Rapid closing surgical closure device

• US 10,159,825 B2
• Filed: 09/11/2015
• Issued: 12/25/2018
• 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
• Application Number:
  US14/851,059
• Publication Number:
  US 20160095597A1
• Time in Patent Office: 1,201 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. An incision closure device comprising:

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

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

a binding mechanism configured for laterally coupling the first and second adhesion patches to one another across the incision; and

at least one injection manifold coupled to at least one of the first or second adhesion patch, the at least one injection manifold being configured to deliver fluid to or under the patient'"'"'s skin when one or more of the first or second adhesion patches are adhered to the patient'"'"'s skin,

wherein the at least one injection manifold comprises;

a main tube,

a plurality of injection catheters coupled to the main tube and extending from an underside of at least one of the first or second adhesion patches, each injection catheters having a catheter lumen, and

a plurality of injection needles configured to extend through the catheter lumens of the plurality of injection catheters,

wherein the plurality of injection needles are configured to puncture the patient'"'"'s skin to form a plurality of punctures therein and allow the plurality of injection catheters to extend into the plurality of punctures when at least one of the first or second adhesion patches is adhered to the patient'"'"'s skin adjacent the incision, and

wherein the plurality of injection needles are configured to be retractable from the catheter lumens of the plurality of injection catheters to allow the fluid to be delivered through the plurality of injection catheters to or under the patient'"'"'s skin.

2. The incision closure device of claim 1, wherein the at least one injection manifold is aligned axially with at least one of the first or second adhesion patches.

3. The incision closure device of claim 1, wherein the at least one injection manifold comprises a first injection manifold coupled to the first adhesion patch and a second injection manifold coupled to the second adhesion patch.

4. The incision closure device of claim 3, further comprising at least one proximal connector coupled to at least one of a proximal end of the first injection manifold or a proximal end of the second injection manifold to deliver fluid to at least one of the first or second injection manifolds.

5. The incision closure device of claim 4, wherein the at least one proximal connector comprises a Luer fitting with a removable and replaceable cap.

6. The incision closure device of claim 4, 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 proximal end of the first injection manifold to deliver fluid to the first injection manifold and the second proximal connector being coupled to a proximal end of the second fluid injection manifold to delivery fluid to the second injection manifold.

7. The incision closure device of claim 4, wherein the at least one proximal connector comprises a single proximal connector coupled to the proximal ends of the first and second injection manifolds.

8. The incision closure device of claim 4, further comprising a syringe or an ampoule coupled to the at least one proximal connector to provide the fluid to be delivered by the at least one injection manifold.

9. The incision closure device of claim 8, wherein the syringe or ampoule is squeezable to deliver the fluid to the at least one injection manifold.

10. The incision closure device of claim 4, further comprising a fluid pump coupled to the at least one proximal connector to deliver the fluid to the at least one injection manifold.

11. The incision closure device of claim 4, wherein the at least one proximal connector is removably coupled to the at least one of the proximal end of the first injection manifold or the proximal end of the second injection manifold.

12. The incision closure device of claim 1, wherein the at least one injection manifold is disposed along a midline of at least one of the first or second adhesion patches.

13. The incision closure device of claim 1, wherein at least one of the first adhesion patch, the second adhesion patch, or the at least one injection manifold is coated with at least one of a therapeutic agent, an analgesic agent, an antiseptic agent, an antimicrobial agent, anti-clotting agent, or heparin.

14. The incision closure device of claim 13, wherein the at least one injection manifold comprises an interior surface coated with the at least one of the therapeutic agent, the antiseptic agent, the antimicrobial agent, the anti-inflammatory agent, the anti-clotting agent, or heparin.

15. The incision closure device of claim 1, wherein the plurality of injection catheters are transverse to the main tube.

16. The incision closure device of claim 1, wherein the plurality of injection catheters are splayed relative to one another.

17. The incision closure device of claim 1, wherein the plurality of injection catheters are angled to deliver fluid toward the incision when at least one of the first or second adhesion patches are adhered to the patient'"'"'s skin.

18. The incision closure device of claim 1, wherein the plurality of injection catheters have different lengths to extend into the plurality of punctures in the patient'"'"'s skin at different depths.

19. The incision closure device of claim 1, wherein the plurality of injection catheters have the same lengths to extend into the plurality of punctures in the patient'"'"'s skin at the same depth.

20. The incision closure device of claim 1, wherein the plurality of injection catheters are configured to extend through the patient'"'"'s skin to a subdermal layer of tissue.

21. The incision closure device of claim 1, wherein the plurality of injection needles are flexible.

22. The incision closure device of claim 1, wherein the plurality of injection needles have different lengths to extend into the plurality of punctures in the patient'"'"'s skin at different depths.

23. The incision closure device of claim 1, wherein the plurality of injection needles have the same lengths to extend into the plurality of punctures in the patient'"'"'s skin at the same depth.

24. The incision closure device of claim 1, wherein the plurality of needles are configured to extend through the patient'"'"'s skin to a subdermal layer of tissue.

25. The incision closure device of claim 1, wherein the at least one injection manifold is embedded in a body of at least one of the first or second adhesion patches.

26. The incision closure device of claim 1, further comprising at least one conductor coupled to at least one of the first or second adhesion patches to generate an intra-tissue electric field to facilitate tissue healing.

27. The incision closure device of claim 26, wherein the at least one conductor comprises a first conductor coupled to the first adhesion patch and a second conductor coupled to the second adhesion patch.

28. The incision closure device of claim 27, wherein the first conductor and the second conductor are oppositely charged.

29. The incision closure device of claim 26, wherein the at least one injection manifold comprises the at least one conductor.