US3054404A - Skin graft applicator - Google Patents

Skin graft applicator Download PDF

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Publication number
US3054404A
US3054404A US131434A US13143461A US3054404A US 3054404 A US3054404 A US 3054404A US 131434 A US131434 A US 131434A US 13143461 A US13143461 A US 13143461A US 3054404 A US3054404 A US 3054404A
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Prior art keywords
pleat
sheet
skin graft
applicator
pleats
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Expired - Lifetime
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US131434A
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Cicero P Meek
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/10Hair or skin implants
    • A61F2/105Skin implants, e.g. artificial skin

Definitions

  • This invention relates to a skin graft applicator, a method of making the same, and a method of applying a skin graft to a patient.
  • the purpose of the present invention is to provide a method and means for applying skin graft material to a predetermined area on a patient whereby the material is properly and efliciently distributed over the desired area in sufficient quantity to effect growth of new skin on the patient and employing only a minimum quantity of live skin from a donor.
  • a small quantity of live skin from a donor is cut into small squares or pieces of other shape and is mixed with an appropriate carrier material to form a spreadable mixture. It is desirable that this spreadable mixture be applied to the patients body in spaced, relatively small, quantities which start to grow and spread to cover the entire area.
  • Applicant employs an applicator means comprising a sheet of fiex ible material, preferably cloth, folded and pleated in such a manner that small discrete and normally spaced areas on one face of the sheet are placed in contiguous relation. The skin graft material is then spread, in a thin layer, over the folded portion of the sheet to cover all of the discrete areas.
  • the sheet is then stretched to its unfolded condition, which separates the skin graft material into relatively small but regularly spaced portions distributed uniformly over a face of the unfolded sheet.
  • the applicator is then applied to the patients body with the spaced portions of skin graft material innermost and the material is thus transferred to the area where the skin graft is desired.
  • the sheet material may be left in position and serve as a temporary bandage until the material has started to grow and adheres to the patients tissues, after which it may be removed and the area treated or rebandaged as desired.
  • Another object of the invention is to provide a novel applicator for achieving the objectives of the invention.
  • Still another object is to provide a novel method of making a skin graft applicator embodying the present invention.
  • a further object is to provide a novel method of grafting skin over a predetermined area on a patients body.
  • FIG. 1 is a plan view of an applicator embodying the present invention, and ready for use;
  • FIG. 2 is a plan view of the applicator of FIG. 1 in the early stages of folding the same to the desired condition, and;
  • FIG. 3 is a fragmentary enlarged, sectional view through the applicator as seen on any one of the lines 3-3 of FIGS. 1 and 2.
  • a sheet of suitable flexible material 2 is folded to form two sets of parallel pleats, each set extending transversely of the other set.
  • material is preferably cloth which may be easily and effectively sterilized although the invention is not limited thereto and other suitable flexible sheet materials may be found and employed.
  • the sheet 2 is first folded in an obvious manner to form a first pleat 4 extending thereacross and pressed snugly against the upper face of the sheet 2.
  • a second pleat 6 is then folded in the material 2 in a direction transverse to the first pleat 4 and which includes the folds of the first pleat. As shown, the pleat 6 extends at right angles to the pleat 4. This relationship is preferred although obviously the angular relationship need not be exactly as shown.
  • a third pleat 8 is formed adjacent the first pleat 4 and parallel thereto, which pleat extends across the second pleat 6 and includes the layers thereof within its folds.
  • the second pleat 8 and subsequent pleats are folded to lie on the same face of the sheet material 2 and to extend in the same direction thereover. This relationship, however, is not essential since the pleat 8 (FIG. 3) could with equal facility be folded in the opposite direction to extend toward the pleat 4, if de-- sired, so long as it does not entirely cover the first pleat.
  • a fourth pleat 10 is folded paraliel and adjacent to the pleat 6 and extending across both pleats 4 and 8. Thereafter additional pleats are folded in the same manner, alternating in parallelism to first pleat 4 and second pleat 6, until the structure of FIG. 1 is produced.
  • the number of pleats and size of the sheet material 2 may be any value desired to give a cross-pleated area of the desired size.
  • the cross-pleated area of the sheet 2 exposes only discrete and contiguous area portions 12 of the upper surface of original sheet 2.
  • the pleats having been formed at right angles and alternately and in a sense interlock with each other which prevents inadvertent or accidental unfolding, whereby the structure remains in the form shown in FIG. 1 until forcibly stretched to extended position. It is preferred that the pleats be permanently creased, as by pressing with a hot iron.
  • the small discrete surface portions 12 are uniformly and evenly distributed over the surface of sheet 2 when the latter is stretched to its unfolded condition.
  • the surface portions 12 are spaced apart when the sheet is stretched but are contiguous when cross-pleated, as in FIG. 1.
  • a previously prepared skin graft material comprising small particles of donor skin and a suitable carrier is spread over the cross-pleated area of the applicator of FIG. 1 to completely cover the same and thereby cover each of the areas 12.
  • the appliactor is stretched to the unfolded condition of FIG. 2 whereupon the layer of skin graft material is separated into small rectangular portions, each covering one of the areas 12, which effects a uniform distribution of the material over the applicator sheet and enables a skin graft to be made over a much larger area than encompassed by the cross-pleated portion of FIG. 1.
  • the applicator is applied to the patients body in the manner previously set forth to place the skin graft material in proper position against the patients tissues to adhere thereto and to grow and form new skin.
  • a skin graft applicator comprising; a sheet of flex- I ible material folded and creased to define two sets of parallel pleats; said sets of pleats extending transversely to each other whereby to expose only spaced discrete portions of a face of said flexible material, said portions being in contiguous relation when said sheet is pleated as described; the layers of material comprising said pleats being free of securement to each other whereby said pleated sheet may be pulled to unpleated flat condition wherein said discrete portions are spaced apart in noncontiguous relation.
  • the method of forming a skin graft applicator comprising the steps of: folding a sheet of flexible material to form a first pleat thereacross; folding a second pleat across said material, transverse to said first pleat,
  • the method of applying a skin graft comprising the steps of: folding a sheet of material to position normally spaced discrete surface portions of one face thereof in contiguous relation; spreading a layer of skin graft material, comprising small particles of donor skin, on said contiguous surface portions; unfolding said sheet of material to separate said surface portions whereby the skin graft material thereon is separated into spaced portions on one face of said unfolded sheet; and applying said one face against a donees body to thereby transfer said spaced portions of skin graft material to said donee.

