | Two piece releasable bandage |
US5630430A (en) | 1993-07-16 | 1997-05-20 | Tecnol Medical Products, Inc. | Wound closure device |
US5497788A (en) | 1993-07-16 | 1996-03-12 | Tecnol Medical Products, Inc. | Wound closure device for viewing a wound and method |
WO1996032893A1 (en) | 1995-04-21 | 1996-10-24 | W.L. Gore & Associates, Inc. | A surgical pledget dispensing system |
IL118000A0 (en) | 1995-04-25 | 1996-08-04 | Sinai School Medicine | Bandage with external anchor |
US5562705A (en) | 1995-05-23 | 1996-10-08 | Whiteford; Carlton L. | Sutureless wound closure device |
US7022891B2 (en) | 1996-05-10 | 2006-04-04 | Wallace J Beaudry | Dressing and an epidermal positioning mechanism and method for using same |
DE69732931T2 (en) | 1996-05-10 | 2006-04-13 | Beaudry, Wallace J., Elkhart Lake | Nasal epidermal lifting mechanism |
USD401339S (en) | 1997-02-04 | 1998-11-17 | Tyco Group S.A.R.L. | Single dispensing multi-strand pack |
IT1296010B1 (en) | 1997-03-18 | 1999-06-04 | Pavis Varese Srl | TEXTILE MANUFACTURE FOR THE CLOSURE AND ELASTIC TENSIONING OF A GARMENT OR GARMENT |
US5947998A (en) | 1997-09-30 | 1999-09-07 | Technical Alternatives, Ltd. | Wound closure strips and packages thereof |
US6007564A (en) | 1998-03-05 | 1999-12-28 | Haverstock; Charles B. | Skin closure device for surgical procedures |
DE19841550A1 (en) | 1998-09-11 | 2000-03-23 | Beiersdorf Ag | Foil-based dressing material |
FR2801188B1 (en) | 1999-11-22 | 2002-11-08 | Didier Detour | DEVICE FOR THE NON-TRAUMATIC CLOSURE, WITHOUT SUTURE, OF THE OPEN EDGES OF A WOUND OF THE MAMMALIAN SKIN |
US6528697B1 (en) | 2000-01-03 | 2003-03-04 | Augustine Medical, Inc. | Modular bandage |
US7066182B1 (en) | 2000-09-27 | 2006-06-27 | 3M Innovative Properties Company | Conformable adhesive wound closures |
US6942683B2 (en) | 2002-05-24 | 2005-09-13 | 3M Innovative Properties Company | Wound closure system and method |
US7122712B2 (en) | 2002-12-02 | 2006-10-17 | Lutri Thomas P | Surgical bandage and methods for treating open wounds |
US20040204740A1 (en) | 2003-04-14 | 2004-10-14 | Weiser Leslie Philipp | Method and apparatus for closing wounds without sutures |
US20080154168A1 (en) | 2003-07-17 | 2008-06-26 | Thomas Placido Lutri | Surgical bandage for use with tissue adhesives and other medicaments |
US7414168B2 (en) | 2003-07-24 | 2008-08-19 | Clozex Medical Llc | Device for laceration or incision closure |
US20050021081A1 (en) | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
US7838718B2 (en) | 2003-07-24 | 2010-11-23 | Clozex Medical, Llc | Device for laceration or incision closure |
US8636763B2 (en) | 2003-07-24 | 2014-01-28 | Clozex Medical, Llc | Device for laceration or incision closure |
US7354446B2 (en) | 2003-07-24 | 2008-04-08 | Clozex Medical, Llc | Device for laceration or incision closure |
US7232454B2 (en) | 2003-09-29 | 2007-06-19 | Ethicon, Inc. | Surgical wound closure/transfer marking device |
US7332641B2 (en) | 2003-10-10 | 2008-02-19 | Clozex Medical Llc | Interlaced compositions and methods of production |
ES2255423B1 (en) | 2004-10-06 | 2007-07-16 | M. Del Carmen Blanco Piñeiro | WOUND EDGE SELF-ADHESIVE APPROXIMATOR. |
US20060142686A1 (en) | 2004-12-28 | 2006-06-29 | Morse William S | Tissue injury protection medical bridge bandages |
US8105353B2 (en) | 2005-08-09 | 2012-01-31 | Clozex Medical, Llc | Wound closure kit and method of using the same |
US20070038246A1 (en) | 2005-08-09 | 2007-02-15 | Clozex Medical, Llc | Four component wound closure device with locking strip |
US7696399B2 (en) | 2006-08-23 | 2010-04-13 | Rogers Gary S | Sutureless wound closure and method of application |
US20080114396A1 (en) | 2006-11-15 | 2008-05-15 | Precision Closure Llc | Adjustable non-invasive wound closure system |
US20080262540A1 (en) | 2007-04-19 | 2008-10-23 | Searete Llc, A Limited Liability Corporation Of The State Of Delaware | Systems and methods for approximating surfaces |
