CA1050847A - Bandage contruction - Google Patents

Abstract

ABSTRACT OF THE DISCLOSURE

A bandage construction incorporating means for drawing flesh along two or more sides of a wound together and holding it so drawn during healing so that formation of scar tissue is substantially minimized or eliminated. To this and, the present bandage construction includes two or more portions, which are adhesively or otherwise attached to the skin adjacent to the edges of the laceration, cut, incision, or the like and have cooperating engagable means to bring and hold the wounded flesh together.

Description

1~5V847 ~ ~
The present invention relates to means for ~
drawing and holding the flesh together along opposite ~`
sides of a skin separation such as on an incision, injury, or laceration to hold the separated skin portions in the most desirable condition for healing.
Many different kinds of bandage constructions are known and are commonly used. One of the problems with most known bandages and other dressings, however, is ~hat they do not provide any means for drawing and holding together the portions of the flesh adjacent opposite sides of a wound or -~ open sore. Instead, most known bandage constructions simply provide an adhesively attached protective covering;~
for the injury, and in some cases, they also provide a means ; for applying medication. So far as known, however, no surgical dressing or bandage includes means for drawing the flesh on either side of a wound or injury together so that need for surgical stitching LS eliminated or reduced. This is important when avoidance of sutural cicatrix is desirable and is especially important in situations when injury occurs ~;
at remote locations where medical attention is unavailable and when it is not possible, for a considerable period of time, to bring the injured person to a doctor or other person qualified to give medical assistance. In such cases, if some immediate means, other than conventional bandaging, are not used to dxaw the flesh together, there is a relatiYely yxeater likelihood that functionally or cosmetically undesirable scar tissue will form in the wound even if it is subse~uently stitched, and furthermore, if treatment is substantially `~
delayed, it is often impracticable to stitch the untreated wound and attendant scarring is substantially certain to follow.

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The present constructions overcome these and other short-comings and disadvantages of existing bandages, and provide a construction which is simple to apply and will hold the -~
separated flesh portions of a wound together, thereby `;~
minimizing the chances for scarring. The present bandage constructions can also be applied quickly and effe~tively by persons having little or no medical training.
It is therefore a principal object of the present invention to provide a multipartite bandage or dressing construction with zipper or zipper-like means that are used :: , to draw together the separate bandage portions and the flesh thereunder, to improve the condition of the flesh during healing and to reduce the possibility of the formation of . ~ ' ' :
scar tissue.

Another object is to provide a bandage construction .~ ~
which can be applied by persons having little or no medical ., :
skill and training and which is an effective means to minimize j--` ?

the need for surgical stitching.

Another objèct is to provide a relatively in-expensive bandage construction which can be applied adhesively : ,, :
as separate portions along opposite sides of a break in the skin and includes means which can draw together the separate ~, bandage portions and the attached flesh thereunder.

Another object is to provide a relatively simple ~;~
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bandage construction which can be packaged and sold for use in hospitals, medical centers, and doctors~ offices and by ` ' the general public. ~;~
` Another ob~ect is to provide means to substantially minimiz-e or eliminate the formation of scar tissue at locations where the skin has been lacerated or broken open. ~;
~; Another object is to provide me~ns for more ~;~
accurately and uniformly drawing the skin together along ''' `. ' . . .
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105089~7 an open wound.
Another object is to minimize the surgical procedures and the discomfort to patients in the treatment of ~kin lacerations and other similar injuries.
Another object is ~to provide an emergency bandage construction which can be used to close an open wound to promote proper healing.
Another object is to provide betker means for immediately closiny a wound involving a break in the skin until medical help is available.
The construction in accordance with the present invention includes a bandage for closing a wound comprising first and second strip portions of a relatively 1exible ., . ~
material. Each of the strip portions has a skin attaching surface and a flange formed of a flexible material extending along one side edge thereof. A coating of an adhesive substance is applied to at least a portion of the skin attach- ~ ;
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ing surfaces on each of the strip portions for attaching the strip portions to the skin in spaced relationship to each other and along opposite edges of the wound. At least a portion of the adhesive substance on each of the strip portions extends to the side edges of the respective surfaces thereof ;~
which are to be attached along opposite edges of the wound.
Cooperating engageable means including elongated male and female members extend respectively along each of the flanges.
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The male member is movable into cooperative resilient engage-~ ment with the female member when pressure is applied against ~ ~`

;~ the respective flanges in a direction to press the male and , female members together thereby to unite and hold the strip -~

portions and the skin along opposite side edges of the wound together.