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dermatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)

Description

Sept. 18, 1962 c. P. MEEK 3,054,404
SKIN GRAF'T APPLICATOR Filed Aug. 14, 1961 IN VEN TOR.
H TTOE/VE Y5 ijfiiifiei rates Fatenr 3,954,4d4 Patented Sept. 18, 1962 fine 3,054,494 SKIN GRAFI APPLICATUR Cicero P. Meek, 105 Jackson Drive, Aiken, S.C. Filed Aug. 14, 1961, Ser. No. 131,434 4 Claims. (Cl. 128-260) This invention relates to a skin graft applicator, a method of making the same, and a method of applying a skin graft to a patient.
The purpose of the present invention is to provide a method and means for applying skin graft material to a predetermined area on a patient whereby the material is properly and efliciently distributed over the desired area in sufficient quantity to effect growth of new skin on the patient and employing only a minimum quantity of live skin from a donor.
According to applicants method a small quantity of live skin from a donor is cut into small squares or pieces of other shape and is mixed with an appropriate carrier material to form a spreadable mixture. It is desirable that this spreadable mixture be applied to the patients body in spaced, relatively small, quantities which start to grow and spread to cover the entire area. Applicant employs an applicator means comprising a sheet of fiex ible material, preferably cloth, folded and pleated in such a manner that small discrete and normally spaced areas on one face of the sheet are placed in contiguous relation. The skin graft material is then spread, in a thin layer, over the folded portion of the sheet to cover all of the discrete areas. The sheet is then stretched to its unfolded condition, which separates the skin graft material into relatively small but regularly spaced portions distributed uniformly over a face of the unfolded sheet. The applicator is then applied to the patients body with the spaced portions of skin graft material innermost and the material is thus transferred to the area where the skin graft is desired. The sheet material may be left in position and serve as a temporary bandage until the material has started to grow and adheres to the patients tissues, after which it may be removed and the area treated or rebandaged as desired.
It is therefore an object of the present invention to provide a skin graft applicator and method of high efficiency and simplicity and which effects a proper and uniform distribution of skin graft material over the desired area.
Another object of the invention is to provide a novel applicator for achieving the objectives of the invention.
Still another object is to provide a novel method of making a skin graft applicator embodying the present invention.
A further object is to provide a novel method of grafting skin over a predetermined area on a patients body.
Additional objects and advantages will become apparent to those skilled in the art as the description proceeds with reference to the accompanying drawings wherein:
FIG. 1 is a plan view of an applicator embodying the present invention, and ready for use;
FIG. 2 is a plan view of the applicator of FIG. 1 in the early stages of folding the same to the desired condition, and;
FIG. 3 is a fragmentary enlarged, sectional view through the applicator as seen on any one of the lines 3-3 of FIGS. 1 and 2.
The drawings herein illustrate a preferred form of the invention although, as will be pointed out, the applicator may be formed in other ways.
Referring first to FIG. 2, a sheet of suitable flexible material 2 is folded to form two sets of parallel pleats, each set extending transversely of the other set. The
material is preferably cloth which may be easily and effectively sterilized although the invention is not limited thereto and other suitable flexible sheet materials may be found and employed.
In forming the applicator the sheet 2 is first folded in an obvious manner to form a first pleat 4 extending thereacross and pressed snugly against the upper face of the sheet 2. A second pleat 6 is then folded in the material 2 in a direction transverse to the first pleat 4 and which includes the folds of the first pleat. As shown, the pleat 6 extends at right angles to the pleat 4. This relationship is preferred although obviously the angular relationship need not be exactly as shown.
After the second pleat 6 is folded across the material, a third pleat 8 is formed adjacent the first pleat 4 and parallel thereto, which pleat extends across the second pleat 6 and includes the layers thereof within its folds. As shown, the second pleat 8 and subsequent pleats are folded to lie on the same face of the sheet material 2 and to extend in the same direction thereover. This relationship, however, is not essential since the pleat 8 (FIG. 3) could with equal facility be folded in the opposite direction to extend toward the pleat 4, if de-- sired, so long as it does not entirely cover the first pleat.
