AP488A - A device for closing a wound. - Google Patents
A device for closing a wound. Download PDFInfo
- Publication number
- AP488A AP488A APAP/P/1994/000640A AP9400640A AP488A AP 488 A AP488 A AP 488A AP 9400640 A AP9400640 A AP 9400640A AP 488 A AP488 A AP 488A
- Authority
- AP
- ARIPO
- Prior art keywords
- tape
- strip
- turned
- wound
- adhesive
- Prior art date
Links
- 239000000853 adhesive Substances 0.000 claims description 50
- 230000001070 adhesive effect Effects 0.000 claims description 50
- 230000008878 coupling Effects 0.000 claims description 24
- 238000010168 coupling process Methods 0.000 claims description 24
- 238000005859 coupling reaction Methods 0.000 claims description 24
- 125000006850 spacer group Chemical group 0.000 claims description 22
- 239000011505 plaster Substances 0.000 claims description 15
- 239000004753 textile Substances 0.000 claims description 9
- 239000011248 coating agent Substances 0.000 claims description 3
- 238000000576 coating method Methods 0.000 claims description 3
- 206010052428 Wound Diseases 0.000 description 50
- 208000027418 Wounds and injury Diseases 0.000 description 50
- 238000004519 manufacturing process Methods 0.000 description 5
- 239000002390 adhesive tape Substances 0.000 description 2
- 208000034656 Contusions Diseases 0.000 description 1
- 208000034693 Laceration Diseases 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000009519 contusion Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920006149 polyester-amide block copolymer Polymers 0.000 description 1
- 229920002994 synthetic fiber Polymers 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 238000009941 weaving Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/088—Sliding fasteners
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Materials For Medical Uses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
- Professional, Industrial, Or Sporting Protective Garments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Storage Of Web-Like Or Filamentary Materials (AREA)
- Medicinal Preparation (AREA)
- Invalid Beds And Related Equipment (AREA)
- Slide Fasteners (AREA)
Abstract
A device for closing a wound, more particularly an operation wound
Description
A DEVICE FOR CLOSING A WOUND
Abstract: A device for closing a wound, more particularly an operation wound extending substantially straight, said device comprising a sliding clasp fastener consisting of two textile support tapes with rows of coupling members disposed thereon, and having a slider, the device being adapted to be stuck to the patient's skin along the wound edges. The sliding clasp fastener support tapes are folded over a longitudinal folding edge to form a double support tape zone having a support tape strip connected to the coupling members and a turned-in tape strip. A spacer strip which forms a wound-free area is disposed between the turned-in tape strip and the support tape strips connected to the coupling members. A skin-compatible adhesive is applied directly or indirectly to the exposed surface of the turned-in tape strip. The support tape strip connected to the rows of coupling members, the turnedin tape strip and the spacer strip are interconnected in the double tape zone.
(50 Documents dud: US - 4881548 Kaessaan bad original $
AP.00488
Description
The invention relates to a device for closing a wound, more particularly an operation wound extending substantially straight, said device comprising a sliding clasp fastener consisting of two textile support tapes with rows of coupling members disposed thereon, and having a slider, the device being adapted to be stuck to the patient's skin along the wound edges. The device according to the invention does not constitute a wound covering, but a wound closure, by means of which a gaping wound, e.g. a gaping operation wound, can be pulled together and closed with the wound edges abutting at the same level. To that extent the device replaces the known stitching or clipping of a wound of this kind. Although the device according to the invention is suitable more particularly for an operation wound extending substantially straight, the device according to the invention can nevertheless also be used for curved wounds, e.g. S-shaped or arcuate wounds, irrespective of whether the wounds are gaping wounds, wounds resulting from a cut, laceration or contusions as a result of an operation or accident.