Other objects and advantages of the present invention ~ -3-105a 8~7 will become apparent to those skilled in the art after considering this specification and the accompanying draw- :
ings which show and describe several different embodiments of the subiect bandage construction, and wherein~
FIGURE 1 is an enlarged perspective view showing a bandage constructed according to one embodiment of the ~:
~ present invention, - FIGURE 2 is an enlarged cross-sectional view taken .
along line 2-2 of FIGURE 1, ; 10 FIGURE 3 is a further enlarged fragmentary cross-: sectional view -taken along line 3-3 of FIGURE 1, ~ - .

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)8A~'7 FIGURE 4 is a perspective view showing another embodiment of the subject bandage;
FIGURE S is a view showing the bandage of :
FIGURE 4 being applied to a skin laceration on the upper arm; :
FIGURE 6 is a fragmentary cross-s~ctional view taken along line 6-6 of FIGURE 5; ~: ~
FIGURE 7 is a fragmentary cross-sectional view ~` :
similar to FIGURE 3 showing another form of the zipper-like connection means; ~ :
FIGURE 8 is a view showing a bandage such as the bandage of FIGURES 1-3 being applied to an open wound;
FIGURE 9 is a perspective view showing another modified form of the subject bandage; ~;
' FIGURE 10 is a perspective view, partly in section, : showing another embodiment o~ the subject bandage;
FIGURE ll is an enlarged fragmentary cross-sectional view taken along line 11-ll of FIGURE lO;
FIGURE 12 is an enlarged fragmentary cross-sectional :
20. Yiew showing another form of the cooperative engagement :
means that can be used ~ith the subject bandage;
FIGU~E 13 is a perspective view showing still another :~
form o~ cooperative attachment means;
:, FIGURE 14 is another perspecti~e vie~ showing yet ;~ another form of cooperati~e attachment means; and ~ ;~
.' ~IGURE 15 shows a form o~ the present bandage . .
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--. employing a slide-type zipper member which is movable I : to join together or separate the separate bandage portions, ~ :
i: and is found on the dra~ing page with ~IGURES 1, 2, 3, 4, 5, 6 and 7.

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-. . : . . . --` 10508~7 `-Referring to the drawings more particularly by reference numbers, number 20 refers generally to a bandage constructed according to one embodiment of the present invention. The bandage 20, sho~n in F~GURE 1, has two separable portions including a portion 22 and a portion 24 The portions 22 and 24 are shown as bein~ similar in shape and each is preferably formed of a plastic or plastic-like material such as are commonly used in bandages. The two portions 22 and 24 when combined in the structure 20 as shown ~ `
in FIGURE 1 have an overall size and shape similar to the ` ~
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size and shape of a more or less conventional bandage, although both the size and shape can be varied as desired `~
and as is usual in the bandage art. Each of the portions 22 ;
and 24 has an adhesive coating 26 and 28 applied respectively ,:
on corresponding sur~aces thereof, namely, the bottom surface as shown in FIGURES 1 and 2. The bottom surfaces may also have a gauze or other similar plain or medicated absorbent ~I material positioned on the adhesive coatings 26 and 28, or the i , ~ bandage may be constructed without any absorbent or medicated '~ 20 material, which latter construction may in some cases be ~;
preferred. In addition to the features described above, the bandage portion 22 has an attached or integral ridge or flange --30 whiah extends along one side thereof. In like manner the bandage portion 24 has an elongated ridge or flange portion 32 along one of the side edges. Referriny to FIGURES 2 and 3 it can be seen that the flange portion 30 has one or more sidewardly extending elongated beads 34 and 36, and the flange portion 32 has elongated groove6 38 and 40 which are shaped to cooperatively receive and engage the beads 34 and 36 ~hen the ..
beads are pressed into the respective grooves. Cooperating ~ , _5_ .

