Adhesive-containing wound closure device and method

a wound closure and adhesive technology, applied in the field of medical and surgical wound closure and management, can solve the problems of additional pain and trauma to the patient, cosmetically unattractive wound closure marks, and additional trauma to the wound, so as to improve wound approximation, improve wound closure, and improve wound approximation

Inactive Publication Date: 2005-08-18
ETHICON INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0015] In embodiments, the materials and methods of the present invention provide significant advantages over the current materials and methods for wound closure. The materials and methods of the present invention can fully replace the use of bandages, sutures, and / or staples on a variety of wounds and tissue surfaces, thereby providing not only improved wound approximation, but also improved wound closure. These advantages include, among others, improved wound closure, provision of an improved durable microbial barrier, reduced procedure time, improved cosmesis, less pain (during staple / suture removal) resulting in increased patient satisfaction, and improved financial / economic outcomes by eliminating follow-up visits for staple / suture removal.

Problems solved by technology

However, suturing involves additional trauma to the wound, as the needle and suture material must be passed through the tissue at the margins of the wound.
In addition, suturing can cause cosmetically unattractive wound closure marks, can be time consuming, and, depending on techniques and types of sutures used, may require removal.
Such removal entails further medical attention and can involve additional pain and trauma to the patient particularly if the sutures become embedded in the wound.
Surgical staples have disadvantages similar to sutures in terms of cosmetic result.
Further, removal of the staples can be painful and, depending on location and patient pain threshold, may require topical anesthetics.
However, the contact adhesives that are used with such strips typically retain holding power for no more than a day or two and can lose holding power quickly in the presence of moisture, for example, perspiration.
However, these approaches have typically met the same issues as described above for the individual approaches, namely difficulties arising from the use of the sutures, staples and / or bandages or tapes.

Method used

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  • Adhesive-containing wound closure device and method
  • Adhesive-containing wound closure device and method
  • Adhesive-containing wound closure device and method

Examples

Experimental program
Comparison scheme
Effect test

example 1

[0137] A patient is presented having a one inch cut on the arm. The cut does not extend fully through the dermal layers of the skin.

[0138] Following suitable washing, disinfecting and drying of the area around the cut, a 2-inch length of the prepared flexible substrate is applied to the wound site. The flexible substrate is applied by first removing one of the two release strip papers and affixing the pressure sensitive adhesive edge to one side of the cut, about 7 / 8 inch from the edge of the cut. The second release strip paper is then removed from the flexible substrate. After approximating the wound edges using slight pressure applied by two fingers, the remaining pressure sensitive adhesive edge of the flexible substrate is applied to the other side of the cut, about 7 / 8 inch from the edge of the cut. The flexible substrate extends about ½ inch beyond each end of the wound.

[0139] A quantity of a stabilized 2-octyl cyanoacrylate adhesive is applied to the exposed surface of the ...

example 2

[0141] A patient is presented having a four inch cut on the leg. The cut extends fully through the dermal layers of the skin.

[0142] Following suitable washing, disinfecting and drying of the area around the cut, subcutaneous dissolvable sutures are used to approximate and close the subcutaneous layers in the wound. Next, a 5-inch length of the prepared flexible substrate is applied to the wound site. The flexible substrate is applied by first removing one of the two release strip papers and affixing the pressure sensitive adhesive edge to one side of the cut, about 7 / 8 inch from the edge of the cut. The second release strip paper is then removed from the flexible substrate. After approximating the wound edges using slight pressure applied by the hands, the remaining pressure sensitive adhesive edge of the flexible substrate is applied to the other side of the cut, about 7 / 8 inch from the edge of the cut. The flexible substrate extends about ½ inch beyond each end of the wound.

[014...

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Abstract

A tissue bonding article includes a flexible material, an adhesive substance applied over at least a portion of a bottom side of the flexible material, and a polymerizable adhesive composition permeated throughout at least a portion of the flexible material.

Description

BACKGROUND OF THE INVENTION [0001] 1. Field of Invention [0002] The present invention relates to medical and surgical wound closure and management, and methods for making and using such devices. In particular, the present invention relates to medical and surgical wound closure and management, and related methods, where the device incorporates a polymerizable adhesive material. The materials and methods of the present invention provide an improvement over, and a substitute for, conventional bandages, sutures and staples, and provide improved methods for both approximating and covering wounds, thus providing improved wound management. [0003] 2. Description of Related Art [0004] There are currently in primary use at least four basic ways for closing wounds resulting from surgical incisions or accidental lacerations. These are sutures, surgical staples, surgical skin tapes, and adhesive compositions. Sutures are generally recognized as providing adequate wound support for the duration o...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/08A61F13/02
CPCA61B17/085A61B17/00491A61F13/023A61F13/0203A61L24/001A61L24/0036A61L24/0042A61L24/06A61L2400/16
Inventor JONN, JERRYHOSKIN, GLENNQUINTERO, JULIAN
Owner ETHICON INC
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