The invention starts from a known device of the type described above, and having the purpose described above (DE 37 06 599 C2). In this construction, the sliding clasp fastener is a conventional flexible fastener of the kind used for textile garments, insofar as concerns the rows of coupling members and the support tapes, the support tapes being of low elasticity and the rows of coupling members consisting of polyester or polyamide are resistant to compression in the closed
AP/P/ 94/00640
BAD ORIGINAL state. Spacer strips which form a wound-free zone are disposed on the support tapes, in spaced relationship from the rows of coupling members, on the underside facing the wound. The means for forming an adhesive connection consists of adhesive strips connected to the support tapes and projecting therefrom, said strips having a skin-compatible adhesive coating on the skin side. The support tapes are backed by the adhesive strip over at least part of their width. The adhesive strips including the projections have a width suitable for taking the transverse tensile forces in the case of the wound being closed by the sliding clasp fastener and having abutting wound edges, i.e. the wound edges are pressed against one another. The known device has proved satisfactory and meets all requirements medically, but in terms of manufacture it is expensive, a feature which is particularly disturbing inasmuch as these devices are most definitely mass-production products.
The invention is based on the technical problem of providing a device of the type described hereinbefore and for the purpose described hereinbefore, which can be manufactured very easily and, more particularly allows flexible industrial mass production.
To solve this problem, the invention relates to a device for closing a wound, more particularly an operation wound extending substantially straight, said device comprising a sliding clasp fastener consisting of two textile support tapes with rows of coupling members disposed thereon, and having a slider, the device being adapted to be stuck to the patient's skin
AP/P/ 94/00640
AP.00488 along the wound edges, the device embodying the combination of the following features:
a) the sliding clasp fastener support tapes are folded over a longitudinal folding edge to form a double support tape zone having a support tape strip connected to the coupling members and a turned-in tape strip,
b) a spacer strip which forms a wound-free area is disposed between the turned-in tape strip and the support tape strips connected to the coupling members,
c) a skin-compatible adhesive is applied directly or indirectly to the exposed surface of the turned-in tape strip, the support tape strip connected to the rows of coupling members, the turned-in tape strip and the spacer strip being interconnected in the double tape zone.
The adhesive surface must have an adequate width if it is to take the transverse tensile forces which occur when a gaping wound is closed by closing the sliding clasp fastener strip extending along the two edges of the wound when the fastener is stuck to the patient's skin. In this connection, according to the teaching of the invention, the sliding clasp fastener support tapes each have a width of several centimetres and the longitudinal folding edge is disposed in the middle of the width. Preferably, moreover, the turned-in tape
AP/P/ 94/00640
BAD ORIGINAL strips provided with the adhesive coating have a width of several centimetres.
The invention is based on the realisation that a conventional sliding clasp fastener can without difficulty and without undue modification of production technique, be provided with support tapes of a sufficient width directly or indirectly provided with an adhesive to be able to take the transverse tensile forces occurring during the closing of the sliding clasp fastener, when a wound is closed. To this extent the invention makes use of sliding clasp fasteners whose support tapes are arranged in the manner described, i.e. sliding clasp fasteners which can be manufactured without difficulty using the conventional sliding clasp fastener production equipment.
Appropriate automatic tape weaving or knitting machines are extensively known and have proved satisfactory.
The other steps required to make the device according to the invention from this pre-product in the form of a sliding clasp fastener are simple and can be produced easily both manually and automatically.
In detail, within the scope of the invention there are a number of possibilities for further development and embodiment. Since the spacer strips forming the woundfree area define such area in the region of the coupling members, it is advisable if the spacer strips forming the wound-free area have substantially the width of the double tape zone and are constructed as textile inserts. The spacer strips may be woven, knitted or made from non-woven strips of sufficient
V 9 0 0 / V 6 Zd/dV
AP . Ο Ο 4 8 S density, natural fibres or synthetic fibres or synthetic filaments being usable.
The skin-compatible adhesive can be applied in various ways. In one embodiment of a device according to the invention, the skin-compatible adhesive is an adhesive plaster adhesive and is applied directly to the exposed surface of the turned-in tape strip. Alternatively, the skin-compatible adhesive is applied to an adhesive plaster adhesive strip and the latter is applied to the exposed surface of the turned-in tape strips and is connected to the latter. If the transverse tensile stresses are considerable, for example because of a wide gaping wound, according to the teaching of the invention the adhesive plaster adhesive strip projects beyond the turned-in tape strips on the side remote from the fastener coupling members.
The parts described can be interconnected in various ways, for example also by sticking. According to one preferred embodiment of the invention, the support tape strip, the spacer strip forming the wound-free area, and the turned-in tape strip are interconnected in the double tape zone on each longitudinal side of the fastener by sewn and/or tacked seams.