10~08~7 beads and grooves of this general type are well known and widely used, and the flanges 30 and 32 are preferably formed ; of some plastic or plastic-like material having proper resiliency and flexibility characteristics. Certain kinds of plastic are particularly suitable for this type of construction including some of the well known film or sheet forming plastics such as polyethylene, polypropylene, polyvinyl chloride, and the like. Natural ana synthetic ;
rubbers can also be used for this purpose.
la FIGURE 4 ~hows another embodiment 41 of the same basic construction wherein the two bandage port~ons, identified as portions 42 and 44, are connected integrally at one end of the bandage 46. Over the rest of the length of the bandage, however, the portions 42 and 44 are separate or separable, each separable portion ~eing provided with a resilient and flexible flange portion 48 and 50, respectively, each of which ;; is disposed at substantially a right angle to the correspondingseparable portion. The flange portions 48 and 50 m~y be similar to the flange portions 30 and 32, and they may be ~
constructed to have one or more cooperating beads and grooves. ~ -It is also contemplated to construct the bandage of FIGURE 4 ~ with integral portions at both ends, if desired; in which - case, only the inbetween portion~ will have cooperative flangemeans for attaching them together. Each of the portions 42 and 44 has an adhesive coating 43 and 45 applied, respectively, ~^` to the bottom surfaces thereof. The adhesive coatings 43 and 45 may also be provided ~ith protective overlayers of an easily removable material 47 and~4-9, respectively, which may be formed of wax or wax-like material or plastic. Such ~ 3a . layers of materials are also well known and commercially : -!
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~()50847 available and are removed just prior to the application of the subject bandage to the skin.
FIGURE S illustrates application of the bandage construction shown in FIGUR~ 4 to a wound such as to a skin laceration or cut in the upper arm. The skin laceration is identi~ied by the number 52. In FIGURE 5 -the bandage portion 42 is adhesively attached to the skin along one side :, ;
of the laceration 52 and the other portion 44 is adhesively attached to the skin along the opposite side of the laceration, lQ thus the wound i5 disposed between the portions 42 and 44.
It is normally also desirable to have the edges of the flanges 48 and 50 close to the edges of the laceration or, in some cases, slightly spaced therefrom, but it is not usually ; desirable that the banda~e portions or the flanges overhang j the wound itself so that when the flanges are brought together for joinder they cooperate with the bandage portions to close the wound. The positions of the bandage portions after being ., . . ~ .
attached are even more clearly shown in FIGURE 6 where it ~ `~

can be seen that the skin along one side of the laceration , 20 is a &esi~ely attached to the bandage portion 42 and the - edge of the wound is immediately adjacent attaching means :, :
48, while the skin on the opposite side of the laceration 5~ correspondingly is a &esiYely attached to the bandage portion 44 with the edge of the wound adiacent attaching means ~ -:.` ' ' :, :
-,:! 50. The adhesi~e attachment of the bandage portions 42 and 44 is accomplished with the bandage portions separated from each other hy the width of the wound therebet~een or by a .. ' :, i slightly greater distance. This is usually done after the ~-flesh has been cleaned or treated adjacent to the skin separation. Thereafter with the two bandage portions ;,: ` .
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~05~ 7 adhesively attached in the positions shown in FIGURES 5 and 6, pressure is applied a}ong the members 48 and 50, usually starting at one end thereof, ~o bring the cooperating engagable means thereon together and into engagement. As this is done, the bandaga draws the torn skin together, .
to be left in place until the healing process is completed. .
It is anticipated that in many cases it may be possible to use the subject bandages to draw the skin close enough .
together so that it is not necessary to use any surgical stitches, thus avoiding sutural cicatrix normally associated therewith. In those cases where stitching is necessary, the subject bandage may be used in combination therewith and ::
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~ as a substitute for the topmost layer thereof to avoid suture -:

; marks as above. The cooperating means are shown enlarged for the sake of clarity, but they are preferably relatively `~.

small in cross-section and relatively close to the adhesively :.
coated bandage ltself to maximize the pulling and holding ~ ~ force on the skin. ~ :

.. FIGURE 7 shows a modified embodiment wherein only .. 1 20 one groove and cooperating bead are included in the cooperating . '~!
attachment means. Selection of a particular embodiment ~:
depends on the desired holding power and the materials used ~. :
in the cooperating parts. In this construction, as above, ~;
the joining of the cooperating parts is accomplished without pressure being applied downwardly into or against the wound.
FIGURE 8 shows the two-piece bandage 20 of the type :~ shown in FIGURE 1 being applied to an open wound in the upper arm. In this case, the two separate bandage portions `~
- 22 and 24 are separately applied by means of adhesive coatings .~ -~
; 30. 26 and 28, respectively, to the skin in the positions shown, . ~

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..', adjacent the injured area and in spaced relationship to each other. Once this is done, it is a simple matter to briny the cooperative flange portions 30 and 32 i.nto engagement along the length of the bandage. This is usually done starting at one end of the bandage by pressing the flanges together using the fingers or some other pressing means.
As the flanges are joined, the skin along the wound is brought together to be held during the healing process. It is also apparent that the present construction enables adjustment to be made in the holding force applied in closing the wound by properly positioning the separate bandage portions. This is an important advantage since if the bandage is too tight for comfort or too loose for effective non-scarring joinder of the wound as initially applied, adjustment can be made either by ... .
relocating the separate bandage portions before rejoining them or by replacing them with new bandage parts. This, therefore, affords a relatively inexpensive way for achieving the most desirable healing condition.
FIGURE 9 shows a somewhat modified embodiment of 2Q the aforesaid constructions wherein the bandage is provided with gauze or other absorbent bandage pads 54 and 55 which are attached in the usual manner to the adhesive side of the bandage. The gau2e in this case extends only part way to the side edges of bandage portions 22 and 24, respectively, as ` shown in FIGURE 9. It is also contemplated as mentioned above, ;~ to use a construction wherein there is no gauze or medicated pad provided; in which case, the adhesive parts of the ~ bandage portions are applied directly to the skin adjacent the I edge of the wound. This embodiment usually provides the greatest and best holding power along the length of the wound, . . .
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but it may be desirable to perorate the separate bandage portions at various locations, especially adjacent the injury, to permit blood and other body fluids to escape.
In this type of construction, an absorbent gauze overlayer or pad may be applied over the top of the attached bandage portions to absorb the fluids escaping from the injury. The overlayer or pad can be attached in any convenient way such as by using adhesive tape or other attaching means.
FIGURE 10 sho~s another embodiment 60 of the subject bandage construction wherein the bandage portions 62 and 64 have respective ~longated s.ide edge flanges 66 and 68. The flange 66, in this case, has a plurality of sidewardly extending knobs or beads 70 which are formed by narrow neck portions 72 and larger diameter head portions 74. The flange 68, on the other hand, has a plurality o~ spaced holes 76 positioned to cooperatively receive the knobs 70 when the two portions 66 and 68 are pressed together, see FIGURE 11. No gauze is ~`~
provided under the bandage portions 62 and 64, but they are perforated as at 78 to facilitate the escape of body fluids such as blood from the wound. The use and application of construction 60 is similar to that described above for other ~-constructions. The con~truction in FIGURE 10 is also shown --;
having an absorbent gauze o~erlayer 79 which is taped as by adhesive tape 81 or otherwise attached to absorb any escaping , I ~,, . :
~ ~lood or the like.
I FIGURE 12 shows another form 80 of the attaching means formed on the separable bandage portions 82 and 84. In : I , . ~
:~ this case the cooperating means are found on flange portions 86 and 88 which are in the plane of the bandage portions 82 and 84. The flange 86 in this construction has one or more , " -10-.', : . , :: . . . ,- , ' ~ :`, ` : ` ' `1 . ~
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elongated beads 90 which are shown extending upwardly there~rom for engagement with complementary shaped elongated grooves 92 found in the flange 88. Application of the bandage 80 is similar to that for the a~ove constructions except that in this case the pressure applied to ~oin the bandage portions 82 .
and 84 is applied in a downward direction adjacent the damaged flesh rather khan being applied in a direction normal thereto.
In the construction 80 the bandage portions 82 and 84 are also shown having gauze pads 94 and 95 applied respectively to : 10 a portion of their adhesive sides 83 and 85. The adhesive sides as well as the gauze pads may also be overlayed with `~
~ another layer of a remov~ble and disposable material, such as : are co.mmonly used on many bandages.
FIGU~E 13 shows embodiment lQ0 wherein the means or atkaching the separable bandage portions together include flanges 102 and 104 which have attaching means such as ~.
cooperating VELCRO means 106 and 108 applied thereto. VE~CRO ~:
i5 a trademark of John Dritz and Sons and is a type of attaching , means wherein one member includes many little tines or hooks :
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: 20 and another member has a fabric or fabric-like material that is gripped and held by the tines when they are b.rought into engagement. In this case the bandage is applied as before and after the portions are adhesively attached to the skin, the flanges 102 and 104 are brought together so that their cooperating means become entangled and interlocked thereby.
; FIGURE 14 shows another bandage 110 which has flanges 112-and 114 attached to separable bandage portions ' 116 and 118, respectively. One or both of the ~lan~es 112 : and 114 has an adhesive 12~ applied to it, and the adhesive is overlayed before use with a removable disposable strip or .