After the pleat 8 is formed, a fourth pleat 10 is folded paraliel and adjacent to the pleat 6 and extending across both pleats 4 and 8. Thereafter additional pleats are folded in the same manner, alternating in parallelism to first pleat 4 and second pleat 6, until the structure of FIG. 1 is produced. Obviously, the number of pleats and size of the sheet material 2 may be any value desired to give a cross-pleated area of the desired size.
As is obvious from FIGS. 1 and 3, the cross-pleated area of the sheet 2 exposes only discrete and contiguous area portions 12 of the upper surface of original sheet 2. The pleats having been formed at right angles and alternately and in a sense interlock with each other which prevents inadvertent or accidental unfolding, whereby the structure remains in the form shown in FIG. 1 until forcibly stretched to extended position. It is preferred that the pleats be permanently creased, as by pressing with a hot iron.
By reference to FIG. 2, it will be seen that the small discrete surface portions 12 are uniformly and evenly distributed over the surface of sheet 2 when the latter is stretched to its unfolded condition. The surface portions 12 are spaced apart when the sheet is stretched but are contiguous when cross-pleated, as in FIG. 1.
In use, a previously prepared skin graft material, comprising small particles of donor skin and a suitable carrier is spread over the cross-pleated area of the applicator of FIG. 1 to completely cover the same and thereby cover each of the areas 12. Thereafter, the appliactor is stretched to the unfolded condition of FIG. 2 whereupon the layer of skin graft material is separated into small rectangular portions, each covering one of the areas 12, which effects a uniform distribution of the material over the applicator sheet and enables a skin graft to be made over a much larger area than encompassed by the cross-pleated portion of FIG. 1.
Finally, the applicator is applied to the patients body in the manner previously set forth to place the skin graft material in proper position against the patients tissues to adhere thereto and to grow and form new skin.
The alternate cross-pleating described with reference to FIG. 1 is, as stated, the preferred method of forming the applicator. However, all pleats of one set may be initially formed in the set and thereafter the sheet may be folded to form all of the pleats of the second set extending transversely thereto. Such an applicator may be used in the same manner and with the same results employed without departing from the scope of applicants' invention.
While a limited number of specific embodiments of the invention are described herein, the same are merely illustrative and other forms may be resorted to Within the scope of the appended claims.
I claim:
1. A skin graft applicator comprising; a sheet of flex- I ible material folded and creased to define two sets of parallel pleats; said sets of pleats extending transversely to each other whereby to expose only spaced discrete portions of a face of said flexible material, said portions being in contiguous relation when said sheet is pleated as described; the layers of material comprising said pleats being free of securement to each other whereby said pleated sheet may be pulled to unpleated flat condition wherein said discrete portions are spaced apart in noncontiguous relation.
2. 'A skin graft applicator as defined in claim 1 wherein the pleats of at least one set include Within their folds the overlying layers of material defining pleats of the other set, whereby the pleats of said sets are temporarily interlocked to prevent inadvertent unfolding thereof.
' 3. The method of forming a skin graft applicator, comprising the steps of: folding a sheet of flexible material to form a first pleat thereacross; folding a second pleat across said material, transverse to said first pleat,
extending thereacross and including the layers of said first pleat in its folds; folding a third pleat across said material, adjacent and parallel to said first pleat and extending across said second pleat; folding a fourth pleat across said material adjacent and parallel to said second pleat and extending across said first'and third'pleats; and folding additional pleats in said material, alternately parallel to said first and second pleats, respectively until a desired area of pleated material is formed.
4. The method of applying a skin graft, comprising the steps of: folding a sheet of material to position normally spaced discrete surface portions of one face thereof in contiguous relation; spreading a layer of skin graft material, comprising small particles of donor skin, on said contiguous surface portions; unfolding said sheet of material to separate said surface portions whereby the skin graft material thereon is separated into spaced portions on one face of said unfolded sheet; and applying said one face against a donees body to thereby transfer said spaced portions of skin graft material to said donee.
References Cited in the file of this patent UNITED STATES PATENTS Reese Jan. 22, 1952 Glickman Aug. 30, 1955 OTHER REFERENCES
US131434A 1961-08-14 1961-08-14 Skin graft applicator Expired - Lifetime US3054404A (en)