In another embodiment, the support tape strip, the spacer strip forming the wound-free area, the turned-in tape strip, and the adhesive plaster adhesive strip are interconnected at each longitudinal side of the sliding clasp fastener in the double tape zone by sewn and/or tacked seams. For operating reasons in connection with
V 9 0 0 / V 6 Zd/dV
BAD ORIGINAL a <o closing the wound, it is advisable to connect holding loops to the beginning and end of the support tapes.
The invention is explained in detail below with reference to a drawing which illustrates just one exemplified embodiment. In the drawing:
Fig. 1 is a plan view of a device according to the invention.
Fig. 2 is a section in the direction A-A through the subject of Fig. 1.
Fig. 3 is a similar section to Fig. 2 through another embodiment of the device.
Fig. 4 is a similar section to Fig. 2 through another embodiment of the device.
Fig. 5 is a similar section to Fig. 2 through another embodiment of the device and
Fig. 6 is a plan view of the device according to the invention with the sliding clasp fastener open, showing the closing of an operation wound by means of this device.
The device shown in the drawing is used to close a wound, more particularly an operation wound W extending substantially straight, the device comprising a sliding clasp fastener with a slider 3, said fastener comprising two textile support tapes 1 and rows of coupling members 2 disposed thereon, the device being
V 9 0 0 / V 6 /d/dV
AP. Ο Ο 4 8 β adapted to be stuck on to the patient's skin along the edges of the wound. In this connection see Fig. 6.
A comparison of Figs. 2 to 5, in particular, will show that the support tapes 1 of the sliding clasp fastener are folded over a longitudinal fold edge 4 to form a double tape zone comprising support tape strips 5 connected to the rows of coupling members 2, and a turned-in tape strip 6. A spacer strip 7, which forms a wound-free space, is disposed between the turned-in tape strip 6 and the support tape strips 5 connected to the rows of coupling members 2. A skin-compatible adhesive 8 is applied directly or indirectly to the exposed surface of the turned-in tape strip 6. The arrangement is such that the support tape strip 5 connected to the rows of coupling members 2, the turned-in tape strip 6, and the spacer strip 7 are joined together in the double tape zone.
The fastener support tapes 1 may each have a width of several centimetres, the longitudinal folding edge 4 being in the middle of the width. If considerable transverse tensile forces have to be taken, the arrangement will be such that the turned-in tape strip 6 provided with the adhesive 8 will have a width of several centimetres.
The spacer strips 7, which form a wound-free space and which, more particularly, must be operative in the area of the wound W, have substantially the width of the double tape zone, as shown in the drawings. They are constructed as textile inserts and may be woven,
AP/P/ 94/00640
BAD ORIGINAL ft knitted, or be made as non-woven strips of adequate density.
According to a preferred embodiment of the invention, the skin-compatible adhesive 8 is an adhesive plaster adhesive, but is applied directly to the exposed surface of the turned-in tape strip 6. In this connection see Figs. 2 and 5. A comparison of these two Figures will show that the wound-free area 9 may vary in respect of its width, the only essential feature being that the turned-in tape strip 6 and the spacer strip 7 should be wider or less wide. The skincompatible adhesive 8 can also be applied to an adhesive plaster adhesive strip 10. In this connection see Figs. 3 and 4. It will be seen that the adhesive plaster adhesive strip 10 is applied against the exposed surface of the turned-in tape strip 6 and is connected to the latter. When very considerable transverse tensile forces have to be taken, the arrangement can without difficulty be such that the adhesive plaster adhesive strip 10 projects beyond the turned-in tape strip 4 on each side of the fastener, at that side which is remote from the coupling member rows