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strips 122 and 124. The strips 122 and 124 can be made as a sinyle folded member, one or both ends of which extend beyond the ends of the respective flanges 112 and 114 to facilitate removal therefrom. Similax non-adhesive members 126 and 128 can be applied to the other adhesive portions of the bandage as shown. The members 126 and 128 have end tabs or they can be lapped at the center of the bandage to ; permit ease of remo~al. In some cases only one of the flanges 112 and 114 need have an adhesive coating, although it is normally preferable to have adhesive on both to increase holding po~er.
FIGURE 15 shows yet another embodiment 130 which ;~
is similar to the above described constructions except that in this case the flanges 132 and 134 are provided with a moYahle zipper-type operator member or slide fastener 136 which can be easily moved in either direction along the flanges to unite them or separate them in a manner common to zippers. The engagable means found on flanges 132 and ~`
134 may be as described in FIGURES 1-14 or may consist of 2Q i~terlocking tabs in the manner of ordinary placket zippers.
It is also contemplated to combine various of the bandage features disclosed herein as desired to achieve a particular construction or desired result. Thus there has been shown and described a novel bandage construction which ful$ills all of the objects and advantages sought therefor. Many changes, modifications, variations, and other uses and applications of the present bandage construction ~ill, however, become apparent to those skilled in the art after con~idering this application and the accompanyiny dra~in~s; all such changea, modifications, variations, and , '`, ' ~, ' 105a 8~7 ~:
other uses and applications which do not depart from :-the spirit and scope of the in~ention are deemed to be covered by the invention ~hich is limited only by the claims which follow.

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Claims (19)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:-

1. A bandage for closing a wound comprising first and second strip portions of a relatively flexible material, each of said strip portions having a skin attaching surface and a flange formed of a flexible material extending along one side edge there-of, a coating of an adhesive substance applied to at least a por-tion of said skin attaching surfaces on each of said strip por-tions for attaching the said strip portions to the skin in spaced relationship to each other and along opposite edges of the wound, at least a portion of the adhesive substance on each of said strip portions extending to the side edges of the respective surfaces thereof which are to be attached along opposite edges of the wound, and cooperating engageable means including elongated male and female members extending respectively along each of said flanges, said male member being movable into cooperative resili-ent engagement with the female member when pressure is applied against the respective flanges in a direction to press the male and female members together thereby to unite and hold the strip portions and the skin along opposite side edges of the wound to-gether.