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030157521A1 (en) * 1999-04-12 2003-08-21 Afar Daniel E. Novel 13-transmembrane protein expressed in prostate cancer
US20120035619A1 (en) * 2010-08-06 2012-02-09 MoMelan Technologies, Inc. Methods for applying a skin graft
US8562626B2 (en) 2010-08-06 2013-10-22 MoMelan Technologies, Inc. Devices for harvesting a skin graft
US8617181B2 (en) 2010-08-06 2013-12-31 MoMelan Technologies, Inc. Methods for preparing a skin graft
US8978234B2 (en) 2011-12-07 2015-03-17 MoMelan Technologies, Inc. Methods of manufacturing devices for generating skin grafts
US9173674B2 (en) 2010-08-06 2015-11-03 MoMelan Technologies, Inc. Devices for harvesting a skin graft
US9610093B2 (en) 2010-08-06 2017-04-04 Kci Licensing, Inc. Microblister skin grafting
US9962254B2 (en) 2013-03-14 2018-05-08 Kci Licensing, Inc. Absorbent substrates for harvesting skin grafts
US9993261B2 (en) 2013-12-31 2018-06-12 Kci Licensing, Inc. Sensor systems for skin graft harvesting
WO2019014634A1 (en) * 2017-07-14 2019-01-17 Endologix, Inc. Stent grafts and methods of enhancing flexibility of stent grafts by thermal pleating
US10463392B2 (en) 2013-12-31 2019-11-05 Kci Licensing, Inc. Fluid-assisted skin graft harvesting
US10912861B2 (en) 2015-04-09 2021-02-09 Kci Licensing, Inc. Soft-tack, porous substrates for harvesting skin grafts
US11006974B2 (en) 2015-11-03 2021-05-18 Kci Licensing, Inc. Devices for creating an epidermal graft sheet

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2583341A (en) * 1950-03-21 1952-01-22 John D Reese Skin graft receiving member
US2716407A (en) * 1953-11-16 1955-08-30 George J Glickman Skin covering material

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2583341A (en) * 1950-03-21 1952-01-22 John D Reese Skin graft receiving member
US2716407A (en) * 1953-11-16 1955-08-30 George J Glickman Skin covering material

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030157521A1 (en) * 1999-04-12 2003-08-21 Afar Daniel E. Novel 13-transmembrane protein expressed in prostate cancer
US10537355B2 (en) 2010-08-06 2020-01-21 Kci Licensing, Inc. Microblister skin grafting
US20120035619A1 (en) * 2010-08-06 2012-02-09 MoMelan Technologies, Inc. Methods for applying a skin graft
US8562626B2 (en) 2010-08-06 2013-10-22 MoMelan Technologies, Inc. Devices for harvesting a skin graft
US8617181B2 (en) 2010-08-06 2013-12-31 MoMelan Technologies, Inc. Methods for preparing a skin graft
US9173674B2 (en) 2010-08-06 2015-11-03 MoMelan Technologies, Inc. Devices for harvesting a skin graft
US9597111B2 (en) * 2010-08-06 2017-03-21 Kci Licensing, Inc. Methods for applying a skin graft
US9610093B2 (en) 2010-08-06 2017-04-04 Kci Licensing, Inc. Microblister skin grafting
US20170224369A1 (en) * 2010-08-06 2017-08-10 Kci Licensing, Inc. Methods For Preparing A Skin Graft
US11083487B2 (en) * 2010-08-06 2021-08-10 Kci Licensing, Inc. Methods for preparing a skin graft
US8978234B2 (en) 2011-12-07 2015-03-17 MoMelan Technologies, Inc. Methods of manufacturing devices for generating skin grafts
US9848908B2 (en) 2011-12-07 2017-12-26 Kci Licensing, Inc. Devices for generating skin grafts
US9962254B2 (en) 2013-03-14 2018-05-08 Kci Licensing, Inc. Absorbent substrates for harvesting skin grafts
US10463392B2 (en) 2013-12-31 2019-11-05 Kci Licensing, Inc. Fluid-assisted skin graft harvesting
US9993261B2 (en) 2013-12-31 2018-06-12 Kci Licensing, Inc. Sensor systems for skin graft harvesting
US10912861B2 (en) 2015-04-09 2021-02-09 Kci Licensing, Inc. Soft-tack, porous substrates for harvesting skin grafts
US11006974B2 (en) 2015-11-03 2021-05-18 Kci Licensing, Inc. Devices for creating an epidermal graft sheet
WO2019014634A1 (en) * 2017-07-14 2019-01-17 Endologix, Inc. Stent grafts and methods of enhancing flexibility of stent grafts by thermal pleating
CN111093533A (en) * 2017-07-14 2020-05-01 恩朵罗杰克斯股份有限公司 Stent graft and method of enhancing flexibility of stent graft by thermal pleating
JP2020527397A (en) * 2017-07-14 2020-09-10 エンドーロジックス インコーポレイテッド Stent Grafts and Methods to Increase the Flexibility of Stent Grafts by Thermally Folding
CN111093533B (en) * 2017-07-14 2024-03-08 恩朵罗杰克斯有限责任公司 Stent graft and method for enhancing flexibility of stent graft by heat pleating

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