2. This is shown in Fig. 4. The width of the projection depends on the tensile stresses to be taken.
The drawings show that the support tape strips 1, the spacer strip 7 forming the wound-free area, and the turned-in tape strip 6 are joined together in the double tape zone by sewn and/or tacked seams 11. In the embodiment with adhesive plaster adhesive tape 10 the support tape strips 1, the spacer strip 7 forming the wound-free area, the turned-in tape strip 6, and
AP/P/ 94/00640
AP. 0 0 4 8 8 the adhesive plaster adhesive tapes 10 will be interconnected in the double tape zone by sewn or tacked seams 11 as shown in Figs. 3 and 4. Figs. 1 and 6 show that holding loops 12 are connected to the beginning and the end of the support tapes 1. When the fastener is closed - an operation during which the edges of the initially gaping wound W are drawn together to abut at the same level as it were, the operator holds the handle 13 of the slider 3, on the one hand, and the loop 12 at the closed end of the fastener, on the other hand. The slider 3 is moved until the fastener is completely closed, the wound edges being drawn together as described. If the fastener is opened, then conversely the loop 12 at the open end of the fastener will be held fast and the slider 3 moved in the opening direction. This may be necessary, for example, to inspect the healing process at the wound W. In any case, the loops 12 can be used to ensure that the tensile forces which occur when the fastener is closed or re-opened by means of the slider 3 do not have to be taken by the patient's skin via the adhesive 8, but, on the contrary, by the operator's hands, which on the one hand engage the slider 3 and, on the other hand, the loop 12 arranged to take the tensile forces. Of course, the fastener support tapes 1, the spacer strip 7 forming the wound-free area, and where applicable the adhesive 8 or adhesive plaster tapes 10 may have ventilation apertures 14 in the form of perforations.
Claims (10)
1. A device for closing a wound comprising a sliding clasp fastener consisting of two textile support tapes with rows of coupling members disposed thereon, and having a slider, the device being adapted to be stuck to the patient's skin along the wound edges, the device embodying the combination of the following features:
a) the sliding clasp fastener support tapes are folded over a longitudinal folding edge to form a double support tape zone having a support tape strip connected to the coupling members and a turned-in tape strip,
b) a spacer strip which forms a wound-free area is disposed between the turned-in tape strip and the support tape strips connected to the coupling members,
c) a skin-compatible adhesive is applied directly or indirectly to the exposed surface of the turned-in tape strip, the support tape strip connected to the rows of coupling members, the turned-in tape strip and the spacer strip being interconnected in the double tape zone.
2. A device according to claim 1, wherein the sliding clasp fastener support tapes each have a width of
AP.00488 several centimetres and the longitudinal folding edge is disposed in the middle of the width.
3. A device according to claim 1 or 2, wherein the turned-in tape strips provided with the adhesive coating have a width of several centimetres.
4. A device according to any one of claims 1 to 3, wherein the spacer strips forming the wound-free area have substantially the width of the double tape zone and are constructed as textile inserts.
5. A device according to any one of claims 1 to 4, wherein the skin-compatible adhesive is an adhesive plaster adhesive and is applied directly to the exposed surface of the turned-in tape strip.
6. A device according to any one of claims 1 to 4, wherein the skin-compatible adhesive is applied to an adhesive plaster adhesive strip and the latter is applied to the exposed surface of the turned-in tape strips and is connected to the latter.
7. A device according to claim 6, wherein the adhesive plaster adhesive strip projects beyond the turned-in tape strips on the side remote from the fastener coupling members.
8. A device according to any one of claims 1 to 6, wherein the support tape strip, the spacer strip forming the wound-free area, and the turned-in tape strip are interconnected in the double tape zone on
0V900/V6 Zd/dV
BAD ORIGINAL ft each longitudinal side of the fastener by sewn and/or tacked seams.
9. A device according to claim 7, wherein the support tape strip, the spacer strip forming the wound-free area, the turned-in tape strip, and the adhesive plaster adhesive strip are interconnected at each longitudinal side of the sliding clasp fastener in the double tape zone by sewn and/or tacked seams.