2. The bandage defined in claim 1 wherein said cooperating engageable means includes interlocking means and slide fastener means to bring said interlocking means together and into engage-ment.

3. The bandage defined in claim 1 wherein the cooperatively engageable means include a sidewardly extending rib portion on the flange of the first strip portion, and the flange on said second strip portion has a groove of a size and shape to cooperatively .
receive and hold said rib portion when pressure is applied to push said rib portion into said groove.

4. The bandage defined in claim 1 wherein a nonadhesive absorbent bandage pad is located partially across said adhesive coating on the bottom surface of at least one of said strip por-tions and at an intermediate location along said strip portion.

5. The bandage defined in claim 1 wherein said first and second strip portions are formed of a flexible plastic material.

6. A bandage-like construction for closing a skin separa-tion thus obviating the necessity of surgically stitching compris-ing a flexible bandage-like member formed by separable first and second portions each of which has an adhesive substance applied to corresponding surfaces thereof for attaching the respective portions to the skin in spaced relationship to each other adjacent to opposite edges of the skin separation to be closed, and means for joining the separate first and second portions and the skin to which they are attached together including elongated flange means including respectively elongated male and female mating mem-bers respectively on said first and second portions located there-on extending along said edges thereof adjacent to the edges of the skin separation, said adhesive substance applied to each of said first and second portions extending to the respective edges there-of which are to be attached extending along opposite side edges of the skin separation, said mating members being movable toward each other into mating condition to hold the first and second por-tions and the attached skin together in closing the skin separa-tion.

7. The bandage construction defined in claim 6 wherein each of said first and second bandage portions has a removable protec-tive covering applied over the adhesive coating substance thereon.

8. The bandage construction defined in claim 6 wherein said cooperating male member includes an elongated bead extending side-wardly from along the side edge of the said associated first ban-dage portion and the female member includes an elongated groove extending along the side edge of said second bandage portion, which groove being constructed to cooperatively receive said bead therein when said bead is pressed into engagement therewith.

9. Means for closing a skin separation during healing com-prising a bandage-like structure having first and second portions each including a strip portion having opposite surfaces and spaced side edges, a coating of an adhesive applied to corresponding sur-faces of said portions for attaching the first portion to the skin extending along one side of the skin separation and for attaching the second portion to the skin extending along the opposite side of the skin separation in spaced relationship to the first portion, said adhesive extending to the respective side edges of the first and second portions which are positioned to extend along opposite side edges of the skin separation, and cooperatively engageable means respectively on said first and second portions on the side edges of the portions to be located extending along the respective side edges of the skin separation, said cooperatively engageable means including elongated flanges extending along the respective side edges of said portions, and means on said flanges which be-come engaged to hold the flanges together when pressure is applied against the flanges in a direction to press the flanges against each other.

10. The bandage defined in claim 9 wherein at least one of said first and second strip portions has a plurality of spaced perforations.

11. The means defined in claim 9 wherein the cooperatively engageable means include zipper means.

12. The means defined in claim 9 wherein the cooperatively engageable means include VELCRO fastener means.

13. The means defined in claim 9 wherein the cooperatively engageable means include adhesive means.

14. The means defined in claim 9 wherein the cooperatively engageable means include respective flanges on the first and sec-ond portions and male type means on one of the flanges and female type means on the other of said flanges.

15. The means defined in claim 9 including an operator mem-ber movable in one direction to unite the cooperatively engageable means and in another direction to separate the said cooperatively engageable means.

16. The means defined in claim 9 wherein the first and sec ond portions are flexible perforated members each having an adhe-sive substance on one side for attaching it to the skin.

17. The means defined in claim 16 including a layer of an absorbent material overlaying the said first and second attached portions and means for attaching the absorbent overlayer to the skin.

18. The means defined in claim 9 wherein said cooperatively engageable means include means that become engaged when pressure is applied to them in a direction in the plane of the first and second portions.

19. The means defined in claim 9 wherein the said coopera-tively engageable means include means that become engaged when pressure is applied to them in a direction normal to the plane of the first and second portions.