Wound closure system and method

• US 20030220596A1
• Filed: 05/24/2002
• Published: 11/27/2003
• Est. Priority Date: 05/24/2002
• Status: Active Grant

• Current Assignee: 3M Innovative Properties Company (3M Company)
• Original Assignee: 3M Innovative Properties Company (3M Company)
• Inventors: Dunshee, Wayne K.
• Granted Patent: US 6,942,683 B2
• Time in Patent Office: Days
• US Class Current: 602/42
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/085 with adhesive layer
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61F 13/0243 characterised by the properties of the skin contacting layer, e.g. air-vapor permeability
• CPC Class Codes: A61F 13/0253 characterized by the adhesive material
• CPC Class Codes: A61L 15/58 Adhesives
• CPC Class Codes: A61L 26/0061 Use of materials characterised by their function or physical properties

Abstract

Methods and systems for closing wounds using wound closures and a flowable adhesive skin paint are disclosed. The flowable adhesive does not adhere the wound closures to the skin over the wound to reduce irritation. In some embodiments, the skin paint may include 1-40% of a siloxane-containing polymer; 60-99% of an Alkane-Based Siloxane Polymer Reaction Solvent; and 0-15% of adjuvants. The wound closures used with such a skin paint may include a wound bridging portion of microporous polypropylene film.

Claims

13. A method of tending a wound, the method comprising:

retaining opposing edges of a wound together by adhering one or more wound closures to skin on opposing sides of the wound, each wound closure of the one or more wound closures comprising a backing, a layer of adhesive on one major surface of the backing, and a wound bridging portion, wherein the wound bridging portion of each wound closure of the one or more wound closures contacts the opposing edges of the wound, and wherein the wound bridging portion of each wound closure of the one or more wound closures in contact with the opposing edges of the wound comprises microporous polypropylene film; and

applying flowable adhesive skin paint to the wound adjacent the one or more wound closures after adhering the one or more wound closures across the wound using the layer of adhesive on the one or more wound closures, wherein the adhesive skin paint comprises 1-40% of a siloxane-containing polymer;

60-99% of an Alkane-Based Siloxane Polymer Reaction Solvent; and

0-15% of adjuvants;

wherein adhesion strength between each wound bridging portion in contact with the opposing edges of the wound and skin is about 30 grams/centimeter or less.

14. A wound closure system comprising:

a quantity of a flowable adhesive skin paint;

at least one wound closure that comprises a backing, a wound bridging portion adapted to be placed over a wound, and a pressure sensitive adhesive, wherein the adhesive skin paint does not adhere the wound bridging portion of the at least one wound closure to skin.

1. A method of tending a wound, the method comprising:

retaining opposing edges of a wound together by adhering one or more wound closures to skin on opposing sides of the wound, each wound closure of the one or more wound closures comprising a backing, a layer of adhesive on one major surface of the backing, and a wound bridging portion, wherein the wound bridging portion of each wound closure of the one or more wound closures contacts the opposing edges of the wound; and

applying flowable adhesive skin paint to the wound adjacent the one or more wound closures after adhering the one or more wound closures across the wound using the layer of adhesive on the one or more wound closures;

wherein the adhesive skin paint does not adhere the one or more wound closures to the skin over the wound.

2. A method according to claim 1, further comprising applying the adhesive skin paint to the one or more wound closures.

3. A method according to claim 1, wherein the wound bridging portion in contact with the opposing edges of the wound is porous.

4. A method according to claim 1, wherein the wound bridging portion in contact with the opposing edges of the wound and the adhesive skin paint do not adhere to each other.

5. A method according to claim 1, wherein adhesion strength between the wound bridging portion in contact with the opposing edges of the wound and skin is about 30 grams/centimeter or less.

6. A method according to claim 1, wherein the adhesive skin paint comprises

1-40% of a siloxane-containing polymer;

60-99% of an Alkane-Based Siloxane Polymer Reaction Solvent; and

0-15% of adjuvants.

7. A method according to claim 6, wherein the wound bridging portion in contact with the opposing edges of the wound comprises microporous polypropylene film.

8. A method according to claim 1, wherein the adhesive skin paint comprises a cyanoacrylate-based adhesive.

9. A method according to claim 1, wherein the adhesive skin paint comprises a pyroxylin-based adhesive.

10. A method according to claim 1, wherein each wound closure of the one or more wound closures comprises:

opposing elastomeric end portions; and

a wound bridging portion between the end portions;

wherein the wound closure recovers at least 85% after being stretched 30%, and wherein the wound bridging portion stretches less than the end portions when subjected to the same force, whereby the wound bridging portion tends to maintain the wound closed against forces generated by stretching of skin.

11. A method according to claim 10, wherein the wound bridging portion stretches 8% or less when the wound closure stretches 30%.

12. A method according to claim 10, wherein the wound bridging portion stretches 1% or less when the wound closure stretches 30%.

15. A system according to claim 14, wherein adhesion strength between the wound bridging portion and skin is about 30 grams/centimeter or less.

16. A system according to claim 14, wherein the wound bridging portion is porous.

17. A system according to claim 14, wherein the adhesive skin paint comprises 1-40% of a siloxane-containing polymer;

60-99% of an Alkane-Based Siloxane Polymer Reaction Solvent; and

0-15% of adjuvants.

18. A system according to claim 17, wherein the wound bridging portion comprises microporous polypropylene film.

19. A system according to claim 14, wherein the adhesive skin paint comprises a cyanoacrylate-based adhesive.

20. A system according to claim 14, wherein the adhesive skin paint comprises a pyroxylin-based adhesive.

21. A system according to claim 14, wherein the at least one wound closure comprises:

opposing elastomeric end portions; and

a wound bridging portion between the end portions;

wherein the wound closure recovers at least 85% after being stretched 30%, and wherein the wound bridging portion stretches less than the end portions when subjected to the same force, whereby the wound bridging portion tends to maintain the wound closed against forces generated by stretching of skin.

22. A system according to claim 20, wherein the wound bridging portion stretches 1% or less when the wound closure stretches 30%.

21-1. A system according to claim 20, wherein the wound bridging portion stretches 8% or less when the wound closure stretches 30%.

24. A wound closure system comprising:

a quantity of a flowable adhesive skin paint comprising 1-40% of a siloxane-containing polymer;

60-99% of an Alkane-Based Siloxane Polymer Reaction Solvent; and

0-15% of adjuvants;

at least one wound closure that comprises a backing, a wound bridging portion comprising microporous polypropylene film adapted to be placed over a wound, and a pressure sensitive adhesive, wherein adhesion strength between the wound bridging portion and skin is about 30 grams/centimeter or less.