10. A device according to any one of claims 1 to 9, wherein holding loops are connected to the beginning and end of the support tapes.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE4400732A DE4400732A1 (en) | 1994-01-13 | 1994-01-13 | Device for closing a wound |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AP9400640A0 AP9400640A0 (en) | 1994-07-31 |
| AP488A true AP488A (en) | 1996-05-14 |
Family
ID=6507797
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| APAP/P/1994/000640A AP488A (en) | 1994-01-13 | 1994-03-10 | A device for closing a wound. |
Country Status (30)
| Country | Link |
|---|---|
| US (1) | US5377695A (en) |
| EP (1) | EP0663190B1 (en) |
| KR (1) | KR970007676B1 (en) |
| AP (1) | AP488A (en) |
| AT (1) | ATE144118T1 (en) |
| BG (1) | BG61099B1 (en) |
| CU (1) | CU22438A3 (en) |
| DE (2) | DE4400732A1 (en) |
| DK (1) | DK0663190T3 (en) |
| DZ (1) | DZ1761A1 (en) |
| EC (1) | ECSP941114A (en) |
| ES (1) | ES2096352T3 (en) |
| GR (1) | GR3022283T3 (en) |
| GT (1) | GT199400083A (en) |
| HR (1) | HRP940268B1 (en) |
| IE (1) | IE70223B1 (en) |
| IS (1) | IS1733B (en) |
| JO (1) | JO1820B1 (en) |
| MA (1) | MA23164A1 (en) |
| NL (1) | NL194534C (en) |
| OA (1) | OA09916A (en) |
| PE (1) | PE8995A1 (en) |
| PT (1) | PT101467B (en) |
| RO (1) | RO112161B1 (en) |
| SI (1) | SI9400200A (en) |
| SV (1) | SV1994000054A (en) |
| TN (1) | TNSN94027A1 (en) |
| TR (1) | TR28028A (en) |
| UY (1) | UY23755A1 (en) |
| YU (1) | YU48752B (en) |
Families Citing this family (114)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7928281B2 (en) | 1992-06-19 | 2011-04-19 | Arizant Technologies Llc | Wound covering |
| US6221997B1 (en) | 1997-04-28 | 2001-04-24 | Kimberly Ann Woodhouse | Biodegradable polyurethanes |
| US7066182B1 (en) | 2000-09-27 | 2006-06-27 | 3M Innovative Properties Company | Conformable adhesive wound closures |
| US6726706B2 (en) * | 2001-06-26 | 2004-04-27 | Steven Dominguez | Suture tape and method for use |
| US6942683B2 (en) | 2002-05-24 | 2005-09-13 | 3M Innovative Properties Company | Wound closure system and method |
| AR041144A1 (en) * | 2003-09-04 | 2005-05-04 | Alberto Luis Garay | A SUTURE DEVICE FOR SOFT FABRICS AND / OR FIXING OF SOFT FABRICS TO BONES |
| US7118545B2 (en) * | 2003-10-14 | 2006-10-10 | Boyde Sandra M | Wound dressing retainer and fastening device |
| US20070260167A1 (en) * | 2004-10-16 | 2007-11-08 | Heart Janil W | Wound protector |
| DE102004059499A1 (en) * | 2004-12-10 | 2006-06-22 | Kaeßmann, Hans-Jürgen, Prof. Dr. | Wound closure, e.g. after surgery, has carrier strips with adhesion layers bonding to the skin and with rows of sliding clasp fastener teeth to be meshed together by a slide |
| US20070073209A1 (en) * | 2005-09-27 | 2007-03-29 | Raj Prasanta K | Skin closure device |
| AR055498A1 (en) * | 2005-10-07 | 2007-08-22 | Pablo C Luchetti | SURGICAL DEVICE FOR INCISION AND SKIN CLOSURE |
| WO2008051445A2 (en) * | 2006-10-23 | 2008-05-02 | Valvexchange Inc. | Biodegradable fastener and method of using same for rapid vascular closure |
| DE102007001278B3 (en) * | 2007-01-08 | 2008-04-17 | Kaeßmann, Hans-Jürgen, Prof. Dr. | Atraumatic, non-invasive wound e.g. operation wound, caring device, has fluid impermeable foil bands provided at supporting bands between spacing pads and closure unit sets, and foil bands covering set in closed condition of sets |
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| US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
| US20090112063A1 (en) * | 2007-10-31 | 2009-04-30 | Bakos Gregory J | Endoscopic overtubes |
| US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
| KR200454994Y1 (en) * | 2007-11-15 | 2011-08-09 | 제지앙 아펠로아 메디칼 테크놀러지 캄파니 리미티드 | Plastic surgery tape |
| US20090131751A1 (en) * | 2007-11-20 | 2009-05-21 | Spivey James T | Anal surgical instrument guides |
| US7591835B2 (en) * | 2008-01-07 | 2009-09-22 | Exopatents Marketing Ltd. | Method and device for mending skin openings |
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- 1994-04-15 NL NL9400597A patent/NL194534C/en not_active IP Right Cessation
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