TWM340039U (en) | 2008-03-19 | 2008-09-11 | xu-zheng Fang | Recovery bandage for wounds without suture |
-
2003
- 2003-04-14 US US10/412,967 patent/US20040204740A1/en not_active Abandoned
-
2004
- 2004-07-02 US US10/884,837 patent/US20040243040A1/en not_active Abandoned
-
2005
- 2005-03-09 CA CA2499866A patent/CA2499866C/en not_active Expired - Fee Related
- 2005-07-01 WO PCT/US2005/023362 patent/WO2006014323A1/en active Application Filing
-
2008
- 2008-02-21 US US12/035,048 patent/US8764792B2/en not_active Expired - Fee Related
Patent Citations (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1074413A (en) * | 1913-03-06 | 1913-09-30 | Harry C De Baun | Suture appliance. |
US1230444A (en) * | 1916-10-17 | 1917-06-19 | James A Holley | Surgical adhesive strip. |
US2196296A (en) * | 1938-07-22 | 1940-04-09 | Owen E Flynn | Bandage |
US2751909A (en) * | 1952-11-04 | 1956-06-26 | Weitzner Geza | Interrupted adhesive tape joined by longitudinal spaced filaments |
US3528426A (en) * | 1967-01-10 | 1970-09-15 | Radivoje Vukojevic | Adhesive band for replacing cutaneous stitching |
US4423731A (en) * | 1980-09-09 | 1984-01-03 | Roomi Reyadh K | Surgical dressings |
US4531521A (en) * | 1983-03-03 | 1985-07-30 | Haverstock Charles B | Skin closure means |
US5263970A (en) * | 1990-08-10 | 1993-11-23 | Preller Siegfried F | Surgical dressing for closing a wound |
US5176703A (en) * | 1991-10-30 | 1993-01-05 | Peterson Meldon L | Sutureless closure for a skin wound or incision |
US5534010A (en) * | 1991-10-30 | 1996-07-09 | Peterson; Meldon L. | Closure for a skin wound or incision |
US6293281B1 (en) * | 1993-07-16 | 2001-09-25 | Kimberly-Clark Worldwide, Inc. | Wound closure device |
US5891077A (en) * | 1997-03-14 | 1999-04-06 | Hollister Incorporated | Thin film wound dressing with removable foraminous backing layer |
US6043406A (en) * | 1998-02-27 | 2000-03-28 | Ferris Mfg, Corp. | Thin film wound dressing and method for making same |
US6329564B1 (en) * | 1999-11-29 | 2001-12-11 | Michael Lebner | Bandage for wound or incision closure |
US20020099315A1 (en) * | 1999-11-29 | 2002-07-25 | Michael Lebner | Bandage for wound or incision closure |
US6822133B2 (en) * | 1999-11-29 | 2004-11-23 | Clozex Medical, Llc | Bandage for wound or incision closure |
Cited By (72)
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US7511185B2 (en) | 1999-11-29 | 2009-03-31 | Clozex Medical Llc | Bandage for wound or incision closure |
US20070191752A1 (en) * | 1999-11-29 | 2007-08-16 | Michael Lebner | Bandage for wound or incision closure |
US7981136B2 (en) | 2003-04-14 | 2011-07-19 | Weiser Leslie P | Wound closure device |
US8764792B2 (en) | 2003-04-14 | 2014-07-01 | Leslie Philipp Weiser | Method and apparatus for closing wounds without sutures |
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US20050021081A1 (en) * | 2003-07-24 | 2005-01-27 | Clozex Medical, Llc | Device for laceration or incision closure |
US20050080453A1 (en) * | 2003-10-10 | 2005-04-14 | Clozex Medical, Llc | Interlaced compositions and methods of production |
US7332641B2 (en) | 2003-10-10 | 2008-02-19 | Clozex Medical Llc | Interlaced compositions and methods of production |
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US20100305587A1 (en) * | 2009-06-02 | 2010-12-02 | Jens-Peter Straehnz | Incision closure device and method |
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US8657853B2 (en) * | 2009-06-02 | 2014-02-25 | Ethicon, Inc. | Incision closure device and method |
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Also Published As
Publication number | Publication date |
---|---|
CA2499866A1 (en) | 2006-01-02 |
US20080228220A1 (en) | 2008-09-18 |
US20040243040A1 (en) | 2004-12-02 |
US8764792B2 (en) | 2014-07-01 |
WO2006014323A1 (en) | 2006-02-09 |
CA2499866C (en) | 2015-10-13 |
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Date | Code | Title | Description |
---|---|---|---|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |