Rapid closing surgical closure device

• US 10,010,710 B2
• Filed: 12/03/2015
• Issued: 07/03/2018
• Est. Priority Date: 09/17/2009
• Status: Active Grant

• Current Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Original Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Inventors: Belson, Amir, Beckey, Brian, Leary, James J.
• Primary Examiner(s): STRANSKY, KATRINA MARIE
• Application Number:
  US14/958,803
• Publication Number:
  US 20160114146A1
• Time in Patent Office: 943 Days
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/085 with adhesive layer
• CPC Class Codes: A61B 2017/00889 antimicrobial, disinfectant
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2017/086 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
• CPC Class Codes: A61B 2017/088 Sliding fasteners
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61F 2013/0017 possibility of applying fluid
• CPC Class Codes: A61M 2005/1581 Right-angle needle-type devices
• CPC Class Codes: A61M 2005/1586 Holding accessories for holding infusion needles on the body holding devices for catheters A61M25/02
• CPC Class Codes: A61M 2025/0057 Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings
• CPC Class Codes: A61M 2037/0007 having means for enhancing the permeation of substances through the epidermis, e.g. using suction or depression, electric or magnetic fields, sound waves or chemical agents
• CPC Class Codes: A61M 2039/0205 for injecting media
• CPC Class Codes: A61M 2202/0478 Heparin
• CPC Class Codes: A61M 25/065 Guide needles
• CPC Class Codes: A61M 39/02 Access sites
• CPC Class Codes: A61M 39/04 having pierceable self-sealing members
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/14248 of the skin patch type
• CPC Class Codes: A61M 5/2425 : by compression of deformable ampoule or carpule wall
• CPC Class Codes: A61M 5/28 : Syringe ampoules or carpules, i.e. ampoules or carpules provided with a needle
• CPC Class Codes: A61M 5/3298 : Needles arranged in parallel
• CPC Class Codes: A61N 1/326 : for promoting growth of cells, e.g. bone cells
• CPC Class Codes: A61N 1/327 : for enhancing the absorption properties of tissue, e.g. by electroporation

Abstract

A surgical or wound closure device utilizes a slide fastener for rapidly closing a surgical incision or wound with precise apposition of the sides of the incision. The surgical closure devices are configured for linear incisions, shaped incisions, such as used for wedge biopsy or excisional biopsy, and long incisions, such as used for laparotomy or surgical removal of redundant skin. The surgical closure device may be adhered to the patient'"'"'s skin prior to making an incision and is subsequently used for closing the incision.

Claims

1. A method of closing an incision, the method comprising:

adhering a first adhesion patch to a patient'"'"'s skin adjacent a first side of an incision;

adhering a second adhesion patch to the patient'"'"'s skin adjacent a second side of the incision;

penetrating the patient'"'"'s skin with an injection needle array to generate a plurality of punctures;

positioning a plurality of injection catheters of at least one injection manifold into the plurality of punctures in the patient'"'"'s skin adjacent the incision;

withdrawing the injection needle array after generating the plurality of punctures; and

delivering a fluid to or under the patient'"'"'s skin through the at least one injection manifold coupled to at least one of the first or second adhesion patches and with the plurality of injection catheters of the at least one injection manifold being positioned into the plurality of punctures.

2. The method of claim 1, wherein penetrating the patient'"'"'s skin with the injection needle array comprises advancing the plurality of injection catheters and the injection needle array concurrently into the patient'"'"'s tissue, the injection needle array penetrating through a main tube of the at least one injection manifold.

3. The method of claim 2, wherein the main tube of the at least one injection manifold self-seals after the injection needle array is withdrawn therefrom.

4. The method of claim 1, wherein at least one injection needle of the injection needle array is coaxial with at least one injection catheter of the plurality of injection catheters.

5. The method of claim 3, wherein the plurality of injection catheters are advanced subdermally.

6. The method of claim 1, wherein delivering fluid to or under the patient'"'"'s skin comprises delivering the fluid through at least one proximal connector coupled to the at least one injection manifold.

7. The method of claim 6, wherein the at least one proximal connector comprises a single proximal connector coupled to proximal ends of first and second fluid injection manifolds of the first and second adhesion patches, respectively.

8. The method of claim 6, wherein the at least one proximal connector comprises a first proximal connector and a second proximal connector, the first proximal connector being coupled to a first fluid injection manifold of the first adhesion patch and the second proximal connector being coupled to a second fluid injection manifold of the second adhesion patch.

9. The method of claim 6, wherein delivering fluid to or under the patient'"'"'s skin comprises pumping fluid to the at least one injection manifold with a syringe or ampoule coupled to the at least one proximal connector.

10. The method of claim 6, wherein delivering the fluid to or under the patient'"'"'s skin comprises pumping fluid to the at least one injection manifold with a fluid pump coupled to the at least one proximal connector.

11. The method of claim 1, wherein delivering fluid to or under the patient'"'"'s skin comprises delivering the fluid toward the incision under the patient'"'"'s skin.

12. The method of claim 1, wherein the delivered fluid comprises at least one therapeutic, analgesic, antiseptic, antimicrobial, anti-inflammatory, or anti-clotting agent.

13. The method of claim 1, wherein delivering fluid to or under the patient'"'"'s skin comprises delivering the fluid subdermally.

14. The method of claim 1, further comprising coupling the at least one injection manifold to at least one of the first or second adhesion patches.

15. The method of claim 14, wherein coupling the at least one injection manifold to at least one of the first or second adhesion patches comprises advancing the at least one injection manifold at least partially through at least one of the first or second adhesion patches.

16. The method of claim 1, further comprising generating at least one intra-tissue electric field to facilitate healing of tissue adjacent the incision.

17. The method of claim 16, wherein generating the at least one electric field comprises generating the at least one intra-tissue electric field with at least one conductor coupled to at least one of the first or second adhesion patches.

18. The method of claim 17, wherein the at least one conductor comprises a first conductor coupled to the first adhesion patch having a first charge and a second conductor coupled to the second adhesion patch having a second charge opposite the first charge.

19. The method of claim 18, further comprising alternating the first and second charges of the first and second conductors.

20. The method of claim 17, wherein the at least one injection manifold comprises the at least one conductor.